Peds Exam 3 Questions with Answers all 100% Correctly Verified updates 2024 | Exams Nursing

Peds Exam 3 Questions with Answers all 100% Correctly

Verified updates 2024

1- A 5 y.o male diagnosed with mild dehydration should be given Oral Rehydration Solution (ORS)

by the nurse or parent with which of the following rehydration therapy?

(Mild ORS, 50 Ml/Kg within 4 hrs, Moderate 100 ml/Kg within 4 hr, Severe 40 mL/kg/hr IV until

pulse and states of consciousness return to norm; then 50-100 mL/kg )

50 ml/kg/ 4 hrs

2- The nurse is planning care for a school-age child with bacterial meningitis. What

intervention should be included?

-Assess for signs of increased intracranial pressure

3- A child with pyloric stenosis is having excessive vomiting. Which of the following is a

potential complication?

-Metabolic alkalosis

4- A 2-year-old is brought the peds ER following a generalized tonic clonic seizure that lasted 2

minutes. It terminated without any treatment. Her temperature was measured as 39.5°C.

She has a two-day history of feeling unwell. She has never had such a seizure before. What is

the most appropriate management plan for this child? (Select all that apply)

-Reassure parents, discharge home and safety teaching

-Child will probably be discharged home with anti-pyretic medication

5- A newborn female infant in the NICU has signs of ambiguous genitalia, and hyponatremia.

Which of the following is the infant's likely diagnosis?

-Congenital Adrenal Hyperplasia

6- A young girl has just injured her ankle at school. After notifying the child's parents and applying

ice to the area, what is the next most appropriate action by school nurse?

-Elevate the extremity to reduce edema formation

7- A child with a fracture of the humerus has a long arm cast. Which of the following signs

are assessed to determine tissue ischemia or compartment syndrome?

-Pulselessness

8- The nurse is assessing an infant with intussusception. Which of the following clinical

findings should the nurse expect? (Select all that apply)

-Stool mixed with blood and mucus

-Palpable sausage shaped abdominal mass

-Acute abdominal pain

9- The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia

of the hip about preventing skin breakdown under the Pavlik harness. What statement by the

parent would indicate a correct understanding of the teaching?

- “I should gently massage the skin under the straps once a day to stimulate

circulation."

10- In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related

to vesicoureteral reflux (VUR), the nurse should include which information?

-Have siblings examined for VUR

11- What statement is true concerning osteogenesis imperfecta (OI)?

-Disease characterized by fractures and bone deformity

12- Which of the following conditions has the clinical manifestation of Exophthalmos (protruding

eyeballs)?

-Hyperthyroidism

13- A 12 yr old child is admitted to the PICU in acute renal failure (ARF). The nurse prepares

to administer which of the following medication to rapidly provoke of urine?

-Mannitol (osmitrol)/Furosemide (Lasix) or both

Partial preview of the text

Download Peds Exam 3 Questions with Answers all 100% Correctly Verified updates 2024 and more Exams Nursing in PDF only on Docsity!

Peds Exam 3 Questions with Answers all 100% Correctly

Verified updates 2024

1- A 5 y.o male diagnosed with mild dehydration should be given Oral Rehydration Solution (ORS)

by the nurse or parent with which of the following rehydration therapy?

(Mild ORS, 50 Ml/Kg within 4 hrs, Moderate 100 ml/Kg within 4 hr, Severe 40 mL/kg/hr IV until

pulse and states of consciousness return to norm; then 50-100 mL/kg )

50 ml/kg/ 4 hrs

2- The nurse is planning care for a school-age child with bacterial meningitis. What

intervention should be included?

-Assess for signs of increased intracranial pressure

3- A child with pyloric stenosis is having excessive vomiting. Which of the following is a

potential complication?

-Metabolic alkalosis

4- A 2-year-old is brought the peds ER following a generalized tonic clonic seizure that lasted 2

minutes. It terminated without any treatment. Her temperature was measured as 39.5°C.

She has a two-day history of feeling unwell. She has never had such a seizure before. What is

the most appropriate management plan for this child? (Select all that apply)

-Reassure parents, discharge home and safety teaching

-Child will probably be discharged home with anti-pyretic medication

5- A newborn female infant in the NICU has signs of ambiguous genitalia, and hyponatremia.

Which of the following is the infant's likely diagnosis?

