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

Request a modification to the diet plan so that oral fluids are included.

Answer

Request that the mother's access to the ICU be limited by security

Answer

Report the mother's interference with the treatment plan to the social worker.

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

An outreach educator to determine the learning needs of the family

Answer

Home nursing care for the first few days following discharge

Answer

A multidisciplinary care conference before discharge

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

will be unable to control his bowel movements.

Answer

needs to have a bowel movement every day.

Answer

will require more activity to increase bowel movements.

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

Initiate new activities to keep the patient occupied

Answer

Assign a child life therapist per shift

Answer

Encourage lots of visitors

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

Having the translator ask questions that you don't feel comfortable asking.

Answer

Allowing time for the translator to decode the medical jargon used in the teaching.

Answer

Providing all of the information, then allowing translation and asking of questions

Question 6

Family members of a recently deceased patient are sobbing and wailing loudly. The outbursts are making the staff angry. The ideal response from the nurse is to acknowledge the loudness and:

Accepted Answer

Guide the family to a nearby room where they can express their emotions

Answer

Tell the family they must quiet down, or they will have to leave the unit

Answer

Ask a security officer to remove the family from the unit

Answer

Tell the other staff they are being insensitive to the family's expression of grief

Question 7

The amount of hemolyzed blood samples that have been recorded by the lab, from the perspective of a nurse it is overwhelming. The nurse's best course of action would be to:

Accepted Answer

Track the number of blood samples drawn, by what method and the number reported as hemolyzed

Answer

Request a staff meeting to discuss the problem and ask for feedback

Answer

Create a poster and post-test demonstrating the proper method of drawing blood samples

Answer

Develop an educational in-service on the proper blood-sampling technique for the staff

Question 8

Due to staffing patterns, the respiratory therapist is not always present on the unit to place patients on the ventilator, so a nursing unit needs to be able to put patients back on ventilator support as directed, when patients are napping. The nurse should respond in the following ways:

Accepted Answer

Question the current policy that only respiratory therapists can manage the ventilator.

Answer

Ask the parent to be responsible for this task.

Answer

Place the patient on the ventilator when needed, despite current policy

Answer

Wait for the therapist to intervene.

Question 9

A family meeting is scheduled to go over the family's ethical worries about keeping a child on life support who has terminal cancer. The nurse's duties should include:

Accepted Answer

Assist the parents in articulating their questions and concerns.

Answer

Provide the legal standpoint regarding end-of-life decisions for children.

Answer

Coordinate the meeting to ensure that everyone has the opportunity to speak

Answer

Articulate the reason for the child's poor prognosis and anticipated life expectancy

Question 10

A family whose child has cerebral palsy and will be receiving a baclofen (Lioresal) pump to treat spasticity is receiving patient education from the nurse. Which of the following should the nurse emphasize in the conversation?

Accepted Answer

Parents must bring the child back to the clinic to have medicine added to the pump.

Answer

The child will have a normal gait after insertion of the pump.

Answer

Gamma-aminobutyric acid (GABA), a neurotransmitter, is inhibited by the drug.

Answer

Parents can be taught to regulate the dosage based on symptoms.