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A nurse is providing care for a group of hospitalized school-aged children. Which of the following clients should the
nurse prioritize for further assessment and interventions?
A child who is exhibiting aggressive behavior towards peers and healthcare providers
A nurse is providing care to a hospitalized child. When assessing the impact of this hospitalization on the child's
siblings, which of the following emotional responses should the nurse recognize as common?
Jealousy and Guilt
The nurse should recognize that AIDET is a communication tool nurses use to enhance the health care experience
for clients and families. Which of the following correctly exemplifies AIDET?
Acknowledge, introduce, duration, explanation, and thank you
A nurse is caring for an adolescent who is hospitalized. Which of the following actions should the nurse take to
promote the client's engagement and general well-being?
Recommending participation in a virtual reality gaming session
A nurse is preparing to transfer the care of an adolescent client to another shift. Which of the following statements
supports the preference for bedside report as the method for ensuring client safety during the transition of care?
Research has shown that bedside report reduces the likelihood of errors.
A nurse is caring for a pediatric client. To promote atraumatic care, which of the following stressors should the
nurse plan to minimize?
Emotional Stressors
A nurse is providing care for a minor client who needs to undergo a medical procedure. When obtaining informed
consent, which of the following pieces of information should the nurse disclose to the client's guardian?
-The risks and benefits of the
planned procedure
-Potential
alternative procedures and their risks and benefits
A nurse is providing care to a hospitalized pediatric client. The nurse should recognize that which of the following
statements regarding latex allergies and sensitivities are correct?
-Latex allergic reactions can manifest as a rash with itchy and bumpy skin
-Nurses should assess clients for allergies or sensitivities to
foods that share the same proteins as latex
A nurse is providing care to a toddler who has been hospitalized for a chronic illness. Which of the following
statements regarding the potential impact of hospitalization on a child's health are correct?
-It can lead to physical manifestations in children, like stomach pain, even in the absence of a
specific illness or cause
-It can negatively impact children's
mental health
A nurse is teaching a student nurse about the positive results of providing family-centered care. Which of the
following statements by the student nurse shows that the teaching has been effective?
"It results in improved quality of care and client safety results."
A nurse is teaching a student nurse about situations of abuse and being a mandatory reporter. Which of the
following statements by the student nurse demonstrates an understanding of the teaching?
"Mandatory reporters are required to report any suspected or known instances of child abuse or neglect."
A nurse is caring for a four-year-old child in a pediatric unit. The child is crying and hiding behind their caregiver
when the nurse enters the room. Which of the following interventions should the nurse use to facilitate a caring,
therapeutic relationship with the child?
Utilize play therapy to engage the child in an enjoyable and nonthreatening activity.
A nurse is caring for a 16-year-old adolescent who was accompanied to the emergency department. The nurse
suspects that the adolescent might be experiencing human trafficking. Which of the following actions should the
nurse take?
Contact the appropriate hospital and law enforcement resources and follow organizational protocols.
A nurse is teaching a newly licensed nurse about the benefits of atraumatic care. Which of the following
statements by the newly licensed nurse indicates that the teaching was effective?
-"Atraumatic care reduces client and caregiver stress, fear, and anxiety,"
-"Atraumatic care
reduces anxiety while enabling faster healing,"
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in
place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the
client?
Large Building Blocks
A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother
leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When
the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these
behaviors indicate which of the following developmental reactions?
An anxiety reaction
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of
the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according
to Erikson?
Encourage the client to complete school work.
A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?
Obtain a detailed history
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The
nurse should include which of the following statements in a discussion with the mother?
"Placing your child on her back when sleeping will decrease the risk of SIDS."
A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions
should the nurse take to promote sleep?
Provide Bedtime rituals
A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain
the child's vital signs?
"I am going to listen to your heart."
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child
weighs 33 lb. Which of the following actions should the nurse take?
Continue to monitor the client.
A nurse is planning care for a 4-year-old child who requires airborne precautions. Which of the following activities
should the nurse plan for child?
Putting a large-piece puzzle together
A nurse is assessing children experiencing regression. Which of the following children should the nurse be
concerned about?
A 3-year-old child who has experienced gross motor regression for six months
A nurse is discussing techniques for handling stress in young children. Which of the following is an appropriate
technique the nurse should include in the discussion?
"Maintain a consistent routine in their daily schedule."
A nurse is assessing the sleep patterns of a group of toddlers. Based on the toddlers' age and sleeping patterns,
which of the following children require additional sleep in a 24-hr period?
A 2-year-old child who sleeps 8 hr at night and takes one daytime nap that lasts 1 hr.
A nurse is providing care to an adolescent client on the pediatric unit. The client prefers quiet and individual
activities despite the availability of a social room with various activities. Which of the following is the priority
intervention that the nurse should provide?
Respect the client's preference for quiet and individual activities and provide suitable alternatives in their
room.
A 4-year-old client wets the bed overnight. The parents are embarrassed, stating, "She never wets the bed at home." What is the most appropriate response by the nurse?
"Toilet training regression is common in hospitalized children."
Which of the following is a key principle of atraumatic nursing care in pediatric patients?
Provide age-appropriate explanations
What is a common symptom of separation anxiety in children?
Physical aggression towards strangers
A 5-year-old is being admitted for a procedure. Which action by the nurse is the most appropriate to minimize the child's anxiety?
Demonstrate the procedure using simple terms and a baby doll
A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?
Utilize bedtime routine from home