-Congenital Adrenal Hyperplasia

6- A young girl has just injured her ankle at school. After notifying the child's parents and applying

ice to the area, what is the next most appropriate action by school nurse?

-Elevate the extremity to reduce edema formation

7- A child with a fracture of the humerus has a long arm cast. Which of the following signs

are assessed to determine tissue ischemia or compartment syndrome?

-Pulselessness

8- The nurse is assessing an infant with intussusception. Which of the following clinical

findings should the nurse expect? (Select all that apply)

-Stool mixed with blood and mucus

-Palpable sausage shaped abdominal mass

-Acute abdominal pain

9- The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia

of the hip about preventing skin breakdown under the Pavlik harness. What statement by the

parent would indicate a correct understanding of the teaching?

“I should gently massage the skin under the straps once a day to stimulate

circulation."

10- In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related

to vesicoureteral reflux (VUR), the nurse should include which information?

-Have siblings examined for VUR

11- What statement is true concerning osteogenesis imperfecta (OI)?

-Disease characterized by fractures and bone deformity

12- Which of the following conditions has the clinical manifestation of Exophthalmos (protruding

eyeballs)?

-Hyperthyroidism

13- A 12 yr old child is admitted to the PICU in acute renal failure (ARF). The nurse prepares

to administer which of the following medication to rapidly provoke of urine?

-Mannitol (osmitrol)/Furosemide (Lasix) or both

14- The nurse is assisting with application of a synthetic cast on a child with a fractured humerus.

What is an advantages of a synthetic cast over a plaster of Paris cast?

Lightweight, and less bulky/Drying time is faster/permits regular clothing to be worn/can be cleaned

with small amount of soap and water

15- An adolescent with diabetes is admitted to the ER for treatment of hyperglycemia and

pneumonia. What are clinical manifestations of diabetic hyperglycemia?

-Increased appetite, fatigue, thirst/frequent urination(Polyuria, Polyphagia, Polydipsia)

16- A child with juvenile idiopathic arthritis (JIA) is started on a non-steroidal anti-inflammatory drug

(NSAID). What nursing consideration should be included?

-Check for abdominal pain and bloody stools

17- A 5 year old male is diagnosed with diarrhea and mild dehydration. Which of the following

Oral Rehydration Solution (ORS) should be given by the nurse or parent to replace the stool

losses?

(Mild/Moderate/Severe all same 150-250 ml each stool, Infant 10ml/kg)

-150-250 ml each stool (MILD)

18- Which of the following urine tests would be considered abnormal?

(Norm 1.001-1.035)

-Specific gravity 1.

19- After a pyloromyotomy, a week old infant is prescribed feedings of 1 to 2 oz of Pedialyte every 3

hours then advance to breastmilk as tolerated postoperatively. The nurse should advance the

feeding if which occurs?

-The infant is taking the Pedialyte without vomiting or distention

20- Children with steroid induced Cushing syndrome should receive their medication at which of

the following times to lessen the Cushingoid features? Give the drug:

-Early in the morning upon awakening

21- Alport Syndrome is a X linked hereditary disease characterized by which of the following?

(Select all that apply)(Hematuria, high-frequency deafness, ocular disorders, chronic renal

failure, & proteinuria)

-High tone sensorineural deafness

-Chronic kidney disease

-Ocular disorders

22- What statement is an advantage of peritoneal dialysis compared with hemodialysis?

-It is easy to learn and can be done at home

23- A child, age 3 years, has cerebral palsy (CP) and is hospitalized for orthopedic surgery. His

mother says he has difficulty swallowing and cannot hold a utensil to feed himself. He is slightly

underweight for his height. Which of the following is the most appropriate nursing action

related to feeding Jason?

-Stabilize his jaw with caregiver's hand to facilitate swallowing

24- A 10 yr old child is admitted with a hx of Crohn disease. The child's plan of care should include a

diet that has which of the following component?

-Increased calories/(Increased protein)

25- A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What

should postoperative teaching to the parents include?

-Skin and stoma care

26- A nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1

diabetes mellitus. For which of the following types of insulin should the nurse tell the clients

to expect a peak effect 2 to 4 hr after administration:

-Short acting Regular

40- A 2 yr old female has been diagnosed with Celiac Disease. Which of the following foods should

the peds nurse educate the parents to avoid giving this child? (Select all that apply) (Ans. Wheat,

Barley, Rye, Oat)

-Wheat/Oat/Rye

41- A 4 week old infant has a femoral shaft fracture. The nurse recognizes that the approximate

healing time for this infant’s fracture is how long?

