NURS 6551 FINAL EXAM 2 PEDIATRICS
ADVANCED CLINICAL DECISION MAKING
2026
◉ An 18 month-old child with RSV is admitted to the pediatric unit.
The admitting nurse reviews the instructions from the healthcare
provider. Which order should the nurse question?
A. Encourage oral fluids
B. Albuterol treatments every 3 hours
C. Child may go to the playroom
D. Chest physiotherapy twice a day. Answer: C. Child may go to the
playroom
◉ A nurse is caring for a preschooler. Which of the following is an
expected behavior of this age group?
A. Understanding causes off illness
B. Magical Thinking
C. Understands all the function of the body
D. Is self conscience of body image. Answer: B. Magical Thinking
,◉ A Nurse is providing teaching about expected changes during
puberty to a group of parents of of early adolescent girls. Which
statement indicates that the parents understand what was taught ?
Select all that apply
A. ''Breast development usually occurs after menarche"
B. ''Breast development is usually the first manifestation of puberty"
C. ''Girls may gain up to 75lbs before puberty
D. '" Girls stop growing about 2 years after menarche"". Answer: B.
''Breast development is usually the first manifestation of puberty"
D. '" Girls stop growing about 2 years after menarche""
◉ Which drug is usually the best choice for a hospitalized child
receiving a patient-controlled analgesia (PCA) in the immediate
postoperative period?
A. Methadon
B. Meperidine
C. Morphine
D. Codeine. Answer: C. Morphine
◉ A child is diagnosed with failure to thrive. The nurse understands
that the criteria for this includes?
,A. Weight below 35th percentile for height and age
B. Weight below 25th percentile for height and age
C. Weight below the 15th percentile for height and age
D. Weight below 5th percentile for height and age. Answer: D.
Weight below 5th percentile for height and age
◉ What statement by a 4 year old mom indicates that further
teaching is needed? Select all that apply
A. I don't put him in a car seat anymore he cries to much
B. I stay with him when he is bathing
C. All of our medications are in locked cabinets
D. He is able to warm up his food in the microwave. Answer: A. I
don't put him in a car seat anymore he cries to much
D. He is able to warm up his food in the microwave
◉ A patient on an intravenous opioid analgesic has become apneic.
The nurse should implement which interventions FIRST ?
A. Call parents to wake child
B. Administer epinephrine
C. Prepare to calm the child as analgesia is reversed
, D. Administer the prescribed naloxone (Narcan) dose by slow IV
push.. Answer: D. Administer the prescribed naloxone (Narcan) dose
by slow IV push
◉ Augmentin 150mg is to administered every 8 hours po to a child
weighing 33lbs
Available is 125mg/5ml. How much much would you give per dose?
10ml
5ml
15ml
6ml. Answer: 6ml
◉ The mother of a 4 month old states she is not immunizing her
child because she is afraid of the child will develop Autism .The
nurses best response would be ?
A. Get some of the vaccines and see how he does
B. There is no indication that there is any correlation between
vaccines and autism
C. I am calling Children's Services this is neglect
D. I would do the same thing. Answer: B. There is no indication that
there is any correlation between vaccines and autism
ADVANCED CLINICAL DECISION MAKING
2026
◉ An 18 month-old child with RSV is admitted to the pediatric unit.
The admitting nurse reviews the instructions from the healthcare
provider. Which order should the nurse question?
A. Encourage oral fluids
B. Albuterol treatments every 3 hours
C. Child may go to the playroom
D. Chest physiotherapy twice a day. Answer: C. Child may go to the
playroom
◉ A nurse is caring for a preschooler. Which of the following is an
expected behavior of this age group?
A. Understanding causes off illness
B. Magical Thinking
C. Understands all the function of the body
D. Is self conscience of body image. Answer: B. Magical Thinking
,◉ A Nurse is providing teaching about expected changes during
puberty to a group of parents of of early adolescent girls. Which
statement indicates that the parents understand what was taught ?
Select all that apply
A. ''Breast development usually occurs after menarche"
B. ''Breast development is usually the first manifestation of puberty"
C. ''Girls may gain up to 75lbs before puberty
D. '" Girls stop growing about 2 years after menarche"". Answer: B.
''Breast development is usually the first manifestation of puberty"
D. '" Girls stop growing about 2 years after menarche""
◉ Which drug is usually the best choice for a hospitalized child
receiving a patient-controlled analgesia (PCA) in the immediate
postoperative period?
A. Methadon
B. Meperidine
C. Morphine
D. Codeine. Answer: C. Morphine
◉ A child is diagnosed with failure to thrive. The nurse understands
that the criteria for this includes?
,A. Weight below 35th percentile for height and age
B. Weight below 25th percentile for height and age
C. Weight below the 15th percentile for height and age
D. Weight below 5th percentile for height and age. Answer: D.
Weight below 5th percentile for height and age
◉ What statement by a 4 year old mom indicates that further
teaching is needed? Select all that apply
A. I don't put him in a car seat anymore he cries to much
B. I stay with him when he is bathing
C. All of our medications are in locked cabinets
D. He is able to warm up his food in the microwave. Answer: A. I
don't put him in a car seat anymore he cries to much
D. He is able to warm up his food in the microwave
◉ A patient on an intravenous opioid analgesic has become apneic.
The nurse should implement which interventions FIRST ?
A. Call parents to wake child
B. Administer epinephrine
C. Prepare to calm the child as analgesia is reversed
, D. Administer the prescribed naloxone (Narcan) dose by slow IV
push.. Answer: D. Administer the prescribed naloxone (Narcan) dose
by slow IV push
◉ Augmentin 150mg is to administered every 8 hours po to a child
weighing 33lbs
Available is 125mg/5ml. How much much would you give per dose?
10ml
5ml
15ml
6ml. Answer: 6ml
◉ The mother of a 4 month old states she is not immunizing her
child because she is afraid of the child will develop Autism .The
nurses best response would be ?
A. Get some of the vaccines and see how he does
B. There is no indication that there is any correlation between
vaccines and autism
C. I am calling Children's Services this is neglect
D. I would do the same thing. Answer: B. There is no indication that
there is any correlation between vaccines and autism
