Pediatric Nursing FINAL Exam/PEDS EXAM SET 1 WITH OVER 100 QUESTIONS AND VERIFIED ANSWER, Exams of Nursing

Download Pediatric Nursing FINAL Exam/PEDS EXAM SET 1 WITH OVER 100 QUESTIONS AND VERIFIED ANSWER and more Exams Nursing in PDF only on Docsity! Pediatric Nursing FINAL Exam/PEDS EXAM SET 1 WITH OVER 100 QUESTIONS AND VERIFIED ANSWERS LATEST UPDATE(FREQUENTLY TESTED QUESTIONS) ALREADY GRADED A The nurse has been asked to participate in a community health teaching session. Which interventions should the nurse include to help achieve the 2020 National Health Goals to reduce the incidence of anemias? (Select all that apply.) A) Explain the importance of healthy eating for adolescent participants. B) Instruct pregnant women to take iron supplementation as prescribed. C) Emphasize ways to reduce unintentional injuries at home, work, and play. D) Review foods that are rich in iron that should be a part of school-age children's diets. E) Examine strategies for elderly community members to improve the quality of A) Explain the importance of healthy eating for adolescent participants. The nurse is concerned that a school-age child has iron-deficiency anemia. What did the nurse assess in this patient? A) Shyness B) Thumb-sucking C) Asks many questions D)Craving for ice D) Craving for ice The nurse is evaluating the effectiveness of teaching provided to the parents of a school-age child prescribed liquid ferrous sulfate (Feosol) for iron-deficiency anemia. Which observations indicate that teaching has been effective? (Select all that apply.) A) Mother places medication in orange juice. B) Mother provides medication with a glass of milk. C) Child observed consuming fresh raw fruit and drinking water. D) Mother provides liquid-prepared medication to the child with a straw. E) Child goes to the bathroom to brush teeth immediately after taking the medication. A) Mother places medication in orange juice. A school-age child is scheduled for a bone marrow aspiration to confirm the diagnosis of aplastic anemia. What should the nurse instruct the child about this procedure? A) Leg pain will occur after the procedure. B) It will be done under general anesthesia. C) A narrow needle is used so there is no pain. D) The patient will have to lie on the stomach for the procedure. D) The patient will have to lie on the stomach for the procedure. It is determined that a preschool-age child developed anemia after exposure to an insecticide. What should the nurse teach the parents before the child is discharged from the hospital? A) Schedule weekly chelating treatments. B) Provide the child with a high-protein diet. C) Schedule hospital visits to desensitize the child to the insecticide. D) Ensure that the child has no further exposure exposed to the insecticide. D) Ensure that the child has no further exposure exposed to the insecticide. A toddler weighing 22 lb with hemophilia A fell down several steps and sustained a knee injury. The parents have been instructed to provide the child with an infusion of factor VIII concentrate, one bag per 5 kg of body weight. How many bags of the concentrate will the parents infuse into the child? (Calculate to the nearest tenth decimal point.) 2 bags First, determine the child's weight in kilogram by dividing 22 lb by 2.2 = 10 kg. If the parents are to infuse one bag of concentrate for every 5 kg of body weight then divide the total body weight by 5 or 10 kg/5 = 2. The child is to receive 2 bags of factor VIII to treat this injury. The nurse is caring for a school-age child recovering from an allogeneic stem cell transplant. What should the nurse do to ensure the child does not develop an infection after the transplant? (Select all that apply.) A) Restrict all visits from other children. B) Provide sterilized age-appropriate play materials. C) Send for total body irradiation immediately after the transplant. D) Make arrangements for schoolwork to be delivered to the hospital. E) Encourage eating raw vegetables for each meal after the procedure. A) Restrict all visits from other children. A child with hypoplastic anemia develops hemosiderosis. What should the nurse prepare to instruct the parents about the treatment for this disorder? A) Need to avoid all products containing aspirin B) Need to infuse deferoxamine (Desferal) at home C) Importance of daily doses of ferrous sulfate (Feosol) D) Importance of adhering to a strict schedule of prednisone B) Need to infuse deferoxamine (Desferal) at home The nurse is assessing a school-age child with sickle-cell anemia. Which assessment finding is consistent with this patient's diagnosis? A) Slightly yellow sclera B) Enlarged mandibular growth C) Feed with formula thickened with rice cereal. A 2-month-old infant experiencing severe diarrhea is prescribed intravenous fluid replacement. Before adding potassium to this solution, which assessment should the nurse make? A) Is voiding B) Is Sleeping C) Is crying with tears D) Hands are restrained A) Is voiding During the assessment of a preschool-age child, the nurse notes that the child's tongue is tender and there are cracks in the corners of the child's mouth. Which vitamin