Pediatric Nurse Exam Pediatric Nurse Family-Centered Care and Education 5 — Questions and Answers
Question 1: A nurse is assessing a family's readiness to learn after their child's new diagnosis. Which factor MOST negatively affects readiness to learn?
- Parent has a college education
- Family is in acute grief and emotional shock (Correct answer)
- Child is present during the teaching session
- Teaching is scheduled for the morning hours
Correct answer: Family is in acute grief and emotional shock
Acute grief and emotional distress significantly impair information retention and readiness to learn.
Question 2: Which nursing action BEST promotes cultural humility in pediatric family-centered care?
- Assuming families from the same culture share identical beliefs
- Asking open-ended questions about the family's cultural values and health beliefs (Correct answer)
- Providing standardized educational materials to all families equally
- Avoiding discussions about culture to prevent offending families
Correct answer: Asking open-ended questions about the family's cultural values and health beliefs
Cultural humility requires asking rather than assuming, acknowledging that each family is unique even within a shared cultural background.
Question 3: A school-age child with cystic fibrosis asks, 'Will I ever get better?' What is the MOST therapeutic nursing response?
- 'You will be fine, so don't worry about it.'
- 'I'm not allowed to answer questions about your diagnosis.'
- 'That is a great question. What do you already understand about your illness?' (Correct answer)
- 'You should ask your doctor, not me.'
Correct answer: 'That is a great question. What do you already understand about your illness?'
Assessing what the child already understands allows the nurse to build on existing knowledge and correct misconceptions at a developmentally appropriate level.
Question 4: Which action by a nurse demonstrates BEST practice when a parent declines a recommended blood transfusion for their child on religious grounds?
- Immediately obtain a court order to override the parents' decision
- Document the refusal and proceed with other supportive care while notifying the medical team and ethics committee (Correct answer)
- Give the transfusion without consent to save the child's life
- Discharge the child immediately since the parents are refusing care
Correct answer: Document the refusal and proceed with other supportive care while notifying the medical team and ethics committee
The nurse must document the refusal, continue other aspects of care, and escalate to the medical team and ethics committee for guidance.
Question 5: A nurse is teaching parents about safe sleep practices for their newborn. Which instruction is CORRECT?
- Place the infant on their stomach to reduce aspiration risk
- Use a firm, flat sleep surface with no soft bedding in the crib (Correct answer)
- Co-sleeping with a parent promotes bonding and is safe
- A small pillow can be used once the infant is 3 months old
Correct answer: Use a firm, flat sleep surface with no soft bedding in the crib
AAP safe sleep guidelines recommend a firm, flat surface free of soft objects to reduce the risk of SIDS and suffocation.
Question 6: A nurse is educating the parents of a toddler about poisoning prevention. Which instruction is MOST important?
- Keep vitamins in a reachable place so the child learns independence
- Store all medications and cleaning products in locked, child-resistant containers (Correct answer)
- Post the Poison Control number only in the kitchen
- Rely on child-resistant caps alone to prevent accidental ingestion
Correct answer: Store all medications and cleaning products in locked, child-resistant containers
Locked storage is the most effective prevention strategy because child-resistant caps alone do not reliably prevent access.
Question 7: Which behavior indicates that a parent has successfully adapted to their child's chronic illness after receiving family-centered education?
- Parent avoids discussing the illness with extended family
- Parent accurately describes the medication regimen and identifies when to seek emergency care (Correct answer)
- Parent declines follow-up appointments to avoid reinforcing the sick role
- Parent delegates all medical decision-making to the healthcare team
Correct answer: Parent accurately describes the medication regimen and identifies when to seek emergency care
Accurate knowledge of the treatment plan and emergency triggers demonstrates effective health education and family self-management.
Pediatric Nurse Exam Pediatric Nurse Family-Centered Care and Education 5
A nurse is assessing a family's readiness to learn after their child's new diagnosis.
Which factor MOST negatively affects readiness to learn?