Pediatric Nursing Practice Questions with Answers

An 18-Month-Old is discharged from the hospital after having a febrile seizure secondary to exanthem subitum (Roseola). On discharge, the mother asks the nurse if her 6-year-old twins will get sick. Which teaching about the transmission of roseola would be most accurate? 1. The child should be isolated at home until the vesicles have dried. 2. The child does not need to be isolated from the older siblings. 3. Administer acetaminophen to the older siblings to prevent seizures. 4. Monitor older children for seizure development. - ANSWER-. 2. The route of roseola transmission is unkown, and the disease is more commonly seen in children 6 months to 3 years of age, so siblings do not need to be isolated. Which would be the priority intervention for a child suspected of having varicella (chickenpox)? 1. Contact Precautions 2. Contact and Droplet Respiratory Precautions? 3. Droplet respiratory precautions? 4. Universal Precautions and standard precautions. - ANSWER-2. Varicella (Chickenpox) is highly contagious. Contact & Droplet respiratory precautions should be started immediately because the primary source of transmission is secretions of the respiratory tract (droplet) and also by contaminated objects. Caladryl - ANSWER-A lotion containing diphenhydramine. Should not be applied if child has already been given benadryl (diphenhydramine) because it can cause toxicity. Which s&s would the nurse expect with rheumatic fever? 1. Ankle and Knee Joint Pain. 2. Negative group A beta strep culture. 3. Large, red "bulls eye" - appearing rash. 4. stiff neck with photophobia. - ANSWER-Ankle and knee joint pain. The parents of a 12-month old with HIV are concerned about him receiving routine immunizations. What will the nurse tell them about immunizations? - ANSWER-"You are concerned about your child receiving immunizations. Let me explain why your child will NOT receive routine immunizations today"