Pediatric Nurse Exam Pediatric Nurse Family-Centered Care and Education 4 — Questions and Answers
Question 1: A nurse is teaching parents about fever management in a 2-year-old. Which statement by a parent indicates CORRECT understanding?
- 'I will give aspirin for fevers above 101°F.'
- 'I will use acetaminophen or ibuprofen based on my child's weight.' (Correct answer)
- 'I will alternate acetaminophen and ibuprofen every hour to control fever.'
- 'I will place my child in an ice bath to bring the fever down quickly.'
Correct answer: 'I will use acetaminophen or ibuprofen based on my child's weight.'
Weight-based dosing of acetaminophen or ibuprofen is the correct approach; aspirin is contraindicated in children due to Reye syndrome risk.
Question 2: Which approach BEST supports parental role during the care of a hospitalized newborn in the NICU?
- Performing all cares while parents observe to minimize handling
- Teaching parents kangaroo care and hands-on cares as early as possible (Correct answer)
- Restricting parents to visiting windows to prevent overstimulation
- Delaying parental education until the infant is medically stable
Correct answer: Teaching parents kangaroo care and hands-on cares as early as possible
Early parental involvement through kangaroo care and hands-on participation promotes bonding, breastfeeding, and parental competence.
Question 3: A nurse notices a parent consistently using the smartphone during the child's care teaching sessions. What is the BEST initial nursing action?
- Confiscate the phone and reschedule teaching
- Assess whether there is a barrier to learning such as anxiety or language (Correct answer)
- Document non-compliance and proceed with teaching anyway
- Involve social work immediately for parental neglect concerns
Correct answer: Assess whether there is a barrier to learning such as anxiety or language
Apparent inattention may signal anxiety, language barriers, or low literacy, and assessment should precede any other intervention.
Question 4: Which nursing intervention BEST addresses the developmental needs of a hospitalized 3-year-old?
- Enforcing strict rest with minimal stimulation
- Providing therapeutic play with hospital-themed toys (Correct answer)
- Postponing all procedures to after the child is asleep
- Restricting visitors to reduce overstimulation
Correct answer: Providing therapeutic play with hospital-themed toys
Therapeutic play helps toddlers process the hospital experience, reduces anxiety, and supports normal development during hospitalization.
Question 5: A nurse is educating a family about the importance of immunizations. The parents express concern about a link between vaccines and autism. What is the BEST response?
- Respect their concern and allow them to skip vaccines
- Acknowledge their concern and explain that large-scale studies have found no link between vaccines and autism (Correct answer)
- Report the parents for medical neglect
- Give the vaccines without discussing the concern
Correct answer: Acknowledge their concern and explain that large-scale studies have found no link between vaccines and autism
Motivational interviewing techniques involve acknowledging concerns respectfully while providing accurate, evidence-based information.
Question 6: When planning discharge for a child with a new colostomy, which educational need should the nurse address FIRST?
- Long-term dietary modifications for optimal colostomy function
- Hands-on pouch change demonstration and return demonstration by the caregiver (Correct answer)
- Community support group contacts for families with ostomies
- Plans for eventual surgical reversal of the colostomy
Correct answer: Hands-on pouch change demonstration and return demonstration by the caregiver
Return demonstration of pouch changes is the highest priority because the caregiver must be competent in this essential skill before discharge.
Question 7: A nurse is using the SBAR format to hand off care of a 6-year-old with asthma. Which component represents the 'R' in SBAR?
- The child's current respiratory rate and oxygen saturation
- A concise summary of the child's medical history
- The nurse's specific request or recommendation for the receiving provider (Correct answer)
- The background of events leading to this admission
Correct answer: The nurse's specific request or recommendation for the receiving provider
The 'R' in SBAR stands for Recommendation, where the nurse proposes a specific action or request to the receiving provider.
Pediatric Nurse Exam Pediatric Nurse Family-Centered Care and Education 4
A nurse is teaching parents about fever management in a 2-year-old.
Which statement by a parent indicates CORRECT understanding?