NSG 2525 EXAM 2 PEDIATRIC NCLEX
QUESTIONS AND ANSWERS
The nurse is to receive a 4-year-old from the recovery room after an appendectomy.
The parents have not seen the child since surgery and ask what to expect. Select the
nurse's best response.
1. "Your child will be very sleepy, have an intravenous line in the hand, and have a
nasal tube to help drain the stomach. If your child needs pain medication, it will be given
intravenously."
2. "Your child will be very sleepy, have an intravenous line in the hand, and have white
stockings to help prevent blood clots. If your child needs pain medication, we will give it
intravenously or provide a liquid to swallow."
3. "Your child will be wide awake and will have an intravenous line in the hand. If your
child needs pain medication, we will give it intravenously or provide a liquid to swallow."
4. "Your child will be very sleepy and have an intravenous line in the hand. If your child
needs pain medication, we will give it int - Answer-4. "Your child will be very sleepy and
have an intravenous line in the hand. If your child needs pain medication, we will give it
intravenously."
The parents of a child being evaluated for appendicitis tell the nurse the physician said
their child has a positive Rovsing sign. They ask the nurse what this means. Select the
nurse's best response.
1. "Your child's physician should answer that question."
2. "A positive Rovsing sign means the child feels pain in the right side of the abdomen
when the left side is palpated."
3. "A positive Rovsing sign means pain is felt when the physician removes the hand
from the abdomen."
4. "A positive Rovsing sign means pain is felt in the right lower quadrant when the child
coughs. - Answer-2. "A positive Rovsing sign means the child feels pain in the right side
of the abdomen when the left side is palpated."
Which is the best position for an 8-year-old who has just returned to the pediatric unit
after an appendectomy for a ruptured appendix?
1. Semi-Fowler.
2. Prone.
3. Right side-lying.
4. Left side-lying - Answer-3. Right side-lying.
A child is experiencing a fever, rigid abdomen, and is bending over, holding his right
lower abdomen. What does the nurse suspect is the likely cause of this?
A. Peptic ulcer
B. Appendicitis
C. Dehydration
D. Pyloric stenosis - Answer-B. Appendicitis
,A child presents with anorexia, right lower quadrant pain, and nausea. Which instruction
can the nurse give to the child to enhance comfort?
A. "Lie on your back."
B. "Lie on your abdomen."
C. "Lie on your left side with knees bent."
D. "Sit up straight in the chair with your legs dangling." - Answer-C. "Lie on your left side
with knees bent."
A child with right lower quadrant pain and anorexia has begun vomiting. Which
assessments are necessary to evaluate the outcome of nursing care for this patient?
Select all that apply.
A. Palpate the skin
B. Auscultate the chest
C. Measure urine output
D. Obtain a food diary
E. Measure arterial blood gases (ABGs) - Answer-A. Palpate the skin
C. Measure urine output
The nurse is preparing a child for an appendectomy and notes that the child is
extremely quiet. Which nursing action is correct?Select all that apply.
A. Encourage the child to try to sleep.
B. Tell the child that everything will be fine.
C. Encourage the child to verbalize feelings.
D. Provide discharge instructions to allow the parents to leave faster. - Answer-A.
Encourage the child to try to sleep.
C. Encourage the child to verbalize feelings.
A child is admitted with right lower quadrant abdominal pain, anorexia, and fever. The
pain suddenly subsides, and the child is able to play normally but still has a fever.
Which potential complication is an immediate concern for this child?
A. Sepsis
B. Dehydration
C. Malnutrition
D. Hypertension - Answer-A. Sepsis
A child is admitted to the hospital with right lower abdominal pain, anorexia, and fever.
Which nursing actions are appropriate to achieve an optimum outcome for this patient?
Select all that apply.
A. Provide clear liquids only.
B. Provide emotional support.
C. Administer intravenous fluids.
D. Administer IV analgesic medication.
E. Administer oral antipyretic medication. - Answer-B. Provide emotional support.
C. Administer intravenous fluids.
,If appendicitis were suspected, in which area of the abdomen would the nurse expect
the patient to report pain?
