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PEDS CMS Questions with Correctly Solved Answers
1.A nurse is checking the gross motor development of a 3-year-old child. Which of the following
skills should the nurse expect the child to be able to do?: standing on 1 foot- correct skipping around the room- incorrect hopping on 1 foot- incorrect throwing ball overhead- incorrect
2.A nurse is reinforcing teaching with a parent of a child who has type 1 diabetes mellitus. The nurse
is explaining how to manage the child's disorder during an illness such as a cold. Which of the following statements by the parent indicates an understanding of the teaching?: I'll check his blood glucose more often
3.A nurse is collecting data from a 10-month-old infant at a well child check up. Which of the
following assessment findings should the nurse report to the provider?: the infant needs assistance to sit up- correct the infants anterior fontanel is open- incorrect the infants Moro reflex is absent- incorrect the infant is unable to walk independently- incorrect
4.A nurse is preparing to administer an oral liquid medication to a 6-month-old infant. Which of the
following interventions should the nurse plan to perform?- : administer medication into the side of the infants mouth
5.A nurse is reviewing the morning laboratory results of an infant who is receiving digoxin and
furosemide for the treatment of heart failure. Which of the following findings should the nurse report to the provider?: Potassium 3.2 mEq/L- correct (4.1-5.3 norm)
2 / 17 Sodium 140 mEq/L- incorrect (134-150 norm) Calcium 10.2 mg/dL- incorrect (8.8-10.8 norm) Chloride 100 mEq/L- incorrect (90-110 norm)
6.A nurse is reinforcing teaching about exercise with an adolescent client who has type 1 diabetes.
Which of the following points should the nurse reinforce?: you might need to decrease your routine insulin dose before exercise
7.A nurse is caring for a 4-month-old infant who has tetralogy of Fallot and experiences a
hypercyanotic spell. Which of the following actions should the nurse take?: place infant in knee chest position- correct begin CPR- incorrect
8.A nurse is planning to use guided imagery for an early school-aged child who continues to have
mild discomfort following the administration of an analgesic. Which of the following techniques should the nurse plan to use?: - encourage the child to focus on a recent pleasurable experience
9.A nurse is preparing to administer diphenhydramine 5mg/kg/day po divided equally every 8 hours
to a school aged child who weighs 50lb. Diphenhy- dramine 12.5mg/5ml available. How many ml should the nurse administer per dose?: 15
10.A nurse is collecting data from a 4-year-old child for growth and develop- mental milestones
during a well child visit. Which of the following findings suggest a possible delay in development?: speaking using 2- or 3-word sen- tences- correct inability to tie shoes- incorrect adding 3 parts to a stick figure- incorrect inability to walk backward- incorrect
11.A nurse is assisting with the development of a health education program for the parents of
school-aged females. Which of the following pieces of information regarding sexual maturation
4 / 17 choose an exercise plan for child based on abilities-incorrect
17.A nurse on a pediatric oncology unit is helping the parents of a child who is terminally ill to
prepare for the impending loss of their child. Which of the following statements should the nurse make?: would you like assistance in planning where your child will die?
18.A nurse is reinforcing teaching with a school-aged child who has asth- ma about how to use a
metered-dose inhaler. In which order should the nurse instruct the child to perform the following steps and evaluate return demonstration? (move steps into the box on the right, placing them in correct order): 1. shake the inhaler while holding it upright
2.position the mouthpiece in the mouth
3.slowly inhale the medication
4.hold the breath for 5-10 sec
19.A nurse in a providers office receives a phone call from the guardian of an infant who just
vomited after the administration of digoxin. Which of the following actions should the nurse take first?: tell the guardian that a repeat dose should not be given
20.A nurse is reinforcing discharge teaching with the guardian of an infant following a hypospadias
repair. Which of the following instructions should the nurse include?: apply antibiotic ointment to penis once per day
21.A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of acute
lymphoblastic leukemia (ALL). Which of the following statements from the child indicates an understanding of the teaching?: "I have a good chance of surviving this cancer." explanation: most children who have ALL and receive chemotherapy are expected to survive, with up to 95% achieving remission.
22.A nurse is caring for a child who has gastroenteritis and is dehydrated. Which of the following
5 / 17 characteristics places the infant at a higher risk for electrolyte imbalances compared to an adult client?: longer intestinal tract- correct reduce body surface area- incorrect
23.A nurse is caring for a preschooler who has acute leukemia and MRSA. The parents are not
allowed to take the client to the hospital playroom, and the child appears bored. Which of the following actions should the nurse take?: ask the parents to bring toys from home
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31.A nurse is caring for a child who has cystic fibrosis and a pulmonary infection. Which of the
following findings is the nurse's priority?: inability to clear secretions
32.A nurse is caring for a 7-year-old child who has Kawasaki disease. Which of the following
interventions should the nurse perform?: monitor for signs of fluid retention
33.A nurse is assisting with the plan of care for a child who has hyperthermia. Which of the
following actions should the nurse take?: position the child on a cooling blanket and cover her with a sheet
34.A nurse is caring for a toddler who has asthma. The parents are concerned about the toddlers
reaction to the hospitalization. Which of the following actions should the nurse take to decrease the child's anxiety?: Encourage rooming-in
35.A nurse is reinforcing teaching about preventing poisoning with a group of parents who have
toddlers. Which of the following statements should the nurse make?: put all cleaning supplies in a locked cabinet.
