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. 
A fever that started 3 days ago
B. 
C. 
A recent episode of pharyngitis
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. 
Critically ill and under age 3
D. 
Critically ill and over age 3
3.
When assessing a child’s cultural background, the nurse in charge should keep in mind that:
A. 
Cultural background usually has little bearing on a family’s health practices
B. 
Physical characteristics mark the child as part of a particular culture
C. 
Heritage dictates a group’s shared values
D. 
Behavioral patterns are passed from one generation to the next
4.
While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
A. 
B. 
Look for other signs of abuse
C. 
Recognize this as a normal finding
D. 
Ask about a family history of Tay-Sachs disease
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.
A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse in charge anticipates that the doctor will order which laboratory test?
A. 
Total iron-binding capacity
B. 
C. 
D. 
8.
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. 
9.
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. 
10.
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. 
“Has your child always been so thin?”
B. 
“Is your child a picky eater?”
C. 
“What did your child eat for breakfast?”
D. 
“Do you think your child eats enough?”
11.
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. 
Heart rate, respiratory rate, and blood pressure
B. 
Recent exposure to communicable diseases
C. 
Number of immunizations received
D. 
12.
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. 
The child forgets previously learned skills
B. 
The child experiences growth while regressing, regrouping, and then progressing
C. 
The parents may refer less mature behaviors
D. 
The child returns to a level of behavior that increases the sense of security.
13.
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. 
“Do you have any problems seeing different colors?”
B. 
“Do you have trouble seeing at night?”
C. 
“Do you have problems with glare?”
D. 
“How are you doing in school?”
14.
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. 
15.
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. 
Lidocaine hydrochloride (Xylocaine)
16.
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. 
Buck’s extension traction
C. 
Overhead suspension traction
D. 
17.
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. 
Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model
B. 
Initiating a teenage parent support group with first – and – second-time mothers
C. 
Using audiovisual aids that show discussions of feelings and skills
D. 
Providing age-appropriate reading materials
18.
When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with:
A. 
B. 
Tracheoesophageal fistula
C. 
D. 
19.
Nurse Raven should expect a 3-year-old child to be able to perform which action?
A. 
B. 
C. 
D. 
20.
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. 
21.
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. 
22.
Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
A. 
To increase blood pressure
B. 
C. 
D. 
23.
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. 
Low urine specific gravity
24.
How should the nurse May prepare a suspension before administration?
A. 
By diluting it with normal saline solution
B. 
By diluting it with 5% dextrose solution
C. 
By shaking it so that all the drug particles are dispersed uniformly
D. 
By crushing remaining particles with a mortar and pestle
25.
What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
A. 
B. 
C. 
D.