D119 NURS 6830
Pediatric Primary
Care
Final Assessment
Review
2025
,1. 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is
scheduled. Which information should the nurse provide this child concerning the procedure?
Describe he side-lying, knees to chest position that must be assumed during the procedure
2. Patient has low platelets. Bleeding precaution
3. The nurse is assessing an infant with pyloric stenosis. Which pathophysiological
mechanism is the most likely consequence of this infant's clinical picture? Metabolic
Alkalosis
4. A month old girl is brought to the clinic by her mother because she has had a cold for 2 to 3
days and woke up this morning with a hacking cough and difficulty breathing. Which
additional assessment finding should alert the nurse that the child is in acute respiratory
distress? Flaring of the nares
5. During a well-baby visit the parents explain that the soft bulge appears in the groin of their 4
month old son when he cries or strains with stool. The infant is scheduled for surgical repair of
the inguinal hernia in 2 weeks. The parent should be instructed to take which measure if the
hernia becomes incarcerated prior to surgery? Gently manipulate the hernia for reduction
6. The nurse is developing the plan of care for a hospitalized child with von Willebrand disease. What priority
nursing intervention should be included in
this child’s plan of care? Guard against bleeding injuries
7. How should then nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle
cap) to shampoo the child’s hair? use a soft brush and gently scrub the area
8. The mother of a one-month-old calls the clinic to report that the back of her infant’s head is flat.
How should the nurse respond? Position the infant on the stomach occasionally when awake
and active
,9. A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When
obtaining the nursing history which finding should the nurse expect to obtain? A recent strep
throat infection
10. In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the nurse to
obtain? recent recurrence of infection
11. A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had
diarrhea for the last 3 days. Which assessment is more important for the nurse to make? Measure
the infant's pulse.
12. Following admission for a cardiac catheterization, the nurse is providing discharge teaching to
the parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse
give the parents if their child becomes pale, cool, and lethargic? Contact their healthcare
provider immediately.
13. A mother brings her 2-year-old son to the clinic because he has been crying and pulling
on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which
intervention should the nurse implement? Ask the mother if the child has had a runny
nose
14. During a follow-up clinical visit a mother tells the nurse that her 5-month-old son who had surgical
correction for Tetralogy of Fallot has rapid breathing, often takes a long time to eat, and requires
frequent rest periods. The infant is not crying while being held and his growth is in the expected
range. Which intervention should the nurse implement? Auscultate heart and lungs while infant is
held.
15. An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's
serum test results that were drawn last week. Since it is the teenager's 18th birthday, how should
the nurse respond to this mother's inquiry? Explain that the information cannot be released
without the 18-year old’s permission
16. Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding
indicates to the nurse that the medication is having the desired effect? Reduction of edema
17. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should
the nurse implement first? Place the infant in a knee- chest position
, 18. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes of
sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for
the nurse to take? Change to latex-free gloves when handling infant
19. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be
used? Place the infant in a warm room and use a calm approach
20. In caring for an client with acute epiglottitis, which nursing action takes priority? Prepare for endotracheal
intubation
21. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in
the discharge instructions to the mother?
Apply padding on the sharp corners of the furniture
22. When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which sign
when experiencing a sickle cell crisis? Pain
23. The nurse is administering an oral medication to a reluctant preschool-age boy. Which
intervention should the nurse implement? Use straightforward approach with the child
24. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which
occurrence poses the greatest risk for this child? Acute hemorrhage from the entry site of the
catheter after the procedure
25. A mother brings her 2-year-old son to the clinic because he has been crying and
pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F
(38 C). Which intervention should the nurse implement? Ask the mother if the child
has had a runny nose
26. The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well
but vomits after each feeding. To differentiate between normal regurgitation and pyloric
stenosis, which information is most important for the nurse to obtain? Degree of forcefulness of
vomiting episodes
Pediatric Primary
Care
Final Assessment
Review
2025
,1. 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is
scheduled. Which information should the nurse provide this child concerning the procedure?
Describe he side-lying, knees to chest position that must be assumed during the procedure
2. Patient has low platelets. Bleeding precaution
3. The nurse is assessing an infant with pyloric stenosis. Which pathophysiological
mechanism is the most likely consequence of this infant's clinical picture? Metabolic
Alkalosis
4. A month old girl is brought to the clinic by her mother because she has had a cold for 2 to 3
days and woke up this morning with a hacking cough and difficulty breathing. Which
additional assessment finding should alert the nurse that the child is in acute respiratory
distress? Flaring of the nares
5. During a well-baby visit the parents explain that the soft bulge appears in the groin of their 4
month old son when he cries or strains with stool. The infant is scheduled for surgical repair of
the inguinal hernia in 2 weeks. The parent should be instructed to take which measure if the
hernia becomes incarcerated prior to surgery? Gently manipulate the hernia for reduction
6. The nurse is developing the plan of care for a hospitalized child with von Willebrand disease. What priority
nursing intervention should be included in
this child’s plan of care? Guard against bleeding injuries
7. How should then nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle
cap) to shampoo the child’s hair? use a soft brush and gently scrub the area
8. The mother of a one-month-old calls the clinic to report that the back of her infant’s head is flat.
How should the nurse respond? Position the infant on the stomach occasionally when awake
and active
,9. A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When
obtaining the nursing history which finding should the nurse expect to obtain? A recent strep
throat infection
10. In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the nurse to
obtain? recent recurrence of infection
11. A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had
diarrhea for the last 3 days. Which assessment is more important for the nurse to make? Measure
the infant's pulse.
12. Following admission for a cardiac catheterization, the nurse is providing discharge teaching to
the parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse
give the parents if their child becomes pale, cool, and lethargic? Contact their healthcare
provider immediately.
13. A mother brings her 2-year-old son to the clinic because he has been crying and pulling
on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which
intervention should the nurse implement? Ask the mother if the child has had a runny
nose
14. During a follow-up clinical visit a mother tells the nurse that her 5-month-old son who had surgical
correction for Tetralogy of Fallot has rapid breathing, often takes a long time to eat, and requires
frequent rest periods. The infant is not crying while being held and his growth is in the expected
range. Which intervention should the nurse implement? Auscultate heart and lungs while infant is
held.
15. An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's
serum test results that were drawn last week. Since it is the teenager's 18th birthday, how should
the nurse respond to this mother's inquiry? Explain that the information cannot be released
without the 18-year old’s permission
16. Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding
indicates to the nurse that the medication is having the desired effect? Reduction of edema
17. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should
the nurse implement first? Place the infant in a knee- chest position
, 18. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to
prevent urinary retention. The home health nurse notes that the child has developed episodes of
sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for
the nurse to take? Change to latex-free gloves when handling infant
19. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be
used? Place the infant in a warm room and use a calm approach
20. In caring for an client with acute epiglottitis, which nursing action takes priority? Prepare for endotracheal
intubation
21. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in
the discharge instructions to the mother?
Apply padding on the sharp corners of the furniture
22. When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which sign
when experiencing a sickle cell crisis? Pain
23. The nurse is administering an oral medication to a reluctant preschool-age boy. Which
intervention should the nurse implement? Use straightforward approach with the child
24. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which
occurrence poses the greatest risk for this child? Acute hemorrhage from the entry site of the
catheter after the procedure
25. A mother brings her 2-year-old son to the clinic because he has been crying and
pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2 F
(38 C). Which intervention should the nurse implement? Ask the mother if the child
has had a runny nose
26. The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well
but vomits after each feeding. To differentiate between normal regurgitation and pyloric
stenosis, which information is most important for the nurse to obtain? Degree of forcefulness of
vomiting episodes
