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PNCB-CPN
PNCB Certified Pediatric Nurse
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A 16-year-old patient visits the clinic for a routine check-up. Which of the following subjects should the Pediatric Nurse discuss with the adolescent regarding sexual health?
1. Pregnancy and sexually transmitted infection prevention
ealthy relationships ll of theabove
wer: D
anation: When discussing sexual health with a 16-year-old adolescent atric Nurse should cover various important topics. These include nancy and sexually transmitted infection prevention, as adolescents be ally active during this stage. Sexual development is also a relevant top ess the physical and emotional changes associated with puberty. tionally, discussing healthy relationships promotes positive social actions and ensures the adolescent's well-being. By addressing all thes s, the nurse provides comprehensive sexual health education to the escent.
stion: 2
ild is born prematurely at 32 weeks of gestation. Which of the followi
Sexual development
2. H
3. A
Ans
Expl , the
Pedi
preg come
sexu ic to
addr Addi
inter e
topic adol
Que
A ch ng
factors should the Pediatric Nurse consider when tailoring health promotion activities for this child and family?
1. Genetic predisposition
2. Prematurity
3. All of the above
4. Environmental factors
opriate and individualized care to promote the child's well-being.
stion: 3
month-old infant is brought to the clinic for a well-child visit. Which wing subjects should the Pediatric Nurse include in the anticipatory gui ducation for this visit?
ll of the above ilestones troduction of solids
nfant bonding wer: A
anation: During a well-child visit for a 9-month-old infant, the Pediatr Nurse should provide anticipatory guidance and education on various topi These include infant bonding, which promotes the emotional and social
Explanation: When tailoring health promotion activities for a child and family, the Pediatric Nurse should consider multiple factors that influence health. In the case of a premature birth at 32 weeks of gestation, genetic predisposition, prematurity itself, and environmental factors all play important roles in the child's health. By considering all these factors, the nurse can provide
appr
Que
A 9- of the
follo dance
and e
1. A
2. M
3. In
4. I
Ans
Expl ic
cs.
development of the child, milestones to monitor the child's growth and development, and the introduction of solids as the infant transitions to solid foods. By addressing all these areas, the nurse supports the child's healthy development and provides guidance to the family.
Question: 4
A pediatric nurse is assessing a child's adjustment to an acute stressor. Which of the following responses would be considered a positive coping skill?
1. Social withdrawal and isolation
2. Emotional outbursts and tantrums
3. Avoidance of any discussion about the stressor
wer: D
anation: Engaging in physical exercise or sports would be considered ive coping skill when assessing a child's adjustment to an acute stress ical exercise and sports can help reduce stress, Strengthen mood, and
mote overall well-being. Social withdrawal and isolation, emotional ursts and tantrums, and avoidance of discussions about the stressor ar tive or maladaptive coping mechanisms that may hinder the child's ab fectively cope with the acute stressor.
stion: 5
year-old child is diagnosed with asthma. Which of the following shou ediatric Nurse assess regarding the child's adjustment to the chronic ition?
ll of the above
Engaging in physical exercise or sports Ans
Expl a
posit or.
Phys pro
outb e
nega ility
to ef
Que
A 6- ld
the P cond
1. A
2. Coping mechanisms of the siblings
3. Coping mechanisms of the caregivers
4. Coping mechanisms of the child Answer: A
Explanation: When a child is diagnosed with a chronic condition like asthma,
stion: 6
diatric nurse is providing anticipatory guidance to parents regarding tion for their 6-month-old infant. Which of the following statements b nts indicates a need for further education?
We plan to introduce solid foods one at a time and wait a few days bef ducing a new food."
We will continue to breastfeed our baby alongside introducing solid fo We will provide our baby cow's milk as a primary source of nutrition now
foods are being introduced."
We will offer the baby a variety of age-appropriate foods to promote hy eating habits."
wer: C
anation: The statement "We will provide our baby cow's milk as a primar
the Pediatric Nurse should assess various aspects of their adjustment. This includes assessing the coping mechanisms of the child to identify how they are managing the challenges associated with their condition. Assessing the coping mechanisms of the siblings is also important, as they may experience emotional and practical adjustments within the family dynamic. Additionally, assessing the coping mechanisms of the caregivers helps determine their ability to support the child effectively. By assessing all these areas, the nurse gains a comprehensive understanding of the child's adjustment to the chronic condition.
Que
A pe
nutri y the
pare
1. " ore
intro
2. " ods."