-2-3 weeks

42- A 13 y.o male has a femoral shaft fracture. The nurse recognizes that the approximate healing

time for this adolescent’s fracture is how long?

8-12 weeks

43- The nurse is preparing to admit a 7-year-old child with Crohn disease. What

clinical manifestations should the nurse expect to observe? (Select all that apply.)

Ans: (Weight loss is Severe, Pain is common, Diarrhea is moderate to severe)

-Pain is common

-Diarrhea moderate to severe

44- A 10yr old child is seen in the peds clinic with watery for 2 days followed by bloody diarrhea. The

Pediatric Nurse suspects the causative pathogen for this child's diarrhea is which of the

following?

-E-Coli

45- The nurse teaches the parents of an infant with developmental dysplasia of the hip how

to handle their child in a Pavlik harness. Which of the following interventions would be

most appropriate?(Spica cast at 7 months/Pavlik 6 months and under)

-Gently massage skin under the straps once a day to stimulate circulation

46- Which of the following conditions is Intranasal desmopressin acetate (DDAVP) used to treat?

-Diabetes insipidus (DI) (Drug of choice—DDAVP, Nasal spray or IM or SQ administration, Requires

treatment for life)

47- A 6 yr old seen in the pediatric renal clinic was observed by the nurse with the following

symptoms before labs or any diagnostics were done: Periorbital edema, hypertension,

decreased urinary output and tea colored urine/(smoky urine). Relative to the symptoms, the

nurse knows the child needs to be evaluated for the possibility of which disease process?

-Acute Glomerulonephritis (Caused by untreated strep)

48- A 2-year-old child has simple constipation and is brought to the clinic for evaluation. The

therapeutic plan initially includes:

-Dietary modification

49- What is a common clinical manifestation of juvenile hypothyroidism?

Ans:(Decelerated growth, Constipation, Sleepiness, Myxedematous skin changes/dry skin/sparse

hair/periorbital edema)

-Sleepiness

50- A peds nurses taking the history of a child hospitalized with Reye syndrome. Which of the

following is a common occurrence seen in patients with Reye Syndrome?

-Fatty Liver

51- The nurse is assessing a 4 year old boy in the pediatric clinic. Which behaviors by the

client would concern the nurse for possible Duchenne muscular dystrophy? (Select that

apply)

Ans: (Waddling gait, frequent falls, Gower sign, Lordosis, Enlarged muscles, especially thighs and upper

-Frequent trips and falls at home

-Has disproportionately large calves, and a waddling gait

-Demonstrates the Gower sign (Places hands on thighs to push up to stand)

52- Surgery is performed on a child to correct cryptorchidism. The parents understand the reason

for the surgery if they tell the nurse this was done to do what?

-“Maintaining future fertility opportunity”

53- An infant with hydrocephalus is hospitalized for surgical placement of a

ventriculoperitoneal shunt. Postoperative nursing care would include what?

-Monitor closely for signs of infection.

54- What clinical manifestations of developmental dysplasia of the hip would be assessed in

a newborn?

-Ortolani sign

55- A 3-month-old with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik

harness. Which statement made by the parent indicates a need for further instruction?

-I will adjust the harness straps every 3-5 days

Answers A-E A Diphtheria, tetanus, pertussis (DTAP) B Meningococcal (MCV) C Pneumococcal (PCV-13) D Measles, mumps, rubella (MMR) E Human Papillomavirus (HPV) F IPV G Hib H Hep A &B I varicella 7- Which is the leading cause of death in infants younger than 1 year in the United States? Answers A-D A Maternal complications specific to the perinatal period B Congenital anomalies C Disorders related to short gestation and low birth weight D Sudden infant death syndrome 8- An 18-month-old child has been diagnosed with pediculosis capitis (head lice). The drug of choice for infants and children to treat head lice is? Answers A-D A Pyrethrin with piperonyl butoxide (RID) B Benzyl alcohol 5% lotion C Malathion (Ovide) D Permethrin 1% (Nix) 9- Which of the following conditions is Intranasal desmopressin acetate (DDAVP) used to treat? Answers A-D A Hypopituitarism B Acute adrenocortical insufficiency C Syndrome of inappropriate antidiuretic hormone (SIADH) D Diabetes insipidus (DI) (Drug of choice—DDAVP, Nasal spray or IM or SQ administration, Requires treatment for life) 10- The health care provider has prescribed ondansetron (Zofran) 0.1 mg/kg as needed for nausea for a child admitted for vomiting. The child weighs 55 lb. Calculate the correct dose of Zofran in milligrams. Answers A-D A 0.5 mg B 2.5 mg C 1.0 mg D 1.5 mg 11- Which nursing intervention is priority for the pediatric intensive care nurse to implement when caring for a 15 year old client diagnosed with diabetic ketoacidosis (DKA)? Answers A-D A Maintain the regular insulin IV rate on an infusion pump, B Check blood glucose levels once per day C Monitor the client’s pulse oximeter readings D Assess for a fruity breath odor 12- A school nurse is educating a room full of 12-14 yr old females on health and hygiene issues. She included the following symptoms: high fever, vomiting, diarrhea, oliguria, & hypotension to best describe which illness? Answers A-D

