PEDS FINAL EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS

PEDS FINAL EXAM PRACTICE
QUESTIONS AND CORRECT ANSWERS

AnA218A2monthA2oldA2hasA2anA2appointmentA2forA2aA2wellA2check.A2WhichA2approachA2sho
uldA2theA2nurseA2useA2toA2conductA2assessment?

A)A2haveA2theA2parentA2holdA2theA2toddlerA2duringA2theA2physical
B)A2assessA2earsA2andA2mouthA2first
C)A2carryA2outA2theA2headA2toA2toeA2assessment,A2toddlesA2willA2alwaysA2beA2defiant
D)A2assessA2fineA2motorA2functionA2byA2lettingA2theA2childA2jump,A2run,A2andA2walkA2aroun
dA2theA2roomA2-A2Ans--A)A2haveA2theA2parentA2holdA2theA2toddlerA2duringA2theA2physical

AA2youngA2motherA2asksA2forA2adviceA2aboutA2handlingA2herA22A2yearA2old'sA2negativeA2b
ehavior.A2WhichA2statementA2isA2theA2bestA2recommendation?

A)A2ignoreA2theA2behaviorA2becauseA2itA2isA2expectedA2inA2thisA2ageA2group
B)A2setA2realisticA2limitsA2forA2theA2child,A2thenA2beA2sureA2toA2stickA2toA2them
C)A2encourageA2theA2youngA2momA2toA2askA2theA2grandmotherA2forA2moreA2help
D)A2punishA2theA2childA2forA2misbehavingA2-A2Ans--
B)A2setA2realisticA2limitsA2forA2theA2child,A2thenA2beA2sureA2toA2stickA2toA2them

whichA2ofA2theA2followingA2vaccinesA2providesA2someA2protectionA2againstA2bacterialA2me
ningitis,A2epiglottitis,A2andA2bacterialA2pneumonia?

A)A2HibA2vaccine
B)A2hepA2BA2vaccine
C)A2VaricellaA2vaccine
D)A2InfluenzaA2VaccineA2-A2Ans--A)A2HibA2vaccine

aA2nurseA2isA2assessingA2theA2growthA2andA2developmentA2ofA2aA210A2yearA2old.A2WhatA2i
sA2theA2expectedA2behaviorA2ofA2thisA2child?

A)A2enjoysA2physicalA2demonstrationA2ofA2theA2affection
B)A2isA2selfishA2andA2insensitiveA2toA2theA2welfareA2ofA2others
C)A2isA2uncooperativeA2inA2playA2andA2inA2school
D)A2hasA2aA2strongA2senseA2ofA2justiceA2&A2fairnessA2-A2Ans--
D)A2hasA2aA2strongA2senseA2ofA2justiceA2&A2fairness

theA2nurseA2explainsA2toA2aA2parentA2thatA2theA2normalA2reactionA2anA2infantA2mayA2experi
enceA212-
25A2hrsA2afterA2receivingA2aA2DTaPA2immunization.A2TheA2nurseA2determinesA2theA2teachi
ngA2isA2effectiveA2whenA2theA2parentA2asks:

A)A2shouldA2iA2wakeA2myA2babyA2upA2toA2breastfeedA2moreA2frequently?

,B)A2howA2muchA2acetaminophenA2shouldA2iA2giveA2forA2theA2fever?A2
C)A2canA2youA2giveA2imodiumA2toA2anA2infant?
D)A2whatA2kindA2ofA2noseA2sprayA2canA2IA2useA2forA2theA2baby'sA2conditionA2-A2Ans--
B)A2howA2muchA2acetaminophenA2shouldA2iA2giveA2forA2theA2fever?

AA2fatherA2bringsA2hisA22.5A2yoA2toA2theA2clinicA2andA2statesA2heA2saysA2"no"A2wheneverA2
heA2isA2askedA2toA2doA2something.A2TheA2nurseA2shouldA2explainA2thatA2negativismA2dem
onstratedA2byA2toddlersA2isA2frequentlyA2anA2expressionA2of

A)A2pursuitA2ofA2autonomy
B)A2Fear
C)A2separationA2anxiety
D)A2anA2identityA2crisisA2-A2Ans--A)A2pursuitA2ofA2autonomy

aA2nurseA2conductsA2teachingA2withA2parentsA2aboutA2theA2causeA2ofA2tineaA2capitis.A2The
A2nurseA2evaluatesA2successA2ofA2theA2teachingA2whenA2theA2parentA2repeatsA2whichA2ofA
2theA2following?


