PEDS TEST BANK EXAM QUESTIONS
WITH CORRECT ANSWERS
The nurse caring for a neonate experiencing seizures asks the charge nurse: "How
can I tell if a baby is having a seizure or is just crying for attention?" Which response
would be most appropriate? Select all that apply.
A. "You will not be able to stop a seizure with gentle restraint."
B. "The baby experiencing a seizure will be tachycardic."
C. "Stimulating the baby by singing to him will not stop a seizure."
D. "There will be no changes in the baby's vital signs with a seizure"
E. "The baby will become more active with sensory stimulation with a seizure." -
Answer-A, B, C
An 18-month-old child is admitted with signs of increased intracranial pressure. What
should the nurse observe when assessing this patient?
A. Numbness of fingers and decreased temperature
B. Increased pulse rate and decreased blood pressure
C. Increased temperature and decreased respiratory rate
D. Decreased level of consciousness and increased respiratory rate - Answer-C
An 8-year-old child is being treated for tonic-clonic seizures. What should the nurse
emphasize when teaching the parents about this disorder?
A. The child should maintain an active lifestyle.
B. Immediately provide medication if a seizure begins.
C. Have the child carry a padded tongue blade with her at all times.
D. Ensure quiet time late in the day, when seizure activity is most likely to occur. -
Answer-A
The nurse instructs a hearing-impaired school-age child on to how self-inject a
prescribed medication. Which observation indicates to the nurse that additional
teaching is required?
A. The child pinches the skin together before inserting the needle.
,B. The child injects the appropriate amount of air into the vial before withdrawing
medication.
C. The child places the filled syringe and uncapped needle on the bed to open the
alcohol wipe.
D. The child slowly pushes on the plunger to inject the medication before
withdrawing the needle. - Answer-C
The nurse is caring for a child recovering from surgery to correct strabismus. Which
interventions should the nurse include when planning this child's care? Select all that
apply.
A. Apply an eye patch.
B. Maintain on bed rest for 3 days.
C. Support for nausea and vomiting.
D. Provide pain medication as prescribed.
E. Apply antibiotic ointment as prescribed. - Answer-C, D, E
The nurse is providing education to the parents of a female with hydrocephalus who
has just had a shunt inserted. When discussing the child's condition with the parents,
which of the following would be most appropriate?
A. "Tell me your concerns about your child's shunt."
B. "Be sure to call the doctor if she gets a persistent headache."
C. "Her autoregulation mechanism to absorb spinal fluid has failed."
D. "Always keep her head raised 30 degrees." - Answer-A
The nurse is educating parents of a male infant with Chiari type II malformation
about the condition. Which of the following would be most important for the nurse to
include?
A. Taking time to feed the infant
B. Laying the infant down after a feeding
C. Being able to see major difference after surgery
D. Not needing to change diapers as often - Answer-A
A nurse is obtaining the history from a parent of a child who experiences absence
seizures. Which of the following would the nurse expect the mother to describe?
,A. Brief, sudden onset with muscles that become tense
B. Loss of motor activity accompanied by a blank stare
C. Sudden, brief jerking motions of a muscle group
D. Loss of muscle tone and loss of consciousness - Answer-B
ABSENCE= BLANK STARE
The school nurse is educating the parents of a child with infectious conjunctivitis.
Which of the following statements by the nurse would be most helpful for the parents
related to prevention?
A. "Use all the medication as directed."
B. "Don't use anything that touches her face."
C. "This could have started with a head cold."
D. "Place the ointment inside the lower eyelid." - Answer-B
A 7-month-old is scheduled for surgical correction of strabismus. The child's mother
says to the nurse, "I'm glad my child will never have to wear that patch again." Which
of these responses would be most appropriate for the nurse to make?
A. "Your child will never need to wear the patch again."
B. "Your child will need to wear the patch for a few days to keep him/her from
rubbing or putting pressure on the eye."
C. "Your child will need to wear the patch for several months to keep the eye in
alignment."
D. "Your child will have to be in restraints for a week to keep him/her from rubbing
the eye." - Answer-B
A 4-month-old infant is seen at the ambulatory care clinic and diagnosed with
nasolacrimal duct obstruction. The mother asks what can be done. What information
should be included in the information provided to the parent?
A. Once the child is 6 to 9 months old a specialist will be able to drain the duct.
B. Most of these conditions will spontaneously resolve.
C. Antiviral therapy can be prescribed to manage this condition.
D. Over-the-counter drops can be used sparingly. - Answer-B
, A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication
should the nurse carefully assess for in this client?
A. Severe erosion of teeth
B. Hypertension
C. Diabetes mellitus
D. Atherosclerosis - Answer-A
The nurse is performing a physical examination of a 5-year-old boy. Which
documented findings would most strongly indicate maltreatment of the child? Select
all that apply.
A. Cuts and bruises on the hands
B. Burns on the dorsal surface of the hand
C. A curved laceration on the back
D. Linear lesions across the chest and abdomen
E. A bruise on the child's knee
F. A scab on the child's elbow - Answer-A, B, C, D
An 11-year-old boy has recently been prescribed methylphenidate. The mother calls
the pediatrician's office to speak with the advanced practice pediatric nurse
practitioner. This mother has been extremely resistant to medication and insists that
the medication is not working. How should the nurse respond?
A. "Tell me what makes you think the medication is not working"
B. "Do you want to try a different medication?"
C. "Are you sure you are administering it properly"
D. "Do you want to increase the dosage?" - Answer-A
A nurse is assessing a 5-year-old boy and suspects that the child may have an
autism spectrum disorder. Which assessments would help support the nurse's
suspicions? Select all that apply.
