Pediatric Nursing Practice Questions exam with correct
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answers
What |is |the |recommended |serving |size |of |vegetables |for |a |toddler?
a. |1 |tablespoon.
|
b. |1 |teaspoon.
|
c. |1/2 |teaspoon.
|
d. |1/2 |tablespoon. |- |correct |answer |a
The |nurse |is |providing |emergency |care |for |an |unconscious |child |who |presents |with |a |head |
injury |sustained |in |a |fall. |Which |is |the |highest |nursing |priority?
a. |Establish |an |airway.
|
b. |Assess |neurological |status.
|
c. |Stabilize |the |spine.
|
d. |Obtain |vital |signs. |- |correct |answer |a
he |vital |signs |of |a |4-year-old |child |with |polyuria |are: |BP |80/40, |Pulse |118, |and |Respirations |24.
|The |child's |pedal |pulses |are |present |with |a |volume |of |+1, |and |no |edema |is |observed. |What |
action |should |the |nurse |implement |first?
a. |Insert |an |indwelling |urinary |catheter.
|
b. |Start |an |IV |infusion |of |normal |saline.
,|
c. |Send |a |specimen |to |the |lab |for |urinalysis.
|
d. |Document |the |child's |vital |signs |and |pulses. |- |correct |answer |b
The |nurse |is |assessing |a |2-year-old |child. |What |behavior |indicates |that |the |child's |language |
development |is |within |normal |limits?
a. |Is |able |to |name |four |colors.
|
b. |Can |count |five |blocks.
|
c. |Is |capable |of |making |a |three |word |sentence.
|
d. |Half |of |child's |speech |is |understandable. |- |correct |answer |c
At |8 |a.m. |the |unlicensed |assistive |personnel |(UAP) |informs |the |charge |nurse |that |a |female |
adolescent |client |with |acute |glomerulonephritis |has |a |blood |pressure |of |210/110. |The |4 |a.m. |
blood |pressure |reading |was |170/88. |The |client |reports |to |the |UAP |that |she |is |upset |because |
her |boyfriend |did |not |visit |last |night. |What |action |should |the |nurse |take |first?
a. |Give |the |client |her |9 |a.m. |prescription |for |an |oral |diuretic |early.
|
b. |Administer |PRN |prescription |of |nifedipine |(Procardia) |sublingually.
|
c. |Notify |the |healthcare |provider |and |inform |the |nursing |supervisor |of |the |client's |condition.
|
d. |Attempt |to |calm |the |client |and |retake |the |blood |pressure |in |thirty |minutes. |- |correct |answer
|b
During |administration |of |a |blood |transfusion, |a |child |complains |of |chills, |headache, |and |
nausea. |Which |action |should |the |nurse |implement?
,a. |Start |another |IV |of |dextrose |solution |and |stay |with |the |child.
|
b. |Continue |the |transfusion |and |monitor |the |child's |vital |signs.
|
c. |Stop |the |infusion |immediately |and |notify |the |healthcare |provider.
|
d. |Slow |the |transfusion |and |assess |for |cessation |of |symptoms. |- |correct |answer |c
The |nurse |is |preparing |a |health |teaching |program |for |parents |of |toddlers |and |preschoolers |
and |plans |to |include |information |about |prevention |of |accidental |poisonings. |It |is |most |
important |for |the |nurse |to |include |which |instruction?
a. |Tell |children |they |should |not |taste |anything |but |food.
|
b. |Store |all |toxic |agents |and |medicines |in |locked |cabinets.
|
c. |Provide |special |play |areas |in |the |house |and |restrict |play |in |other |areas.
|
d. |Punish |children |if |they |open |cabinets |that |contain |household |chemicals. |- |correct |answer |b
What |preoperative |nursing |intervention |should |be |included |in |the |plan |of |care |for |an |infant |
with |pyloric |stenosis?
a. |Monitor |for |signs |of |metabolic |acidosis.
|
b. |Estimate |the |quantity |of |diarrhea |stools.
|
c. |Place |in |a |supine |position |after |feeding.
|
d. |Observe |for |projectile |vomiting. |- |correct |answer |d
Which |measurements |should |be |used |to |accurately |calculate |a |pediatric |medication |dosage? |
Select |all |that |apply.
, a. |Child's |height |and |weight.
|
b. |Adult |dosage |of |medication.
|
c. |Body |surface |area |of |child.
|
d. |Average |adult's |body |surface |area.
|
e. |Average |pediatric |dosage |of |medication.
|
f. |Nomogram |determined |mathematical |constant. |- |correct |answer |a,c,f
The |nurse |is |assessing |the |neurovascular |status |of |a |child |in |Russell's |traction. |Which |finding |
should |the |nurse |report |to |the |healthcare |provider?
a. |Pale |bluish |coloration |of |the |toes.
|
b. |Skin |is |warm |and |dry |to |the |touch.
|
c. |Toes |are |wiggled |upon |command.
|
d. |Capillary |refill |less |than |3 |seconds. |- |correct |answer |a
The |mother |of |a |preschool-aged |child |asks |the |nurse |if |it |is |all |right |to |administer |bismuth |
subsalicylate |(Pepto |Bismol, |Bismylate) |to |her |son |when |he |"has |a |tummy |ache." |After |
reminding |the |mother |to |check |the |label |of |all |over-the-counter |drugs |for |the |presence |of |
aspirin, |which |instruction |should |the |nurse |include |when |replying |to |this |mother's |question?
a. |If |the |child's |tongue |darkens, |discontinue |the |Pepto |Bismol |immediately.
|
b. |Do |not |give |if |the |child |has |chickenpox, |the |flu, |or |any |other |viral |illness.