36. A nurse is caring for a child who has a tracheostomy. Which of the following techniques
should the nurse use to suction the child's tracheostomy?: remove catheter while applying intermittent suction
37.A nurse is reinforcing teaching with the parents of a child who has a cleft palate. The parents ask
how long they should wait before the infant should have corrective surgery. The nurse explains that the parents should wait no longer than 6 to 12 months to avoid which of the following outcomes?: difficulty with language acquisition
38.A nurse is reinforcing teaching about injury prevention with the parent of an infant. Which of
the following statements by the parent indicates an understanding of the teaching?: I should make sure my baby's clothing does not have buttons on it
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39. A nurse is collecting data about a 4-year-old client's cognitive development during a well-
child visit. Which of the following should the nurse expect the child to display?: development of superego
40.A nurse on a pediatric mental health unit is caring for a school aged child. Which of the following
questions or statements should the nurse make to foster rapport and engage him in conversation?: tell me about your favorite video game
41.A nurse is assisting with the plan of care for a child who has meningococ- cal meningitis. Which
of the following isolation precautions should the nurse plan to implement?: droplet precautions
42.A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following interventions is the priority for the nurse to recommend?: Monitor the child's oxygen saturation level- correct Increase child's fluid intake- incorrect
43.A nurse is reinforcing teaching with the parent of a school-aged child who has celiac disease.
Which of the following foods selected by the parent indicates an understanding of the teaching?: corn tortilla with black beans
44.A nurse is reinforcing teaching with the guardian of a preschooler who has cystic fibrosis.
Which of the following instructions should the nurse reinforce?: monitor the preschooler for a decrease activity level
45.A school nurse is reinforcing teaching with an adolescent who has type 1 diabetes mellitus.
Which of the following responses by the adolescent in- dicates an understanding of the teaching? (select all that apply): I should eat extra food on busy days when I am more active. I should increase my intake of sugar-free fluids when I am sick.
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53.A newly licensed nurse in an urgent care center is caring for a child who has bruises that raise
suspicion for child abuse. Which of the following actions should the nurse take?: report the suspected abuse to local authorities
54.A nurse is caring of a newborn who has spina bifida. The newborns parents are upset by the
diagnosis. Which of the following actions should the nurse take?: encourage the parents to touch and care for the newborn
55.A nurse is caring for a 4-year-old child who has superficial partial-thick- ness burns over 50% of
his body. To meet nutritional needs of the child, which of the following actions should the nurse plan to take?: supplement the child's feedings with enteral feedings
56.A nurse is contributing to a plan of care for a preschooler who was admitted for the treatment of
measles. Which of the following activities should the nurse recommend for the child?: putting together a puzzle with large pieces
57.A nurse is reinforcing teaching with the guardian of a preschooler. The guardian reports the
preschooler has had an imaginary playmate for about 3 months. Which of the following pieces of information should the nurse reinforce with the guardian?: have the child take responsibility for actions if they try to blame the imaginary friend.
58.A nurse is preparing a 3-month-old infant for a wellness visit with the physician. Which of the
following observations should the nurse expect?: the infant looks at his hands- correct crude pincer grasp- incorrect ( expected 8-9 months) infant has no head lag- incorrect (slight head lag expected at 3 months) infant can independently roll from back to abdomen- incorrect (expected at 6 months)
59.A nurse is reinforcing teaching with a family of a child about hospice care. Which of the following
statements should the nurse include in teaching?: hos- pice staff members consider the family's needs to be just as important as those of the child.
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60.A nurse is reinforcing teaching about nutritional needs with the parents of a 2-year-old toddler.
Which of the following pieces of information should the nurse include?: an appropriate serving size of solid foods is 2 tablespoons
61.A nurse is reviewing recommended immunizations with the guardian of a 2-month-old infant.
