Pediatric Nursing Exam #2
g8 g8 g8
Ang8infantg8arrivesg8atg8theg8clinicg8withg8ag8persistentg8cough.g8Motherg8repor
tsg8theg8infantg8hasg8notg8beeng8feedingg8wellg8forg8theg8pastg8day.g8Whatg8nursi
ngg8interventionsg8wouldg8beg8appropriate?
A.g8Provideg8oxygeng8tog8theg8infantg8viag8cannula
B.g8Undressg8theg8infantg8tog8dog8ag8completeg8assessment
C.g8Suctiong8theg8infant'sg8noseg8withg8ag8bulbg8syringe
D.g8Startg8ang8IVg8-g8correctg8answer✔ ✔
C.g8Suctiong8theg8infant'sg8noseg8withg8ag8bulbg8syringe
Coughg8&g8hasn'tg8beeng8eatingg8wellg8=g8prodromalg8symptom
Thinkg8aboutg81stg8priorityg8→g8Cg8wouldg8beg8theg8answerg8b/cg8ofg8airway
Bulbg8syringeg8beforeg8Momg8putsg8babyg8tog8breastg8org8bottleg8b/cg8ifg8theyg8c
an'tg8breathe,g8they'reg8notg8goingg8tog8beg8ableg8tog8feed
Don'tg8giveg8O2g8untilg8weg8haveg8ag8provider'sg8orderg8→g8consideredg8ag8me
d
Ag8nurseg8isg8assessingg8ang8infantg8whog8hasg8manifestationsg8ofg8acuteg8otitis
g8 mediag8(AOM).g8Which g8ofg8theg8followingg8assessmentg8datag8shouldg8theg8
nurseg8identifyg8asg8riskg8factorsg8forg8otitisg8media?
,Selectg8allg8thatg8apply.
A.g8Breastfeedsg8withoutg8formulag8supplementation.
B.g8Attendsg8dayg8careg84g8daysg8perg8week.
C.g8Immunizationsg8areg8upg8tog8date.
D.g8Historyg8ofg8ag8cleftg8palateg8repair.
E.g8Parentsg8smokeg8cigarettesg8outside.g8-g8correctg8answer✔ ✔
B.g8Attendsg8dayg8careg84g8daysg8perg8week.
D.g8Historyg8ofg8ag8cleftg8palateg8repair.
E.g8Parentsg8smokeg8cigarettesg8outside.
Wheng8recognizingg8cuesg8duringg8theg8careg8ofg8ang8infantg8whog8hasg8manife
stationg8ofg8acuteg8otitisg8media,g8theg8nurseg8shouldg8identifyg8thatg8attending
g8daycare,g8having g8ag8historyg8ofg8cleftg8palateg8repair,g8andg8livingg8withg8par
entsg8whog8smokeg8areg8riskg8factorsg8forg8acuteg8otitisg8media.g8Attendingg8da
ycareg8increasesg8theg8riskg8dueg8tog8exposureg8tog8multipleg8children.g8Childr
eng8whog8haveg8hadg8ag8cleftg8palateg8repairg8areg8moreg8proneg8tog8AOMg8beca
useg8micro-
organismsg8cang8easilyg8enterg8theg8Eustachiang8tubes.g8Childreng8whog8liveg8
withg8parentsg8whog8smokeg8cigarettes,g8eveng8outside,g8areg8atg8ag8greaterg8ris
kg8dueg8tog8exposureg8tog8secondhandg8smoke.g8Breastfeedingg8helpsg8tog8prot
ectg8againstg8AOMg8becauseg8breastg8milkg8containsg8secretoryg8immunoglo
buling8A.g8Theg8pneumococcalg8conjugateg8vaccineg8decreasesg8theg8incidenc
eg8ofg8OM.
,Ag8nurseg8isg8assessingg8ang8infantg8whog8hasg8presentedg8forg8ag8well-
babyg8check-
up.g8Whichg8ofg8theg8followingg8findingsg8shouldg8theg8nurseg8identifyg8asg8cli
nicalg8manifestationsg8ofg8acuteg8otitisg8media?
