Pediatric Final Exam Practice Questions 2024-2025. Questions & Correct Answers. Graded A+, Exams of Nursing

Download Pediatric Final Exam Practice Questions 2024-2025. Questions & Correct Answers. Graded A+ and more Exams Nursing in PDF only on Docsity! Pediatric Final Exam Practice Questions Latest 2024-2025. Questions & Correct, Verified Answers. Graded A+ A 3-year-old arrives in the ER with irritability, dyspnea, intercostal retractions, and a barking cough. The nurse anticipates the plan of care will include all of the following except: a. Frequent monitoring of pulse oximetry b. Initiate humidified oxygen c. Administration of racemic epinephrine. d. Chest percussion - ANSd. Chest percussion These clinical manifestations are indicative of acute laryngotracheobronchitis (LTB) aka croup. When caring for croup, the goal is to provide comfort, decrease swelling and maintain an airway A 3-year-old with asthma is being seen for follow-up in the clinic. Which of the following would be the most effective way to teach her about taking her inhaled medications? a. explain how to take the medication in simple terms b. there is no need to educate the child at this age c. have her watch a video d. demonstrate giving the medications on a doll - ANSD. demonstrate giving the medications on a doll A 4-week-old infant presents to the emergency room with jaundice, abdominal distention,and irritability. The parents report the child's diapers to include very dark urine and tan stools. Based on the assessment, the nurse anticipates which of the following to be included in the health care provider's orders? a. CBC and Liver function tests b. rectal biopsy c. Barium swallow d. Saline enema with ultrasound - ANSa. CBC and Liver function tests A 4-year old female child presents to the Emergency dept. with a sore throat, difficulty swallowing and a suspected diagnosis of acute epiglottitis. Initial assessment of the child should include which of the following?(Select all that apply) a. Auscultation of chest b. Past medical history c. Observation of swallowing ability d. Vital signs e. Throat culture - ANSa. Auscultation of chest c. Observation of swallowing ability d. Vital signs A 4-year-old child cries out in pain when the nurse palpates their stomach. What is the best way for the nurse to assess the child's pain level? a. Use the FACES pain scale with every nursing assessment b. Try to have the child describe the pain's intensity and quality c. Rely on vital sign measurements as a way to verify pain ratings d. Ask the child to rate pain using a numeric pain rating scale - ANSa. Use the FACES pain scale with every nursing assessment A 6-year-old child is receiving a blood transfusion. The nurse notes urticaria and pruritus 20 minutes after the infusion is initiated. The nurse's first intervention should be which of the following? a. Call the physician b. Slow the rate c. Turn off the infusion d. Relieve the symptoms with an ordered antihistamine - ANSc. Turn off the infusion A 9-month-old has been admitted to the pediatric unit with respiratory syncytial virus (RSV). The nurse assigned to provide care to this infant will also need to be assigned to other patients. The charge nurse should assign which of the following children to the nurse? a. A 3 - year-old with a WBC of 3 mg/dL. b. A school-aged child with a closed femur fracture. c. A 5-year-old with cystic fibrosis d. A 7-year-old with a generalized rash and a history of step throat. - ANSb. A school- aged child with a closed femur fracture. A charge nurse is precepting a new graduate nurse on a pediatric cardiac step-down unit. They are currently discussing the criteria for the diagnosis of Kawasaki disease. Please provide four diagnostic criteria that a child with Kawasaki disease must demonstrate in order to be treated for the disease. - ANS- Fever lasting longer than 5 days - Conjunctival erythema without exudate - Swollen cervical lymph node b. Administer pancreatic enzymes between meals if at all possible. c. Do not administer pancreatic enzymes if the child is receiving antibiotics. d. Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal. - ANSd. Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal. Several children have arrived at the walk-in clinic of a primary care facility. Which child should the nurse assess first? a. 2-month-old with a 2-day history of diarrhea and temp of 101 F b. 2-year-old who has been pulling at his ear for 2 days c. 6-year-old with a respiratory rate of 25 and SpO2 of 90% d. 10-year-old with a sore throat and has not eaten in 24 hours - ANSc. 6-year-old with a respiratory rate of 25 and SpO2 of 90% The mother of an infant hospitalized with an upper respiratory tract infection asks why the baby won't take a bottle. The nurse's best answer would be what? a. "She's probably not hungry." b. "It's okay because we're giving her intravenous fluids, therefore she is not hungry." c. "The baby might need a different type of formula. We'll call the physician to get a new order." d. "Congestion may be interfering with her breathing and eating at the same time." - ANSd. "Congestion may be interfering with her breathing and eating at the same time." The nurse caring for a child recently diagnosed with Tetrology of Fallot recognizes defects includes all of the following EXCEPT a. right ventricular hypertrophy. b. pulmonic stenosis. c. ventricular septal defect. d. left ventricular hypertrophy. e. overriding aorta. - ANSd. left ventricular hypertrophy. The