Pediatrics Final (99/100 Questions)
1. A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding
episode. Which of the
... [Show More] following statements by the parent indicates a need for further
teaching?
“I will have my child rest.”
“I will compress the site.”
“I will apply heat.”
“I will elevate the affected part.”
2. A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse recognize
as the most reliable indicator of fluid loss?
Body weight
Skin integrity
Blood pressure
Respiratory rate
3. Which of the following children should the nurse identify as a potential action of abuse?
A child who has frequent visitors
A child who uses the call light frequently
A child who has a BMI indicating obesity
A child whose parents answer questions for the child
4. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription
for pancreatic enzymes three times per day. Which of the following statements indicates
that the mother understands the teaching?
“My child will take the enzymes to improve her metabolism.”
“My child will take the enzymes 2 hours before meals.”
“My child will take the enzymes following meals.”
“My child will take the enzymes to help digest the fat in foods.”
5. A nurse is assessing a 3 month old. Which of the following findings should he report to
the provider?
Unable to pick up an object with his fingers
Unable to sit without support
Unable to raise head when in prone position
Unable to bring an object to mouth
6. A nurse is admitting a 6 month old infant who has dehydration. Which of the following
amounts of urinary output should indicate to the nurse that the treatment has confirmed
the fluid imbalance? 2 mL/kg/hr.
0.5 mL/kg/hr.
7.5 mL/kg/hr.
15 mL/kg/hr.
7. A nurse is planning care for an infant who has spina bifida and is to undergo surgical ?
Which of the following interventions should the nurse include in the plan of care?
Maintain the infant in the supine position
Provide a latex free environment
Limit visitors to immediate family members
Initiate contact precautions
8. A nurse is caring for a child who has just died. The parents ask to be left alone so that
they ? The nurse should:
Discourage this because it will only prolong their grief
Grant their request
Kindly explain that they need to say good bye to their child now and leave
Assess why they feel that this is necessary
9. A nurse is educating new parents on risk factors for sudden infant death syndrome
(SIDS). Which of the following statements by a parent would indicate a need for
additional teaching?
“I will give my baby a pacifier during naps and at bedtime.”
“Our baby will sleep in my bed because I am breastfeeding.”
“My baby will be placed on her back when sleeping.”
“We will remove blankets and toys from the crib.”
10. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist
down. Which of the following statements by the client would indicate to the nurse a need
for further teaching?
“I only need to catheterize myself twice every day.”
“I only use a suppository every night to have a bowel movement.”
“I do wheelchair exercises while watching TV.”
“I carry a water bottle with me because I drink a lot of water.”
11. A parent tells a nurse that her toddler drink a quart of milk a day and has a poor appetite
for solid foods. The nurse should explain that the toddler is at risk for which of the
following disorders?
Rickets
Iron deficiency anemia
Obesity Diabetes mellitus
12. A toddler weighs 77 pounds. What is the appropriate maintenance IV fluid rate?
75 mL/hr.
45 mL/hr.
33 mL/hr.
52 mL/hr.
13. A nurse is caring for a toddler admitted to a pediatric unit. Which of the following
statements should the nurse use when preparing to check the child’s vital signs?
“Can you stand still while I feel how warm you are?”
“I am going to take your blood pressure now.”
“I am going to listen to your heart.”
“Can I listen to your lungs?”
14. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse
should include which of the following food choices for this child?
Rye
Wheat
Barley
Rice
15. A nurse is caring for a toddler. Which of the following statements should the nurse use
when preparing to obtain the child’s vital signs?
“I am going to take you blood pressure now.”
“Can you stand very still while I feel how warm you are?”
“I am going to listen to your heart.”
“Can I listen to your lungs?”
16. A nurse is panning care for a 5 month old infant who is scheduled for a lumbar puncture
to rule out meningitis. Which of the following actions should the nurse include in the plan
of care?
Keep the infant NPO for 6 hr. prior the procedure
Place the infant in an infant seat for 2 hr. following the procedure
Hold the infant’s chin to his chest and knees to his abdomen during the
procedure
Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 min. prior
to the procedure17. A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following
findings should the nurse report to the provider?
Yellow nasal drainage
Poor appetite
Irritability
Facial edema
18. A parent calls a clinic and reports to a nurse that his 2 old infant is hungry more than
usual but is projectile vomiting immediately after eating. Which of the following
responses should the nurse make?
“Try switching to a different formula.”
“Bring your baby in to the clinic today.”
“Give your infant an oral rehydration solution.”
“Burp your baby more frequently during feedings.”
19. A nurse is panning home care for a 9 year old child who is discharged following an acute
asthma attack. Which of the following growth and developmental stages according to
Erikson should the nurse consider in the planning?
Identity versus role confusion
Initiative versus guilt
Industry versus inferiority
Autonomy versus shame and doubt
20. A nurse is caring for a child who has been physically abused by a family member. Which
of the following is an appropriate statement for the nurse to say to the child?
“I promise I won’t tell anyone about this.”
“Your family is bad for doing this to you.”
“Let’s discuss what happened together with your family.”
“It is not your fault that this happened. [Show Less]