A Rubella B Rheumatic Fever C Toxic Shock Syndrome (TSS) D Group A Beta Hemolytic Strep 13- Select the disorders from the list classified as inborn error of metabolism diseases. (Select all that apply) Answers A-E A Klinefelter syndrome B Phenylketonuria C Fragile X D Hypothyroidism E Galactosemia F Congenital Hypothyroidism 14- A child is admitted to the hospital with an undiagnosed rash. The best initial nursing action of the pediatric nurse should be? Answers A-D A Order a meal for child and parent B Orient child to the room after admission C Place child in contact precaution isolation D Allow child to have play time in the play room 15- After a tonic-clonic seizure, what symptoms should the nurse expect the child to experience? Answers A-D A Lethargy and confusion B Nervousness and excitability C irritability and hunger D Diarrhea and abdominal discomfort 16- A newborn's assessment reveal a fused digit on the left hand. Which of the following terms is used to define fused digits of the hands or feet? Answers A-D A Asymmetry B Polydactyly C Syndactyly D Equinovarus 17- The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis? (Select all that apply.) Answers A-E A Olive-shaped mass above umbilicus B Rounded abdomen and hypoactive bowel sounds C Projectile vomiting D Distention of lower abdomen and constipation E Non-bilious vomiting and weight loss -Non-bilious projectile vomiting -Visible peristalsis -Failure to thrive in infant who is “always hungry” -Dehydration -Metabolic alkalosis -Olive shaped mass URQ

25- Give Regular insulin by continuous IV. infusion at 20 units/hr. The solution is 250 mL NS with 100 units of Regular insulin. What rate on the infusion pump will deliver the correct dose? Answers A-D A 50 ml/hr B 25 ml/hr C 35 ml/hr D 75 ml/hr 26- Tetralogy of fallot consists of pulmonic stenosis, overriding aorta, ventricular septal defect, and which of the following? Answers A-D A Atrial septal defect B Patent Ductus Arteriosus C Aortic stenosis D Right ventricular hypertrophy 27- Which of the following is the most common period when Nephrotic Syndrome usually occurs in a child? Answers A-D A School age B Preschool C Adolescence D Infancy 28- Select the developmental milestones usually seen in children during the Preschool stage (3-6 years) (Select all that apply) Answers A-D A Ride a tricycle B Learns colors and shapes C Child learns to run jump, skip and hop D Dress self completely E Loss of primary teeth Select the developmental milestones usually seen in children during the toddler stage (1-3 years). (Select all) Appears to be bowlegged and potbellied, Kicks a ball by 24 mon Feeds self w spoon and cup @ 2 yrs Daytime toilet training can start @ 2 yrs 2-3 word sentences by 2 yrs 3-4 word sentences by 3 yrs Own first and last name by 2.5 -3 yrs Temper tantrums are common Select the developmental milestones usually seen in children during the toddler stage (6-12 years). (Select all) Gains 4-6 lbs/yr- 2 inches in height/yr Girls may experience menarche Loss of primary teeth/gain of permanent teeth Fine and gross motor skills mature Able to write script @ 8 yrs Dress self completely Egocentrism replaced by social awareness Learns to tell time Understands past, present & future Learns cause & effect

