2024 Pediatrics Proctored Exam - 60+ Detailed Questions with Verified Answers & Rationales (Graded A+)

2024 Pediatrics Proctored Exam - 60+ Detailed Questions with Verified Answers & Rationales (Graded A+) A nurse is planning care for a Toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? A. Clean the gums with Saline soaked gauze. B. Administer oral viscous lidocaine. C. Schedule routine oral care every 8 hr. D. Moisten the mucosa with lemon glycerin swabs - ANS A. Clean the gums with Saline soaked gauze. A nurse is planning care for a child immediately following the insertion of a chest tube forcontinuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care? A. Change the chest tube insertion site dressing every 12 hr. B. Report the presence of tidaling of fluid in the water seal chamber. C. Ensure continuous bubbling is present in the suction control chamber D. Record the amount of chest tube drainage every 2 hr. - ANS A. Change the chest tube insertion site dressing every 12 hr. A nurse is prioritizing care for 4 clients. Which of the following clients should the nurse assess 1st? A. An adolescent who is in skin traction and report a pain level of 7 on a scale from 0 to 10 B. An adolescent who has sickle cell anemia and slurred speech C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change. - ANS B. An adolescent who has sickle cell anemia and slurred speech - indicates stroke A nurse is assisting an adolescent who has Cushing's syndrome. Which of the following findings should the nurse expect? A. Cachectic appearance B. Blood glucose 320 mg/dL C. Potassium 4.2 mEq/L -this is in the normal range (3.5-5.0);Cushing's expect hypokalemia D. Advanced bone age - ANS B. Blood glucose 320 mg/dL A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider? A. Nightmares B. Pruritus C. Diplopia - this is double vision D. hyperactivity - ANS C. Diplopia A charge nurse is planning care for an infant who has failure to thrive. which of the following actions should the nurse include in the plan of care? A. Give the infant fruit juice between feedings B. Use half-strength formula when feeding the infant. C. Keep the infant in a visually stimulating environment. D. Assign consistent nursing staff to care for the infant. - ANS D. Assign consistent nursing staff to care for the infant A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome is (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? A. I will move my baby stuffed animal to the corner of her crib while she sleeps." B. I will dress my baby in lightweight clothing to sleep." C. I will have my baby sleep next to me in bed during the night." D. I will lay my baby on her side to sleep for naps." - ANS B. "I will dress my baby in lightweight clothing to sleep." A nurse is caring for a child who has acute glomerulonephritis. Which of the following findings should the nurse expect? A. Temperature 39 C (102.2 F) B. Periorbital edema C. Hypotension D. Positive urine culture - ANS B. Periorbital edema A nurse is assessing a 1-month- old infant at a well-child visit. Identify the location the nurse should stroke to elicit this rooting reflex. (You will find hot spot to select in the artwork below. Select only the hot spot that corresponds to your answer. ) - ANS Cheek A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take? A. Keep the affected extremity straight for at least 6 hr. B. Monitor output using an indwelling urinary catheter for the first 24 hr. C. Remove the child's pressure dressing after the first 4 hr. D. Maintain the child's NPO status for 4 to 6 hr. - ANS A. Keep the affected extremity straight for at least 6 hr. A nurse in a provider's office is providing teaching to the parents of a preschooler who has Down syndrome. Which of the following statements by one of the parents indicate an understanding of the instructions? A. We'll have soft music playing in the background when we teach our son in new skill B. We'll explain that it's best for our son to wait until kindergarten to start going to school C. we'll be sure to demonstrate a new skill before expecting our son to perform it ." D. We'll focus on our son understanding the principles of a skill rather than mastering it." - ANS C. "we'll be sure to demonstrate a new skill before expecting our son to perform it ." A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Remove labels from containers that contain toxic substances B. Select a toy chest that has a heavy, hanged lid C. Place gates at the top and bottom of the stairs. D. Keep toilet lids in the upright position. E. Ensure the crib mattress is in the lowest position. - ANS C. Place gates at the top and bottom of the stairs. E. Ensure the crib mattress is in the lowest position. A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. which of the following statements by the parents indicates an understanding of the teaching? A. My child will need to take prophylactic antibiotics daily until they shunt is removed." B. I should call my doctor if my child begins vomiting." C. I should pump the shunt at the same time each day." D. I should check my child's heart rate before administering medications." - ANS A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit.Which of the following findings should the nurse report to the provider? A. Temperature 37.2C (99 F) B. Respiratory rate 26/min C. Blood