Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
Peds: Final Exam Test Bank
1) A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests
indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels.
Which condition does the nurse suspect based on the current data?
1. Hypernatremia
2. Metabolic acidosis
3. Hypotonic dehydration
4.Isotonic dehydration - ANS-3. Hypotonic dehydration
1) The nurse is providing care to a pediatric client, diagnosed with inflammatory bowel disease,
who is prescribed daily prednisone. Which parental statement regarding administration of this
drug indicates correct understanding of the teaching provided by the nurse?
1. "I will administer this medication between meals."
2. "I will administer this medication at bedtime."
3. "I will administer this medication one hour before meals."
4. "I will administer this medication with meals." - ANS-4. "I will administer this medication with
meals."
1) Which assessment finding for a 4-month-old infant would require further action by the nurse?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft. - ANS-1. The posterior fontanel is open.
1) Which clinical manifestations should the nurse anticipate when assessing a child who has
been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome
(MCNS)?
1. Massive proteinuria, hypoalbuminemia, and edema
2. Hematuria, bacteriuria, and weight gain
3. Urine specific gravity decreased and urinary output increased
4. Gross hematuria, albuminuria, and fever - ANS-1. Massive proteinuria, hypoalbuminemia,
and edema
10) A child returns from exploratory surgery following a gunshot wound to the abdomen. Which
nursing intervention should be excluded for the plan of care?
1. Immediate initiation of oral feedings
2. Assessment of the surgical site
Peds_ Final Exam Test Bank Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
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3. Administration of opioid narcotics for pain management
4. Visitation at the bedside - ANS-1. Immediate initiation of oral feedings
10) The nurse is expecting the admission of a child with severe isotonic dehydration. Which
intravenous fluid prescription does the nurse anticipate for this child?
1. 0.9% normal saline (NS)
2. D5 0.2% (¼) normal saline
3. D5W
4. Albumin - ANS-1. 0.9% normal saline (NS)
10) Which complications should the nurse monitor for when providing care to a child who is
having hemodialysis for the treatment of kidney failure? Select all that apply.
1. Migraines
2. Hypotension
3. Infections
4. Fluid overload
5. Shock - ANS-2. Hypotension
3. Infections
5. Shock
10) Which should the nurse include in the plan of care for a hospitalized school-age child with
meningomyelocele? Select all that apply.
1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
4. Ensuring that the client has a low-fiber diet
5. Encouraging the client to shift positions hourly when in the wheelchair - ANS-1. Implementing
interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
5. Encouraging the client to shift positions hourly when in the wheelchair
11) A 6-year-old child is hypokalemic. Which menu choice should the nurse encourage for this
child?
1. Pizza with a fruit plate
2. Chicken strips with chips
3. Fajita with rice
4.A hamburger with French fries - ANS-1. Pizza with a fruit plate
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11) A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The
parents are distressed about the appearance of their infant. Which nursing actions are
appropriate to assist the parents to bond with their newborn? Select all that apply.
1. Calling the newborn by the chosen name
2. Keeping the newborn's lower face covered with the blanket
3. Smiling and talking to the newborn in the parents' presence
4. Showing the parents before and after pictures of other children with cleft lips
5. Discussing positive features of the baby - ANS-1. Calling the newborn by the chosen name
3. Smiling and talking to the newborn in the parents' presence
4. Showing the parents before and after pictures of other children with cleft lips
5. Discussing positive features of the baby
11) Which assessment finding would necessitate action by the nurse for a 10-month-old child
who is 4 hours postoperative for the placement of a urethral stent?
1. Bloody urine
2. One void since returning from surgery
3. Bladder spasms responding to pharmacologic intervention
4.Double diapering from the previous shift - ANS-2. One void since returning from surgery
11) Which side effect should the nurse include in the parent teaching for a child who is
prescribed a baclofen pump for cerebral palsy?
1. Diarrhea
2. Hypertonia
3. Hypotonia
4. Restlessness - ANS-3. Hypotonia
12) A 9-month-old infant who is not sitting independently has been diagnosed with ataxic
cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
1. Hypotonia and muscle instability
2. Hypertonia and persistence primitive reflexes
3. Tremors and exaggerated posturing
4. Hemiplegia and hypertonia - ANS-1. Hypotonia and muscle instability
12) A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which
diuretic would the nurse expect to give?
1. Furosemide (Lasix)
2. Hydrochlorothiazide (Aquazide)
3. Spironolactone (Aldactone)
4. Mannitol (Osmitrol) - ANS-1. Furosemide (Lasix)
Peds_ Final Exam Test Bank Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
Peds: Final Exam Test Bank
1) A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests
indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels.