A. Inability to make eye contact
B. Hypersensitivity to touch
C. Lack of facial expression
WITH CORRECT ANSWERS
The nurse caring for a neonate experiencing seizures asks the charge nurse: "How
can I tell if a baby is having a seizure or is just crying for attention?" Which response
would be most appropriate? Select all that apply.
A. "You will not be able to stop a seizure with gentle restraint."
B. "The baby experiencing a seizure will be tachycardic."
C. "Stimulating the baby by singing to him will not stop a seizure."
D. "There will be no changes in the baby's vital signs with a seizure"
E. "The baby will become more active with sensory stimulation with a seizure." -
Answer-A, B, C
An 18-month-old child is admitted with signs of increased intracranial pressure. What
should the nurse observe when assessing this patient?
A. Numbness of fingers and decreased temperature
B. Increased pulse rate and decreased blood pressure
C. Increased temperature and decreased respiratory rate
D. Decreased level of consciousness and increased respiratory rate - Answer-C
An 8-year-old child is being treated for tonic-clonic seizures. What should the nurse
emphasize when teaching the parents about this disorder?
A. The child should maintain an active lifestyle.
B. Immediately provide medication if a seizure begins.
C. Have the child carry a padded tongue blade with her at all times.
D. Ensure quiet time late in the day, when seizure activity is most likely to occur. -
Answer-A
The nurse instructs a hearing-impaired school-age child on to how self-inject a
prescribed medication. Which observation indicates to the nurse that additional
teaching is required?
A. The child pinches the skin together before inserting the needle.
,B. The child injects the appropriate amount of air into the vial before withdrawing
medication.
C. The child places the filled syringe and uncapped needle on the bed to open the
alcohol wipe.
D. The child slowly pushes on the plunger to inject the medication before
withdrawing the needle. - Answer-C
The nurse is caring for a child recovering from surgery to correct strabismus. Which
interventions should the nurse include when planning this child's care? Select all that
apply.
A. Apply an eye patch.
B. Maintain on bed rest for 3 days.
C. Support for nausea and vomiting.
D. Provide pain medication as prescribed.
E. Apply antibiotic ointment as prescribed. - Answer-C, D, E
The nurse is providing education to the parents of a female with hydrocephalus who
has just had a shunt inserted. When discussing the child's condition with the parents,
which of the following would be most appropriate?
A. "Tell me your concerns about your child's shunt."
B. "Be sure to call the doctor if she gets a persistent headache."
C. "Her autoregulation mechanism to absorb spinal fluid has failed."
D. "Always keep her head raised 30 degrees." - Answer-A
The nurse is educating parents of a male infant with Chiari type II malformation
about the condition. Which of the following would be most important for the nurse to
include?
A. Taking time to feed the infant
B. Laying the infant down after a feeding
C. Being able to see major difference after surgery
D. Not needing to change diapers as often - Answer-A
A nurse is obtaining the history from a parent of a child who experiences absence
seizures. Which of the following would the nurse expect the mother to describe?
,A. Brief, sudden onset with muscles that become tense
B. Loss of motor activity accompanied by a blank stare
C. Sudden, brief jerking motions of a muscle group
D. Loss of muscle tone and loss of consciousness - Answer-B
ABSENCE= BLANK STARE
The school nurse is educating the parents of a child with infectious conjunctivitis.
Which of the following statements by the nurse would be most helpful for the parents
related to prevention?
A. "Use all the medication as directed."
B. "Don't use anything that touches her face."
C. "This could have started with a head cold."
D. "Place the ointment inside the lower eyelid." - Answer-B
A 7-month-old is scheduled for surgical correction of strabismus. The child's mother
says to the nurse, "I'm glad my child will never have to wear that patch again." Which
of these responses would be most appropriate for the nurse to make?
A. "Your child will never need to wear the patch again."
B. "Your child will need to wear the patch for a few days to keep him/her from
rubbing or putting pressure on the eye."
C. "Your child will need to wear the patch for several months to keep the eye in
alignment."
D. "Your child will have to be in restraints for a week to keep him/her from rubbing
the eye." - Answer-B
A 4-month-old infant is seen at the ambulatory care clinic and diagnosed with
nasolacrimal duct obstruction. The mother asks what can be done. What information
should be included in the information provided to the parent?
A. Once the child is 6 to 9 months old a specialist will be able to drain the duct.
B. Most of these conditions will spontaneously resolve.
C. Antiviral therapy can be prescribed to manage this condition.
D. Over-the-counter drops can be used sparingly. - Answer-B
, A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication
should the nurse carefully assess for in this client?
A. Severe erosion of teeth
B. Hypertension
C. Diabetes mellitus
D. Atherosclerosis - Answer-A
The nurse is performing a physical examination of a 5-year-old boy. Which
documented findings would most strongly indicate maltreatment of the child? Select
all that apply.
A. Cuts and bruises on the hands
B. Burns on the dorsal surface of the hand
C. A curved laceration on the back
D. Linear lesions across the chest and abdomen
E. A bruise on the child's knee
F. A scab on the child's elbow - Answer-A, B, C, D
An 11-year-old boy has recently been prescribed methylphenidate. The mother calls
the pediatrician's office to speak with the advanced practice pediatric nurse
practitioner. This mother has been extremely resistant to medication and insists that
the medication is not working. How should the nurse respond?
A. "Tell me what makes you think the medication is not working"
B. "Do you want to try a different medication?"
C. "Are you sure you are administering it properly"
D. "Do you want to increase the dosage?" - Answer-A
A nurse is assessing a 5-year-old boy and suspects that the child may have an
autism spectrum disorder. Which assessments would help support the nurse's
suspicions? Select all that apply.
A. Inability to make eye contact
B. Hypersensitivity to touch
C. Lack of facial expression
