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DHA Pediatric Nursing (DHA-PN) Practice Tests & Test Prep - Topics


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Understanding what is on the DHA Pediatric Nursing exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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DHA Pediatric Nursing Exam Blueprint

Understanding the exact breakdown of the DHA Pediatric Nursing test will help you know what to expect and how to most effectively prepare. The DHA Pediatric Nursing has multiple-choice questions The exam will be broken down into the sections below:

DHA Pediatric Nursing Exam Blueprint
Domain Name % Number of
Questions
Assessment, Diagnosis, Outcome Identification 38 % 38
Planning, Implementation, and Evaluation 31 % 31
Communication and Family-Centered Care 20 % 20
Professional Role 11 % 11

DHA Pediatric Nursing - Exam Topics Sample Questions

You are working in the emergency department and a woman brings her 3-year-old son in who has ingested a small bottle of baby aspirins. To manage this case, the PN knows that the first priority is to:

Correct Answer:
administer 1-2 g per kg of body weight of activated charcoal.
in this scenario, where a 3-year-old child has ingested a potentially toxic amount of baby aspirins, the primary concern is to prevent further absorption of the toxin into the child's system. to address this situation effectively, understanding the correct approach is vital.

the immediate priority should not be to induce vomiting or to dilute the stomach contents with fluids such as orange juice or milk. instead, the focus should be on administering a substance that can bind to the aspirin in the gastrointestinal tract, thereby reducing its absorption. this substance is activated charcoal.

activated charcoal is a form of carbon that has been treated to increase its absorbency. when administered in the correct dosage—typically 1-2 grams per kilogram of body weight—it acts by binding to the toxin (in this case, aspirin), which prevents the toxin from being absorbed into the bloodstream through the gut. this method is extremely effective, particularly when administered shortly after ingestion.

historically, syrup of ipecac was used to induce vomiting in poisoning cases, with the aim of expelling the toxic substance before much of it could be absorbed. however, the american academy of pediatrics (aap) no longer recommends ipecac for routine use in poisoning management due to concerns about its effectiveness and potential for causing further complications.

in the emergency department, the protocol for a child who has ingested a toxic amount of a substance like aspirin would typically involve the quick administration of activated charcoal. this action should ideally take place within an hour of ingestion for maximum effectiveness. the administration of fluids such as orange juice, milk, or even water following the ingestion of ipecac (if it were used) is secondary and serves mainly to facilitate the swallowing of ipecac or to help with hydration, but not as a primary treatment method.

therefore, in the question provided, the correct and most immediate action to take would be to administer the correct dose of activated charcoal. this approach directly addresses the absorption of the toxin and provides a scientifically supported method of reducing the potential harm from the ingested aspirin.

A 16 year old patient is underweight, but her mother believes that she is healthy because she is thin. What should be assessed?

Correct Answer:
family awareness of teenage nutrition.


the assessment of a 16-year-old underweight patient whose mother perceives her thinness as healthy should primarily focus on the family's awareness of teenage nutrition. this approach is crucial because nutrition plays a vital role in adolescence, a period marked by rapid growth and significant physical, emotional, and cognitive development. proper nutrition is essential not only for growth but also for preventing various health issues that could have lasting impacts into adulthood.

in addressing family awareness of teenage nutrition: 1. **educational intervention**: it would be beneficial to evaluate the knowledge level of the patient's family regarding what constitutes a balanced diet, the nutritional demands of teenagers, and the potential health risks of being underweight. 2. **discussion of nutritional needs**: engaging in conversations that highlight the importance of essential nutrients, such as proteins, vitamins, and minerals, can help in correcting misconceptions about health and body image. this is particularly important in adolescence when eating disorders can often develop.

besides nutritional awareness, it is also advisable to explore: 1. **family relationships**: understanding family dynamics can provide insights into the patient’s nutritional status. for instance, parental attitudes towards food and body image significantly impact a teenager's own views and eating behaviors. 2. **family support**: assessing the level of support within the family can identify if the teenager feels encouraged to share her concerns and if the family is responsive to her needs. a supportive family environment can facilitate healthy changes more effectively.

lastly, even though the primary concern here is nutrition, it is also worth considering other factors that might influence the teenager's health: 1. **risk of drug or alcohol abuse**: although not directly related to the question, teenagers often face various pressures that can lead to unhealthy coping mechanisms, such as substance abuse. while assessing nutritional awareness, keeping an open dialogue about general health and lifestyle choices can be beneficial.

in summary, addressing the family's awareness of teenage nutrition is a critical step in ensuring the health of the underweight teenager. this should be complemented by an examination of family relationships and support mechanisms to provide a holistic approach to the patient's well-being.