A. Upper left quadrant
B. Middle left quadrant
C. Upper right quadrant
D. Lower right quadrant - Answer-D. Lower right quadrant
The nurse is planning care for a 3-month-old infant diagnosed with eczema. Which
should be the focus of the nurses care for this infant?
1. Maintaining adequate nutrition
2. Keeping the baby content
3. Preventing infection of lesions
4. Applying antibiotics to lesions - Answer-3. Preventing infection of lesions
After the nurse teaches the mother of a child with eczema (atopic dermatitis) how to
bathe her child, Which of the following statements indicates effective teaching?
A. "I let my child play in the tub for 30 mins every night"
B. "My child loves the bubble bath I put in the tub."
C. "When my child gets out of the tub I just pat the skin dry."
D. "I make sure my child has a bath every night." - Answer-C
Which nursing diagnosis has the highest priority when planning care for an infant with
eczema?Select an option, then click Submit.
A.High risk for altered parenting related to feelings of inadequacy
B.Altered comfort (pruritus) related to vesicular skin eruptions
C.Altered health maintenance related to knowledge deficit of treatment
D.Risk for impaired skin integrity related to eczema - Answer-B
A topical corticosteroid is prescribed by the HCP for a child with atopic dermatitis
(eczema). Which instruction should the nurse give the parent about applying the cream?
A. Apply the cream over the entire body
B. Apply a thick layer of cream of affected areas only
C. Avoid cleansing the area before application of the cream
D. Apply a thin layer of cream and rub it into the area throughly. - Answer-D
The nurse is taking the family history of a 2-year-old child with atopic dermatitis
(eczema). Which statement by the mother is most important in formulating a plan of
care for this child?Select an option, then click Submit.
A."Our first child was born with a cleft lip."
B."We are very careful not to get sunburns in our family."
C."My first child sometimes got a diaper rash."
D."My husband and our daughter are both lactose-intolerant." - Answer-D
The nurse is caring for a pediatric client diagnosed with eczema. Which topical
medication order does the nurse anticipate for this client?
1. Corticosteroids
, 2. Retinoids3
. Antifungals
4. Antibacterial - Answer-1. Corticosteroids
The mother of a 2-month-old infant brings the child to the clinic for a well baby check.
She is concerned because she feels only one testis in the scrotal sac. Which of the
following statements about the undescended testis is the most accurate?
A. Normally, the testes are descended by birth.
B. The infant will likely require surgical intervention.
C. The infant probably has only one testis.
D. Normally, the testes descend by one year of age. - Answer-D
The mother accompanied her child to the clinic for a follow up after undergoing
orchiopexy yesterday. Which of the following assessment findings should alert the nurse
to notify the physician immediately?
A. Scrotal swelling and bruising.
B. Fever over 101° F.
C. A green drainage from the wound.
D. Discomfort or pain. - Answer-C
Nurse Jeremy is evaluating a client's fluid intake and output record. Fluid intake and
urine output should relate in which way?
A. Fluid intake should be double the urine output.
B. Fluid intake should be approximately equal to the urine output.
C. Fluid intake should be half the urine output.
D. Fluid intake should be inversely proportional to the urine output. - Answer-B
The nurse is providing discharge instructions to the parents of a 2-year-old child who
had an orchiopexy to correct cryptorchidism. Which statement by the parents indicate
that further teaching is necessary?
A. "I'll check his temperature."
B. "I'll give him medication so he'll be comfortable."
C. "I'll check his voiding to be sure there's no problem."
D. "I'll let him decide when to return to his play activities." - Answer-D
Which of the following activities are appropriate for a child who is recovering from
orchiopexy?
A. Horseback riding.
B. Baseball games.
C. Puzzle games.
D. Running around the playground. - Answer-C
The nurse is aware of which statement to be true regarding the incidence of testicular
cancer?
a. Testicular cancer is the most common cancer in men aged 30 to 50 years.
b. The early symptoms of testicular cancer are pain and induration.
