Question 1

As a pediatric nurse in the hospice setting, what is the direct care you are providing geared toward?&#10;A) Assessment of patient's medical condition&#10;B) Confirming a diagnosis&#10;C) Symptom management&#10;D) Restoring functional capacity

Accepted Answer

C, D

Question 2

Being that infants are obligate nose breathers for the first 8-12 weeks of life, as a pediatric nurse, what action should you take if you encounter an infant who is congested?&#10;A) Initiate oxygen therapy&#10;B) Administer oral decongestants&#10;C) Suction the nose to ensure patency&#10;D) Place patient in the sniffing position

Accepted Answer

Infants are obligate nose breathers, meaning they primarily breathe through their noses for the first few months of life. If an infant is congested, suctioning the nose to ensure it is clear allows the infant to breathe more easily. This is a direct and safe method to relieve nasal congestion in infants, unlike administering oral decongestants, which are not recommended for infants due to potential side effects and lack of evidence for safety and efficacy in this age group. Initiating oxygen therapy or placing the patient in the sniffing position are not standard initial actions for simple nasal congestion.

Question 3

Because children have less tidal volume compared to adults, as a pediatric nurse, what action should you take if you experience a child in early respiratory distress due to pulmonary obstruction, inflammation, or secretions?

A) Initiate oxygen therapy
B) Administer oral decongestants
C) Suction the nose to ensure patency
D) Place patient in the sniffing position

A

Accepted Answer

In early respiratory distress, initiating oxygen therapy is crucial to ensure adequate oxygenation, especially since children have less tidal volume and may desaturate quickly.

Question 4

Children will compensate for dehydration, trauma with blood loss, and other insults to the cardiovascular system for a period of time; however, what will occur if this condition goes untreated?&#10;A) Blood pressure will drop rapidly&#10;B) Renal failure will occur&#10;C) Fluid will accumulate in the intracranial region&#10;D) Respiratory distress will likely develop

Accepted Answer

If dehydration, trauma with blood loss, or other cardiovascular insults go untreated, children will eventually experience a rapid drop in blood pressure as their compensatory mechanisms fail.

Question 5

Why should young infants experiencing pulmonary illnesses be placed in a sniffing position to prevent occlusion of their airway?&#10;A) Young infants have poorly developed intercostal muscles.&#10;B) The pediatric airway is triangular in shape.&#10;C) Infants have larger occipital cranial bones compared to adults.&#10;D) A child's tongue is disproportionately larger than that of an adult.

Accepted Answer

Placing infants in a sniffing position helps align the airway because their larger occipital cranial bones can cause the head to tilt forward, potentially occluding the airway.

Question 6

As a pediatric nurse, what action should you take to ensure all pertinent information is communicated during a patient handoff?&#10;A) Follow the SBAR protocol&#10;B) Follow the CUS protocol&#10;C) Follow the I-PASS mnemonic&#10;D) Follow the KIDS SAFE mnemonic

Accepted Answer

The answer of As a pediatric nurse, what action should...

Question 7

If a staff member comes to you and states, &#34;I think we have a safety issue,&#34; as a pediatric nurse, what should you do to uncover and solve this issue?&#10;A) Communicate using the SBAR protocol&#10;B) Communicate using the CUS protocol&#10;C) Communicate using the I-PASS mnemonic&#10;D) Communicate using the KIDS SAFE mnemonic

Accepted Answer

The CUS protocol (Concerned, Uncomfortable, Safety issue) is specifically designed to address safety concerns, making it the most appropriate choice for addressing a potential safety issue.

Question 8

As a school nurse, a child presents to you complaining of dizziness. What type of therapeutic care are you expected to administer?&#10;A) Oxygen therapy&#10;B) Intravenous hydration&#10;C) Glucose replenishment&#10;D) Nothing beyond basic first aid

Accepted Answer

Given the limited information and the role of a school nurse, the most appropriate action would be to provide basic first aid while assessing the situation further. School nurses typically do not administer oxygen therapy, intravenous hydration, or glucose replenishment without a specific diagnosis and orders from a healthcare provider.

Question 9

If a child is suffering from an illness such as appendicitis or bronchiolitis, what setting would be most appropriate for the care of this child?&#10;A) Outpatient setting&#10;B) Acute care setting&#10;C) Palliative care setting&#10;D) Hospice care setting

Accepted Answer

Acute care settings are designed to provide immediate and intensive medical treatment for conditions such as appendicitis or bronchiolitis, which require prompt attention to prevent complications or to manage severe symptoms.

Question 10

As a pediatric nurse in the pediatric intensive care unit, how can you ensure the safety of all patients under your care?&#10;A) Follow the SBAR protocol&#10;B) Follow the CUS protocol&#10;C) Follow the I-PASS mnemonic&#10;D) Follow the KIDS SAFE mnemonic

Accepted Answer

The KIDS SAFE mnemonic is specifically designed for pediatric care to ensure safety by focusing on key areas such as medication safety, infection prevention, and equipment checks.

Deck 2: Care Across Clinical Settings