Question 1

Parents of a hospitalized toddler ask the nurse, "What is meant by family-centered care?" The nurse should respond with which statement?

Accepted Answer

A)   Family-centered care reduces the effect of cultural diversity on the family.
B)   Family-centered care encourages family dependence on the health care system.
C)   Family-centered care recognizes that the family is the constant in a child's life.
D)   Family-centered care avoids expecting families to be part of the decision-making process. C

Question 2

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Interventions are put into action

Accepted Answer

A)  Assessment
B)  Diagnosis
C)  Outcomes identification
D)  Planning
E)  ImplementationF) Evaluation E

Question 3

An adolescent patient wants to make decisions about treatment options, along with his parents. Which moral value is the nurse displaying when supporting the adolescent to make decisions?

Accepted Answer

A)   Justice
B)   Autonomy
C)   Beneficence
D)   Nonmaleficence B

Question 4

The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion program. Which are included in the leading health indicators? (Select all that apply.)

Accepted Answer

A)   Decrease tobacco use.
B)   Improve immunization rates.
C)   Reduce incidences of cancer.
D)   Increase access to health care.
E)   Decrease the number of eating disorders.

Question 5

Which responsibilities are included in the pediatric nurse's promotion of the health and well-being of children? (Select all that apply.)

Accepted Answer

A)   Promoting disease prevention
B)   Providing financial assistance
C)   Providing support and counseling
D)   Establishing lifelong friendships
E)   Establishing a therapeutic relationshipF)  Participating in ethical decision making

Question 6

The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?

Accepted Answer

A)   The average age of the nurses on the unit
B)   The salary ranges for the nurses on the unit
C)   The education and certification of the nurses on the unit
D)   The number of nurses who have applied but were not hired for the unit

Question 7

The school nurse is evaluating the number of school-age children classified as obese. The nurse recognizes that the percentile of body mass index that classifies a child as obese is greater than which?

Accepted Answer

A)   50th percentile
B)   75th percentile
C)   80th percentile
D)   95th percentile

Question 8

Which is the leading cause of death in infants younger than 1 year in the United States?

Accepted Answer

A)   Congenital anomalies
B)   Sudden infant death syndrome
C)   Disorders related to short gestation and low birth weight
D)   Maternal complications specific to the perinatal period

Question 9

Ethical dilemmas arise when competing moral considerations underlie various alternatives. Match each competing moral value with its definition.

-The obligation to minimize or prevent harm

Accepted Answer

A)  Autonomy
B)  Nonmaleficence
C)  Beneficence
D)  Justice

Question 10

The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking?

Accepted Answer

A)   Preschool
B)   Young school age
C)   Middle school age
D)   Adolescent

Question 11

MATCHING
The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. Match each step of the nursing process with its definition.

-Development of a care plan

Accepted Answer

A)  Assessment
B)  Diagnosis
C)  Outcomes identification
D)  Planning
E)  ImplementationF) Evaluation

Question 12

The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?

Accepted Answer

A)   Preschoolers
B)   Young school age
C)   Middle school age
D)   Late school age and adolescents

Question 13

The nurse is preparing to complete documentation on a patient's chart. Which should be included in documentation of nursing care? (Select all that apply.)

Accepted Answer

A)   Reassessments
B)   Incident reports
C)   Initial assessments
D)   Nursing care provided
E)   Patient's response of care provided

Question 14

Which situation denotes a nontherapeutic nurse-patient-family relationship?

Accepted Answer

A)   The nurse is planning to read a favorite fairy tale to a patient.
B)   During shift report, the nurse is criticizing parents for not visiting their child.
C)   The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
D)   The nurse is working with a family to find ways to decrease the family's dependence on health care providers.

Question 15

Which actions by the nurse demonstrate clinical reasoning? (Select all that apply.)

Accepted Answer

A)   Basing decisions on intuition
B)   Considering alternative action
C)   Using formal and informal thinking to gather data
D)   Giving deliberate thought to a patient's problem
E)   Developing an outcome focused on optimum patient care

Question 16

The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition? (Select all that apply.)

Accepted Answer

A)   Homelessness
B)   Lower income
C)   Migrant status
D)   Working parents
E)   Single parent status

Question 17

Which should the nurse teach to parents regarding oral health of children? (Select all that apply.)

Accepted Answer

A)   Fluoridated water should be used.
B)   Early childhood caries is a preventable disease.
C)   Dental caries is a rare chronic disease of childhood.
D)   Dental hygiene should begin with the first tooth eruption.
E)   Childhood caries does not happen until after 2 years of age.

Question 18

The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?

Accepted Answer

A)   More deaths occur in males.
B)   More deaths occur in females.
C)   The pattern of deaths does not vary according to age and sex.
D)   The pattern of deaths does not vary widely among different ethnic groups.

Question 19

The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?

Accepted Answer

A)   Female, multiple siblings, stable home life
B)   Male, high activity level, stressful home life
C)   Male, even tempered, history of previous injuries
D)   Female, reacts negatively to new situations, no serious previous injuries

Question 20

The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?

Accepted Answer

A)   The United States is ranked last among 27 countries.
B)   The United States is ranked similar to 20 other developed countries.
C)   The United States is ranked in the middle of 20 other developed countries.
D)   The United States is ranked highest among 27 other industrialized countries.

Exam 1: Perspectives of Pediatric Nursing