Question 1

What action should occur if an adult care nurse floats to a pediatric care environment without documented competencies?

Accepted Answer

The answer of What action should occur if an adult...

Question 2

What action on the part of the pediatric nurse will reduce the chance of recidivism?

Accepted Answer

The answer of What action on the part of the...

Question 3

During a pediatric admission, at what point should the concept of family-centered care be implemented?

Accepted Answer

The answer of During a pediatric admission, at what point...

Question 4

As a pediatric nurse, you should be aware that which physiological manifestations are exhibited in the early phases of imminent death?

Accepted Answer

In the early phases of imminent death, tachypnea (rapid breathing) and labored breathing are common as the body struggles to maintain oxygenation and perfusion.

Question 5

For what reason would hospital nurses not feel comfortable or have the competencies required for a peaceful and symptom-controlled death in an acute care setting?

Accepted Answer

Hospital settings primarily focus on diagnostics and treatments, which may not align with the competencies required for providing end-of-life care, leading to discomfort among nurses in managing peaceful and symptom-controlled deaths.

Question 6

As a pediatric nurse, what advice can you give a parent in order to promote a safe environment for their adolescent child to explore opportunities?

Accepted Answer

Providing supervision and getting involved with the adolescent's activities helps ensure their safety while allowing them to explore opportunities.

Question 7

As a pediatric nurse working in the school setting, you are responsible for providing care and healthcare education. What action will also be expected of you as a school nurse?

Accepted Answer

Observing and reporting signs of abuse and malnutrition is a legal requirement for school nurses.

Question 8

What anticipatory guidance should a pediatric nurse provide a family regarding the use of ipecac syrup?

Accepted Answer

Ipecac syrup was once recommended for inducing vomiting in cases of poisoning, but it is no longer recommended for this purpose. The American Academy of Pediatrics advises against its use for poisonings because it can do more harm than good, potentially delaying more effective treatment measures and causing additional complications.

Question 9

What is critical for a pediatric nurse to remember when caring for a child who adheres to the rules of Christian Science?

Accepted Answer

The commitment to not naming disease, disorders, infections, or injuries may place children at risk.

Question 10

If a mother of a newborn child with a cleft palate is unsure about the proper method of feeding, as a pediatric nurse, which member of the interdisciplinary team would you engage to assist this mother?

Accepted Answer

A lactation consultant specializes in breastfeeding and can provide guidance and support to mothers on how to feed a newborn with a cleft palate, including alternative feeding methods if necessary.

Question 11

If a neonate experiences a brief, resolved, unexplained event (BRUE), what is the appropriate action for a pediatric nurse?

Accepted Answer

The answer of If a neonate experiences a brief, resolved,...

Question 12

As a pediatric nurse, what advice would you give to the parents of a child who becomes incontinent after achievement of complete potty training?

Accepted Answer

Incontinence after achieving complete potty training can indicate a medical issue such as a urinary tract infection or other underlying conditions. It's important to seek medical advice and assessment to rule out or treat any potential health problems.

Question 13

As a pediatric nurse, which of the following is the appropriate method for accurately determining the pain experience of a child?

Accepted Answer

The most accurate method for determining a child's pain experience involves a comprehensive approach that includes using subjective scales (to understand the child's personal experience of pain), an objective tool (to provide measurable indicators of pain), and measuring vital signs (as physiological changes can indicate pain levels). This multifaceted approach ensures a more accurate assessment of the child's pain by considering both the child's subjective experience and objective signs.

Question 14

According to the National Institutes of Health, the pediatric nurse should advise all school-age children to undergo emotional and mental health screenings to assess for what medical conditions?

Accepted Answer

School-age children are often screened for depression and anxiety as these are common mental health issues that can affect their emotional and social development.

Question 15

When caring for a hospitalized adolescent who is pain free, at what point is it appropriate to administer a pain perception tool?

Accepted Answer

The answer of When caring for a hospitalized adolescent who...

Question 16

As a pediatric nurse caring for a child receiving narcotics for pain control, you should be aware that opioid-induced respiratory depression (OIRD) can be fatal due to which of the following?

Accepted Answer

Opioid-induced respiratory depression (OIRD) can lead to a decreased level of consciousness, which in turn can cause the child's tongue to fall back and obstruct the airway, potentially leading to fatal outcomes if not promptly addressed.

Question 17

As a pediatric nurse, you should recognize that a child regressing to behaviors of a lower developmental period or a change in behavior that is recognizable to a child's parents are two very common reactions when a child is experiencing what medical condition?

Accepted Answer

Stress can cause children to regress to behaviors characteristic of a younger developmental stage as a coping mechanism. It can also lead to changes in behavior that are noticeable to parents, as the child may struggle to articulate their feelings directly.

Question 18

If a child presents with multiple fractures of different ages or stages of healing, what should be the next action of the interdisciplinary healthcare team?

Accepted Answer

The answer of If a child presents with multiple fractures...

Question 19

If a pediatric patient presents with hypertrophic pyloric stenosis, as a pediatric nurse you should be aware that this child may be suffering from what acid-base imbalance due to the loss of hydrochloric acid?

Accepted Answer

Metabolic alkalosis occurs in hypertrophic pyloric stenosis due to the loss of hydrochloric acid from vomiting, which leads to an increase in blood pH.

Question 20

While performing an assessment on a child, you notice that the child's urine has a sweet odor. Testing confirms the presence of maple syrup urine disease. What is the appropriate treatment for this metabolic disorder?

Accepted Answer

Maple syrup urine disease is treated with dietary management and sometimes large doses of thiamine, as it can help in some cases where the enzyme deficiency is responsive to thiamine.

Quiz 31: Strategies for Goal-Setting, Cultural Sensitivity, and Error-Prevention