Assignment: Pediatric Nursing Exam

Assignment: Pediatric Nursing Exam

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Assignment: Pediatric Nursing Exam 

1. A nurse is assessing a 3-year-old child at a well-child visit. Which of the following should the nurse report to the provider?

-Blood Pressure 88/46 mm Hg

-Respirations 30/min

-Urine specific gravity 1.018 mEq/L

-Heart rate 110/min

 

2. A nurse is providing education to the family of a child who has juevenille idiopathic arthritis. Which of the following should the nurse include the teaching?

 

-Limit the movement of large joints

-Encourage the child to perform independent self-care

-Provide the child with a soft mattress

-Administer NSAIDs on an empty stomach

 

3. The mother of an adolescent tells a nurse that she argues frequently with her daughter about playing music while studying. Which of the following is an appropriate response for the nurse to make?

 

-“Continue to discourage music because it is distracting.”

-“Meet with your daughter’s teacher to discuss her study habits.”

-“Encourage your daughter to join a peer study group.”

-“Consider letting her make her own choice about listening to music while studying.”

 

4. A nurse is caring for a school-age child who was diagnosed with asthma and reports chest pain. Which of the following actions should the nurse take first?

 

-Administer albuterol (Proventil)

-Apply oxygen

-Auscultate breath sounds

-Notify the provider

 

5. A nurse is performing a urine dipstick test on a child who has nephrotic syndrome. Which of the following results should the nurse expect?

 

-1+ nitrates

-4+ protein

-3+ ketones

-2+ blood

 

 

 

 

 

6. A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following is an appropriate action for the nurse to take?

 

-Instruct the parents to decrease the calcium in their toddler’s diet

-Prepare the toddler for chelation therapy

-Schedule the toddler for a yearly rescreening

-Refer the family to child protective services

 

7. A nurse is caring for a child who has partial-thickness burns on more than 40% of his body. Which of the following fluids prescribed by the provider should the nurse administer to the child in the 24 hr?

 

-5% dextrose

-Lactated Ringer’s

-Albumin

-Plasmalyte

 

8. A nurse is caring for a child who has nephrotic syndrome. Which of the following findings is associated with this diagnosis?

 

-Constipation

-Hyperalbuminuria

-Weight loss

-Hypervolemia

 

9. A nurse is teaching a parent of a child who has Pediculosis. Which of the following statements from the parent indicates an understanding of the teaching?

 

-“I should place nonwashable items in a bag for 5 days.”

-“I will apply Benadryl ointment to the affected areas.”

-“I will need to remove the nits after treatment.”

-“I should apply permethrin cream each day for 7 days.”

 

10. A hospice nurse is visiting a parent on the 1-year anniversary of the death of his child from leukemia. Which of the following reactions by the parent would indicate to the nure the need for bereavement counseling referral?

 

-The parent does not visit his child’s grave

-The parent frequently looks through family photos

-The parent has not returned to work

-The parent seeks reassurance that he did everything possible

 

 

 

 

11. A nurse is admitting a 4-month-old infant who has heart failure to the cardiac unit. Which of the following findings is the highest priority? (Click on the “Exhibit” button below for additional client information. There are three tabs that contain separate categories of data.)

 

-Three episodes of vomiting

-Six wet diapers/24 hr

-Weight 6.36 kg (14 lb)

-Respiratory rate 30/min

 

12. A nurse is caring for a school-aged-child who is admitted with a poorly controlled seizure disorder. Which of the following should the nurse include in the plan of care?

 

-Place a padded tongue blade at the child’s bedside

-Maintain a well-lit room

-Keep the head of the bed flat

-Have oxygen available

 

13. A nurse is planning care for a child who has glomerulonephritis and is edematous. Which of the following activities should be part of the plan of care?

 

-Monitor weekly weight

-Restrict sodium intake

-Administer IV bolus of 0/9% sodium chloride

-Maintain bed rest

 

14. A charge nurse is preparing a room assignment for a school-age child. Which of the following is the most important consideration when planning a room assignment?

 

-Length of stay

-Disease process

-Treatment schedule

-Self-care ability

 

15. A nurse is providing teaching about growth hormone injections to the mother of a child who has growth hormone deficiency. Which of the following should the nurse include in the teaching?

 

-Administer the injections intradermally

-Store reconstituted medication at room temperature

-Give the medication three times daily

-Have serum calcium levels drawn periodically

 

 

 

16. A nurse is assessing a 4-year old child. Which of the following developmental milestones should the nurse expect?

 

-Identifies right from left hand

-Uses a utensil to spread butter

-Cuts a shape using scissors

-Draws a stick figure with seven body parts

 

17. During observation of children on a pediatric unit, a nurse notes a child begin to stare into space and grunt. The child’s extremities then begin to extend stiffly. In what order should the nurse perform the steps listed below?

 

1.Lower the child to the floor

2.Place a pillow under the child’s head

3.Loosen restrictive clothing

4.Assess the child’s mouth for injuries

 

18. A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following should the nurse recognize as a sign of hemorrhage?

 

-Decreased pulse rate

-Increased blood pressure

-Frequent swallowing

-Dark brown emesis

 

19. A nurse is providing care to a 13-month-old toddler following cleft palate repair. Which of the following interventions is appropriate for the nurse to take?

 

-Avoid the use of elbow restraints on the client

-Maintain the client in the supine position

-Prevent the client from using a pacifier

-Provide the client with a regular diet at time of discharge

 

20. A nurse is caring for a child who has a new diagnosis of Lyme disease. Which of the following is a manifestation of stage 1 of this disease?

 

-Skin rash

-Deafness

-Memory Loss

-Encephalopathy

 

 

 

 

 

21. A nurse is caring for a child who has epiglottitis. Which of the following actions should the nurse take?

 

-Obtain a throat culture

-Monitor oxygen saturation

-Use a warm mist humidifier in the child’s room

-Place the child in the supine position

 

22. A nurse is discussing food choices with the parent of a child who has celiac disease. Which of the following foods offered to the child by the parents is appropriate?

 

-White bread

-Oatmeal muffin

-Barley soup

-Rice pudding

 

23. A nurse is assessing a 7-month-old infant. Which of the following should the nurse report to the provider?

 

-Inability to pull up from sitting to standing

-Inability to crawl on hands and knees

-Inability to respond to simple verbal commands

-Inability to babble one-syllable sounds

 

24. A nurse is caring for a 3-year-old child who was administered pain medication. Which of the following pain scales is appropriate for measuring the client’s response to the medication?

 

-Oucher

-Numeric

-Visual analog

-Word-graphic

 

25. A school nurse is assessing a preschool-age child. Which of the following findings should the nurse identify as a potential finding of physical neglect?

 

-Mismatched clothing

-Separation anxiety

-Bruises on her shins

-Poor personal hygiene

 

 

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