Selectg8allg8thatg8apply.
A.g8Decreasedg8paing8ing8theg8supineg8position
B.g8Rollingg8headg8sideg8tog8side
C.g8Lossg8ofg8appetite
D.g8Increasedg8sensitivityg8tog8sound
E.g8Cryingg8-g8correctg8answer✔ ✔ B.g8Rollingg8headg8sideg8tog8side
C.g8Lossg8ofg8appetite
E.g8Crying
Wheng8recognizingg8cuesg8duringg8theg8assessmentg8ofg8ang8infant,g8theg8nurs
eg8shouldg8recognizeg8thatg8rollingg8theg8headg8sideg8tog8side,g8lossg8ofg8appetit
e,g8andg8cryingg8areg8manifestationsg8ofg8acuteg8otitisg8media.g8Infantsg8whog8h
aveg8acuteg8otitisg8mediag8willg8haveg8ang8increaseg8ing8paing8ing8theg8supineg8p
ositiong8fromg8theg8fluidg8andg8pressureg8ing8theg8ear.g8Infantsg8whog8haveg8acu
teg8otitisg8mediag8haveg8ag8decreasedg8sensitivityg8tog8soundg8fromg8theg8fluidg8
andg8pressureg8ing8theg8ear.
Ag8nurseg8isg8caringg8forg8ag8toddlerg8whog8hasg8hadg8rhinitis,g8cough,g8andg8dia
rrheag8forg82g8days.g8Upong8assessment,g8itg8isg8notedg8thatg8theg8tympanicg8me
mbraneg8hasg8ang8orangeg8discolorationg8andg8decreasedg8movement.g8Which
, ofg8theg8followingg8statementsg8shouldg8theg8nurseg8makeg8tog8theg8caregiver
g8
?
A.g8"Yourg8childg8hasg8ang8earg8infectiong8thatg8requiresg8antibiotics."
B.g8"Yourg8childg8mayg8haveg8transientg8hearingg8loss."
C.g8"Yourg8childg8willg8needg8ag8decongestantg8untilg8thisg8conditiong8clears."
D.g8"Yourg8childg8willg8needg8tog8haveg8ag8myringotomy."g8-g8correctg8answer
✔ ✔ B.g8"Yourg8childg8mayg8haveg8transientg8hearingg8loss."
Wheng8analyzingg8cuesg8duringg8theg8careg8ofg8ag8toddlerg8whog8hasg8hadg8rhin
itis,g8cough,g8andg8diarrheag8forg82g8daysg8thatg8isg8accompaniedg8byg8ag8tympa
nicg8membraneg8withg8ang8orangeg8discolorationg8andg8decreasedg8movement
,g8theg8nurseg8shouldg8identifyg8thatg8theg8toddlerg8hasg8manifestationsg8ofg8otit
isg8mediag8effusiong8(OME).g8Transientg8hearingg8lossg8isg8ag8complicationg8o
fg8OME;g8therefore,g8theg8nurseg8shouldg8informg8theg8guardiansg8thatg8theg8ch
ildg8mayg8haveg8transientg8hearingg8loss.g8Antibioticsg8areg8notg8recommende
dg8forg8OME.g8Decongestantsg8areg8notg8recommendedg8forg8OME.g8Myringo
tomyg8isg8recommendedg8forg8clientsg8whog8haveg8chronicg8OME.g8NCLEXg8
Connection:g8Physiologicalg8Adaptation,g8Unexpectedg8Responseg8tog8Ther
apies
Ag8nurseg8isg8caringg8forg8ag8toddlerg8whog8hasg8acuteg8otitisg8media.g8Whichg8o
fg8theg8followingg8isg8theg8priorityg8actiong8forg8theg8nurseg8tog8take?
A.g8Provideg8emotionalg8supportg8tog8theg8family.
B.g8Educateg8theg8familyg8ong8careg8ofg8theg8child.
