Download PEDS Exam 2 Questions with Complete Answers: 2024 Test and more Exams Nursing in PDF only on Docsity! PEDS Exam 2 Questions with Complete Answers Best Rated 2024 Test A three month old infant presents to the emergency room with tetralogy of fallout. Nurse’s assessment reveals that the infant’s weight has declined from the 26th percentile to the 5th percentile. Which probable reason does the nurse associate with this infants an adequate weight gain? - Correct answer In adequate oxygen perfusion leading to activity intolerance resulting in diminished energy to breast-feed A seven-year-old client complains of dry hacking cough that worsens at night presents to the clinic. The child is afebrile and has recently recovered from an upper respiratory infection. Based on this information which condition with the nurse expect? - Correct answer Bronchitis A child is admitted to the emergency room with notable agitation, drooling, and absence of spontaneous cough. Upon speaking to Child's voice is muffled and thick with a frog like croaking sound on inspiration. The nurse recognizes the symptoms are associated with which condition? - Correct answer Epiglottitis A child with leukemia asked the nurse what induction means? Which response will the nurse provide the client? - Correct answer The intensive chemotherapy treatment administered with a goal of achieving remission After receiving the change of shift report to following clients with neutropenia, which client should the nurse assess first? - Correct answer The nine year old with a fever of 100.8 and an absolute neutrophil count of 400 The nurse is assessing a three year old client notes that the child has difficulty fixating on a single point. The child as cross to the midpoint. The nurse recognizes this as which condition? - Correct answer Strabismus A nurse is assessing the IV site of a child and there's redness, pain and swelling at the site. What is the nurse’s first action? - Correct answer The nurse should start the infusion The nurse has received a prescription to collect a urine specimen for a five week old infant, which urine collection will provide the most accuracy? - Correct answer A Straight catheter The nurse is administering an oral liquid medication via a syringe to a 10 month old client. Which intervention will the nurse instruct the parent to do to the child to make them swallow the medication? - Correct answer Blow a small puff of air in the child's face The nurse is it meeting a child with sickle cell disease who is currently experiencing a besom occlusive crisis. Which admission prescription is the nurse’s priority to carry out? - Correct answer Obtain IV access and begin IV hydration The nurse is caring for a four month old child with a fever of 104.2, which medication is preferred for the management of a fever in a child? - Correct answer Acetaminophen The nurse is caring for a four-year-old child, when entering the room to take vital signs, the child appears cautious and apprehensive and asked the nurse will this hurt? What nursing intervention will encourage the child to be more comfortable? - Correct answer Allow the child to hold the blood pressure cuff while explaining how it is used to The nurse is caring for a child following cardiac Catherine station, upon assessment of the site, the nurse notes the dressing to be saturated with blood. What is the nurse’s first action? - Correct answer Apply firm direct pressure just above the side The nurse is caring for a child who presents with painless, enlarged cervical lymph nodes that are firm to palpation. Which condition are these assessments associated with? - Correct answer Hodgkin's lymphoma The nurse is caring for a client in a pediatric intensive care unit following surgery, the patient claims it is experiencing incisional pain and has scattered rhonchi and refuses to cough. Which is the priority nursing action? - Correct answer Administer pain medication as prescribed and then you can get them to deep breathe and cough The nurse is discharging a client diagnosed with infectious mono, which information is important for the nurse to include in their teaching? - Correct answer To avoid playing contact sports The nurse is preparing a client for a bone biopsy and the client ask will this be painful? Which is the nurse’s best response? - Correct answer You may experience pain but we will do everything we can to minimize it The nurse is preparing to perform a heel stick to obtain a blood sample on an infant. Which action will assist the nurse in obtaining a sample? - Correct answer Using a hospital approved Heel warmer The nurse notes an increase in nausea and vomiting and a child with heart failure receiving digoxin therapy. Which lab value is a priority for the nurse to assess? - Correct answer Digoxin level The nurse understands which of the following is the treatment for a child diagnosed with osteosarcoma? - Correct answer Always trying to salvage the lamb so it doesn't have to be amputated