NUR 336 PEDS EXAM 1 2025 LATEST EXAM PREP

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NUR 336 PEDS EXAM 1 2025 LATEST EXAM PREP

GUIDE WITH 250 REAL EXAM REVIEW

QUESTIONS AND CORRECT VERIFIED

ANSWERS/ NUR 336 PEDIATRICS EXAM 1

ARIZONA COLLEGE (BRAND NEW!)

(This document covers: therapeutic communication, generalized critical

thinking, how to communicate with different cultures, family-centered care, best therapeutic response, the milestones of different age groups and real exam questions with correct answers) what is the pediatric nursing scope and standards of practice?

• primary source of standards
• therapeutic relationships
• professional boundaries and personal authenticity
• challenging patient and family behaviors

what stand out with pediatric nursing's ANA code of ethics for nurse?informed consent from the parent/guardian A two-year with a diagnosis of diarrhea and mild dehydration is admitted to the Children’s unit. The nurse should incorporate which actions into plan of care?(select all that apply)SATA

• Daily weights
• whole milk to coat the child stomach
• use of gloves when changing diapers
• placing the child in a private room

Daily weight

Use of gloves when changes diapers

Private room (contact for diarrhea) 1 / 4

pg. 2 A 3-month-old has had a recent repair of his cleft lip. In order to reduce injury to the operative site, which nursing intervention would be best?

• position the baby in a prone position
• administer medication to keep him lightly sedated until discharge
• apply restraints to his arms and legs
• encourage the parents to hold the infant frequently
• encourage the parents to hold the infant frequently

The mother of an 8-year-old asks the nurse if her daughter’s rheumatic fever will affect her other children. How should the nurse respond? ?

• tell her that rheumatic fever is not contagious
• explain to her that there is a 7 to 10 day incubation. In which other family

members could be affected

• tell her that rheumatic fever is an autoimmune disorder
• explain that she and her children should receive prophylactic treatment
• tell her that rheumatic fever is not contagious

what are nursing advocacy nurses do for their pediatric patients?

• child maltreatment bc they can't always speak up

→ preventing, detecting, and treating signs of abuse → child neglect → escalating this abuse

• ethical issues
• strategies and skills

Which nursing diagnosis would be appropriate for an infant with a ventricular septal defect?

• acute chest pain related to the tachycardia secondary to ventricular hypertrophy
• fluid volume deficit related to hyperthermia secondary to congenital heart defect
• hypothermia related to decreased metabolic state
• impaired gas exchange related to pulmonary congestion secondary to increased

pulmonary blood flow 2 / 4

pg. 3 Impaired gas exchange related to pulmonary congestion secondary to increased pulmonary blood flow.The nurse caring for a 9-month old with bronchiolitis notices the child rubbing her ears and crying. What action should the nurse take?

• report this finding to the physician
• place the baby on its back to encourage rest.
• auscultate the baby's lungs for evidence of rhonchi
• Administer aspirin to alleviate the infants pain

Report this finding to the physician. (because a possible sign of otitis media) the RN is preparing a 13 y/o pt for a full physical exam by the primary care provider (PCP). the pt asks that her mother leave the room because of the sensitive nature of the exam. what is the best course of action to be taken by the RN to protect the interested parties?

• ask the mother to leave the room, and allow the pt to discuss her concerns

privately with the PCP

• allow the mother to stay in the room, and explain that she has the right to

witness any care provided by the PCP

• act as a chaperone and remain with the patient and mother in the room during the

full exam

• reassure the mother that the RN will remain as a chaperone while she leaves the

room D

• due to the sensitivity of the exam, there should be a qualified chaperone to protect

both the patient and practitioner what do you need to consider in terms of decision making in pediatric?

• best interests of the pt
• role of parental religion
• working with children in decision making
• PSDA & advance directives (for children 18 and older)

what protocols or organizations that cover safety in the pediatric setting? 3 / 4

pg. 4

• national patient safety goals (NPSGS)

→2 pt identifiers →pt falls reduction standards

• medication safety standards
• medication safety precautions

children in the US do not have the right to confidentiality until they reach age 18.

• true
• false

B

• they have the right although there are certainly practical considerations that may

preclude it the nurse is assessing an adolescent patient in ED with a suspected intentional overdose. after given treatment, the pt refuses to give her parent's contact info and states, "it is none of their business." what is the nurse's best response?

• "now that you are safe, let me help you develop a plan to prevent a recurrence."
• "i'm sorry, but I'm obligated to tell them. let me help you develop a plan for their

possible responses."

• "although most of your health care is confidential, we are obligated to notify

them."

• "i think you should tell them, but we will honor your confidentiality and not

disclose the reason for your visit" B

• if health care professions have a reasonable concern that a pt may harm

themselves, they are required by law to break confidentiality.the child should be given the option to participate in telling the parents, but ultimately the health-care provider is mandated to report the patient's self-harm Nursing care of children from birth through what?adolescence and can extend to adulthood due to health issues or circumstances what is pediatric nursing?

• nursing care of children
• how you care for a child vs care for adults
• role of development and the different milestones associated with the age group

what are the models of care?

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