deficiency does the nurse suspect this child is experiencing? A) Vitamin A B) Vitamin B1 C) Vitamin C D) Vitamin D A) Vitamin A The nurse is advising a group of new parents on how to care for their infant at home if the baby develops mild diarrhea. Which statement indicates that teaching has been effective? A) "I should offer milk after each episode of diarrhea." B) "I should take the baby's temperature and call my physician." C) "I could give Kaopectate as long as I follow the directions on the bottle." D) "I should offer Pedialyte after 1 hour and frequently thereafter to prevent dehydration." D) "I should offer Pedialyte after 1 hour and frequently thereafter to prevent dehydration." The nurse suspects that an infant is experiencing intussusception. What did the nurse assess in this infant? (Select all that apply.) A) Crying as if in severe pain B) Pulse rate of 78 beats/min and irregular C) Sudden drawing up of the legs D) Vomit that looks like currant jelly E) Leg drawing up and crying repeats every 15 A) Crying as if in severe pain A school-aged child with Crohn's disease will receive enteral nutrition for the next 6 weeks. What should the nurse counsel the parents to do to support this child's needs? A) Provide the feeding during regular meal times. B) Encourage the child to stay with the family during routine meal times. C) Suggest the child stay in the bedroom during routine meal times with the family. D) Explain that this might be a permanent method to have nutrition going B) Encourage the child to stay with the family during routine meal times. A 14-year-old child is brought into the emergency room with manifestations consistent with a ruptured appendix. What is the first action that the nurse should take in the care of this child? A) Apply oxygen. B) Position flat in bed. C) Place in the semi-Fowler's position. D) Insert an indwelling urinary cath C) Place in the semi-Fowler's position. The nurse is evaluating teaching provided to the mother of a child with celiac disease. Which type of breakfast indicates that instruction has been effective? A) Eggs and orange juice B) Oat cereal and skim milk C) Wheat toast and grape jelly D) Rye toast and peanut butter A) Eggs and orange juice A female preschool patient with a urinary tract infection is scheduled to have a voiding cystourethrogram. What should the nurse include when teaching the patient about this procedure? A) A headache is a common occurrence after the procedure. B) A local anesthetic will be injected prior to the procedure. C) The patient will be expected to void during the procedure. D) The patient will have to drink three glasses of water during the procedure. C) The patient will be expected to void during the procedure. The nurse is caring for a female preschool-age patient with a urinary tract infection. What measures should the nurse teach the mother to prevent future infections? A) Suggest the child drink less fluid daily to concentrate urine. B) Encourage the child to be more active to increase urine output. C) Teach the child to wipe the perineum front to back after voiding. D) Teach the child to take frequent tub baths to clean the perineal area. C) Teach the child to wipe the perineum front to back after voiding. The nurse instructs a school-age patient and the parents on continuous cycling peritoneal dialysis. Which statement indicates that teaching has been effective? A) "The solution should be infused cold." B) "Redness and warmth around the tube insertion site is expected." C) "We should notify the health care provider if the drainage is cloudy." D) "Weight gain and a productive cough are expected with the treatments." C) "We should notify the health care provider if the drainage is cloudy." The parents of child recovering from surgery to repair vesicoureteral reflux ask the nurse if they can do anything to help with the care of their child. What should the nurse encourage the parents to do at this time? A) Help the child with a tub bath. B) Bring in games and other diversions to keep the child distracted while on bed rest. C) Assist the child out of bed while keeping the drainage bags below the level of the catheter. D) Provide hard candy to help with mouth dryness because the child will be on a fluid restriction. C) Assist the child out of bed while keeping the drainage bags below the level of the catheter. The nurse is teaching manifestations of nephrotic syndrome to the parents of a child with the disorder. What should the nurse instruct the parents to monitor to determine if edema is increasing? A) Appetite B) Breathing rate C) Tightness of shoes D) Abdominal circumference D) Abdominal circumference A school-age child is returning home after a renal biopsy. What teaching should the nurse provide to the patient and parents at this time? (Select all that apply.) A) Remove the dressing in 2 hours. B) Resume regular activity level at home. C) Drink a glass of fluid every hour while awake. D) Expect the first voided urine to be blood-tinged. E) Teach how to keep serial urine samples for 24 hour C) Drink a glass of fluid every hour while awake. The parents of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the