A)A2itA2isA2aA2resultA2fromA2overexposureA2toA2theA2sun
B)A2itA2isA2causedA2byA2infestationsA2withA2mites
C)A2itA2isA2anA2allergicA2reaction
D)A2itA2isA2aA2fungalA2infectionA2ofA2theA2scalpA2-A2Ans--
D)A2itA2isA2aA2fungalA2infectionA2ofA2theA2scalp

aA2motherA2callsA2theA2clinicA2becauseA2herA22A2yoA2daughterA2hasA2aA2rectalA2tempA2ofA2
37.8A2CA2(100*F).A2SheA2wondersA2howA2highA2theA2feverA2shouldA2beA2beforeA2sheA2give
sA2medicationsA2toA2reduceA2it.A2WhatA2isA2theA2bestA2responseA2byA2theA2nurse?

A)A2allA2feversA2shouldA2beA2treatedA2toA2preventA2seizures
B)A2AntipyreticsA2shouldA2beA2usedA2withA2anyA2riseA2inA2temperature.A2theyA2canA2helpA2
changeA2theA2courseA2ofA2anA2infection
C)A2GiveA2youA2childA2aspirinA2whenA2theA2feverA2isA2aboveA238A2CA2(100.4*F)
D)A2usuallyA2inA2aA2normalA2healthyA2child,A2ifA2yourA2childA2isA2notA2uncomfortable,A2fever
sA2lessA2thanA238A2CA2(100.4*F)A2doA2notA2requireA2medicationA2-A2Ans--
D)A2usuallyA2inA2aA2normalA2healthyA2child,A2ifA2yourA2childA2isA2notA2uncomfortable,A2fever
sA2lessA2thanA238A2CA2(100.4*F)A2doA2notA2requireA2medication

theA2nurseA2recognizesA2thatA2theA2singleA2mostA2importantA2factorA2toA2considerA2whenA2
communicatingA2withA2childrenA2is:

A)A2theA2child'sA2physicalA2condition
B)A2presenceA2orA2absenceA2ofA2theA2child'sA2parents
C)A2nonverbalA2behaviorsA2ofA2theA2child
D)A2developmentalA2levelA2ofA2theA2childA2-A2Ans--
D)A2developmentalA2levelA2ofA2theA2child

,TheA2motherA2ofA2aA2newbornA2expressesA2concernA2thatA2herA2breastfeedingA2babyA2isA2
notA2gainingA2weight.A2SheA2tellsA2theA2nurseA2thatA2whenA2sheA2broughtA2theA2babyA2ho
meA2fromA2theA2hospital,A2heA2weighedA28A2lbs.A2TheA2nurseA2weighsA2theA2babyA2atA2theA
22A2weekA2checkupA2andA2notesA2thatA2theA2infantA2nowA2weighsA28A2lbsA212A2oz.A2TheA2n
urseA2should

A)A2informA2theA2momA2thatA2sheA2shouldA2addA2riceA2cerealA2toA2theA2infant'sA2dietA2toA2i
mproveA2wtA2gain
B)A2recommendA2supplementingA2breastfeedingA2withA2riceA2cereal
C)A2InformA2theA2momA2thatA2theA2infant'sA2wtA2gainA2isA2normal
D)A2encourageA2theA2momA2toA2limitA2breastfeedingA2toA2everyA24A2hoursA2becauseA2theA2
infantA2isA2gainingA2tooA2muchA2wtA2-A2Ans--
C)A2InformA2theA2momA2thatA2theA2infant'sA2wtA2gainA2isA2normal

AfterA2readingA2theA2vaccineA2infoA2sheetsA2provided,A2aA2parentA2ofA2aA22A2monthA2oldA2i
sA2hesitantA2toA2consentA2toA2aA2recommendedA2vaccine.A2TheA2nurseA2shouldA2firstA2ask
A2theA2parent:


A)A2didA2youA2knowA2thatA2vaccinesA2areA2requiredA2byA2lawA2forA2schoolA2entry
B)A2whatA2personalA2beliefsA2orA2safetyA2concernsA2doA2youA2haveA2aboutA2vaccinations?
C)A2wouldA2youA2preferA2thatA2fewerA2vaccinesA2areA2givenA2atA2aA2time?
D)A2DoA2youA2wishA2toA2postponeA2theA2vaccines?A2-A2Ans--
B)A2whatA2personalA2beliefsA2orA2safetyA2concernsA2doA2youA2haveA2aboutA2vaccinations?

TheA2nurseA2assessesA2aA26A2monthA2oldA2forA2vaccineA2readiness.A2WhichA2findingA2wou
ldA2mostA2likelyA2indicateA2theA2needA2toA2delayA2administeringA2theA2DTaPA2vaccine?