Which of the following statements should the nurse make?: your baby can start the pneumococcal vaccine now ( 2m imms B Dr.Hip, 4m Dr.Hip, 6m B Dr.Hip + flu) ( 12- 18m MAD HPV 4-6yrs Very DIM)
62.A nurse is collecting data from a newborn at birth to assign Apgar scores. At 1 min of age, the
newborn is crying vigorously with limbs flexed and a heart rate of 120/min. The newborn's trunk is pink, but his hands and feet are cyanotic, and he cries when the soles of his feet are stimulated. Which of the following Apgar scores should the nurse assign this infant?: 9
63.A nurse is caring for a 6-year-old child who is experiencing encopresis. Which of the following
actions should the nurse take?: determine if there are any recent stressors in the child's environment
64.A nurse is reinforcing teaching with a parent of an infant who has devel- opmental hip dysplasia
and a new prescription for a Pavlik harness. Which of the following parent statements indicates understanding of the teaching?: I will apply the harness over a t-shirt and knee socks
65.A nurse is assessing a 3-year-old during a well-child assessment. Which of the following findings
should the nurse report to the provider?: the child cannot walk on tip toe
66.A nurse is caring for a child who has a ruptured appendix. Which of
the following positions should the nurse encourage the child to maintain?-
13 / 17 open reduction internal fixation of the right arm. Which of the following actions should the nurse take?: explain the different sounds that can be heard at the child's bedside
76.A nurse in a pediatric psychiatric unit is caring for an 8-year-old school aged child who has
intermittent explosive disorder (IED). The child is currently having a temper tantrum. Which of the following communication techniques should the nurse use?: adopt a non threatening posture
77.A nurse is reviewing laboratory findings of an adolescent who has acute renal failure. Which of
the following findings should the nurse expect?: meta- bolic acidosis
78.A nurse is caring for a school-aged child who had an arm cast applied 8 hours ago. Which of
the following findings should alert the nurse to a complication related to the casting?: child reports tightness at the wrist- correct child's hands are cool bilaterally- incorrect
79.A nurse is reinforcing teaching with a guardian of a child about bicycle safety. Which of the
following pieces of information should the nurse include?- : instruct the child to walk their bike through intersections
80.A nurse is reinforcing post op teaching with a parent of a 3-month-old infant who is recovering
from umbilical hernia repair. Which of the following statements by the parent indicates understanding of the teaching?: I will fold my baby's diaper away from the incision
81.A nurse is caring for an infant who is 6 months old and has moderate dehydration. Which of
the following findings should the nurse expect?: dry mucous membranes- correct absent tears- incorrect (severe dehydration) weight loss of >10%- incorrect (severe dehydration) lethargy- incorrect (severe dehydration)
82.A nurse is reinforcing teaching with a 12-year-old child who is recover- ing from an acute
14 / 17 bleeding episode of hemophilia. Which of the following statement should the nurse make?: if you have a bleeding injury, you should immediately apply pressure and ice to the site
83.A nurse is reinforcing teaching with a parent of a preschooler who has impetigo. Which of the
following statements by the parent indicates under- standing of the teaching?: I will wash my child's clothes in hot water
84.A nurse is caring for a 7-year-old child who is in skeletal traction following complete fracture of
the femur. Which of the following diversional activities should the nurse offer the child?: chapter books
85.A nurse is caring for an 18-month-old infant who has chronic otitis media. The nurse should
recognize that otitis media will affect which of the follow- ing?: speech patterns
86.The clinic nurse is collecting data from a 6-week-old infant who's guardian states "I'm concerned
about my baby's hearing." Which of the following man- ifestations should the nurse report to the provider?: lack of startle reflex to a loud noise
87.A nurse is reinforcing teaching with an adolescent who was recently diagnosed with type 1
diabetes mellitus. Which of the following insulin injec- tion sites should the nurse recommend that the client use during basketball competition?: hip
88.A nurse is assisting with an informational session about otitis media for a group of parents.
Which of the following should the nurse identify as a risk factor for this illness?: passive smoking
89.A nurse is reinforcing teaching with the parent of a toddler who has bacterial conjunctivitis.
Which of the following instructions should the nurse include?: notify the provider immediately if the sclera becomes inflammed
90.A nurse is reinforcing teaching with the parents of a toddler who had
an anaphylactic reaction to peanut butter about administering injectable epi- nephrine. Which of the
16 / 17 immediately prior to collecting a blood glucose level to explain what will happen when the fingerstick occurs
94.A nurse is collecting data from an adolescent who takes insulin for treat- ment of type 1 diabetes
mellitus. The nurse should identify that which of the following findings indicates effective management of the clients diabetes mellitus?: blood glucose value at bedtime 140mg/dL- correct blood glucose 80 before meals incorrect (low) hgbA1c 9% incorrect (high) 24 hr urine 400mg incorrect (high)
95.A nurse is checking a meal tray of a school-aged child who has a new diagnosis of celiac
disease. Which of the following foods should the nurse instruct the child to remove from the tray?: wheat roll (NO BROW) NO- Barley, Rye, Oat, Wheat
96.A nurse is reinforcing teaching with at 17-year-old client about managing manifestations of
polycystic ovary syndrome (PCOS). Which of the following client statements indicates understanding of the teaching?: eating more lean meats and veggies will help me lose weight
97.A nurse is reinforcing teaching with a group of parents of toddlers about measures to reduce the
risk of choking. Which of the following foods should the nurse state increases the risk of choking in toddlers? (select all that apply): hot dogs, grapes, bagels, marshmallows
98.A nurse is collecting data from a child who is post operative and received a unit of RBCs during a
surgical procedure. Which of the following findings in- dicates that the child is experiencing a
17 / 17 hemolytic transfusion reaction?: chills and flank pain
99.A nurse is collecting data for a developmental assessment on a 3-year old client. Which of the
following commands should the nurse expect the child to successfully complete?: put on your shoes
100. A nurse is collecting data from a 12-year-old during a well-child check up. Which of the
following physical findings should the nurse report to the provider?: hyperopia