pressure 118/74 mm Hg D. Pulse rate 98/min - ANS C. Blood pressure 118/74 mm Hg A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? A. Bulging fontanel - diarrhea indicated dehydration = sunken fontanel B. Decreased heart rate - diarrhea indicated dehydration = increased HR C. Polyuria - diarrhea indicated dehydration = anuria or oliguria D. Increased hematocrit - diarrhea indicated dehydration = increased hct. - ANS D. Increased hematocrit - diarrhea indicated dehydration A nurse is preparing to administer imipenem/cilastatin 25 mg/kg to a child who weighs 77 Ib. Howmany mg should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ANS 875mg A nurse is providing teaching to a parent of an infant who has a 1 cm (0.4 in) umbilical hernia.Which of the following instructions should the nurse include in the teaching? A. Place a belly band around you baby's umbilicus during the day." B. You should place your baby on her abdomen to sleep at night." C. Your baby will need surgery if it doesn't close by 2 years of age." D. The bulge can temporarily enlarge when your baby cries." - ANS D. "The bulge can temporarily enlarge when your baby cries." A nurse is admitting a child who has pertussis. Which of the following transmission-based precautions should the nurse initiate? A. Airborne B. Contact C. Protective D. Droplet - ANS D. Droplet A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? A. Initiate a low-iron diet for lead absorption. B. Inspect the skin for discoloration. C. Obtain a stool specimen for lead levels. D. Perform development testing for delays. - ANS D. Perform development testing for delays. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocyticleukemia. Which of the following actions should the nurse take? (Click on the Exhibit button foradditional information about the client. There are three tabs that contain separate categories of data.) A. Obtain a rectal temperature every 4 hr. B. Apply viscous lidocaine to the oral mucosa - this can paralyze the gag reflex= asphyxiation C. Place the child in knee-chest position. D. Initiate bleeding precautions. - ANS D. Initiate bleeding precautions. A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Weight in 45th percentile B. Front deciduous teeth missing C. Bruising around the wrists D. Abrasions on the knees - ANS C. Bruising around the wrists A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus aboutmanaging diabetes during illness. Which of the following statements by the parent indicate an understanding of the teaching? A. I will monitor my child's blood glucose levels every 8 hours. B. I will offer my child 20 grams of carbohydrate every 2 hours. C. I will withhold my child's dose of insulin when his appetite is poor D. I will increase the amount of fluids I offer my child. - ANS D. I will increase the amount of fluids I offer my child. A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and new prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include? A. Don't allow your child to have orange juice while taking this medication. B. Administer this medication to your child with a dropper. C. Give your child this medication with a glass of milk. D. Stop this medication if you child's stools are a tarry green color. - ANS B. Administer this medication to your child with a dropper A nurse is caring for an infant who has tetralogy of Fallot and is having a hypercyanotic episodeafter crying. Which of the following interventions should the nurse implement? A. Initiate continuous positive airway pressure. B. Provide firm stimulation to the infant's trunk. C. Place the infant in the knee-chest position. D. Perform postural drainage. - ANS C. Place the infant in the knee-chest position A nurse is providing teaching to an adolescent who has Vulvovaginitis. Which of the following statements should the nurse include in the teaching? This is a trick question. No consensus. A. Wear a feminine deodorant pad for vaginal drainage." B. Wear nylon underwear at night." C. Apply scented baby powder to absorb residual moisture." D. Apply a warm, moist compress three times per day." - ANS D. Apply a warm, moist compress three times per day." A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? A. We will wait to give the medication at the next scheduled time if a dose is missed B. we will mix the medication with 1 cup of fruit juice for administration C. We will avoid giving our child water for 1 hour after administrating the medication D. We will repeat the dose if our child vomits shortly after administration." - ANS A. We will wait to give the medication at the next scheduled time if a dose is missed A nurse is planning on in-service for parents of school- age children about the treatment of pediculosis capitis. Which of the following instructions should the nurse plan to include in the teaching? A. Soak the child's hair brushes in vinegar between uses. B. Applied medication to the child's scalp twice daily until the symptoms subside C. Remove nits from the child's hair using a fine-tooth comb D. Discard the child's non washable items. - ANS C. Remove nits from the child's hair using a fine A nurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? A. Cervical adenopathy B. Strawberry tongue - Kawasaki disease C. Koplik spots - measles (Rubeola) D. Uncontrolled drooling - ANS A. Cervical adenopathy