nurse caring for a client post surgical closure of the ductus arteriosus understands the purpose of this surgery is to... a. prevent the return of oxygenated blood to the lungs. b. decrease the edema in legs and feet. c. increase the oxygenation of blood. d. prevent the loss of unoxygenated blood to the body. - ANSa. prevent the return of oxygenated blood to the lungs. The nurse is caring for a 3 -year-old who is on strict I and O. The child's weight on admission was 29 pounds. The nurse notes the child had an intake of 320 mL and a urine output of 110 mL over the past 8 hours. The nurse will perform which of the following interventions? a. explain the need for a bladder scanner to the parents b. document the findings in the electronic health record c. anticipate the need for an IV to be placed d. encourage the child to drink more fluids - ANSd. encourage the child to drink more fluids The nurse is caring for a 3-day-old infant born with a cleft palate. What is the primary initial goal for the infant? a. Help the mother bond with the baby. b. Refer parents to a support group for children with similar needs. c. Implement measures to prevent ear infections. d. Establish a successful feeding method - ANSd. Establish a successful feeding method The nurse is caring for a 6-year-old hospitalized child who is experiencing pain. Which non-pharmacologic pain management strategies would be appropriate for the nurse to include for this child? (SELECT ALL THAT APPLY) a. Distraction b. Swaddling c. Breathing techniques d. Non-nutritive suck e. Guided Imagery - ANSa. Distraction c. Breathing techniques e. Guided imagery The nurse is caring for a neonate with suspected tracheoesophageal fistula. Nursing care should include: a. feeding glucose water only b. avoiding suctioning unless the infant is cyanotic c. elevating the head for feedings d. elevate the head by give nothing by mouth - ANSd. elevate the head by give nothing by mouth The nurse is caring for a patient who is 18 months old and is recovering from surgery for appendicitis. Which of the following indicates the child is experiencing relief from pain? a. Increased respiratory rate b. Decreased Heart Rate c. Decreased appetite d. Increased urine output - ANSDecreased heart rate The nurse recognizes that peers are important to adolescents as they help to develop a sense of _________________ a. morality b. competence c. belonging d. autonomy - ANSc. belonging At this stage, it is important for adolescents to feel they have somewhere they can fit in with their peers,be accepted and share the same values and ideas. The nurse should suspect intussusception in an infant who experiences which of the following? a. Projectile vomiting b. Constipation c. Passage of red, current jelly-like stool d. Protrusion of intraabdominal contents - ANSc. Passage of red, current jelly-like stool The nurse teaches parents of an 8-month-old with pulmonary stenosis and prescribed digoxin and furosemide that the medications will a. Cause tachycardia and bradypnea. b. Increase contractility and cause diuresis. c. Decrease contractility and cause bradycardia. d. Increase contractility and fluid retention. - ANSb. Increase contractility and cause diuresis. The nurse understands a client with tricuspid atresia must have which of the following in order for blood to flow into the chambers on the LEFT side of the heart? a. Right ventricular hypertrophy b. Atrial septal defect c. Overriding aorta d. Patent ductus venosus - ANSb. Atrial septal defect The nurse understands which assessment finding(s) would be expected in a client diagnosed with aortic stenosis? Select ALL that apply: a. Hypertension b. Faint pulses c. Bounding pulses d. Hypotension Which clinical manifestation would most suggest acute appendicitis? a. Rebound tenderness b. Abdominal pain that is most intense at McBurney point c. Abdominal pain that is relieved by eating d. Dark red or bright red rectal bleeding - ANSb. Abdominal pain that is most intense at McBurney point Which of the actions is most appropriate when the nurse is assessing breath sounds of an 18-month old crying child? a. Document that data are not available because of noncompliance. b. Auscultate breath sounds and chart that the child is crying. c. Encourage the child to play with the stethoscope to distract and calm down before auscultating. d. Ask the parent to quiet the child so that the nurse can listen. - ANSc. Encourage the child to play with the stethoscope to distract and calm down before auscultating. Which of the following behaviors indicates that an infant has developed object permanence? a. Recognizes familiar objects such as a bottle b. Actively searches for the toy hidden under a blanket c. Recognizes familiar faces such as the mother d. Secures an object by pulling on the string - ANSb. Actively searches for the toy hidden under a blanket Which of the following clinical manifestations could be observed for a child with congestive heart failure? (SELECT ALL THAT APPLY) a. Tachycardia b. Fatigue c. Peripheral Edema d. Bradypnea e. Poor appetite - ANSa. Tachycardia b. Fatigue c. Peripheral Edema e. Poor appetite Which of the following symptoms should a nurse expect to find when speaking to the parents of an infant diagnosed with pyloric stenosis? (Select all that apply) a. Bile-stained emesis b. Bulging fontanelles c. Dry mucus membranes d. Hunger after vomiting e. Projectile vomiting - ANSc. Dry mucus membranes d. Hunger after vomiting e. Projectile vomiting