3. " that
solid
4. "
healt Ans
Expl y
source of nutrition now that solid foods are being introduced" indicates a need for further education. Cow's milk should not be introduced as a primary source of nutrition until the child reaches 12 months of age. Before that, breast milk or formula should remain the primary source of nutrition, with the gradual introduction of age-appropriate solid foods. The other options demonstrate appropriate understanding of infant nutrition, including introducing solids one at a time, continuing breastfeeding alongside solids, and offering a variety of
Question: 7
A 14-year-old patient presents with symptoms of depression. When assessing the patient's mental and emotional health, which of the following indicators would be of concern?
ngaging in age-appropriate hobbies and activities xpressing occasional sadness or irritability
emonstrating excessive fatigue and changes in sleep patterns eeking support from friends and family
wer: C
anation: Demonstrating excessive fatigue and changes in sleep pattern d be of concern when assessing the mental and emotional health of a 1 old patient with symptoms of depression. While occasional sadness o bility can be normal, persistent or severe changes in mood, such as ssive fatigue, disrupted sleep patterns, and other signs of disturbance, ate a more serious mental health issue. Engaging in age-appropriate ies and activities and seeking support from friends and family are pos ators of mental well-being.
stion: 8
E
E
D
S
Ans
Expl s
woul 4-
year- r
irrita
exce may
indic
hobb itive
indic
Que
A parent asks the Pediatric Nurse about safe sleep practices for their newborn. Which of the following recommendations should the nurse provide?
1. Placing the baby on their back to sleep
2. All of the above
3. Room-sharing without bed-sharing
Answer: B
cation hazards, and promoting room-sharing without bed-sharing to tate monitoring and breastfeeding while reducing the risk of suffocati dvising on all these practices, the nurse promotes a safe sleep environ he newborn.
stion: 9
diatric nurse is assessing the barriers to adherence with a therapeutic men for a child. Which of the following factors would be considered a vational barrier?
imited access to healthcare facilities
ack of financial resources for medications sufficient support from family and caregivers
ack of understanding about the importance of the therapeutic regimen wer: D
Explanation: When discussing safe sleep practices for a newborn, the Pediatric Nurse should provide comprehensive recommendations. These include placing the baby on their back to sleep, which reduces the risk of sudden infant death syndrome (SIDS), avoiding soft bedding and loose objects in the crib to prevent suffo
facili on.
By a ment
for t
Que
A pe regi moti
1. L
2. L
3. In
4. L
Ans
Explanation: Lack of understanding about the importance of the therapeutic regimen would be considered a motivational barrier to adherence. If the child does not comprehend the significance and benefits of following the prescribed regimen, they may lack the motivation to adhere to it. Limited access to healthcare facilities, lack of financial resources for medications, and insufficient support from family and caregivers are practical barriers that can hinder adherence but are not directly related to motivation.
During a well-child visit, the Pediatric Nurse discusses the importance of immunizations with the parents of a 2-month-old infant. Which of the following should the nurse emphasize?
hysical activity/exercise ll of the above reventive care
wer: D
anation: When discussing the importance of immunizations, the Pedia Nurse should emphasize the subject of preventive care. Immunizations are a al aspect of preventive care, protecting the child from various infectio
ses. While oral health and physical activity/exercise are important, th ot directly related to immunizations. By focusing on preventive care, educates the parents about the significance of immunizations for the 's well-being.
stion: 11
diatric nurse is assessing a child's understanding of a health/disease ess. Which of the following statements by the child indicates a need f
Oral health
P
A
P
Ans
Expl tric
cruci us
disea ey
are n the
nurse child
Que
A pe
proc or
further education?
1. "I have to take this medication every day to keep my asthma under control."
2. "I can eat whatever I want even though I have diabetes."
3. "My doctor said my broken bone will heal in a few weeks with the cast."
4. "This cream will help clear up my skin rash."
opriate understanding of the health/disease process, including the need cation to control asthma, the healing process of a broken bone with a he use of a cream to treat a skin rash.
stion: 12
diatric nurse is assessing a child's adjustment to a chronic condition. ch of the following observations would indicate positive adjustment?
xpressing frustration about treatment procedures emonstrating active participation in self-care tasks voiding discussions about the chronic condition xhibiting signs of social isolation
wer: B
anation: Demonstrating active participation in self-care tasks would
Explanation: The statement "I can eat whatever I want even though I have diabetes" indicates a need for further education. Children with diabetes need to follow a specific diet and monitor their carbohydrate intake to manage their blood sugar levels. This statement shows a lack of understanding regarding the dietary restrictions associated with diabetes. The other options demonstrate appr for
medi cast,
and t
Que
A pe Whi
1. E
2. D
3. A
4. E
Ans Expl
indicate positive adjustment to a chronic condition. It shows that the child is taking an active role in managing their condition and developing self-care skills. Expressing frustration about treatment procedures may be a normal emotional response but does not necessarily indicate positive adjustment. Avoiding discussions about the chronic condition and exhibiting signs of social isolation are negative indicators and may suggest difficulties in adjusting to the condition.