ause for the disorder? A) Group B streptococci B) One of the rhinoviruses C) Staphylococcus viridans D) Group A beta-hemolytic streptococci D) Group A beta-hemolytic streptococci The nurse is teaching the parent of a child with chronic renal failure on high- potassium foods that should be restricted. Which foods will the nurse include in this teaching? (Select all that apply.) A) Bananas, carrots, nuts, and milk B) Peaches, broccoli, and red meat C) Oranges, potatoes, wheat, and bran D) Spinach, chicken, fish, and green beans A) Bananas, carrots, nuts, and milk The nurse is prescribed to infuse 75 ml/kg of dialysate for a child's peritoneal dialysis treatment. The child weighs 77 lb. At the conclusion of the treatment, the nurse measures 3,000 ml of dialysate outflow. How much of the outflow should A mother, distressed to learn that her school-age child is diagnosed with type 2 diabetes mellitus, asks the nurse how this could happen because no one in the family has diabetes. What should the nurse explain to the mother? A) "This is caused by the pancreas not making enough insulin." B) "This disorder usually occurs when inadequate calories are ingested on a regular basis." C) "Because this disorder is genetic, someone in the family will eventually develop the illness." D) "This disorder is associated with overweight and eating a diet high in fats and carbohydrates." D) "This disorder is associated with overweight and eating a diet high in fats and carbohydrates." A newborn is diagnosed with the salt-losing form of congenital adrenogenital hyperplasia. On what should the nurse focus when assessing this patient? A) Dehydration B) Hypoglycemia C) Bleeding tendency D) Excessive cortisone secretion A) Dehydration Shortly after delivery, a newborn is diagnosed with hypocalcemia. What manifestation will the nurse assess in this patient? A) Jitteriness B) Constipation C) Excessive sleepiness D) A distended abdomen A) Jitteriness The nurse is caring for a 3-year-old child diagnosed with phenylketonuria. Which food should the nurse remove before providing the child with a lunch tray? D) Chocolate pudding A mother caring for a school-age child with type 1 diabetes mellitus is frantic because the child self-administered 15 units of regular insulin instead of the prescribed 5 units before breakfast this morning. What should the nurse instruct the mother to do at this time? (Select all that apply.) A) Observe for nervousness, weakness, dizziness, or sweating. B) Determine if the child is experiencing extreme hunger and thirst. C) Determine if the child is irritable or demonstrating stubbornness. D) Provide the child with a half-glass of orange juice or regular soda. E) Rub a small amount of honey on the child's gums and inside of the cheek A) Observe for nervousness, weakness, dizziness, or sweating. The nurse instructs a preadolescent child with type 1 diabetes mellitus how to self-administer an injection of short-acting and long-acting insulin. Which observation indicates to the nurse that teaching has been successful? A) Administers the insulin intramuscularly B) Wipes off the needle with an alcohol swab C) Administers the insulin at a 30-degree angle D) Draws up the short-acting insulin into the syringe first D) Draws up the short-acting insulin into the syringe first A toddler is diagnosed with osteomyelitis. What should the nurse anticipate as a priority intervention when planning this child's care? A) Assisting the child with crutch walking B) Maintaining intravenous antibiotic therapy C) Keeping the child quiet while in skeletal traction D) Restricting fluid to encourage red cell production B) Maintaining intravenous antibiotic therapy A school-age child with pauciarticular juvenile arthritis has extreme pain upon waking in the morning. Which intervention should the nurse suggest the parents try to help the child with the pain? A) Encourage bed rest until the pain is gone. B) Perform isotonic exercises until the pain is gone. C) Provide 325 mg of aspirin immediately on arising. D) Encourage a warm bath each morning before school. D) Encourage a warm bath each morning before school. The nurse is caring for a child who has just received a cast for a broken wrist. Why should the nurse elevate the limb onto a pillow? A) To prevent edema B) To promote healing C) To discourage infection D) To ensure proper bone alignment A) To prevent edema The nurse is concerned that a preschool-age child is demonstrating signs of Duchenne muscular dystrophy. What did the nurse assess in this child? A) Gower sign B) Facial weakness C) Inability to whistle D) Inadequate use of respiratory A) Gower sign The nurse is instructing the mother of a school-age child with a leg cast about cast care at home. What should the nurse include in this teaching? (Select all that apply.) A) Cover the cast with a plastic bag to bathe. B) Remind that nothing is to be put down the cast. C) Recommend using magic markers for autographs. D) Use the cool setting on a hair dryer to ease itchy skin. E) Encourage usual activities but restrict strenuous actions. A) Cover the cast with a plastic bag to bathe. A