Question 1

Despite the availability of the Children's Health Insurance Program (CHIP), families often fail to obtain coverage for eligible children because:

Accepted Answer

According to research, lack of awareness about eligibility is a significant reason why families fail to obtain coverage for their children through CHIP. This highlights the need for increased outreach and public education efforts to inform families about their eligibility for CHIP.

Question 2

When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:

Accepted Answer

The correct answer is A, "Unintentional injury." This statement indicates that the parents understand the importance of injury prevention, which is a primary teaching point when discussing toddler safety. Infectious disease, congenital anomalies, and cancer are all important health topics, but do not relate directly to injury prevention in toddlers.

Question 3

The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:

Accepted Answer

Diagnosis and prescription of medication for acute otitis media require specialized training beyond the preparation of a registered nurse, such as that of a nurse practitioner or physician. Therefore, the nurse would refuse to diagnose and prescribe antibiotics.

Question 4

Following a traumatic birth, an infant is admitted to the neonatal intensive care unit. When the grandparents arrive at the hospital, they the nurse caring for the baby about its condition and plan of care. The nurse who provides this information without permission from the parents would be committing:

Accepted Answer

The nurse would be committing a breach of privacy by disclosing the infant's medical information to the grandparents without permission from the parents. It is important for healthcare providers to respect patient confidentiality and only share medical information with authorized individuals.

Question 5

A 12-year-old pediatric client is in need of surgery. The health care member who is legally responsible for obtaining informed consent for an invasive procedure is the:

Accepted Answer

The physician is legally responsible for obtaining informed consent for an invasive procedure. While the nurse, social worker, and unit secretary may assist in the process, it is ultimately the physician's responsibility to ensure that the client and/or their legal guardian fully understand the risks, benefits, and alternatives to the procedure before giving consent.

Question 6

All of the following adolescents are in the emergency room for treatment. Which adolescent would be an emancipated minor?

Accepted Answer

An emancipated minor is a minor who has been granted legal independence from their parents or guardians. The 17-year-old adolescent who is self-supporting and maintains her own apartment qualifies as an emancipated minor as they are legally independent from their parents. The other three adolescents do not meet the criteria for emancipation.

Question 7

The role of the registered nurse as a nurse educator is to:

Accepted Answer

As a nurse educator, the registered nurse's role is to provide education to patients and their families about their care and treatment options. This includes providing information that will help them make informed decisions about their plan of care.

Question 8

While changing the diaper on a newborn in the presence of the mother, the nurse notes a belly binder wrapped around the umbilical cord. When questioned, the mother states this is the way the umbilical area is cared for in her culture. The nurse should:

Accepted Answer

The nurse should explain to the mother the risks associated with belly binders and encourage her to remove it. Leaving a belly binder on the umbilical cord can increase the risk of infection and delay healing. The nurse should respect the mother's cultural practices but also provide education on safer alternatives for umbilical cord care.

Question 9

The nursing supervisor is observing the staff on the pediatric unit. Which nurse is providing family-centered care?

Accepted Answer

Providing family-centered care involves collaborating with the family to meet the child's health care needs. The nurse in option D recognizes the mother's limitations and works with the family to determine a solution that meets the child's needs while also taking into account the mother's abilities.

Question 10

A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines are in place to delineate which pediatrics clients must give assent for participation in research trials. Based upon the client's age, the nurse would seek assent from which children? Standard Text: Select all that apply.

Accepted Answer

Children who are considered capable of providing assent typically include those who are seven years of age and older. This is based on the general understanding that children around this age begin to have the cognitive ability to understand basic elements of the research study and its implications for them. Therefore, a 13-year-old (Choice A), a 10-year-old (Choice C), and a seven-year-old (Choice D) would typically be asked to give assent for participation in research trials. A precocious four-year-old (Choice B), despite potentially having advanced understanding for their age, is generally considered too young to provide assent based on federal guidelines.

Question 11

With regard to infant mortality statistics, which nursing intervention would be most effective in decreasing post-neonatal mortality?

Accepted Answer

The Back to Sleep campaign, which educates parents on placing babies on their backs to sleep, has been shown to decrease the incidence of Sudden Infant Death Syndrome (SIDS) and post-neonatal mortality. This intervention is supported by the American Academy of Pediatrics and is a highly effective way to reduce infant mortality.

