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Paediatric Nursing Objective Questions – Comprehensive Exam Review & Practice Guide

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Paediatric Nursing Objective Questions – Comprehensive Exam Review & Practice Guide

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OBJECTIVE
QUESTIONS


ON
PAEDIATRIC

NURSING
1

, PAEDIATRIC NURSING
OBJECTIVE QUESTIONS

NOTE: For each of the following questions, select the most appropriate answer and write in the
space provided, the letter which correspond to your choice
…………………………….

1. When examining a 2-year old child with an otoscope the nurse should
A. hold just the head and arms
B. hold the head straight
C. pull the pinna down and back
D. Pull the pinna up and back Ans. ……………….

2. Nursing care for a 7-year-old girl admitted with tetanus should be primarily direction
towards
A. careful monitoring of urinary output
B. decreasing external stimuli
C. encouraging high intake of fluid
D. Giving adequate diet Ans. ……………….

3. Esther, 4years is rushed to the emergency ward convulsing, with the skin very hot to touch.
What immediate step would you take to reduce the temperature?
A. Give her 5mls paracetamol syrup
B. Take the axillary temperature
C. Reassure the mother
D. Tepid sponge the child Ans. ……………….

4. When teaching an adolescent with Type I diabetes about dietary management the nurses
should instruct him to
A. Always carry a concentrated form of glucose
B. Eat all meals at home
C. Let parent prepare food separately for him
D. Weigh all food on a gram scale Ans. ……………….

5. Adolescent girl suffering from cancer is on antineoplastic drugs. The side effect of these
drugs that requires early preparation of the patient is
A. alopecia
B. constipation
C. generalized short-term paralysis
D. Retarded growth in height Ans. ……………….




1

,6. An essential nursing action when caring for a small child with severe diarrhoea and
vomiting is to
A. check weight daily
B. encourage oral fluids intake
C. keep body temperature below 38oC
D. Replace lose calories Ans. ……………….

7. During the teenage years, the nutrition focus emphasizes
A. fat intake
B. prevention of drug abuse
C. prevention of obesity
D. Self and body image Ans. ……………….

8. A 7-year-old boy has a fractured femur. He is put in P.O.P cast and is being discharged.
What is the most important advice that the nurse must teach about the boy’s care? The
A. Cast should be kept clean
B. Cast should not be touched for at least 12 hours
C. Circulation must be watched closely
D. Pain should be assessed every 4 hours Ans. ……………….

9. A 7-year-old boy is admitted to the kids ward with suspected right sided pneumonia. The
appropriate position for the child would be
A. head of bed elevated 10o
B. in a prone position
C. in supine position
D. Turned on the right side Ans. ……………….

10. A one –year-old girl is admitted to the ward diagnosed with dysentery. On discharge, what
is the most important information the nurse must impart to the mother?
A. As soon as the child has diarrhoea place her on NPO for 8 hours
B. Do not wait for so long the next time before you bring the child to the hospital
C. Observe good hygiene to reduce faeco-oral spread
D. Start with anti-diarrhoea medication before bringing the child
to hospital Ans. ……………….

11. The purpose of traction for children with fracture is to
A. Make the bone grow faster
B. Prepare the area for surgery
C. Prevent future fractures
D. Realign bone fragments Ans. ……………….




2

, 12. To promote absorption of an iron supplement it should be administered
A. During meal
B. Immediately before meals
C. Two hours after meals with orange juice
D. Two hours after meals with milk Ans. ……………….

13. The side effects of oral iron therapy include
I. Blackened stools
II. Darkened teeth
III.Darkening of the skin
IV. Gastric irritation

A. I, II and III
B. I, II and IV,
C. II, III and IV
D. I, II, III and IV Ans. ……………….

14. A child with lymphatic leukaemia has a very low platelets count. An appropriate nursing
intervention would be to
A. discourage active play to avoid getting hurt
B. Encourage a high fibre diet
C. Keep the child isolated to avoid infection
D. Provided frequent rest periods Ans. ……………….

15. What signs and symptom would you expect in a 3-year old girl diagnosed to diabetes
mellitus?
A. Bed-wetting, increased thirst, hunger, weight gain
B. Bed-wetting, lethargy, poor appetite, weight loss
C. Increased hunger, thirst, weight gain
D. Weight loss, bed-wetting, lower leg cramping Ans. ……………….

16. Nursing care that helps to prevent sickle cell crisis is
A. careful observation of all vital signs
B. high iron, low fat, high-protein diet
C. limitation of activity
D. Protection from infection Ans. ……………….

17. A 6-year-old girl is admitted sickle cell crisis. Priority nursing concerns would be
A. Hydration and pain management
B. Nutrition and antibiotics
C. Nutrition and hydration
D. Pain management and antibiotics Ans. ……………….




3

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