Deck 29: Care of the Acutely Ill or Critically Ill Child

Question 1

As a pediatric nurse, what is considered to be your core obligation and core principle as you commit to protecting the well-being, safety, and health of the patient?

A) Treating the patient
B) Advocating for the patient
C) Assessing the patient
D) Comforting the patient

Answer 1

B

Question 2

A comprehensive patient hand-off includes which of the following pieces of information?

A) The patient's current condition
B) The patient's diagnosis
C) The patient's prognosis
D) The patient's entire care experience

Answer 2

D

Question 3

The use of conscious sedation during invasive bedside procedures is not uncommon in the PICU setting. As a pediatric nurse, what is your role during a procedure requiring conscious sedation?

A) Obtaining informed consent from the parents
B) Explaining the procedure to the patient and the parents
C) Administering the medication required for conscious sedation
D) Documenting the procedure minute by minute at the bedside

Answer 3

D

Question 4

As an advocate, what is the primary ethical responsibility of the registered nurse?

A) To do no harm
B) To be open and honest
C) To act in the best interest of the patient
D) To protect the health, safety, and rights of the patient

Question 5

As a pediatric nurse, you should be aware that research has shown that there are three areas that have the most impact on the experience of pediatric hospitalization, whether that experience is good or bad, from the perspective of providers, parents, and the hospitalized child. What are these three areas?

A) Communication, information, and relationships
B) Communication, competence, and outcome
C) Information, honesty, and competence
D) Competence, clarity, and communication

Question 6

When caring for a school-age child, what action performed by the pediatric nurse will allow the child to feel some perception of control?

A) Praising attempts at self-care
B) Allowing a small amount of stalling behavior
C) Giving the child duties or small projects
D) Including the child in treatment decisions and discussions as appropriate

Question 7

When assessing the fluid status of a child, which medication should be infused in cases of fluid overload?

A) Lasix
B) Mannitol
C) Hydrochlorothiazide
D) Bumex

Question 8

As a pediatric nurse, what is an appropriate action if the family expresses concern about their child being transferred from the PICU to a lower level of care?

A) Communicate concerns to the receiving nurse
B) Elicit the assistance of a social worker and Child Life specialist
C) Reassure the parents that their child is medically ready to be transferred
D) Alert the transferring physician so he or she can address any concerns the family may have

Question 9

What is the appropriate action for a pediatric nurse to take during a code purple?

A) Secure stairwells, exits, and elevators
B) Assist in containment, evacuation, and emergency response
C) Assist the code team to help provide resuscitation assistance
D) Prepare for the care of a large number of ill and injured persons, possibly representing ages across the lifespan

Question 10

As a pediatric nurse, what is an appropriate action when a child is preparing to be discharged?

A) Making follow-up appointments for the patient
B) Explaining all discharge instructions to the patient and parents
C) Personally escorting the patient and parents to the exit
D) Prompting the physician to document discharge instructions