Question 12

A child is being prepared for an invasive procedure in the presence of the child's babysitter. The single mother of the child has legal custody but is not present. After details of the procedure are explained, the legal informed consent for treatment on behalf of a minor child will be obtained from:

Accepted Answer

The best choice would be to obtain written proxy consent from the babysitter, as they are currently responsible for the child in the absence of the mother. The divorced parent without custody or the cohabitating unmarried partner of the mother do not have legal authority to provide consent for the child's medical treatment. While a grandparent who lives in the home may have some level of caregiving responsibility, they still do not have legal custody and may not be the best choice for informed consent.

Question 13

A 12-year-old child is being admitted to the unit for a surgical procedure. The child is accompanied by two parents and a younger sibling. The level of involvement in treatment decision making for this child is:

Accepted Answer

The child is not of legal age to be considered a mature minor or an emancipated minor. However, the child can provide assent, which means they are able to understand and agree to the treatment being given. The parents would have the ultimate decision-making authority, but the child's opinion should be taken into consideration.

Question 14

The pediatric nurse's best defense against an accusation of malpractice or negligence is that the nurse:

Accepted Answer

Meeting the standards of practice set by a professional organization shows that the nurse followed accepted guidelines and protocols, which can help in defending against accusations of malpractice or negligence. Being a nurse practitioner or clinical nurse specialist may be helpful, but it is not necessarily the best defense. Acting on the advice of the nurse manager or following physician's orders also may not protect the nurse if those actions result in harm to the patient.

Question 15

A nurse is examining different nursing roles. Which best illustrates an advanced practice nursing role?

Accepted Answer

An advanced practice nursing role typically refers to a nurse who has completed advanced education and training beyond the registered nurse level, such as a clinical nurse specialist. In this example, the clinical nurse specialist is consulted for her expertise, indicating a higher level of knowledge and skill than the other options.

Question 16

A 7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery. Which information tool would be most useful in answering a parent's questions about timing of key events?

Accepted Answer

Critical clinical pathways would be the most useful tool in answering a parent's questions about the expected timing of key events during their child's recovery from acute appendicitis. Critical clinical pathways outline the expected sequence of care and timing of interventions for a specific condition, such as acute appendicitis, and can help parents understand what to expect during their child's recovery.

Question 17

Despite the availability of Children's Health Insurance Programs (CHIP), many eligible children are not enrolled. The nursing intervention that can best help eligible children to become enrolled is:

Accepted Answer

Advocating for the child by encouraging the family to investigate CHIP eligibility is the best nursing intervention to help eligible children become enrolled. This approach involves empowering the family, informing them of the benefits of health insurance, and explaining how to apply for CHIP. It also involves helping the family navigate the enrollment process, including submitting the necessary documents, and following up on the application status. This approach is likely to result in higher enrollment rates than the other options listed.

Question 18

With regard to child mortality statistics, which nursing intervention would be most effective in decreasing mortality from unintentional injury?

Accepted Answer

The most effective intervention in decreasing mortality from unintentional injury among children would be teaching parents about the proper use of vehicle restraint seats. This is because motor vehicle accidents are a leading cause of unintentional injury and death among children, and the use of proper car seats and seat belts can greatly reduce the risk of injury or death in the event of an accident. While teaching children about sports safety and educating parents about immunizations are important interventions, they are not specific to reducing unintentional injury mortality. Encouraging parents to obtain genetic counseling is also important, but it is not directly related to reducing child mortality from unintentional injury.

Question 19

The telephone triage nurse at a pediatric clinic knows that each call is important. However, recognizing that infant deaths are most frequent in this group, the nurse must be extra attentive during the call from the parent of an infant who is:

Accepted Answer

Infants younger than 3 weeks old have the highest risk of mortality, and therefore require extra attention during a telephone triage call.

Question 20

A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads:

Accepted Answer

Choice B provides a clear and concise documentation of the procedure that was performed, including the date and time, the amount of air injected and stomach contents returned, the type of formula infused, and the child's behavior during the procedure. It also includes the nurse's initials for accountability. The other choices contain some required parts of a narrative entry, but do not provide all the necessary information or are less organized.

Quiz 1: Child Health Nursing: Concepts, Roles, and Issues

Despite the availability of the Children's Health Insurance Program (CHIP) , families often fail to obtain coverage for eligible children because: