DIAGNOSIS AND TREATMENT PEDIATRICS
CURRENT EDATION 2024-2025
QUESTION AND ANSWERS
(correct answers only)
An otherwise healthy 20-month-old child with a history of febrile seizures is in the well-child
clinic.
Which statement by the father would indicate to the nurse that additional teaching should
be done?
A. . "My child will likely outgrow these seizures by age 6."
B. "I have ibuprofen available in case it's needed."
C. "I always keep phenobarbital with me in case of a fever."
D. "The most likely time for a seizure is when the fever is rising." - ✔✔✔C
A 7-month-old infant is admitted with a diagnosis of bacterial meningitis. The nurse would
place the infant in which room?
Profjazz
Diversey | [SCHOOL]
, PEDIATRIC DIAGNOSIS
A. A room with a 10-month-old infant with a urinary tract infection
B. A room with an 10-month-old infant with failure to thrive
C. A private room near the nurses' station
D. A two-bed room in the middle of the hall - ✔✔✔C
The parents of a child with a history of seizures who has been taking phenytoin (Dilantin) ask
the nurse why it's difficult to maintain therapeutic plasma levels of this medication. Which
statement by the nurse would be most accurate?
A. "A drop in the plasma drug level will lead to a toxic state."
B. "The capacity to metabolize the drug becomes overwhelmed over time."
C. "Small increments in dosage lead to sharp increases in plasma drug levels."
D. "Large increments in dosage lead to a more rapid stabilizing therapeutic effect." - ✔✔✔C
Profjazz
Diversey | [SCHOOL]
, PEDIATRIC DIAGNOSIS
A panicked mother calls the health care provider's office and reports that her 5-year-old has a
high fever and just had a seizure. The mother asks the nurse what she should do. Which is the
nurse's best response?
A. Report to the emergency room for medical evaluation
B. Immerse the child in a bathtub of tepid water
C. Administer oral acetaminophen per package directions
D. Remove any heavy clothing and cover with a thin sheet - ✔✔✔A
The nurse is assessing a 7-year-old with a hearing aid. His mother says he is losing his hearing
again. Which finding would the nurse identify as contributing to this current complaint?
A. Overproduction of cerumen
B. Soreness of the outer ear
C. History of a normal term birth
Profjazz
Diversey | [SCHOOL]
, PEDIATRIC DIAGNOSIS
D. The eardrum responds to a puff of air - ✔✔✔A
The nurse is taking a health history for a 9-year-old with conjunctivitis. Which statement by
the parents leads the nurse to suspect that the child is experiencing allergic conjunctivitis?
A. "He recently helped clean the basement.
B. "He was exposed to several family members with an infection.
C. He just recovered from an upper respiratory infection.
D. We have a family history of conjunctivitis. - ✔✔✔A
The mother of a 12-year-old with Reye syndrome approaches the nurse wanting to know how
this happened to her child, saying, "I never give my kids aspirin!" Which response by the
nurse would be most appropriate?
A. "Sometimes it's hard to tell if a product contains aspirin."
B. "Do you think that maybe your child took aspirin on his own?"
Profjazz
Diversey | [SCHOOL]