Which condition does the nurse suspect based on the current data?
1. Hypernatremia
2. Metabolic acidosis
3. Hypotonic dehydration
4.Isotonic dehydration - ANS-3. Hypotonic dehydration
1) The nurse is providing care to a pediatric client, diagnosed with inflammatory bowel disease,
who is prescribed daily prednisone. Which parental statement regarding administration of this
drug indicates correct understanding of the teaching provided by the nurse?
1. "I will administer this medication between meals."
2. "I will administer this medication at bedtime."
3. "I will administer this medication one hour before meals."
4. "I will administer this medication with meals." - ANS-4. "I will administer this medication with
meals."
1) Which assessment finding for a 4-month-old infant would require further action by the nurse?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft. - ANS-1. The posterior fontanel is open.
1) Which clinical manifestations should the nurse anticipate when assessing a child who has
been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome
(MCNS)?
1. Massive proteinuria, hypoalbuminemia, and edema
2. Hematuria, bacteriuria, and weight gain
3. Urine specific gravity decreased and urinary output increased
4. Gross hematuria, albuminuria, and fever - ANS-1. Massive proteinuria, hypoalbuminemia,
and edema
10) A child returns from exploratory surgery following a gunshot wound to the abdomen. Which
nursing intervention should be excluded for the plan of care?
1. Immediate initiation of oral feedings
2. Assessment of the surgical site
Peds_ Final Exam Test Bank Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
,Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
3. Administration of opioid narcotics for pain management
4. Visitation at the bedside - ANS-1. Immediate initiation of oral feedings
10) The nurse is expecting the admission of a child with severe isotonic dehydration. Which
intravenous fluid prescription does the nurse anticipate for this child?
1. 0.9% normal saline (NS)
2. D5 0.2% (¼) normal saline
3. D5W
4. Albumin - ANS-1. 0.9% normal saline (NS)
10) Which complications should the nurse monitor for when providing care to a child who is
having hemodialysis for the treatment of kidney failure? Select all that apply.
1. Migraines
2. Hypotension
3. Infections
4. Fluid overload
5. Shock - ANS-2. Hypotension
3. Infections
5. Shock
10) Which should the nurse include in the plan of care for a hospitalized school-age child with
meningomyelocele? Select all that apply.
1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
4. Ensuring that the client has a low-fiber diet
5. Encouraging the client to shift positions hourly when in the wheelchair - ANS-1. Implementing
interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
5. Encouraging the client to shift positions hourly when in the wheelchair
11) A 6-year-old child is hypokalemic. Which menu choice should the nurse encourage for this
child?
1. Pizza with a fruit plate
2. Chicken strips with chips
3. Fajita with rice
4.A hamburger with French fries - ANS-1. Pizza with a fruit plate
Peds_ Final Exam Test Bank Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
, Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
11) A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The
parents are distressed about the appearance of their infant. Which nursing actions are
appropriate to assist the parents to bond with their newborn? Select all that apply.
1. Calling the newborn by the chosen name
2. Keeping the newborn's lower face covered with the blanket
3. Smiling and talking to the newborn in the parents' presence
4. Showing the parents before and after pictures of other children with cleft lips
5. Discussing positive features of the baby - ANS-1. Calling the newborn by the chosen name
3. Smiling and talking to the newborn in the parents' presence
4. Showing the parents before and after pictures of other children with cleft lips
5. Discussing positive features of the baby
11) Which assessment finding would necessitate action by the nurse for a 10-month-old child
who is 4 hours postoperative for the placement of a urethral stent?
1. Bloody urine
2. One void since returning from surgery
3. Bladder spasms responding to pharmacologic intervention
4.Double diapering from the previous shift - ANS-2. One void since returning from surgery
11) Which side effect should the nurse include in the parent teaching for a child who is
prescribed a baclofen pump for cerebral palsy?
1. Diarrhea
2. Hypertonia
3. Hypotonia
4. Restlessness - ANS-3. Hypotonia
12) A 9-month-old infant who is not sitting independently has been diagnosed with ataxic
cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?
1. Hypotonia and muscle instability
2. Hypertonia and persistence primitive reflexes
3. Tremors and exaggerated posturing
4. Hemiplegia and hypertonia - ANS-1. Hypotonia and muscle instability
12) A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which
diuretic would the nurse expect to give?
1. Furosemide (Lasix)
2. Hydrochlorothiazide (Aquazide)
3. Spironolactone (Aldactone)
4. Mannitol (Osmitrol) - ANS-1. Furosemide (Lasix)
Peds_ Final Exam Test Bank Peds_ Final Exam Test Bank.pdf Peds_ Final Exam Test Bank.pdf