preadolescent girl with scoliosis is prescribed a body brace. What should the nurse teach the child about the purpose of the brace? A) Prevents torticollis B) Improves spinal stability C) Corrects spinal curvature D) Prevents herniation of a spinal disk B) Improves spinal stability The nurse is caring for a school-age child newly diagnosed with juvenile arthritis. Which diagnosis would be a priority for this patient? A) Knowledge deficit related to care needs B) Risk for inefficient peripheral tissue perfusion C) Ineffective coping related to physical limitations D) Imbalanced nutrition: less than body requirements A) Knowledge deficit related to care needs A school-age child is scheduled for a muscle biopsy. What should the nurse teach the patient about the procedure? A) Medication will be given so pain is minimized. B) The amount of muscle tissue taken is about 2 in. C) Bed rest for several days will need to be done afterward. D) Long-term pain medication will be needed after the procedure. A) Medication will be given so pain is minimized. The nurse receives report from the admission department that a child with a slipped femoral epiphysis is en route to the care area. For which type of child should the nurse begin to plan care? A) Tall, thin female B) Preadolescent female C) Active school-age male D) Obese preadolescent male D) Obese preadolescent male The nurse is planning teaching for the parents of a child with Legg-Calvé-Perthes disease. On what should the nurse emphasize when conducting this teaching? A) Surgery is needed with supporting rods. B) The child will have a non-weight-bearing period. C) The child will need passive range-of-motion exercises three times a day. D) The child will need to exercise to increase muscle strength of the knee joint. B) The child will have a non-weight-bearing period. The nurse is caring for a school-age child recovering from an open reduction for a fractured femur. Which assessment findings indicate that the child is developing an infection? (Select all that apply.) A) Lethargy B) Increased pulse rate C) Reduced pulse in the ankle D) Cyanosis of the casted foot E) Increased body temperature A) Lethargy The nurse is caring for a 4-year-old child with acute lymphocytic leukemia (ALL). Why should the nurse assess this child's temperature using the axillary route instead of a rectal temperature? A) The child has anemia. B) The child is prone to diarrhea. C) The child has a low platelet count. D) The child has a low white blood cell count. Which assignment by the charge nurse would be most appropriate for a general pediatric nurse being reassigned to the hematology/oncology pediatric unit?Select all that apply •A. Child dying with leukemia who has been on the hematology/oncology unit for two weeks. •B. Teenager with sickle cell disease in for pain management. •C. Child admitted following a bicycle accident that has idiopathic thrombocytopenic purpura (ITP). •D. New admit scheduled for bone marrow transplant. •E. Child diagnosed with leukemia admitted for stomatitis. B. Teenager with sickle cell disease in for pain management. Which condition results in a change in gait, pain and swelling, may feel warm, intermittent joint pain, and pathological starburst fractures? •A. Osteogenic Sarcoma •B. Ewing's Sarcoma •C. Wilms's tumor •D. Non-Hodgkins Lymphoma A. Osteogenic Sarcoma Which of the following would be inappropriate when administering chemotherapy to a child? •A. Monitoring the child for both general and specific adverse effects •B. Observing the child for 10 minutes to note for signs of anaphylaxis •C. Administering medication through a free-flowing intravenous line •D. Assessing for signs of infusion infiltration and irritation B. Observing the child for 10 minutes to note for signs of anaphylaxis An 11-year-old girl with celiac disease was discharged from the hospital. An appropriate teaching was carried out by the nurse if the parents are aware of avoiding which of the following? •A. Chicken • B. Wheat • C. Milk • D. Rice • E. Fat B. Wheat Will is being assessed by Nurse Lucas for possible intussusception. Which of the following would be least likely to provide valuable information? •A. Abdominal palpation • B. Family history • C. Pain pattern • D. Stool inspection B. Family history Baby Ellie is diagnosed with gastroesophageal reflux (GER). Which of the following nursing diagnoses would be inappropriate? •A. Risk for aspiration • B. Impaired oral mucous membrane • C. Deficient fluid volume • D. Imbalanced nutrition: Less than body requirements B. Impaired oral mucous membrane Nurse Kathy is aware that the most common assessment finding in a child with ulcerative colitis is: •A. Intense abdominal cramps • B. Profuse diarrhea • C. Anal fissures • D. Abdominal distention B. Profuse diarrhea A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge expects to detect: • A. Gross hematuria • B. Dysuria • C. Nausea and vomiting • D. An abdominal mass D. An abdominal mass Which of the following parameters would Nurse Max monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)? •A. Urine • B. Vomiting • C. Weight • D. Stools B. Vomiting