FREE Pediatric CCRN Psychosocial Question and Answers

Question 1

The ICU is caring for a patient with an end-stage pituitary adenoma who also has diabetes insipidus and aspiration pneumonia. The mother is giving the patient water and soft beverages despite being aware that there is a plan for transpyloric tube feedings and nothing by mouth. What action should the nurse take in this circumstance?

Accepted Answer

Ask the mother to explain why she is giving fluids to her son

Answer

The nurse's initial action should always be to engage in therapeutic communication to understand the parent's perspective and reasoning. Asking the mother why she is giving fluids allows the nurse to assess her understanding of the NPO status and the child's condition, identify any cultural beliefs, or address potential misinformation. This approach fosters trust and provides an opportunity for education before escalating the situation.

Question 2

A 2-year-old who is on a ventilator has spent her entire life in a hospital. The patient will be sent home in a week with a gastrostomy and tracheostomy, according to the doctor. As a way to assess the discharge requirements of the patient, the nurse must arrange for:

Accepted Answer

A social worker to meet with the family and assess adequacy of the home environment

Answer

For a child with complex medical needs like a ventilator, gastrostomy, and tracheostomy, a social worker is essential for assessing the home environment's adequacy. They evaluate the family's resources, support systems, and ability to manage the child's care at home. This assessment ensures a safe and successful transition from hospital to home, addressing practical and psychosocial challenges.

Question 3

A bowel management program is established for a child with myelomeningocele. The nurse will acknowledge that additional knowledge is necessary when the mother states, My child:

Accepted Answer

tends to be more prone to diarrhea.

Answer

Children with myelomeningocele often have neurogenic bowel, which typically leads to chronic constipation and fecal incontinence due to impaired nerve function. They are generally not prone to diarrhea, unless there is an underlying infection or specific dietary issue. Therefore, the mother's statement about her child tending to be more prone to diarrhea indicates a need for further education on the typical bowel patterns associated with myelomeningocele.

Question 4

A school-aged autistic child who has a fractured femur and a suspected brain injury is admitted. Which of the following factors is crucial to encouraging hospital setting adjustment?

Accepted Answer

Adhere to a home schedule

Answer

Children with autism spectrum disorder thrive on routine and predictability, and deviations can cause significant anxiety and distress. Adhering to a home schedule as much as possible provides a sense of familiarity and control in the unfamiliar hospital environment. This consistency helps reduce agitation and promotes better adjustment and cooperation with care.

Question 5

A patient is admitted who is incapable of understanding English. Some recommendations for employing a translator include?

Accepted Answer

Standing next to the translator and as close to the patient as possible.

Answer

When using a translator, standing next to them and facing the patient allows the nurse to maintain direct eye contact and observe the patient's non-verbal cues. This positioning fosters a more direct and personal connection with the patient, even though the words are being translated. It emphasizes that the conversation is primarily between the nurse and the patient, with the translator as a conduit.

Pediatric CCRN Exam Practice Test

Pediatric CCRN Exam Practice Test

FREE Pediatric CCRN Psychosocial Question and Answers