EAQ PEDS Review Practice Questions 2024.
A child is admitted to the pediatric unit with a diagnosis of meningococcal meningitis. What does the nurse
... [Show More] conclude about isolation?
1
It is unnecessary during the incubation period.
2
It is required for 7 to 10 days until the fever subsides.
3
It will be unnecessary after the diagnosis is confirmed.
4
It will be necessary for 24 to 72 hours after the initiation of antibiotic therapy. - CORRECT ANSWER The meningococcal organism is rendered inactive after 24 to 72 hours of antibiotic therapy; isolation is not required after this time. Meningitis is not evident during the incubation period. The presence of a fever is not the influencing factor indicating the need for isolation. After the diagnosis of meningitis is confirmed, isolation is required for 24 to 72 hours after the institution of antibiotic therapy.
A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since infancy. What clinical finding requires immediate intervention?
1
Barrel chest
2
Audible wheezing
3
Heart rate of 105 beats/min
4
Respiratory rate of 30 breaths/min - CORRECT ANSWER Audible wheezing that is heard without a stethoscope is an indication that the airways are significantly compromised, and this requires immediate medical intervention. Barrel chest is a sign of chronic asthma. Repeated attacks result in a fixed hyperaerated thoracic cavity; this clinical finding does not require intervention. A heart rate of 105 beats/min is expected in an 8-year-old child, as is a respiratory rate of 30 breaths/min.
Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by studying often, not long. Spend at least 15 minutes every day reviewing the "old" material. This action alone will greatly reduce anxiety. The more time you devote to reviewing past material, the more confident you will feel about your knowledge of the topics. Start this review process on the first day of the semester. Don't wait until the middle to end of the semester to try to cram information.
A 5-year-old child is admitted to the pediatric unit for an appendectomy. What question should the nurse ask to determine what the child thinks is the reason for hospitalization?
1
"What are you doing at the hospital?"
2
"Have you brought any toys with you?"
Incorrect 3
"Did your parents tell you why you're here?"
4
"Did you know that you're going to have an operation?" - CORRECT ANSWER The first option is a direct question that should elicit the desired information. The other questions can be answered with a yes-or-no response and do not elicit what the child knows or feels about the situation. [Show Less]