ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 19 Questions
Question 1 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 2 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 3 of 5
A child in the terminal stage of cancer has frequent breakthrough pain. Nonpharmacologic methods are not helpful, and the child is exceeding the maximum safe dose for opiate administration. What approach should the nurse implement?
Correct Answer: B
Rationale: Titrating opioids per protocol manages breakthrough pain effectively, as tolerance may require higher doses, and the principle of double effect prioritizes pain relief. Acetaminophen is inadequate, hospitalization is unnecessary, and limiting medication ignores pain control needs.
Question 4 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 5 of 5
The family and child have decided that hospice care best meets their needs during the terminal phase of illness. The nurse recognizes that the parents understand the principles of this care when they make which statement?
Correct Answer: A
Rationale: Hospice care emphasizes family as primary caregivers supported by professionals, aligning with the statement about caring at home. Medications continue for symptom management, hospice support extends post-death, and hospital readmission is possible if needed.