Comprehensive Practice Questions &
Answers, Pediatric Nursing Review, Exam
Preparation
Question and answer
Rationale: The nurse should expect to hear a
loud, harsh murmur with a ventricular septal
defect due to the left-to-right shunting of
blood, which contributes to hypertrophy of
the infant's heart muscle.
A nurse is providing discharge teaching the
guardians of a toddler with a lower leg cast
applied 24 hours ago. The nurse should
instruct the guardians to report which of the
following findings to the provider?
,A. Capillary refill time < 2 seconds.
B. Restricted ability to move the toes.
C. Swelling of the casted foot when the leg is
dependent.
D. Pedal pulse +3 bilateral. CORRECT
ANSWERB. Restricted ability to move the
toes.
Rationale: The nurse should inform the
guardians that the restricted ability of the
toddler to move their toes is an indication of
neuromuscular compromise and requires
immediate notification to the provider.
,Permanent muscle and tissue damage can
occur in just a few hours.
A nurse is planning an educational program to
teach caregivers about protecting their
children from sunburns. Which of the
following instructions should the nurse plan
to include?
A. "Allow your child to play outside during the
hours between 10:00 am and 2:00 pm."
B. "Choose a waterproof sunscreen with a
minimum SPF of 15."
C. "Dress your child in loose weave polyester
fabric prior to sun exposure."
, D. "Reapply sunscreen every 4 hours."
CORRECT ANSWERB. "Choose a waterproof
sunscreen with a minimum SPF of 15."
Rationale: The nurse should instruct
caregivers to apply a waterproof sunscreen
with a minimum SPF of 15 for children. The
parent should apply sunscreen prior to sun
exposure to reduce the risk of sunburn.
A nurse is assessing a school-age child who
has peritonitis. Which of the following findings
should the nurse expect?
A. Hyperactive bowel sounds