Socialization with peers important Molars erupt 29- The potential effects of chronic illness or disability on a child's development vary at different ages. Which of the following is a threat to a toddler's normal development? Answers A-D A Hindered mobility B Limited opportunities for socialization C Child's sense of guilt that he or she caused the illness or disability D Limited opportunities for success in mastering toilet training 30- A 7 yr old child with Acute Lymphocytic Leukemia (ALL) is on steroids. A common side effect of corticosteroid (prednisone) therapy is? Answers A-D A Anorexia B Alopecia C Weight gain D Nausea and vomiting 31- Which of the following legally allows a young adult under the age of majority to be considered an emancipated minor, and allows them to give informed health care consent? (Select all that apply) Answers A-E A Minor that is sexually active B Minor in the foster care system C Marriage D Military service E High School graduation (pregnancy, marriage, high school graduation, independent living, or military service) 32- A 10 yr old sustained a full thickness 3rd degree burn on his left arm during a barbecue. What will be required for healing from this injury? Answers A-D A Desquamation B Escarotomy C Amputation D Autografting 33- A 4 week old infant has a femoral shaft fracture. The nurse recognizes that the approximate healing time for this infant's fracture is how long? Answers A-D A 8-12 weeks B 6-7 weeks С 4-5 weeks D 2-3 weeks Neonatal period—2 to 3 weeks Early childhood—4 weeks Later childhood—6 to 8 weeks Adolescence—8 to 12 weeks 34- A child has been diagnosed with scabies. Which statement by the parent indicates understanding of the nurse's teaching about scabies? Answer A-D A 'We will complete extensive aggressive housecleaning"

A 0.4 ml B 0.2 ml C 0.6 ml D 0.8 ml 40- A 4 yr old male is rushed to emergency department during an acute severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following? Answer- Status Asthmaticus 41- After the family, which has the greatest influence on providing continuity between generations? Answers A-D A Social class B Government C School D Race 42- Which of the following therapy is usually ordered for patients with active Tb as part of their medication management plan? Answers A-D A Monotherapy B Directly Observed Therapy C Physical therapy D Occupational therapy 43- The nurse is ready to perform a physical exam on a 9-month-old infant. Where should the nurse place the infant? Answers A-D A On the parent's lap B On the examination table with one hand on the infant's arm C Supine across a second nurse's knees D Seated in a chair next to the parent 44- The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which of the following statements should the nurse include in the teaching? Answers A-D A Immunizations rates are the same among children of different races and ethnicity B Dental caries is not a problem commonly seen in children since the introduction of fluoridated water. C Childhood Obesity can be prevented by lifestyle interventions D Mental health problems are typically not seen in school age children but may be diagnosed in adolescents 45- A young girl has just injured her ankle at school. After notifying the child's parents and applying ice to the area, what is the next most appropriate action by the school nurse? Answers A-D A Elevate the extremity to reduce edema formation B Obtain parental permission for administration of acetaminophen or aspirin C Observe for edema and discoloration D Encourage child to assume a position of comfort E Apply ICE 46- The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which technique should be most helpful? Answers A-D A Provide supplies for the child to draw a picture

B Suggest that the parent read fairy tales to the child. C Recommend that the child keep a diary D Suggest that the parent read fairy tales to the child. 47- The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. What statement most accurately reflects inheritance of SCA? Answers A-D A All siblings will have SCA. B There is a 50% chance of siblings having SCA. C Each sibling has a 25% chance of having SCA. D SCA is not inherited 48- The most common causative pathogen for diarrhea seen in children around the world is which of the following organisms? Answer A-D A Campylobacter B E-Coli C Clostridium Difficile D Rotavirus 49- What action should the school nurse take for a child who has a hematoma (black eye) with no hemorrhage into the anterior chamber? Answers A-D A Apply ice for the first 24 hr B Have the child keep the eyes open. C Apply a warm moist pack. D Refer to an ophthalmologist immediately. 50- Staging criteria exist for most tumors. Which of the following relates to the meaning of staging? Answers A-D A Abnormal unrestricted growth of cancer cells producing organ damage B The higher the stage, the poorer the prognosis С Rate normal cells are being replaced by cancer cells D Assessing the areas unaffected by metastasis E The lower the staging, the better the prognosis 51- A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include? Answers A-D A Dilating the stoma B Measures to prevent prolapse of the rectum C Skin and stoma care D Limitation of physical activities E Assessing bowel function 52- Which concept reinforces the development of a sense of trust for an infant? Answers A-D A They feel a sense of belonging accepted as part of the family B They can predict what is coming and their needs are consistently met C Nutritional and hygiene needs are met on a daily basis D They can identify their mother and father

