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Nursing 373 (Peds) Exam Questions & Answers (Grade A+), Exams of Nursing

Florida Memorial University Nursing

Nursing 373 (Peds) Exam Questions & Answers (Grade A+)

Typology: Exams

2025/2026

Available from 07/02/2026

Nurseexpert 🇺🇸

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Nursing 373 (Peds) Exam Questions &

Answers (Grade A+)

Choking -

correct answer ✅- Leading cause of fatal injury in

children < 1 yr

- Small spherical and/or cylindrical objects most likely

to completely occlude an airway

- Infants at risk as soon as they can find their mouth

Submersion (Drowning) -

correct answer ✅- Second most common cause of

injury related death in 1 - 14 yr age range

- Depth has no significant - children can drown in 2.5

cm of water

Burns -

correct answer ✅- Increased incidence in toddler group

- In infants, often see scalding from hot bath water

and sunburns

Acetaminophen (Accidental Ingestion) -

correct answer ✅- S&S: diaphoresis, nausea/vomiting,

lethargy, weakness, abdominal pain in upper right

quadrant

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Answers (Grade A+)

Choking - correct answer ✅- Leading cause of fatal injury in children < 1 yr

Small spherical and/or cylindrical objects most likely to completely occlude an airway
Infants at risk as soon as they can find their mouth Submersion (Drowning) - correct answer ✅- Second most common cause of injury related death in 1 - 14 yr age range
Depth has no significant - children can drown in 2. cm of water Burns - correct answer ✅- Increased incidence in toddler group
In infants, often see scalding from hot bath water and sunburns Acetaminophen (Accidental Ingestion) - correct answer ✅- S&S: diaphoresis, nausea/vomiting, lethargy, weakness, abdominal pain in upper right quadrant

Answers (Grade A+)

Treatment: antidote - acetylcysteine (mucomyst), gastric lavage
Syrup of Ipecac not recommended (promotes vomiting, risk for aspiration) Salicylate (ASA) (Accidental Ingestion) - correct answer ✅- S&S: hyperventilation, diaphoresis, nausea/vomiting, diarrhea, dizziness, tinnitus, confusion, seizures, bleeding
Treatment: activated charcoal, gastric lavage, sodium bicarbonate (for metabolic acidosis), vitamin K (for control of bleeding), anti-convulsants Iron (Accidental Ingestion) - correct answer ✅- S&S: vomiting, vomiting blood, blood in stool, gastric pain
With toxicity, hypotension, tachypnea, and cyanosis
Treatment: gastric lavage, chelation therapy for severe cases (to remove metal from blood) Lead (Accidental Ingestion) - correct answer ✅- Acute S&S: unexplained nausea,

Answers (Grade A+)

neglect, emotional abuse or neglect, and sexual abuse of children

Occurs across all SES, religious, cultural, racial, and ethnic groups
Nurse have mandatory legal and professional ethical responsibility to report suspected cases to Child Welfare Services Child Neglect - correct answer ✅- Most common form of maltreatment
Defined as failure to provide for child's basic needs and an adequate level of care
Can be physical and/or emotional
History and interview - environment, caregiver, resources
Physical assessment - height, weight, nutritional status, hygiene, age-appropriate interactions Physical Abuse - correct answer ✅- Defined as violence, mistreatment, or neglect of child while in care of someone they trust and depend on

Answers (Grade A+)

History and interview - watch for inconsistencies in child or caregiver history of events compared with physical findings
Physical assessment - goal is to identify all injuries using systematic head-to-toe approach with location and detailed documentation (measurements, diagrams, photos, etc.) Sexual Abuse - correct answer ✅- Definitions cover a range of acts, including incest, molestation, exhibitionism, child pornography, child prostitution, and pedophilia
History and interview - skillful questioning, documentation includes verbatim statements made by child
Physical assessment - signs very and may not be obvious, goal is to document genital findings, might include forensic evidence Exposure to Family Violence - correct answer ✅- Most common form of maltreatment
Creates fear and emotional trauma

Answers (Grade A+)

Guidelines for Talking with Children who Reveal Abuse

correct answer ✅- Find a private place to talk

Do not promise not to tell, as you cannot keep this promise
Explain that you are required to report by law
Avoid using leading statements
Assure child that they have done the right thing by sharing and that the abuse is not their fault
Explain what will happen when abuse is reported Common Signs of Child Maltreatment - correct answer ✅- Physical injuries
Conflicting accounts of incidents
Injury blamed on sibling
Injury inconsistent with history What Influences Children's Reactions to Hospitalization? - correct answer ✅- Developmental age
Previous experience
Innate and acquired coping skills

Answers (Grade A+)

Seriousness of their diagnosis
Support systems available Stressors of Hospitalization - correct answer ✅1) Separation anxiety - protest, despair (withdrawal and disinterest), detachment/denial (over prolonged care)

Loss of control
Bodily injury and pain Nursing Goals for the Hospitalized Child - correct answer ✅- Prevent and/or minimize separation anxiety

Prevent or minimize fear of bodily injury by: preparing children for procedures, considering level of development, and managing pain
Maximize potential benefits of hospitalization - foster relationships, provide education, promote self- mastery, socialization
Provide developmentally appropriate activities Play - correct answer ✅- So essential to healthy development

Answers (Grade A+)

