2024 NSG 3600 PEDS EXAM
1WITH CORRECT ANSWERS
The pediatric nurse assess the toddler's fine motor skills by observing which
task?
a. buttoning a shirt
b. writing with a pencil
c. holding a spoon to eat
d. using the pincer grasp - CORRECT-ANSWERSC
A nurse reads the diagnosis of neurogenic clubfoot on an infants chart.
Which other diagnosis does the nurse expect to find when reviewing the
medical record?
a. osteogenesis imperfecta
b. spina bifida
c. muscular dystrophy
d. no associated diagnosis - CORRECT-ANSWERSB
The pediatric nurse is aware that which is the precipitating cause of Legg-
Calve-Pearths disease?
a. genetic abnormality
b. interruption in blood flow
c. birth trauma
d. dietary deficiency - CORRECT-ANSWERSB
The pediatric nurse understands that which classification of fracture has the
most potential to affect growth?
a. type III
b. type V
c. closed
d. open - CORRECT-ANSWERSB
Which explanation by the pediatric nurse is most appropriate for a child with
ankylosis?
a. ROM restriction in the vertebrae
b. adhesions causing joint immobility
c. curvature of the cervical spine
d. bowed legs caused by low calcium - CORRECT-ANSWERSB
,A nurse visiting a day care notices a boy trying to get up off the floor by
kneeling, rising to his feet while keeping his hands on the flood, and then
walking his hands up his legs until he is standing. Which assessment finding
does this nurse document?
a. positional instability
b. Grower's maneuver
c. Kernig's sign
d. Grey Turner's sign - CORRECT-ANSWERSB
The nurse is providing care to a child diagnosed with lordosis. Which
comment erm might the parents have heard to describe this condition?
a. hunchback
b. swayback
c. spinal curvatura
d. flat feel - CORRECT-ANSWERSB
A nurse admitting a child to the intensive care unit is told the child has risus
sardonicus. Which disease process does the nurse suspect the child has?
a. scoliosis
b. osteogenesis imperfecta
c. Duchenne's muscular dystrophy
d. tetanus - CORRECT-ANSWERSD
A pediatrician asks a patient with a knee injury to squat. Which disorder is
this patient suspected of having?
a. juvenile arthritis
b. muscular dystrophy
c. Osgood-Schlatter disease
d. Osteomyelitis - CORRECT-ANSWERSC
A nurse is conducting a sports fitness class for volunteer coaches. Which
information provided by the nurse is the most appropriate?
a. fractures heal more quickly in children bc their bones are still growing
b. children are prone to fractures bc their bones are weaker than adults
bones
c. ligaments are bands of fibrous tissue that hols muscles to the bones
d. once a child reaches adult height, bone development eventually stops -
CORRECT-ANSWERSA
A woman who wishes to become pregnant again consults with the nurse
about preventing her child from being born with clubfoot. She has two other
children, both treated for this disorder. Which information does the nurse
provide about preventing clubfoot?
a. avoid second-hand cigarette smokes while pregnant
b. fetal positioning in utero cannot be controlled
c. getting enough folic acid early in the pregnancy is advisable
, d. the disorder is genetic so no prevention is preventable - CORRECT-
ANSWERSD
A child who has been limping for several weeks is brought to the clinic and
undergoes radiological studies. The results show osteonecrosis. Which
information does the nurse plan to teach the parents about their child's
condition?
a. non-weight-bearing status and mobility limitations
b. overcorrection with the Z-plasty technique
d. wearing and caring for a Browne splint - CORRECT-ANSWERSA
A child has been hospitalized with an acute-grade IV slipped femoral capital
epiphysis (SFCE) and is on bedrest awaiting surgical correction. A new nurse
places the following interventions on the childs care plan. Which intervention
leads the experienced nurse to intervene?
a. consult child-life therapist for diversionary activities
b. perform range-of-motion exercises to both lower extremities
c. reinforce teaching on crutch-walking postoperatively
d. teach child and family about non-weight-bearing status - CORRECT-
ANSWERSB
A nurse is caring for an 8-year-old child hospitalized 2 days after open
reduction and internal fixation (ORIF) of a femur fracture sustained in a
motor vehicle crash. The child is now in a long-leg cast. Which assessment
finding prompts the nurse to notify the health- care provider?
a. a foul odor coming from the cast
b. child eating only 20% of meals
c. old dried drainage marked not he cast
d. request for pain medicine every 4 hours - CORRECT-ANSWERSA
A new nurse is placing an elastic wrap on a patient with an ankle sprain.
Which action by this nurse causes an experienced nurse to intervene?
a. exerts moderate pull on the wrap
b. instructs the pt on wrapping the injury
c. starts wrapping distal to the injury
d. wraps in a proximal-to-distal fashion - CORRECT-ANSWERSD
A 5-year-old child is hospitalized with osteomyelitis and will be going home in
the next few days on intravenous (IV) antibiotics. Which action by the nurse
is the most appropriate?
a. ensure that a valid permit for a PICC line is on the chart
b. locate a pharmacy that will supply the IV medications
c. research the pt's insurance for home infusion coverage
d. teach the child about PICC line using a doll - CORRECT-ANSWERSA
1WITH CORRECT ANSWERS
The pediatric nurse assess the toddler's fine motor skills by observing which
task?
a. buttoning a shirt
b. writing with a pencil
c. holding a spoon to eat
d. using the pincer grasp - CORRECT-ANSWERSC
A nurse reads the diagnosis of neurogenic clubfoot on an infants chart.
