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PEDIATRIC PROCTOR| 2026 PEDS FINAL EXAM PEDIATRIC PROCTOR| 2026 PEDS FINAL EXAM PEDIATRIC PROCTOR| 2026 PEDS FINAL EXAM
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A nurse in the emergency department is caring for a 2-year-old child who was found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse? Remove the child's contaminated clothing. Check the child's respiratory status. Administer an antidote to the child. Establish IV access for the child. Rationale: The nurse should apply the ABC priority-setting - ANSWER-Check the child's respiratory status. A nurse is teaching a parent of a 12-month old child about development during the toddler years. Which of the following statements should the nurse include? "Your child should be referring to himself using the appropriate pronoun by 18 months of age." "A toddler's interest in looking at pictures occurs at 20 months of age." C. "A toddler should have davtime control of his bowel and bladder by 24 months of age. d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months." - ANSWER-d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months." A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the ANSWER to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWER-25 GTT
c. "I can give my child acetaminophen for discomfort associated with the immunization."
d. Calm, quiet demeanor - ANSWER-c. Male gender
a. Capillary refill time less than 2 seconds b. Restricted ability to move the toes c. Swelling of the casted foot when the leg is dependent d. Pedal pulse +3 bilateral - ANSWER-b. Restricted ability to move the toes ) A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing dyspnea. The nurse should identify the sound as which of the following? a. Wheezes b. Crackles c. Pleural friction rub d. Rhonchi - ANSWER-a. Wheezes ) A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? a. Furosemide b. Captopril c. Regular insulin d. Potassium chloride - ANSWER-d. Potassium chloride
d. Place an ice pack on the affected area. - ANSWER-Apply an antimicrobial ointment to the affected area.
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hr PRN for a temperatures above 38.0 C (100.5 F) to an infant who weighs 17.6 lb. Available is ibuprofen oral suspension 100mg/5mL. How many mL should the nurse administer to the infant per dose? - ANSWER-i) 2 mL A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? a. Presence of a central incisor tooth b. Presence of strabismus c. Presence of an open anterior fontanel d. Presence of external cerumen - ANSWER-b. Presence of strabismus
manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? a. Heart rate 124/min b. Increased tear production c. Sunken anterior fontanel d. Capillary refill 2 seconds - ANSWER-c. Sunken anterior fontanel
"Scold vour child when they have a toileting accident." "Award your child with a sticker when they sit on the potty chair." "Play your child's favorite song while teaching them to use the potty chair." "Teach multiple steps of the skill at the same time." - ANSWER-"Award your child with a sticker when they sit on the potty chair." A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry.The nurse should secure the sensor to which of the following areas on the infant? Wrist Great toe Index finger Heel - ANSWER-Great toe