A)A2aA2familyA2hxA2ofA2suddenA2infantA2deathA2syndrome
B)A2aA2feverA2ofA238A2CA2followingA2theA24A2monthA2vaccination
C)A2anA2acuteA2bilateralA2earA2infection
D)A2livingA2withA2aA2familyA2memberA2whoA2isA2immunosuppressedA2-A2Ans--
C)A2anA2acuteA2bilateralA2earA2infection

theA2parentA2ofA2aA29A2monthA2oldA2isA2concernedA2thatA2theA2infant'sA2anteriorA2fontanelle
A2isA2somewhatA2open.A2TheA2nurseA2shouldA2tellA2theA2parent:


A)A2IA2willA2measureA2yourA2baby'sA2headA2circumferenceA2toA2seeA2itA2isA2developingA2pr
operly
B)A2yourA2infantA2willA2needA2toA2beA2referredA2forA2moreA2testing
C)A2youA2shouldA2contactA2theA2physicianA2immediately,A2weA2expectA2closingA2ofA2theA2cr
anialA2suturesA2byA2now
D)A2thisA2isA2aA2normalA2findingA2andA2usuallyA2closesA2somewhereA2betweenA212-
18A2monthsA2-A2Ans--
D)A2thisA2isA2aA2normalA2findingA2andA2usuallyA2closesA2somewhereA2betweenA212-
18A2months

, WhichA2developmentA2isA2necessaryA2forA2toiletA2trainingA2readinessA2forA2aA22A2yo?

A)A2adequateA2neuromuscularA2developmentA2ofA2sphincterA2controlA2andA2abilityA2toA2co
mmunicateA2theA2need
B)A2appropriateA2chronologicalA2age
C)A2abilityA2toA2playA2withA2andA2imitateA2otherA22A2yosA2
D)A2developmentA2ofA2motorA2skillsA2toA2removeA2clothingA2-A2Ans--
A)A2adequateA2neuromuscularA2developmentA2ofA2sphincterA2controlA2andA2abilityA2toA2co
mmunicateA2theA2need

aA2motherA2ofA2aA23A2yoA2expressesA2concernA2overA2theA2child'sA2bedwettingA2whenA2hos
pitalized.A2TheA2bestA2responseA2byA2theA2nurseA2toA2theA2momA2is:

A)A2heA2wasA2tooA2immatureA2toA2beA2toiletA2trainedA2anyways
B)A2ChildrenA2areA2afraidA2inA2theA2hospitalA2andA2frequentlyA2wetA2theA2bed
C)A2it'sA2veryA2commonA2forA2childrenA2toA2regressA2whenA2theyA2areA2inA2theA2hospital
D)A2thisA2isA2notA2unusual.A2HeA2probablyA2receivedA2tooA2muchA2fluidA2theA2nightA2before
A2-A2Ans--
C)A2it'sA2veryA2commonA2forA2childrenA2toA2regressA2whenA2theyA2areA2inA2theA2hospital

theA2nurseA2isA2teachingA2theA2parentA2ofA2anA2infantA2aboutA2properA2positioningA2ofA2the
A2pinnaA2forA2instillationA2ofA2earA2drops.A2TheA2nurseA2instructsA2theA2parentsA2toA2gentlyA
2pullA2theA2pinna


A)A2upA2andA2forward
B)A2upA2andA2backwards
C)A2downA2andA2forward
D)A2downA2andA2backwardsA2-A2Ans--D)A2downA2andA2backwards

theA2motherA2ofA2aA2preschoolerA2reportsA2thatA2herA2childA2createsA2aA2sceneA2everyA2nig
htA2atA2bedtime.A2AfterA2aA2discussion,A2theA2momA2agreesA2thatA2theA2bestA2courseA2ofA2
actionA2wouldA2beA2to

A)A2allowA2theA2childA2toA2stayA2upA2laterA2oneA2orA22A2nightsA2aA2week
B)A2establishA2aA2setA2bedtimeA2andA2maintainA2theA2routine
C)A2encourageA2playA2beforeA2bedtime
D)A2giveA2theA2childA2aA2prizeA2ifA2bedtimeA2isA2pleasantA2-A2Ans--
B)A2establishA2aA2setA2bedtimeA2andA2maintainA2theA2routine

theA2momA2ofA2aA27A2monthA2oldA2asksA2theA2nurseA2ifA2herA2daughterA2shouldA2receiveA2t
heA2fluA2vaccineA2atA2herA2routineA2visit

A)A2sheA2isA2tooA2youngA2toA2receiveA2theA2fluA2vaccineA2thisA2season
B)A2yes,A2onceA2sheA2isA2overA26A2monthsA2sheA2shouldA2receiveA2theA2fluA2vaccineA2ever
yA2year
C)A2sheA2stillA2hasA2immunityA2fromA2momA2atA2thisA2time