Answers A-E A Has painful knees and elbows in the morning B Suddenly rigidly extends arms and legs C Places hands on the thighs to push up to stand D Frequent trips and falls at home E Has disproportionately large calves, and a waddling gait -Frequent trips and falls at home -Places hands on thighs to push up to stand -Walks on tiptoes and has disproportionately large calves 60- A 6 yr old male in the peds ER has a history of fluid loss and dehydration over the past 12 hours. The nursing assessment should include close monitoring for the possibility of which of the following? Answers A-D A Impending shock B Hyperkalemia C Hypercalcemia D Metabolic Alkalosis 61- A school-age child with celiac disease asks for guidance about snacks that will not exacerbate the disease. What snack should the nurse suggest? Answers A-D A Rice cakes B Pizza C Oatmeal cookies D Pretzels -Creamed corn, Popcorn, Corn on the cob with butter, Grilled chicken, baked potato, and strawberry yogurt, Mexican corn tacos with ground beef and cheese, Rice noodles with chicken and broccoli, potato chips Which of the following statements made by the mother of a child recently diagnosed with celiac disease indicates a need for further teaching? “My child can have small amounts of foods containing wheat as long as she remains symptoms free” 62- A 12-year-old boy is brought to the emergency department by his father as he has not been able to weight bear on his right leg for the last 12 hours. There is no history of trauma on physical examination, the child complains of pain during passive movement of the right hip joint, and the child has a limp. These symptoms describe which of the following conditions? Answers A-D A Osteogenesis Imperfecta (0I) B Slipped Capital Femoral Epiphysis (SCFE) С Juvenile Arthritis (JA) D Club Foot (Tapiles Equinovarus) 63- Which of the following toys are appropriate for a hospitalized preschooler? Answers A-D A Video games, board games, puzzles B Rattles, squeaking toys, mobile toys C Push pull toys, telephones, stuffed animals D Coloring books, building blocks, clay 64- Which of the following concepts provides a rational approach to decision making that facilitates best practice in nursing care? Answers A-D A Family Centered Care

B Evidence Based Practice C Critical Thinking Skills D Atraumatic Care *Evidence-Based Practice (EBP) -Based on valid, important, and applicable patient-reported, nurse-observed, and research-derived information -Combines knowledge with clinical experience and intuition -Provides a rational approach to decision making that facilitates best practice 65- A school age child is admitted in vasooclusive sickle cell crisis (pain episode). The child’s care should include which therapeutic interventions? Select all that apply) Answers A-E A Pain management B Factor V1111 replacement C Correction of Alkalosis D Hydration E Electrolyte Replacement 66- The nurse is evaluating the laboratory results of a stool sample. What is a normal finding? Answers A-D A The laboratory reports a stool pH of 7. B The laboratory reports reducing substances present C The laboratory reports low levels of enzymes. D The laboratory reports a positive guaiac E The laboratory reports a negative guaiac An acidic pH (5–5.5) indicates malabsorption, which occurs with lactose intolerance. The normal pH of the stool is (7.0 to 7.5). A finding of 8 would be alkaline. 67- The nurse is preparing to administer a unit of packed red blood cells to a hospitalized child. What are appropriate actions that applies to administering blood? (Select all that Apply) Answers A-E A Administer blood through an appropriate filter B Administer the blood with 5% glucose in a piggyback setup C Infuse blood within 4 hours D Administer the first 50 ml of blood slowly and stay with the child E Use blood within 30 min of its arrival from the blood bank 68- A 1 week old infant is evaluated in pediatric renal clinic, with a narrowing of the opening of his foreskin. What is this condition called? Answers A-D А Phimosis B Hypospadias C Chordee D Epispadias 69- The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for acute glomerulonephritis. What is the most likely cause of this weight loss? Answers A-D A increased potassium intake B Restriction to bed rest C Poor appetite D Reduction of edema

Peds Exam 3 Questions with Answers all 100% Correctly Verified updates 2024, Exams of Nursing

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Download Peds Exam 3 Questions with Answers all 100% Correctly Verified updates 2024 and more Exams Nursing in PDF only on Docsity!