QUESTIONS AND ANSWERS
The nurse is to receive a 4-year-old from the recovery room after an appendectomy.
The parents have not seen the child since surgery and ask what to expect. Select the
nurse's best response.
1. "Your child will be very sleepy, have an intravenous line in the hand, and have a
nasal tube to help drain the stomach. If your child needs pain medication, it will be given
intravenously."
2. "Your child will be very sleepy, have an intravenous line in the hand, and have white
stockings to help prevent blood clots. If your child needs pain medication, we will give it
intravenously or provide a liquid to swallow."
3. "Your child will be wide awake and will have an intravenous line in the hand. If your
child needs pain medication, we will give it intravenously or provide a liquid to swallow."
4. "Your child will be very sleepy and have an intravenous line in the hand. If your child
needs pain medication, we will give it int - Answer-4. "Your child will be very sleepy and
have an intravenous line in the hand. If your child needs pain medication, we will give it
intravenously."
The parents of a child being evaluated for appendicitis tell the nurse the physician said
their child has a positive Rovsing sign. They ask the nurse what this means. Select the
nurse's best response.
1. "Your child's physician should answer that question."
2. "A positive Rovsing sign means the child feels pain in the right side of the abdomen
when the left side is palpated."
3. "A positive Rovsing sign means pain is felt when the physician removes the hand
from the abdomen."
4. "A positive Rovsing sign means pain is felt in the right lower quadrant when the child
coughs. - Answer-2. "A positive Rovsing sign means the child feels pain in the right side
of the abdomen when the left side is palpated."
Which is the best position for an 8-year-old who has just returned to the pediatric unit
after an appendectomy for a ruptured appendix?
1. Semi-Fowler.
2. Prone.
3. Right side-lying.
4. Left side-lying - Answer-3. Right side-lying.
A child is experiencing a fever, rigid abdomen, and is bending over, holding his right
lower abdomen. What does the nurse suspect is the likely cause of this?
A. Peptic ulcer
B. Appendicitis
C. Dehydration
D. Pyloric stenosis - Answer-B. Appendicitis
,A child presents with anorexia, right lower quadrant pain, and nausea. Which instruction
can the nurse give to the child to enhance comfort?
A. "Lie on your back."
B. "Lie on your abdomen."
C. "Lie on your left side with knees bent."
D. "Sit up straight in the chair with your legs dangling." - Answer-C. "Lie on your left side
with knees bent."
A child with right lower quadrant pain and anorexia has begun vomiting. Which
assessments are necessary to evaluate the outcome of nursing care for this patient?
Select all that apply.
A. Palpate the skin
B. Auscultate the chest
C. Measure urine output
D. Obtain a food diary
E. Measure arterial blood gases (ABGs) - Answer-A. Palpate the skin
C. Measure urine output
The nurse is preparing a child for an appendectomy and notes that the child is
extremely quiet. Which nursing action is correct?Select all that apply.
A. Encourage the child to try to sleep.
B. Tell the child that everything will be fine.
C. Encourage the child to verbalize feelings.
D. Provide discharge instructions to allow the parents to leave faster. - Answer-A.
Encourage the child to try to sleep.
C. Encourage the child to verbalize feelings.
A child is admitted with right lower quadrant abdominal pain, anorexia, and fever. The
pain suddenly subsides, and the child is able to play normally but still has a fever.
Which potential complication is an immediate concern for this child?
A. Sepsis
B. Dehydration
C. Malnutrition
D. Hypertension - Answer-A. Sepsis
A child is admitted to the hospital with right lower abdominal pain, anorexia, and fever.
Which nursing actions are appropriate to achieve an optimum outcome for this patient?
Select all that apply.
A. Provide clear liquids only.
B. Provide emotional support.
C. Administer intravenous fluids.
D. Administer IV analgesic medication.
E. Administer oral antipyretic medication. - Answer-B. Provide emotional support.
C. Administer intravenous fluids.
,If appendicitis were suspected, in which area of the abdomen would the nurse expect
the patient to report pain?
