Peds Final Prep Exam Questions With
Complete Solutions
A child has pain and sacral dimpling in the lumbosacral region,
a left thoracic curve, and bladder incontinence. Which would the
nurse expect as the follow-up plan of care?
Provide reassurance because the child will normally outgrow the
issue.
Refer the patient and parents to a urologist for the management
of incontinence.
Conduct a magnetic resonance imaging (MRI) of the abdomen
to identify the cause of urinary incontinence and pain.
Take an MRI of the spine for further evaluation of the severity
of the issue. Correct Answers Take an MRI of the spine for
further evaluation of the severity of the issue.
A child is admitted to the hospital for whooping cough. The plan
of care indicates that the nurse would assess the patient for signs
of airway obstruction. For which sign will the nurse assess the
child? Select all that apply. One, some, or all responses may be
correct.
Cyanosis
Skin pallor
Apprehension in the child
Increased temperature
Increased restlessness Correct Answers Cyanosis
Apprehension in the child
Increased restlessness
,Whooping cough is a respiratory infection caused by Bordetella
pertussis. Airway obstruction can occur as a result of the
infection. Therefore nurses are instructed to assess for signs of
airway obstruction, including cyanosis, apprehension, and
increased restlessness. The nurse would immediately report any
of these signs. Pallor is seen in cases of shock, and an increased
temperature indicates infection, not airway obstruction.
A father brings his 5-year-old son to the clinic because he has
recently lost a lot of weight. He reports to the nurse that the boy
is always hungry, thirsty, and complaining that he has to use the
bathroom. Which disorder is best described by these symptoms?
Diabetes mellitus
Addison disease
Cushing syndrome
Pheochromocytoma Correct Answers Diabetes mellitus
A newborn is displaying behavioral clues indicating pain. Which
is a nonpharmacologic pain-management technique? Select all
that apply. One, some, or all responses may be correct.
Swaddling
Nonnutritive sucking
Acetaminophen
Sucrose via nipple or syringe
Skin-to-skin contact with the mother Correct Answers
Swaddling
Nonnutritive sucking
Sucrose via nipple or syringe
Skin-to-skin contact with the mother
,A nurse is teaching a mother of a 2-month-old infant about
nutrition of the baby. Which food is the best for the child at this
age?
Breast milk
Rice cereal
Chicken soup
Pureed meat Correct Answers Breast milk
A nurse understands that a number of factors influence food
preferences and may differ from one age-group to another.
Which factor is instrumental in determining food preferences in
adolescents?
Peer acceptability
Parental influence
Culture
Health education Correct Answers Peer acceptability
A patient with chronic diabetes has been on insulin injections for
the past 3 months. The patient's blood reports show the
hemoglobin A1c is 6%. When discussing the lab results with the
parents, which statement by the nurse would be correct?
"The patient's diabetes is cured; therefore you need not take
insulin henceforth."
"The patient has high blood glucose, so you need to visit the
endocrinologist."
"The patient has anemia because of an iron deficiency, so the
patient needs iron-rich food."
"The patient's diabetes is under control; please continue the
same regimen of treatment." Correct Answers "The patient's
diabetes is under control; please continue the same regimen of
treatment."
, A patient with diabetes is on twice-daily dosing of rapid-acting
and intermediate-acting insulin. The child is admitted for dose
adjustment of intermediate-acting insulin, which is required to
be administered in the evening. Which blood sugar level
readings of the patient are taken into consideration?
Postprandial blood sugar level after lunch
Random blood sugar levels of the same day
Random blood sugar levels of the previous day
Morning fasting blood sugar levels of the same day Correct
Answers Morning fasting blood sugar levels of the same day
A school-age child recently diagnosed with type 1 diabetes
mellitus asks the nurse if playing soccer, playing baseball, and
swimming are still possible. The nurse's response would be
based on which knowledge?
Exercise is contraindicated in the child with type 1 diabetes.
The level of activity depends on the type of insulin required.
Soccer and baseball are too strenuous, but swimming is
acceptable.
Exercise is not restricted unless indicated by other health
conditions. Correct Answers Exercise is not restricted unless
indicated by other health conditions.
Exercise is encouraged for children with type 1 diabetes because
it lowers blood glucose levels. Insulin and meal requirements
require careful monitoring to ensure the child has sufficient
energy for exercise. Exercise is highly encouraged. The decrease
in blood glucose can be accommodated by having snacks
available. Sports are encouraged, with insulin and food adjusted
for the exercise. The child needs to be cautioned to monitor
Complete Solutions
A child has pain and sacral dimpling in the lumbosacral region,
a left thoracic curve, and bladder incontinence. Which would the
nurse expect as the follow-up plan of care?