Peds Exam 3 Questions with Answers all 100% Correctly

Verified updates 2024

1- A 5 y.o male diagnosed with mild dehydration should be given Oral Rehydration Solution (ORS)

by the nurse or parent with which of the following rehydration therapy?

(Mild ORS, 50 Ml/Kg within 4 hrs, Moderate 100 ml/Kg within 4 hr, Severe 40 mL/kg/hr IV until

pulse and states of consciousness return to norm; then 50-100 mL/kg )

50 ml/kg/ 4 hrs

2- The nurse is planning care for a school-age child with bacterial meningitis. What

intervention should be included?

-Assess for signs of increased intracranial pressure

3- A child with pyloric stenosis is having excessive vomiting. Which of the following is a

potential complication?

-Metabolic alkalosis

4- A 2-year-old is brought the peds ER following a generalized tonic clonic seizure that lasted 2

minutes. It terminated without any treatment. Her temperature was measured as 39.5°C.

She has a two-day history of feeling unwell. She has never had such a seizure before. What is

the most appropriate management plan for this child? (Select all that apply)

-Reassure parents, discharge home and safety teaching

-Child will probably be discharged home with anti-pyretic medication

5- A newborn female infant in the NICU has signs of ambiguous genitalia, and hyponatremia.

Which of the following is the infant's likely diagnosis?

-Congenital Adrenal Hyperplasia

6- A young girl has just injured her ankle at school. After notifying the child's parents and applying

ice to the area, what is the next most appropriate action by school nurse?

-Elevate the extremity to reduce edema formation

7- A child with a fracture of the humerus has a long arm cast. Which of the following signs

are assessed to determine tissue ischemia or compartment syndrome?

-Pulselessness

8- The nurse is assessing an infant with intussusception. Which of the following clinical

findings should the nurse expect? (Select all that apply)

-Stool mixed with blood and mucus

-Palpable sausage shaped abdominal mass

-Acute abdominal pain

9- The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia

of the hip about preventing skin breakdown under the Pavlik harness. What statement by the

parent would indicate a correct understanding of the teaching?

circulation."

10- In teaching the parent of a newly diagnosed 2-year-old child with pyelonephritis related

to vesicoureteral reflux (VUR), the nurse should include which information?

-Have siblings examined for VUR

11- What statement is true concerning osteogenesis imperfecta (OI)?

-Disease characterized by fractures and bone deformity

12- Which of the following conditions has the clinical manifestation of Exophthalmos (protruding

eyeballs)?

-Hyperthyroidism

13- A 12 yr old child is admitted to the PICU in acute renal failure (ARF). The nurse prepares

to administer which of the following medication to rapidly provoke of urine?

-Mannitol (osmitrol)/Furosemide (Lasix) or both

14- The nurse is assisting with application of a synthetic cast on a child with a fractured humerus.

What is an advantages of a synthetic cast over a plaster of Paris cast?

with small amount of soap and water

15- An adolescent with diabetes is admitted to the ER for treatment of hyperglycemia and

pneumonia. What are clinical manifestations of diabetic hyperglycemia?

-Increased appetite, fatigue, thirst/frequent urination(Polyuria, Polyphagia, Polydipsia)

16- A child with juvenile idiopathic arthritis (JIA) is started on a non-steroidal anti-inflammatory drug

(NSAID). What nursing consideration should be included?

-Check for abdominal pain and bloody stools

17- A 5 year old male is diagnosed with diarrhea and mild dehydration. Which of the following

Oral Rehydration Solution (ORS) should be given by the nurse or parent to replace the stool

losses?

(Mild/Moderate/Severe all same 150-250 ml each stool, Infant 10ml/kg)

-150-250 ml each stool (MILD)

18- Which of the following urine tests would be considered abnormal?

(Norm 1.001-1.035)

-Specific gravity 1.

19- After a pyloromyotomy, a week old infant is prescribed feedings of 1 to 2 oz of Pedialyte every 3

hours then advance to breastmilk as tolerated postoperatively. The nurse should advance the

feeding if which occurs?

-The infant is taking the Pedialyte without vomiting or distention

20- Children with steroid induced Cushing syndrome should receive their medication at which of

the following times to lessen the Cushingoid features? Give the drug:

-Early in the morning upon awakening

21- Alport Syndrome is a X linked hereditary disease characterized by which of the following?

(Select all that apply)(Hematuria, high-frequency deafness, ocular disorders, chronic renal

failure, & proteinuria)