Pediatric Nurse Exam Pediatric Nurse Family-Centered Care and Education 2 — Questions and Answers
Question 1: A nurse is teaching parents of a newly diagnosed diabetic child about insulin administration. Which learning principle should guide the teaching session?
- Provide all information in a single session to minimize disruption
- Use teach-back method to confirm parental understanding (Correct answer)
- Avoid written materials as they may overwhelm parents
- Teach only the parent who will be the primary caregiver
Correct answer: Use teach-back method to confirm parental understanding
The teach-back method requires parents to repeat instructions in their own words, confirming comprehension and identifying gaps.
Question 2: Which approach best supports family-centered care when a child is admitted to the pediatric ICU?
- Restrict visiting hours to reduce child's stimulation
- Allow flexible family visitation and participation in care (Correct answer)
- Limit parental involvement to avoid interference with medical staff
- Separate the child from siblings to prevent infection spread
Correct answer: Allow flexible family visitation and participation in care
Flexible visitation and encouraging family participation in care are core tenets of family-centered care in the PICU.
Question 3: A 7-year-old is scheduled for a tonsillectomy. When should preoperative teaching ideally begin?
- The morning of surgery to reduce anxiety from waiting
- One to two days before the procedure (Correct answer)
- Immediately upon arrival to the preop area
- Only after the child asks questions about the surgery
Correct answer: One to two days before the procedure
Teaching 1–2 days before surgery allows adequate time for the child to process information and ask questions without last-minute overwhelm.
Question 4: A nurse is assessing health literacy in a parent receiving discharge teaching. Which behavior BEST suggests low health literacy?
- Parent asks many detailed questions about medications
- Parent nods and says 'I understand' without asking questions (Correct answer)
- Parent requests written instructions in their primary language
- Parent records the nurse's instructions on their phone
Correct answer: Parent nods and says 'I understand' without asking questions
Appearing to agree without questions or engagement is a classic sign of low health literacy, often driven by embarrassment.
Question 5: Which statement by a parent of a child with asthma indicates a need for further education?
- 'I will give the rescue inhaler when he starts wheezing.'
- 'I will use the spacer with every inhaler treatment.'
- 'I should give the controller inhaler only when symptoms appear.' (Correct answer)
- 'I will monitor peak flow readings daily.'
Correct answer: 'I should give the controller inhaler only when symptoms appear.'
Controller inhalers must be used daily as prescribed regardless of symptoms; they are not rescue medications.
Question 6: A nurse is teaching an adolescent with epilepsy about seizure safety. Which topic is MOST important to include?
- Dietary restrictions that reduce seizure frequency
- Safety precautions during activities like swimming and driving (Correct answer)
- Medication side effects that affect school performance only
- How to perform CPR on another person during a seizure
Correct answer: Safety precautions during activities like swimming and driving
Adolescents with epilepsy must understand activity-related risks such as unsupervised swimming and driving restrictions to prevent life-threatening accidents.
Question 7: A family from a culture that relies heavily on traditional healers asks if their child can use herbal remedies alongside prescribed medications. What is the best nursing response?
- Discourage all traditional remedies as they are unproven
- Ask the family to describe the remedies and consult the pharmacist for interaction risks (Correct answer)
- Agree to anything the family wants to maintain rapport
- Document the request but do not address it further
Correct answer: Ask the family to describe the remedies and consult the pharmacist for interaction risks
Culturally respectful care involves exploring traditional practices and assessing safety through evidence-based consultation rather than dismissal.
Pediatric Nurse Exam Pediatric Nurse Family-Centered Care and Education 2
A nurse is teaching parents of a newly diagnosed diabetic child about insulin administration.
Which learning principle should guide the teaching session?