C.g8Provideg8ag8diversionalg8activity.
g8 g8 g8
Ang8infantg8arrivesg8atg8theg8clinicg8withg8ag8persistentg8cough.g8Motherg8repor
tsg8theg8infantg8hasg8notg8beeng8feedingg8wellg8forg8theg8pastg8day.g8Whatg8nursi
ngg8interventionsg8wouldg8beg8appropriate?
A.g8Provideg8oxygeng8tog8theg8infantg8viag8cannula
B.g8Undressg8theg8infantg8tog8dog8ag8completeg8assessment
C.g8Suctiong8theg8infant'sg8noseg8withg8ag8bulbg8syringe
D.g8Startg8ang8IVg8-g8correctg8answer✔ ✔
C.g8Suctiong8theg8infant'sg8noseg8withg8ag8bulbg8syringe
Coughg8&g8hasn'tg8beeng8eatingg8wellg8=g8prodromalg8symptom
Thinkg8aboutg81stg8priorityg8→g8Cg8wouldg8beg8theg8answerg8b/cg8ofg8airway
Bulbg8syringeg8beforeg8Momg8putsg8babyg8tog8breastg8org8bottleg8b/cg8ifg8theyg8c
an'tg8breathe,g8they'reg8notg8goingg8tog8beg8ableg8tog8feed
Don'tg8giveg8O2g8untilg8weg8haveg8ag8provider'sg8orderg8→g8consideredg8ag8me
d
Ag8nurseg8isg8assessingg8ang8infantg8whog8hasg8manifestationsg8ofg8acuteg8otitis
g8 mediag8(AOM).g8Which g8ofg8theg8followingg8assessmentg8datag8shouldg8theg8
nurseg8identifyg8asg8riskg8factorsg8forg8otitisg8media?
,Selectg8allg8thatg8apply.
A.g8Breastfeedsg8withoutg8formulag8supplementation.
B.g8Attendsg8dayg8careg84g8daysg8perg8week.
C.g8Immunizationsg8areg8upg8tog8date.
D.g8Historyg8ofg8ag8cleftg8palateg8repair.
E.g8Parentsg8smokeg8cigarettesg8outside.g8-g8correctg8answer✔ ✔
B.g8Attendsg8dayg8careg84g8daysg8perg8week.
D.g8Historyg8ofg8ag8cleftg8palateg8repair.
E.g8Parentsg8smokeg8cigarettesg8outside.
Wheng8recognizingg8cuesg8duringg8theg8careg8ofg8ang8infantg8whog8hasg8manife
stationg8ofg8acuteg8otitisg8media,g8theg8nurseg8shouldg8identifyg8thatg8attending
g8daycare,g8having g8ag8historyg8ofg8cleftg8palateg8repair,g8andg8livingg8withg8par
entsg8whog8smokeg8areg8riskg8factorsg8forg8acuteg8otitisg8media.g8Attendingg8da
ycareg8increasesg8theg8riskg8dueg8tog8exposureg8tog8multipleg8children.g8Childr
eng8whog8haveg8hadg8ag8cleftg8palateg8repairg8areg8moreg8proneg8tog8AOMg8beca
useg8micro-
organismsg8cang8easilyg8enterg8theg8Eustachiang8tubes.g8Childreng8whog8liveg8
withg8parentsg8whog8smokeg8cigarettes,g8eveng8outside,g8areg8atg8ag8greaterg8ris
kg8dueg8tog8exposureg8tog8secondhandg8smoke.g8Breastfeedingg8helpsg8tog8prot
ectg8againstg8AOMg8becauseg8breastg8milkg8containsg8secretoryg8immunoglo
buling8A.g8Theg8pneumococcalg8conjugateg8vaccineg8decreasesg8theg8incidenc
eg8ofg8OM.
,Ag8nurseg8isg8assessingg8ang8infantg8whog8hasg8presentedg8forg8ag8well-
babyg8check-
up.g8Whichg8ofg8theg8followingg8findingsg8shouldg8theg8nurseg8identifyg8asg8cli
nicalg8manifestationsg8ofg8acuteg8otitisg8media?
