Pediatric Final Exam Practice Questions And Answers

A 4-year-old child cries out in pain when the nurse palpates their stomach. What is the best way for the nurse to assess the child's pain level? a. Use the FACES pain scale with every nursing assessment b. Try to have the child describe the pain's intensity and quality c. Rely on vital sign measurements as a way to verify pain ratings d. Ask the child to rate pain using a numeric pain rating scale - ANS a. Use the FACES pain scale with every nursing assessment At what age will the nurse be most concerned if a child is not able to pull to a standing position? a. 11 months b. 15 months c. 9 months d. 7 months - ANS b. 15 months The nurse is caring for a 6-year-old hospitalized child who is experiencing pain. Which nonpharmacologic pain management strategies would be appropriate for the nurse to include for this child? (SELECT ALL THAT APPLY) a. Distraction b. Swaddling c. Breathing techniques d. Non-nutritive suck e. Guided Imagery - ANS a. Distraction c. Breathing techniques e. Guided imagery The nurse is caring for a patient who is 18 months old and is recovering from surgery for appendicitis. Which of the following indicates the child is experiencing relief from pain? a. Increased respiratory rate b. Decreased Heart Rate c. Decreased appetite d. Increased urine output - ANS Decreased heart rate Several children have arrived at the walk-in clinic of a primary care facility. Which child should the nurse assess first? a. 2-month-old with a 2-day history of diarrhea and temp of 101 F b. 2-year-old who has been pulling at his ear for 2 days c. 6-year-old with a respiratory rate of 25 and SpO2 of 90% d. 10-year-old with a sore throat and has not eaten in 24 hours - ANS c. 6-year-old with a respiratory rate of 25 and SpO2 of 90% Which of the following behaviors indicates that an infant has developed object permanence? a. Recognizes familiar objects such as a bottle b. Actively searches for the toy hidden under a blanket c. Recognizes familiar faces such as the mother d. Secures an object by pulling on the string - ANS b. Actively searches for the toy hidden under a blanket Which of the actions is most appropriate when the nurse is assessing breath sounds of an 18-month old crying child? a. Document that data is not available because of noncompliance. b. Auscultate breath sounds and charts that the child is crying. c. Encourage the child to play with the stethoscope to distract and calm down before auscultating. d. Ask the parent to quiet the child so that the nurse can listen. - ANS c. Encourage the child to play with the stethoscope to distract and calm down before auscultating. The nurse recognizes that peers are important to adolescents as they help to develop a sense of _________________ a. morality b. competence c. belonging d. autonomy - ANS c. belonging At this stage, it is important for adolescents to feel they have somewhere they can fit in with their peers,be accepted and share the same values and ideas. A child with a respiratory infection is scheduled to have a sweat test. After the physician discusses the test with the mother, the mother approaches the nurse and asks the purpose of this diagnostic test. Which of the following responses by the nurse would best reinforce the physician's explanation? "This will... a. assess whether your child's sweat glands are functioning." b. determine if your child is dehydrated." c. diagnose whether your child has cystic fibrosis." d. help us to identify the infectious organism." - ANS C. diagnose whether your child has cystic fibrosis." A 3-year-old with asthma is being seen for follow-up in the clinic. Which of the following would be the most effective way to teach her about taking her inhaled medications?