Which other diagnosis does the nurse expect to find when reviewing the
medical record?
a. osteogenesis imperfecta
b. spina bifida
c. muscular dystrophy
d. no associated diagnosis - CORRECT-ANSWERSB
The pediatric nurse is aware that which is the precipitating cause of Legg-
Calve-Pearths disease?
a. genetic abnormality
b. interruption in blood flow
c. birth trauma
d. dietary deficiency - CORRECT-ANSWERSB
The pediatric nurse understands that which classification of fracture has the
most potential to affect growth?
a. type III
b. type V
c. closed
d. open - CORRECT-ANSWERSB
Which explanation by the pediatric nurse is most appropriate for a child with
ankylosis?
a. ROM restriction in the vertebrae
b. adhesions causing joint immobility
c. curvature of the cervical spine
d. bowed legs caused by low calcium - CORRECT-ANSWERSB
,A nurse visiting a day care notices a boy trying to get up off the floor by
kneeling, rising to his feet while keeping his hands on the flood, and then
walking his hands up his legs until he is standing. Which assessment finding
does this nurse document?
a. positional instability
b. Grower's maneuver
c. Kernig's sign
d. Grey Turner's sign - CORRECT-ANSWERSB
The nurse is providing care to a child diagnosed with lordosis. Which
comment erm might the parents have heard to describe this condition?
a. hunchback
b. swayback
c. spinal curvatura
d. flat feel - CORRECT-ANSWERSB
A nurse admitting a child to the intensive care unit is told the child has risus
sardonicus. Which disease process does the nurse suspect the child has?
a. scoliosis
b. osteogenesis imperfecta
c. Duchenne's muscular dystrophy
d. tetanus - CORRECT-ANSWERSD
A pediatrician asks a patient with a knee injury to squat. Which disorder is
this patient suspected of having?
a. juvenile arthritis
b. muscular dystrophy
c. Osgood-Schlatter disease
d. Osteomyelitis - CORRECT-ANSWERSC
A nurse is conducting a sports fitness class for volunteer coaches. Which
information provided by the nurse is the most appropriate?
a. fractures heal more quickly in children bc their bones are still growing
b. children are prone to fractures bc their bones are weaker than adults
bones
c. ligaments are bands of fibrous tissue that hols muscles to the bones
d. once a child reaches adult height, bone development eventually stops -
CORRECT-ANSWERSA
A woman who wishes to become pregnant again consults with the nurse
about preventing her child from being born with clubfoot. She has two other
children, both treated for this disorder. Which information does the nurse
provide about preventing clubfoot?
a. avoid second-hand cigarette smokes while pregnant
b. fetal positioning in utero cannot be controlled
c. getting enough folic acid early in the pregnancy is advisable
, d. the disorder is genetic so no prevention is preventable - CORRECT-
ANSWERSD
A child who has been limping for several weeks is brought to the clinic and
undergoes radiological studies. The results show osteonecrosis. Which
information does the nurse plan to teach the parents about their child's
condition?
a. non-weight-bearing status and mobility limitations
b. overcorrection with the Z-plasty technique
d. wearing and caring for a Browne splint - CORRECT-ANSWERSA
A child has been hospitalized with an acute-grade IV slipped femoral capital
epiphysis (SFCE) and is on bedrest awaiting surgical correction. A new nurse
places the following interventions on the childs care plan. Which intervention
leads the experienced nurse to intervene?
a. consult child-life therapist for diversionary activities
b. perform range-of-motion exercises to both lower extremities
c. reinforce teaching on crutch-walking postoperatively
d. teach child and family about non-weight-bearing status - CORRECT-
ANSWERSB
A nurse is caring for an 8-year-old child hospitalized 2 days after open
reduction and internal fixation (ORIF) of a femur fracture sustained in a
motor vehicle crash. The child is now in a long-leg cast. Which assessment
finding prompts the nurse to notify the health- care provider?
a. a foul odor coming from the cast
b. child eating only 20% of meals
c. old dried drainage marked not he cast
d. request for pain medicine every 4 hours - CORRECT-ANSWERSA
A new nurse is placing an elastic wrap on a patient with an ankle sprain.
Which action by this nurse causes an experienced nurse to intervene?
a. exerts moderate pull on the wrap
b. instructs the pt on wrapping the injury
c. starts wrapping distal to the injury
d. wraps in a proximal-to-distal fashion - CORRECT-ANSWERSD
A 5-year-old child is hospitalized with osteomyelitis and will be going home in
the next few days on intravenous (IV) antibiotics. Which action by the nurse
is the most appropriate?
a. ensure that a valid permit for a PICC line is on the chart
b. locate a pharmacy that will supply the IV medications
c. research the pt's insurance for home infusion coverage
d. teach the child about PICC line using a doll - CORRECT-ANSWERSA