|
| | | | | | |
answers
What |is |the |recommended |serving |size |of |vegetables |for |a |toddler?
a. |1 |tablespoon.
|
b. |1 |teaspoon.
|
c. |1/2 |teaspoon.
|
d. |1/2 |tablespoon. |- |correct |answer |a
The |nurse |is |providing |emergency |care |for |an |unconscious |child |who |presents |with |a |head |
injury |sustained |in |a |fall. |Which |is |the |highest |nursing |priority?
a. |Establish |an |airway.
|
b. |Assess |neurological |status.
|
c. |Stabilize |the |spine.
|
d. |Obtain |vital |signs. |- |correct |answer |a
he |vital |signs |of |a |4-year-old |child |with |polyuria |are: |BP |80/40, |Pulse |118, |and |Respirations |24.
|The |child's |pedal |pulses |are |present |with |a |volume |of |+1, |and |no |edema |is |observed. |What |
action |should |the |nurse |implement |first?
a. |Insert |an |indwelling |urinary |catheter.
|
b. |Start |an |IV |infusion |of |normal |saline.
,|
c. |Send |a |specimen |to |the |lab |for |urinalysis.
|
d. |Document |the |child's |vital |signs |and |pulses. |- |correct |answer |b
The |nurse |is |assessing |a |2-year-old |child. |What |behavior |indicates |that |the |child's |language |
development |is |within |normal |limits?
a. |Is |able |to |name |four |colors.
|
b. |Can |count |five |blocks.
|
c. |Is |capable |of |making |a |three |word |sentence.
|
d. |Half |of |child's |speech |is |understandable. |- |correct |answer |c
At |8 |a.m. |the |unlicensed |assistive |personnel |(UAP) |informs |the |charge |nurse |that |a |female |
adolescent |client |with |acute |glomerulonephritis |has |a |blood |pressure |of |210/110. |The |4 |a.m. |
blood |pressure |reading |was |170/88. |The |client |reports |to |the |UAP |that |she |is |upset |because |
her |boyfriend |did |not |visit |last |night. |What |action |should |the |nurse |take |first?
a. |Give |the |client |her |9 |a.m. |prescription |for |an |oral |diuretic |early.
|
b. |Administer |PRN |prescription |of |nifedipine |(Procardia) |sublingually.
|
c. |Notify |the |healthcare |provider |and |inform |the |nursing |supervisor |of |the |client's |condition.
|
d. |Attempt |to |calm |the |client |and |retake |the |blood |pressure |in |thirty |minutes. |- |correct |answer
|b
During |administration |of |a |blood |transfusion, |a |child |complains |of |chills, |headache, |and |
nausea. |Which |action |should |the |nurse |implement?
,a. |Start |another |IV |of |dextrose |solution |and |stay |with |the |child.
|
b. |Continue |the |transfusion |and |monitor |the |child's |vital |signs.
|
c. |Stop |the |infusion |immediately |and |notify |the |healthcare |provider.
|
d. |Slow |the |transfusion |and |assess |for |cessation |of |symptoms. |- |correct |answer |c
The |nurse |is |preparing |a |health |teaching |program |for |parents |of |toddlers |and |preschoolers |
and |plans |to |include |information |about |prevention |of |accidental |poisonings. |It |is |most |
important |for |the |nurse |to |include |which |instruction?
a. |Tell |children |they |should |not |taste |anything |but |food.
|
b. |Store |all |toxic |agents |and |medicines |in |locked |cabinets.
|
c. |Provide |special |play |areas |in |the |house |and |restrict |play |in |other |areas.
|
d. |Punish |children |if |they |open |cabinets |that |contain |household |chemicals. |- |correct |answer |b
What |preoperative |nursing |intervention |should |be |included |in |the |plan |of |care |for |an |infant |
with |pyloric |stenosis?
a. |Monitor |for |signs |of |metabolic |acidosis.
|
b. |Estimate |the |quantity |of |diarrhea |stools.
|
c. |Place |in |a |supine |position |after |feeding.
|
d. |Observe |for |projectile |vomiting. |- |correct |answer |d
Which |measurements |should |be |used |to |accurately |calculate |a |pediatric |medication |dosage? |
Select |all |that |apply.
, a. |Child's |height |and |weight.
|
b. |Adult |dosage |of |medication.
|
c. |Body |surface |area |of |child.
|
d. |Average |adult's |body |surface |area.
|
e. |Average |pediatric |dosage |of |medication.
|
f. |Nomogram |determined |mathematical |constant. |- |correct |answer |a,c,f
The |nurse |is |assessing |the |neurovascular |status |of |a |child |in |Russell's |traction. |Which |finding |
should |the |nurse |report |to |the |healthcare |provider?
a. |Pale |bluish |coloration |of |the |toes.
|
b. |Skin |is |warm |and |dry |to |the |touch.
|
c. |Toes |are |wiggled |upon |command.
|
d. |Capillary |refill |less |than |3 |seconds. |- |correct |answer |a
The |mother |of |a |preschool-aged |child |asks |the |nurse |if |it |is |all |right |to |administer |bismuth |
subsalicylate |(Pepto |Bismol, |Bismylate) |to |her |son |when |he |"has |a |tummy |ache." |After |
reminding |the |mother |to |check |the |label |of |all |over-the-counter |drugs |for |the |presence |of |
aspirin, |which |instruction |should |the |nurse |include |when |replying |to |this |mother's |question?
a. |If |the |child's |tongue |darkens, |discontinue |the |Pepto |Bismol |immediately.
|
b. |Do |not |give |if |the |child |has |chickenpox, |the |flu, |or |any |other |viral |illness.
|