A 5-year-old child is brought to the clinic for a routine check-up. Which of the following should the Pediatric Nurse discuss with the child's parent regarding nutrition?
troduction of solids ealthy diet
ll of the above wer: D
anation: When discussing nutrition with the parent of a 5-year-old chi ediatric Nurse should cover various aspects. This includes discussing stfeeding or formula feeding in infancy, the introduction of solids as t transitions to solid foods, and the importance of a healthy diet for ov th and development. By addressing all these areas, the nurse supports nt in providing optimal nutrition for the child.
stion: 14
diatric nurse is assessing the impact of adverse childhood experiences Es) and social determinants of health on a child's well-being. Which o wing factors is considered a social determinant of health?
Breast or formula feeding
In
H
A
Ans
Expl ld,
the P
brea he
child erall
grow the
pare
Que
A pe
(AC f the
follo
1. Death of a caregiver
2. Genetic predisposition to a specific condition
3. Prematurity
4. Racial inequalities Answer: D
fically classified as social determinants of health.
stion: 15
diatric nurse is assessing the educational needs of a child and family ng discharge planning. Which of the following should be prioritized as ational need?
nstructing the family on post-operative care at home roviding information on community support resources eaching the child about their upcoming surgical procedure ducating the child about healthy coping mechanisms
wer: A
anation: Instructing the family on post-operative care at home should itized as an educational need during discharge planning. Ensuring that
Explanation: Racial inequalities are considered social determinants of health. Social determinants of health are the social, economic, and environmental factors that influence health outcomes and disparities. Racial inequalities, such as unequal access to healthcare services and discriminatory practices, can significantly impact a child's well-being. The death of a caregiver, genetic predisposition to a specific condition, and prematurity are adverse childhood experiences (ACEs) that can also impact a child's well-being but are not
speci
Que
A pe
duri an
educ
1. I
2. P
3. T
4. E
Ans
Expl be
prior the
family is equipped with the necessary knowledge and skills to provide appropriate care for the child at home after surgery is crucial for the child's well-being and recovery. While teaching the child about their upcoming surgical procedure, providing information on community support resources, and educating the child about healthy coping mechanisms are all important, they may not be the immediate priority compared to ensuring proper post-operative care at home.
Question: 16
A pediatric nurse is assessing a child for risk factors of maltreatment or neglect. Which of the following indicators should be of concern?
1. A history of high academic achievement
ithdrawal from social activities and relationships nconsistencies in the child's medical history
wer: C
anation: Withdrawal from social activities and relationships should be ern when assessing a child for risk factors of maltreatment or neglect. ndicate social and emotional difficulties that may be associated with reatment or neglect. A history of high academic achievement is not a r
for maltreatment or neglect. Consistent and coherent family history ive indicator, while inconsistencies in the child's medical history may erns but do not directly indicate maltreatment or neglect.
stion: 17
-year-old child is experiencing a significant life stressor due to their nts' divorce. Which of the following actions should the Pediatric Nurs
Consistent and coherent family history
2. W
3. I
Ans
Expl of
conc It
can i
malt isk
factor is a
posit raise
conc
Que
A 12
pare e take
to support the child and family during this challenging time?
1. Assess the child's understanding of the divorce process
2. Assess the child's emotional response and coping mechanisms
3. Provide age-appropriate education about divorce and its effects
4. All of the above
Answer: D
divorce and its effects helps the child and family navigate the situati effectively. By taking all these actions, the nurse supports the child a ly during this challenging time.
stion: 18
-year-old adolescent shares concerns about bullying and mental healt he Pediatric Nurse. Which of the following actions should the nurse
rovide support and validation for the adolescent's feelings ll of the above
ducate the adolescent on coping strategies and available resources ssess the severity and impact of bullying on the adolescent's mental h
wer: B
anation: When an adolescent expresses concerns about bullying and al health, the Pediatric Nurse should take multiple actions to address t
Explanation: When a child is experiencing a significant life stressor like their parents' divorce, the Pediatric Nurse should take multiple actions to provide support. This includes assessing the child's understanding of the divorce process to address any misconceptions or concerns. Assessing the child's emotional response and coping mechanisms helps identify their needs and provide appropriate interventions. Additionally, providing age-appropriate education about on
more nd
fami
Que
A 14 h
with t take?
1. P
2. A
3. E
4. A ealth
Ans Expl
ment he
situation effectively. This includes providing support and validation for the adolescent's feelings, as it helps build trust and rapport. The nurse should also assess the severity and impact of bullying on the adolescent's mental health to determine appropriate interventions. Additionally, educating the adolescent on coping strategies and available resources empowers them to seek help and develop resilience. By taking all these actions, the nurse supports the adolescent's well-being and mental health.

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