Provide reassurance because the child will normally outgrow the
issue.
Refer the patient and parents to a urologist for the management
of incontinence.
Conduct a magnetic resonance imaging (MRI) of the abdomen
to identify the cause of urinary incontinence and pain.
Take an MRI of the spine for further evaluation of the severity
of the issue. Correct Answers Take an MRI of the spine for
further evaluation of the severity of the issue.
A child is admitted to the hospital for whooping cough. The plan
of care indicates that the nurse would assess the patient for signs
of airway obstruction. For which sign will the nurse assess the
child? Select all that apply. One, some, or all responses may be
correct.
Cyanosis
Skin pallor
Apprehension in the child
Increased temperature
Increased restlessness Correct Answers Cyanosis
Apprehension in the child
Increased restlessness
,Whooping cough is a respiratory infection caused by Bordetella
pertussis. Airway obstruction can occur as a result of the
infection. Therefore nurses are instructed to assess for signs of
airway obstruction, including cyanosis, apprehension, and
increased restlessness. The nurse would immediately report any
of these signs. Pallor is seen in cases of shock, and an increased
temperature indicates infection, not airway obstruction.
A father brings his 5-year-old son to the clinic because he has
recently lost a lot of weight. He reports to the nurse that the boy
is always hungry, thirsty, and complaining that he has to use the
bathroom. Which disorder is best described by these symptoms?
Diabetes mellitus
Addison disease
Cushing syndrome
Pheochromocytoma Correct Answers Diabetes mellitus
A newborn is displaying behavioral clues indicating pain. Which
is a nonpharmacologic pain-management technique? Select all
that apply. One, some, or all responses may be correct.
Swaddling
Nonnutritive sucking
Acetaminophen
Sucrose via nipple or syringe
Skin-to-skin contact with the mother Correct Answers
Swaddling
Nonnutritive sucking
Sucrose via nipple or syringe
Skin-to-skin contact with the mother
,A nurse is teaching a mother of a 2-month-old infant about
nutrition of the baby. Which food is the best for the child at this
age?
Breast milk
Rice cereal
Chicken soup
Pureed meat Correct Answers Breast milk
A nurse understands that a number of factors influence food
preferences and may differ from one age-group to another.
Which factor is instrumental in determining food preferences in
adolescents?
Peer acceptability
Parental influence
Culture
Health education Correct Answers Peer acceptability
A patient with chronic diabetes has been on insulin injections for
the past 3 months. The patient's blood reports show the
hemoglobin A1c is 6%. When discussing the lab results with the
parents, which statement by the nurse would be correct?
"The patient's diabetes is cured; therefore you need not take
insulin henceforth."
"The patient has high blood glucose, so you need to visit the
endocrinologist."
"The patient has anemia because of an iron deficiency, so the
patient needs iron-rich food."
"The patient's diabetes is under control; please continue the
same regimen of treatment." Correct Answers "The patient's
diabetes is under control; please continue the same regimen of
treatment."
, A patient with diabetes is on twice-daily dosing of rapid-acting
and intermediate-acting insulin. The child is admitted for dose
adjustment of intermediate-acting insulin, which is required to
be administered in the evening. Which blood sugar level
readings of the patient are taken into consideration?
Postprandial blood sugar level after lunch
Random blood sugar levels of the same day
Random blood sugar levels of the previous day
Morning fasting blood sugar levels of the same day Correct
Answers Morning fasting blood sugar levels of the same day
A school-age child recently diagnosed with type 1 diabetes
mellitus asks the nurse if playing soccer, playing baseball, and
swimming are still possible. The nurse's response would be
based on which knowledge?
Exercise is contraindicated in the child with type 1 diabetes.
The level of activity depends on the type of insulin required.
Soccer and baseball are too strenuous, but swimming is
acceptable.
Exercise is not restricted unless indicated by other health
conditions. Correct Answers Exercise is not restricted unless
indicated by other health conditions.
Exercise is encouraged for children with type 1 diabetes because
it lowers blood glucose levels. Insulin and meal requirements
require careful monitoring to ensure the child has sufficient
energy for exercise. Exercise is highly encouraged. The decrease
in blood glucose can be accommodated by having snacks
available. Sports are encouraged, with insulin and food adjusted
for the exercise. The child needs to be cautioned to monitor