A. Upper left quadrant
B. Middle left quadrant
C. Upper right quadrant
D. Lower right quadrant - Answer-D. Lower right quadrant
The nurse is planning care for a 3-month-old infant diagnosed with eczema. Which
should be the focus of the nurses care for this infant?
1. Maintaining adequate nutrition
2. Keeping the baby content
3. Preventing infection of lesions
4. Applying antibiotics to lesions - Answer-3. Preventing infection of lesions
After the nurse teaches the mother of a child with eczema (atopic dermatitis) how to
bathe her child, Which of the following statements indicates effective teaching?
A. "I let my child play in the tub for 30 mins every night"
B. "My child loves the bubble bath I put in the tub."
C. "When my child gets out of the tub I just pat the skin dry."
D. "I make sure my child has a bath every night." - Answer-C
Which nursing diagnosis has the highest priority when planning care for an infant with
eczema?Select an option, then click Submit.
A.High risk for altered parenting related to feelings of inadequacy
B.Altered comfort (pruritus) related to vesicular skin eruptions
C.Altered health maintenance related to knowledge deficit of treatment
D.Risk for impaired skin integrity related to eczema - Answer-B
A topical corticosteroid is prescribed by the HCP for a child with atopic dermatitis
(eczema). Which instruction should the nurse give the parent about applying the cream?
A. Apply the cream over the entire body
B. Apply a thick layer of cream of affected areas only
C. Avoid cleansing the area before application of the cream
D. Apply a thin layer of cream and rub it into the area throughly. - Answer-D
The nurse is taking the family history of a 2-year-old child with atopic dermatitis
(eczema). Which statement by the mother is most important in formulating a plan of
care for this child?Select an option, then click Submit.
A."Our first child was born with a cleft lip."
B."We are very careful not to get sunburns in our family."
C."My first child sometimes got a diaper rash."
D."My husband and our daughter are both lactose-intolerant." - Answer-D
The nurse is caring for a pediatric client diagnosed with eczema. Which topical
medication order does the nurse anticipate for this client?
1. Corticosteroids
, 2. Retinoids3
. Antifungals
4. Antibacterial - Answer-1. Corticosteroids
The mother of a 2-month-old infant brings the child to the clinic for a well baby check.
She is concerned because she feels only one testis in the scrotal sac. Which of the
following statements about the undescended testis is the most accurate?
A. Normally, the testes are descended by birth.
B. The infant will likely require surgical intervention.
C. The infant probably has only one testis.
D. Normally, the testes descend by one year of age. - Answer-D
The mother accompanied her child to the clinic for a follow up after undergoing
orchiopexy yesterday. Which of the following assessment findings should alert the nurse
to notify the physician immediately?
A. Scrotal swelling and bruising.
B. Fever over 101° F.
C. A green drainage from the wound.
D. Discomfort or pain. - Answer-C
Nurse Jeremy is evaluating a client's fluid intake and output record. Fluid intake and
urine output should relate in which way?
A. Fluid intake should be double the urine output.
B. Fluid intake should be approximately equal to the urine output.
C. Fluid intake should be half the urine output.
D. Fluid intake should be inversely proportional to the urine output. - Answer-B
The nurse is providing discharge instructions to the parents of a 2-year-old child who
had an orchiopexy to correct cryptorchidism. Which statement by the parents indicate
that further teaching is necessary?
A. "I'll check his temperature."
B. "I'll give him medication so he'll be comfortable."
C. "I'll check his voiding to be sure there's no problem."
D. "I'll let him decide when to return to his play activities." - Answer-D
Which of the following activities are appropriate for a child who is recovering from
orchiopexy?
A. Horseback riding.
B. Baseball games.
C. Puzzle games.
D. Running around the playground. - Answer-C
The nurse is aware of which statement to be true regarding the incidence of testicular
cancer?
a. Testicular cancer is the most common cancer in men aged 30 to 50 years.
b. The early symptoms of testicular cancer are pain and induration.
