Pediatric Proctored Exam Q&A

1. A nurse is preparing to administer regular insulin to a child who has type 1 diabetes mellitus. Which of the following actions should the nurse take? A. Inject the insulin into the medial side of the forearm. B. Administer the insulin at room temperature. C. Give the insulin using a 21-gauge needle. D. Insert the needle at a 15” angle. 2. 1. A nurse is reinforcing teaching with an adolescent client about the purpose of the glycosylated hemoglobin (HbA1c) test. which of the following should the nurse indicate in the teaching Can see answer 3. 2. A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching? A. Keep the eye covered with a compress. B. Apply eye ointment in the morning. C. Remove secretions by wiping from the outer corner of the eye to the inner canthus. D. Clean the eye with a moist cloth. 4. 3. A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan? A. Administer meperidine to eliminate a fever B. Decrease daily oral fluid intake C. Maintain bed rest to prevent hypoxemia D. Apply cold compresses to painful joints. 5. 4. A nurse is reinforcing teaching with the parents of a school-age child who has ADHD and a new prescription for a methylphenidate transdermal patch. Which of the following instructions should the nurse include in the teaching? A. Secure the child’s patch 30 min before the desired effect is needed. B. Place a heating pad over the patch to assist with absorption. C. Apply the patch to the child’s abdomen near the waistline D. Keep the patch in place for no more than 9 hr. daily. 6. 4. A nurse is reinforcing with the parents of a toddler about injury prevention. Which of the following growth and development factors should the nurse include in the teaching as a cause of increased injuries in this age group? A. Increased stranger anxiety B. Increased independence from family C. Increased demonstration of deliberate risk taking D. Increased locomotor skills 7. 4. A nurse is preparing to administer an acetaminophen rectal suppository to a child who is vomiting. Which of the following actions should the nurse take? A. Lubricate the suppository with petroleum jelly prior to insertion. B. Hold the child’s buttocks together following insertion. C. Place the child in semi-Fowler’s position prior to insertion D. Inform the child to hold his breath during insertion. 8. 4. A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30min ago, which of the following findings is the nurse priority? A. Nasal discharge negative for glucose B. Asymmetric pupils C. Negative Babinski reflex D. 2cm scalp laceration 9. 5. A nurse is collecting data from a 3-month-old infant. Which of the following is an expected developmental finding? A. Displays fear toward strangers B. Holds arms out to be picked up C. Able to hold a rattle D. Rolls from back to side 10. 6. A nurse is administering oral ondansetron to a preschooler who has cancer and is receiving chemotherapy which of the following therapeutic effects should the nurse expect. A. The child’s WBC will be within the inspected reference range B. The child will experience decreased pain C. The child will experience decreased nausea D. The RBC will be within the inspected reference range