Selectg8allg8thatg8apply.
A.g8Decreasedg8paing8ing8theg8supineg8position
B.g8Rollingg8headg8sideg8tog8side
C.g8Lossg8ofg8appetite
D.g8Increasedg8sensitivityg8tog8sound
E.g8Cryingg8-g8correctg8answer✔ ✔ B.g8Rollingg8headg8sideg8tog8side
C.g8Lossg8ofg8appetite
E.g8Crying
Wheng8recognizingg8cuesg8duringg8theg8assessmentg8ofg8ang8infant,g8theg8nurs
eg8shouldg8recognizeg8thatg8rollingg8theg8headg8sideg8tog8side,g8lossg8ofg8appetit
e,g8andg8cryingg8areg8manifestationsg8ofg8acuteg8otitisg8media.g8Infantsg8whog8h
aveg8acuteg8otitisg8mediag8willg8haveg8ang8increaseg8ing8paing8ing8theg8supineg8p
ositiong8fromg8theg8fluidg8andg8pressureg8ing8theg8ear.g8Infantsg8whog8haveg8acu
teg8otitisg8mediag8haveg8ag8decreasedg8sensitivityg8tog8soundg8fromg8theg8fluidg8
andg8pressureg8ing8theg8ear.
Ag8nurseg8isg8caringg8forg8ag8toddlerg8whog8hasg8hadg8rhinitis,g8cough,g8andg8dia
rrheag8forg82g8days.g8Upong8assessment,g8itg8isg8notedg8thatg8theg8tympanicg8me
mbraneg8hasg8ang8orangeg8discolorationg8andg8decreasedg8movement.g8Which
, ofg8theg8followingg8statementsg8shouldg8theg8nurseg8makeg8tog8theg8caregiver
g8
?
A.g8"Yourg8childg8hasg8ang8earg8infectiong8thatg8requiresg8antibiotics."
B.g8"Yourg8childg8mayg8haveg8transientg8hearingg8loss."
C.g8"Yourg8childg8willg8needg8ag8decongestantg8untilg8thisg8conditiong8clears."
D.g8"Yourg8childg8willg8needg8tog8haveg8ag8myringotomy."g8-g8correctg8answer
✔ ✔ B.g8"Yourg8childg8mayg8haveg8transientg8hearingg8loss."
Wheng8analyzingg8cuesg8duringg8theg8careg8ofg8ag8toddlerg8whog8hasg8hadg8rhin
itis,g8cough,g8andg8diarrheag8forg82g8daysg8thatg8isg8accompaniedg8byg8ag8tympa
nicg8membraneg8withg8ang8orangeg8discolorationg8andg8decreasedg8movement
,g8theg8nurseg8shouldg8identifyg8thatg8theg8toddlerg8hasg8manifestationsg8ofg8otit
isg8mediag8effusiong8(OME).g8Transientg8hearingg8lossg8isg8ag8complicationg8o
fg8OME;g8therefore,g8theg8nurseg8shouldg8informg8theg8guardiansg8thatg8theg8ch
ildg8mayg8haveg8transientg8hearingg8loss.g8Antibioticsg8areg8notg8recommende
dg8forg8OME.g8Decongestantsg8areg8notg8recommendedg8forg8OME.g8Myringo
tomyg8isg8recommendedg8forg8clientsg8whog8haveg8chronicg8OME.g8NCLEXg8
Connection:g8Physiologicalg8Adaptation,g8Unexpectedg8Responseg8tog8Ther
apies
Ag8nurseg8isg8caringg8forg8ag8toddlerg8whog8hasg8acuteg8otitisg8media.g8Whichg8o
fg8theg8followingg8isg8theg8priorityg8actiong8forg8theg8nurseg8tog8take?
A.g8Provideg8emotionalg8supportg8tog8theg8family.
B.g8Educateg8theg8familyg8ong8careg8ofg8theg8child.
C.g8Provideg8ag8diversionalg8activity.
