Pediatric Nursing

100 Questions  I  By Abangjoseph
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1.  Andrea with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the child’s history, the nurse considers which information to be most important?  
A.
B.
C.
D.
2.  Nurse Liza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
A.
B.
C.
D.
3.  When assessing a child’s cultural background, the nurse in charge should keep in mind that:
A.
B.
C.
D.
4.  While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
A.
B.
C.
D.
5.  The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
A.
B.
C.
D.
6.  When administering an I.M. injection to an infant, the nurse in charge should use which site?
A.
B.
C.
D.
7.  When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial needs. During adolescence, psychosocial development focuses on:
A.
B.
C.
D.
8.  When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group are most likely to view illness as a punishment for misdeeds?
A.
B.
C.
D.
9.  Nurse Taylor suspects that a child, age 4, is being neglected physically. To best assess the child’s nutritional status, the nurse should ask the parents which question?
A.
B.
C.
D.
10.  A female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first?
A.
B.
C.
D.
11.  A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse’s response?
A.
B.
C.
D.
12.  A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child’s vision, the nurse should ask:
A.
B.
C.
D.
13.  During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?
A.
B.
C.
D.
14.  To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine (Anectine) is used with which of the following agents?
A.
B.
C.
D.
15.  A 1 year and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital hip dislocation. When preparing the patient’s room, the nurse anticipates using which traction system?
A.
B.
C.
D.
16.  Mandy, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective?
A.
B.
C.
D.
17.  When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with:
A.
B.
C.
D.
18.  Nurse Raven should expect a 3-year-old child to be able to perform which action?
A.
B.
C.
D.
19.  Nurse Betina is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
A.
B.
C.
D.
20.  The nurse is evaluating a female child with acute poststreptoccocal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
A.
B.
C.
D.
21.  Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
A.
B.
C.
D.
22.  Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other findings suggests a fluid volume deficit?
A.
B.
C.
D.
23.  How should the nurse May prepare a suspension before administration?
A.
B.
C.
D.
24.  What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
A.
B.
C.
D.
25.  Becky, age 5, with intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:
A.
B.
C.
D.
26.  Maureen, age 12, is brought to the clinic for evaluation for a suspected eating disorder. To best assess the effects of role and relationship patterns on the child’s nutritional intake, the nurse should ask:
A.
B.
C.
D.
27.  Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?
A.
B.
C.
D.
28.  When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk for suicide is:
A.
B.
C.
D.
29.  A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:
A.
B.
C.
D.
30.  Which of the following would be inappropriate when administering chemotherapy to a child?
A.
B.
C.
D.
31.  Which of the following is the best method for performing a physical examination on a toddler 
A.
B.
C.
D.
32.  Which of the following organisms is responsible for the development of rheumatic fever? 
A.
B.
C.
D.
33.  Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease? 
A.
B.
C.
D.
34.  How does the nurse appropriately administer mycostatin suspension in an infant?
A.
B.
C.
D.
35.  A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother? 
A.
B.
C.
D.
36.  The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn? 
A.
B.
C.
D.
37.  Which of the following situations increase risk of lead poisoning in children? 
A.
B.
C.
D.
38.  An inborn error of metabolism that causes premature destruction of RBC? 
A.
B.
C.
D.
39.  Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia? 
A.
B.
C.
D.
40.  The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take? 
A.
B.
C.
D.
41.  At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out “who they are,” and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as: 
A.
B.
C.
D.
42.  The nurse is assessing a 9-month-old boy for a well-baby check up. Which of the following observations would be of most concern? 
A.
B.
C.
D.
43.  Cheska, the mother of an 11-month-old girl, KC, is in the clinic for her daughter’s immunizations. She expresses concern to the nurse that Shannon cannot yet walk. The nurse correctly replies that, according to the Denver Developmental Screen, the median age for walking is:
A.
B.
C.
D.
44.  Sally Kent., age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is: 
A.
B.
C.
D.
45.  Buck’s traction with a 10 lb. weight is securing a patient’s leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement: 
A.
B.
C.
D.
46.  Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include: 
A.
B.
C.
D.
47.  The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test: 
A.
B.
C.
D.
48.  The nurse is drawing blood from the diabetic patient for a glycosolated hemoglobin test. She explains to the woman that the test is used to determine:
A.
B.
C.
D.
49.  The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except: 
A.
B.
C.
D.
50.  The parents of a child, age 6, who will begin school in the fall ask the nurse for anticipatory guidance. The nurse should explain that a child of this age:
A.
B.
C.
D.
