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Peds Exam 1 (testbank) questions and answers
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Peds Exam 1 (testbank) questions and answers
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Peds Exam 1 (testbank)A 12-year-old child is admitted to the unit for a surgical procedure. The child is accompanied by
two parents and a younger sibling. What is the level of involvement in treatment decision
making for this child?
1. That of an emancipated minor.
2. That of a mature minor.
3. That of assent.
4. None. - questions and answers-3. That of assent.
A 12-year-old pediatric client is in need of surgery. Which member of the health care team is
legally responsible for obtaining informed consent for an invasive procedure?
1. Nurse
2. Physician
3. Unit secretary
4. Social worker - questions and answers-2. Physician
A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the
moment he is placed on the examination table. The parent attempts to comfort the toddler;
however, nothing is effective. Which of these actions by the nurse takes priority?
1. Instruct the father to hold the toddler down tightly to complete the examination.
2. Allow the toddler to sit on the parents lap and begin the assessment.
3. Allow the toddler to stand on the floor until he stops crying.
4. Ask another nurse in the office to hold the toddler, since the parent is not able to control the
toddlers behavior. - questions and answers-2. Allow the toddler to sit on the parents lap and
begin the assessment.
A 7-year-old child is admitted for acute appendicitis. The parents are questioning the nurse
about expectations during the childs recovery. Which information tool would be most useful in
answering a parents questions about the timing of key events?
1. Healthy People 2020
2. Clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines - questions and answers-2. Clinical pathways
A 7-year-old child presents to the clinic with an exacerbation of asthma symptoms. On physical
examination, the nurse would expect which assessment findings? Select all that apply.
1. Wheezing
2. Increased tactile fremitus
3. Decreased vocal resonance
4. Decreased tactile fremitus
5. Bronchophony - questions and answers-1. Wheezing
3. Decreased vocal resonance
,4. Decreased tactile fremitus
A 9-year-old child who has been followed in the same pediatric home since birth is at the
healthcare center for a well-child visit. A nurse who measures the height and weight of the child
documents 35th percentile for height and 90th percentile for weight. How should the nurse
interpret these data?
1. The child is beginning a growth spurt.
2. The child is obese and needs dietary counseling.
3. The parents are most likely below the 50th percentile for height and weight.
4. As soon as the child begins the adolescent growth spurt, the height and weight
measurements will normalize. - questions and answers-2. The child is obese and needs dietary
counseling.
A child is being discharged from the hospital after a 3-week stay following a motor vehicle
accident. The mother expresses concern about caring for the child's wounds at home. She has
demonstrated appropriate technique with medication administration and wound care. Which
nursing diagnosis is the priority in this situation?
1. Knowledge Deficit of Home Care
2. Altered Family Processes Related to Hospitalization
3. Parental Anxiety Related to Care of the Child at Home
4. Risk for Infection Related to Presence of Healing Wounds - questions and answers-3.
Parental Anxiety Related to Care of the Child at Home
A child is being prepared for an invasive procedure. The mother of the child has legal custody
but is not present. After details of the procedure are explained, who can provide legal consent
on behalf of a minor child for treatment?
1. The divorced parent without custody
2. A cohabitating unmarried boyfriend of the childs mother
3. A grandparent who lives in the home with the child
4. A babysitter with written proxy consent - questions and answers-4. A babysitter with written
proxy consent
A follow-up visit for a newborn client is scheduled with the pediatric nurse practitioner 3 days
after discharge. What will the nurse include in the assessment during the scheduled visit for this
newborn? Select all that apply.
1. Feeding pattern
2. Jaundice
3. Length
4. Vision screen
5. Sleep pattern - questions and answers-1. Feeding pattern
2. Jaundice
5. Sleep pattern
,A group of children on one hospital unit are all suffering separation anxiety. Which child is
experiencing the despair stage of separation anxiety?
1. Does not cry if parents return and leave again
2. Screams and cries when parents leave
3. Appears to be happy and content with staff
4. Lies quietly in bed - questions and answers-4. Lies quietly in bed
A hospitalized toddler-age client needs to have an IV restarted. The child begins to cry when
carried into the treatment room by the mother. Which nursing diagnosis is most appropriate?
1. Ineffective Individual Coping Related to an Invasive Procedure
2. Anxiety Related to Anticipated Painful Procedure
3. Fear Related to the Unfamiliar Environment
4. Knowledge Deficit of the Procedure - questions and answers-2. Anxiety Related to
Anticipated Painful Procedure
A mother asks which developmental milestones she can expect when her baby is 6 months old.
Which response by the nurse is the most appropriate?
1. Lifts head momentarily when prone
2. Has well-developed pincer grasp
3. Transfers objects from one hand to the other
4. Rolls from front to back - questions and answers-3. Transfers objects from one hand to the
other
A mother of a school-age client who recently had surgery for the removal of tonsils and
adenoids complains that the child has begun sucking his thumb again. Which coping
mechanisms is the child using to cope with the surgery and hospitalization?
1. Repression
2. Rationalization
3. Regression
4. Fantasy - questions and answers-3. Regression
A mother of an 18-month old asks the nurse whether she can begin to introduce low-fat milk like
the rest of the family drinks. The nurse answers the mother based on the knowledge that low-fat
milk can safely be introduced at what age?
1. 18 months
2. 24 months
3. 3 years
4. 4 years - questions and answers-2. 24 months
A mother reports that her adolescent is always late. The mother states, She was born late and
has been late every day of her life. Which response should the nurse make to this mother?
1. You need to establish specific time frames for your adolescent and be certain she adheres to
them.
, 2. You should not expect your adolescent to be an on-time individual unless you set specific
alarms and then reinforce the value of being on-time.
3. You should not expect your adolescent to be on time. Teenagers are always late.
4. You have a major problem. There must be a lot of screaming in your home. - questions and
answers-2. You should not expect your adolescent to be an on-time individual unless you set
specific alarms and then reinforce the value of being on-time.
A mother who is bottle feeding her newborn asks to be discharged 24 hours post delivery,
because she also has twin 2-year-old children at home. When should the nurse schedule the
first office visit for this newborn?
1. Within 48 hours of discharge
2. Within one week of discharge
3. Within two weeks of discharge
4. When the infant is 1 month old - questions and answers-1. Within 48 hours of discharge
A neonatal nurse who encourages parents to hold their baby and provides opportunities for
Kangaroo Care most likely is demonstrating concern for which aspect of the infants
psychosocial development?
1. Attachment
2. Assimilation
3. Centration
4. Resilience - questions and answers-1. Attachment
A new mother is worried about a soft spot on the top of her newborn infants head. The nurse
informs her that this is a normal physical finding called the anterior fontanel. At what age will the
nurse educate the mother that the soft spot will close?
1. 2 to 3 months of age
2. 6 to 9 months of age
3. 12 to 18 months of age
4. Approximately 2 years of age - questions and answers-3. 12 to 18 months of age
A new parent group inquires about the stages through which their children will progress as they
grow older. The nurse is discussing Piagets developmental stages. In what order would the
nurse expect the child to progress through Piagets stages of development? List them in order.
Choice 1. Sensorimotor
Choice 2. Formal operational
Choice 3. Preoperational
Choice 4. Concrete operational - questions and answers-Choice 1. Sensorimotor
Choice 3. Preoperational
Choice 4. Concrete operational
Choice 2. Formal operational
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