Provides an outlet for creative ideas/interests
Provides a means for accomplishing therapeutic goals
Allows the child to be in control Types of Therapeutic Play - correct answer ✅- Normative - activities that children spontaneously engage in and find pleasurable
Emotional outlet - dramatic, medical, active, art, books, music
Instructional - predatory play, learning about bodies, medical conditions, and surgery, use of puppets
Physiologically enhancing - activities designed to treat a specific condition or problem Disability - correct answer ✅- Result of interaction between a person's functional limitations and barriers in the environment, including social and physical barriers that make it harder to function day-to-day
Social construct

Answers (Grade A+)

Many types: hearing, vision, mobility, flexibility, dexterity, pain, learning, mental health, memory, and developmental Terms Regarding Children with Special Needs - correct answer ✅- Congenital abnormality - birth defects, structural or functional
Impairment
Developmental disability - present before 22 years
Developmental delay - children under age of 5 who struggle to achieve milestones
Chronic illness - lasting 6 months or longer
Medically complex/complex care kids of Ontario - under 18 and meet at least one criteria under each of the following 4 categories: technology-dependent or needing intensive care, fragility, chronicity, complexity (4 or more care teams) Impact of Disability on Family - correct answer ✅- 45% of parents report stress
38% of parents report reduced work hours
64% of mothers' work impacted vs. 8% fathers
1 in 5 children live in low income household

Answers (Grade A+)

Involve siblings - in care, provide recognition, involve Child Life Strengths-Based Approach - correct answer ✅- Maximizing strengths and abilities
Developmental focus on child's current level rather than on chronological age or diagnosis
Empowering through recognition and enhancing competence
Opposite to medical model, which focuses on what is wrong Normalization - correct answer ✅Refers to establishing normal pattern of living for child and family Guidelines for Promoting Normalization - correct answer ✅- Preparation - conduct family assessment
Participation
Sharing
Control

Answers (Grade A+)

Expectation Caring for Child with Special Needs during Hospitalization - correct answer ✅- During admission, inquire about self- care activities and assess developmental level
Avoid assumptions and preconceived ideas
Promote the child's optimal development
Encourage play and teach self-care skills
Provide means of communication (as needed)
Reinforce behaviour strategies used at home Family - correct answer ✅- Group of individuals who are bound by strong emotional ties, a sense of belonging, and a passion for being involved in one another's lives
Small social system with own cultural values and rules and structure and basic functions Key Elements of Family-Centered Care - correct answer ✅1) Family is the constant in a child's life

Answers (Grade A+)

Guidelines for Communicating with Parents - correct answer ✅- Use broad, open-ended questions

Encourage parents to talk
Direct focus of conversation
Listening and cultural awareness
Providing anticipatory guidance based on needs
Avoiding blocks to communication (e.g. unwanted advice, judgement, information overload, etc.)
Communicate through an interpreter when necessary Psychological Preparation for Procedures - correct answer ✅- Establish trust and provide support to child and family
Parental presence and support
Provide an explanation - use simple, common, and appropriate language to address the 5 Ws
For younger children, provide information just before since they have less ability to remember
Give older children time to prepare by giving them information some time before

Answers (Grade A+)

Performance of Procedures - correct answer ✅- Expect success

Involve the child
Provide distraction
Allow expression of feelings Post-Procedural Support - correct answer ✅- Encourage expression of feelings
Provide positive reinforcement Communicating with Infants - correct answer ✅- Respond to non-verbal behaviours Communicating with Toddlers/Preschoolers - correct answer ✅- Focus on their perspective (egocentric)
Be direct and concrete
Pay attention to physical communication Communicating with School-Aged Children - correct answer ✅- Provide explanations and reasons
Be direct and concrete

Answers (Grade A+)

Water Content - correct answer ✅- Primary component of body weight

Sources of gain: drinking, ingestion through food and oxidative metabolism
Sources of loss: renal excretion, through stool, insensible losses (skin, lungs, etc.) Functions of Body Water - correct answer ✅- Transport medium
Body temperature regulation
Lubrication
Assists with digestion Fluid Issues in the Pediatric Population - correct answer ✅1) Higher % of body weight is composed of water (decreasing with age) and much of that water is in the ECF making it susceptible to changes

Greater BSA results in greater loss through skin
Higher BMR - more metabolic waste, greater heat production, increased need for water for excretion
Immature kidney function

Answers (Grade A+)

High daily fluid requirement and little fluid volume reserve Maintenance Fluid - correct answer ✅The amount of fluid the body needs to replace usual daily losses from the respiratory tract, the skin, the urinary tract, and the GI tract Calculating Daily Fluid Requirements (100, 50, 20) - correct answer ✅- More accurate than hourly 100 ml/kg for first 10 kg + 50 ml/kg for second 10 kg

20 ml/kg for each kg > 20 kg Calculating Hourly Fluid Requirements (4, 2, 1) - correct answer ✅4 ml/kg for first 10 kg + 2 ml/kg for second 10 kg + 1 ml/kg for each kg > 20 kg Conditions that Increase Fluid Requirements - correct answer ✅- Fever

Vomiting
Diarrhea
Diabetes insipudus (causes excessive urination from excessive ADH or failure of kidney to respond to ADH)

Nursing 373 (Peds) Exam Questions & Answers (Grade A+), Exams of Nursing

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