51.  While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topic in the teaching session? 
A.
B.
C.
D.
52.  Nurse Betina should begin screening for lead poisoning when a child reaches which age? 
A.
B.
C.
D.
53.  When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse expects to see which of the following? 
A.
B.
C.
D.
54.  After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching? 
A.
B.
C.
D.
55.  A parent brings a toddler, age 19 months, to the clinic for a regular check-up. When palpating the toddler’s fontanels, what should the nurse expects to find?
A.
B.
C.
D.
56.  Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:
A.
B.
C.
D.
57.  An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant?
A.
B.
C.
D.
58.  The mother of Gian, a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons, and that she recently had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to: 
A.
B.
C.
D.
59.  Cristina, a mother of a 4-year-old child tells the nurse that her child is a very poor eater. What’s the nurse’s best recommendation for helping the mother increase her child’s nutritional intake? 
A.
B.
C.
D.
60.  Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN? 
A.
B.
C.
D.
61.  David, age 15 months, is recovering from surgery to remove Wilms’ tumor. Which findings best indicates that the child is free from pain? 
A.
B.
C.
D.
62.  When planning care for a 8-year-old boy with Down syndrome, the nurse should: 
A.
B.
C.
D.
63.  Nurse Victoria is teaching the parents of a school-age child. Which teaching topic should take priority? 
A.
B.
C.
D.
64.  The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention takes top priority? 
A.
B.
C.
D.
65.  Nurse Alice is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should: 
A.
B.
C.
D.
66.  A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? 
A.
B.
C.
D.
67.  Sheena, tells the nurse that she wants to begin toilet training her 22-month-old child. The most important factor for the nurse to stress to the mother is: 
A.
B.
C.
D.
68.  An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure? 
A.
B.
C.
D.
69.  A child is undergoing remission induction therapy to treat leukemia. Allopurinol is included in the regimen. The main reason for administering allopurinol as part of the client’s chemotherapy regimen is to:
A.
B.
C.
D.
70.  A 10-year-old client contracted severe acute respiratory syndrome (SARS) when traveling abroad with her parents. The nurse knows she must put on personal protective equipment to protect herself while providing care. Based on the mode of SARS transmission, which personal protective should the nurse wear? 
A.
B.
C.
D.
71.  A tuberculosis intradermal skin test to detect tuberculosis infection is given to a high-risk adolescent. How long after the test is administered should the result be evaluated? 
A.
B.
C.
D.
72.  Nurse Oliver s teaching a mother who plans to discontinue breast-feeding after 5 months. The nurse should advise her to include which foods in her infant’s diet? 
A.
B.
C.
D.
73.  Gracie, the mother of a 3-month-old infant calls the clinic and states that her child has a diaper rash. What should the nurse advise? 
A.
B.
C.
D.
74.  Nurse Kelly is teaching the parents of a young child how to handle poisoning. If the child ingests poison, what should the parents do first? 
A.
B.
C.
D.
75.  A child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority? 
A.
B.
C.
D.
76.  A 3-year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour. Which sign or symptom suggests excessive I.V. fluid intake? 
A.
B.
C.
D.
77.  Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation? 
A.
B.
C.
D.
78.  Nurse Mariane is caring for an infant with spina bifida. Which technique is most important in recognizing possible hydrocephalus? 
A.
B.
C.
D.
79.  An adolescent who sustained a tibia fracture in a motor vehicle accident has a cast. What should the nurse do to help relieve the itching? 
A.
B.
C.
D.
80.  Which of the following immunizations should not be given to a child receiving chemotherapy for cancer?
A.
B.
C.
D.
81.  Which of the following is most descriptive of the pathophysiology of leukemia?
A.
B.
C.
D.
82.  What is the name of the procedure shown below?
A.
B.
C.
D.
83.  Most pediatric cancers arise from:
A.
B.
C.
84.  The treatment of brain tumors in children consist of which of the folllowing therapies? (Select all that apply.)
A.
B.
C.
D.
E.
85.  The overall cure rate for Acute Lymphocytic Leukemia is over 80%. 
A.
B.
86.  The main purpose of a clinical trial is to:
A.
B.
C.
D.
87.  The most common clinical manifestation(s) of brain tumors in children is which of the following?
A.
B.
C.
D.
88.  The most common site for osteogenic sarcoma is?
A.
B.
C.
D.
89.  The nurse is preparing a teenager for possible alopecia from chemotherapy.  Which of the following should be included?
A.
B.
C.
D.
90.  Childhood cancer symptoms are often localized to the specific site of the cancer. 
A.
B.