RN Pediatrics Proctored Exam
1. A nurse is providing education to the parent of a child who has cystic fibrosis and has a
prolapsed rectum. The nurse should teach that which of the following is a cause of this
complication:
a. Bulky stools
b. Weakened rectal sphincter
c. Elevated pancreatic enzymes
d. Decreased intraabdominal pressure
-a
2. A pre-schooler is admitted to the emergency department with full thickness third
degree burn over 45% of his body. Which of the following actions should the nurse take
first?
a. Administer IV morphine
b. Administer IV antibiotics
c. Administer IV solutions
d. Administer total parenteral nutrition
-c
3. A nurse is providing teaching to a parent of a pre-schooler who has Tinea Capitis. Which
of the following should the nurse include in the teaching?
a. Apply 1 to 20 burrow's solution compressed to the lesions
b. Apply hydrocortisone cream to the lesions twice daily
c. Seal and wash toys in plastic bag for two weeks
d. Leave the shampoo on the scalp for 5 to 10 minutes
-d
4. A nurse is caring for a child who has sickle cell anemia. Which of the following signs of
acute chest syndrome should the nurse report to the primary care provide immediately:
, a. Congestive cough
b. Dilute hearing
c. Hct of 10g/dl
d. Systolic murmur
-a
5. A nurse is assessing a 3month old infant for suspected intussusception. Which of the
following findings should the nurse expect?
a. Jelly-like stool
b. Board-like abdomen
c. Projectile vomiting
d. Oliguria
-a
6. A nurse is planning a teaching session for parents regarding infant development. Which
of the following parent activities regarding play should the nurse include in the teaching:
a. Encourage the infant in one on one play
b. Promote play with other infants
c. Provide visual stimulation with pastel colored toys
d. Give the infant a large piece of puzzle
-d
7. A school-aged child with sickle cell anemia has been admitted in vaso- occlusive crisis.
Which of the following assessment findings should the nurse recognize as an
emergency?
a. Slurred speech
b. Fever of 38.2 C (101 F)
c. Hematuria
, d. Pain level of 7 on a faces scale
-b
8. A nurse in an emergency department is assessing a child who was in a motor vehicle
accident. Which of the following assessment findings require immediate intervention?
a. Dilated and fixed pupils
b. Disorientation to person and place
c. Positive Babinski reflex
d. Restless and irritable
-a
9. A nurse is assessing a child who has sustained a head injury. During the assessment, the
nurse observes clear drainage leaking from the child's nose. Which of the following
actions should the nurse take?
a. Perform naso-tracheal suctioning
b. Test the nasal secretions for glucose
c. Maintain direct lighting on the child
d. Lower the head of the bed
-b
10. A nurse at a provider's office is preparing a newborn for a routine heel puncture. Which
of the following actions should the nurse take?
a. Administer tolectin (tolmetin) prior to the procedure
b. Apply EMLA cream to the heel after the procedure
c. Prepare concentrated sucrose for oral administration
d. Place the new born in an extended position
-c
1. A nurse is providing education to the parent of a child who has cystic fibrosis and has a
prolapsed rectum. The nurse should teach that which of the following is a cause of this
complication:
a. Bulky stools
b. Weakened rectal sphincter
c. Elevated pancreatic enzymes
d. Decreased intraabdominal pressure
-a
2. A pre-schooler is admitted to the emergency department with full thickness third
degree burn over 45% of his body. Which of the following actions should the nurse take
first?
a. Administer IV morphine
b. Administer IV antibiotics
c. Administer IV solutions
d. Administer total parenteral nutrition
-c
3. A nurse is providing teaching to a parent of a pre-schooler who has Tinea Capitis. Which
of the following should the nurse include in the teaching?
a. Apply 1 to 20 burrow's solution compressed to the lesions
b. Apply hydrocortisone cream to the lesions twice daily
c. Seal and wash toys in plastic bag for two weeks
d. Leave the shampoo on the scalp for 5 to 10 minutes
-d
4. A nurse is caring for a child who has sickle cell anemia. Which of the following signs of
acute chest syndrome should the nurse report to the primary care provide immediately:
, a. Congestive cough
b. Dilute hearing
c. Hct of 10g/dl
d. Systolic murmur
-a
5. A nurse is assessing a 3month old infant for suspected intussusception. Which of the
following findings should the nurse expect?
a. Jelly-like stool
b. Board-like abdomen
c. Projectile vomiting
d. Oliguria
-a
6. A nurse is planning a teaching session for parents regarding infant development. Which
of the following parent activities regarding play should the nurse include in the teaching:
a. Encourage the infant in one on one play
b. Promote play with other infants
c. Provide visual stimulation with pastel colored toys
d. Give the infant a large piece of puzzle
-d
7. A school-aged child with sickle cell anemia has been admitted in vaso- occlusive crisis.
Which of the following assessment findings should the nurse recognize as an
emergency?
a. Slurred speech
b. Fever of 38.2 C (101 F)
c. Hematuria
, d. Pain level of 7 on a faces scale
-b
8. A nurse in an emergency department is assessing a child who was in a motor vehicle
accident. Which of the following assessment findings require immediate intervention?
a. Dilated and fixed pupils
b. Disorientation to person and place
c. Positive Babinski reflex
d. Restless and irritable
-a
9. A nurse is assessing a child who has sustained a head injury. During the assessment, the
nurse observes clear drainage leaking from the child's nose. Which of the following
actions should the nurse take?
a. Perform naso-tracheal suctioning
b. Test the nasal secretions for glucose
c. Maintain direct lighting on the child
d. Lower the head of the bed
-b
10. A nurse at a provider's office is preparing a newborn for a routine heel puncture. Which
of the following actions should the nurse take?
a. Administer tolectin (tolmetin) prior to the procedure
b. Apply EMLA cream to the heel after the procedure
c. Prepare concentrated sucrose for oral administration
d. Place the new born in an extended position
-c
