ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 19 : Family-Centered Care of the Child During Illness and Hospitalization Questions
Question 1 of 5
A 12-year-old boy is in the final phase of dying from leukemia. He tells the nurse who is giving him opiates for pain that his grandfather is waiting for him. How should the nurse interpret this situation?
Correct Answer: D
Rationale: Visions of loved ones, like the grandfather, are common near death and indicate the child?s acceptance and lack of fear. These are not opiate side effects, attempts to comfort parents, or due to brain anoxia, as there?s no evidence of hypoxia.
Question 2 of 5
The nurse is making a home visit 48 hours after the death of an infant from sudden infant death syndrome (SIDS). What intervention is an appropriate objective for this visit?
Correct Answer: B
Rationale: Providing information on the grief process helps parents navigate their loss, offering support and resources. Contraceptive information is inappropriate, reassuring about SIDS recurrence is premature and false, and investigating the home is not the nurse?s role post-death.
Question 3 of 5
A critically injured child has died and is being removed from a ventilator in the pediatric intensive care unit. What is a priority nursing intervention for the family at this time?
Correct Answer: C
Rationale: Controlling the environment to provide privacy respects the family?s need for dignity and space during this sensitive time. Forcing parents to the waiting room, stating no further interventions are needed, or delaying their time with the child disregards their emotional needs.
Question 4 of 5
The nurse is often the individual who is in the optimum position to suggest tissue donation to a family (after consultation with the practitioner). What will occur if a family chooses organ or tissue donation?
Correct Answer: C
Rationale: Written informed consent is required for organ or tissue donation, ensuring legal and ethical compliance. Funerals are not typically delayed, cremation is not required, and an open casket is possible as donation does not cause visible disfigurement.
Question 5 of 5
When is an autopsy required?
Correct Answer: A
Rationale: An autopsy is required in cases of suspected suicide, unexplained, or violent deaths to determine the cause. It is optional for terminal illnesses, hospice deaths, or motor vehicle collisions unless the cause is unclear, and family consent may be sought.