PEDS EXAM #2 PRACTICE QUESTIONS AND CORRECT ANSWERS

PEDS EXAM #2 PRACTICE QUESTIONS
AND CORRECT ANSWERS

WhichA2ofA2theA2followingA2shouldA2beA2usedA2inA2theA2careA2ofA2allA2pediatricA2careA2patie
ntsA2toA2reduceA2theA2riskA2ofA2transmissionA2ofA2microorganismsA2fromA2bothA2recognize
dA2andA2unrecognizedA2sourcesA2ofA2infection?
a.A2Transmission-basedA2precautions
b.A2AirborneA2precautions
c.A2StandardA2precautions
d.A2DropletA2precautionsA2-A2Ans--C

WhichA2childhoodA2vaccineA2providesA2someA2protectionA2againstA2bacterialA2meningitis,A
2epiglottis,A2andA2bacterialA2pneumonia?
a.A2HibA2vaccine
b.A2HepA2BA2vaccine
c.A2VaricellaA2vaccine
d.A2InfluenzaA2vaccineA2-A2Ans--A

WhichA2vaccineA2shouldA2pregnantA2adolescentsA2andA2womenA2whoA2areA2notA2protecte
dA2againstA2pertussisA2receiveA2optimallyA2betweenA227A2andA236A2weeks'A2gestationA2orA
2postpartumA2priorA2toA2dischargeA2fromA2theA2hospital?
a.A2DTap
b.A2Td
c.A2IPV
d.A2TdapA2-A2Ans--D

WhichA2childhoodA2vaccineA2providesA2protectionA2againstA2streptococcalA2infectionsA2su
chA2asA2otitisA2media,A2sinusitis,A2andA2pneumonia?
a.A2RotavirusA2vaccine
b.A2HibA2vaccine
c.A2PneumococcalA2vaccine
d.A2MMRA2vaccineA2-A2Ans--C

OneA2ofA2theA2mostA2commonA2intestinalA2parasiticA2pathogensA2inA2theA2USA2acquiredA2f
romA2aA2contaminatedA2waterA2sourceA2suchA2asA2aA2lakeA2orA2swimmingA2poolA2is:
a.A2tineaA2capitis
b.A2giardiaA2intestinalis
c.A2pediculosisA2capitis
d.A2enterobiasisA2-A2Ans--B

AA29-year-oldA2childA2inA2theA2EDA2isA2diagnosedA2w/
A2LymeA2disease.A2TheA2nurseA2anticipatesA2thatA2theA2HCPA2ordersA2willA2includeA2theA2a
dministrationA2of:

, a.A2cefotaxime
b.A2aqueousA2penicillin
c.A2doxycycline
d.A2thrimethoprim-sulfamethoxazoleA2-A2Ans--C

TheA2mostA2commonA2typeA2ofA2dehydrationA2inA2childrenA2occursA2whenA2electrolyteA2an
dA2waterA2deficitsA2areA2presentA2inA2approximatelyA2balancedA2proportions.A2ThisA2isA2cal
ledA2__________A2dehydration.
a.A2hypotonic
b.A2hypertonic
c.A2isotonic
d.A2hyponatremicA2-A2Ans--C

TheA2greatestA2threatA2toA2lifeA2asA2aA2resultA2ofA2dehydrationA2inA2childrenA2is:
a.A2oliguria
b.A2shock
c.A2arrhythmia
d.A2hypotensionA2-A2Ans--B

AA23-year-oldA2boyA2isA2seenA2inA2theA2clinicA2atA28:30pmA2w/
A2aA2HxA2ofA2vomitingA2forA22A2daysA2andA2poorA2oralA2intake;A2heA2hasA2voidedA2onceA2sin
ceA2theA2previousA2day.A2ExaminationA2revealsA2aA2lethargicA2childA2sittingA2onA2theA2mot
her'sA2lap.A2HeA2hasA2aA2capillaryA2refillA2ofA24A2sec,A2apicalA2HRA2ofA2128,A2RRA2ofA232,A2
andA2poorA2skinA2turgor.A2StatedA2bodyA2weightA2isA225kg.A2BasedA2onA2thisA2info,A2theA2n
urseA2anticipatesA2performingA2whichA2ofA2theA2following?
a.A2demonstratingA2toA2theA2motherA2howA2toA2giveA25-
10mLA2ofA2PedialyteA2byA2mouthA2everyA25-10A2mins
b.A2AdministeringA2anA2IVA2fluidA2bolusA2ofA2450mLA2ofA25%A2dextroseA2inA2waterA2overA26
0A2mins
c.A2AdministeringA2anA2IVA2fluidA2bolusA2ofA2500mLA2ofA20.9%A2NSA2overA220A2mins
d.A2AdministeringA2anA2IVA2fluidA2bolusA2ofA21000mLA2ofA25%A2dextroseA2andA20.45%A2NS
A2overA230A2minsA2-A2Ans--C


AA24-day-
oldA2infantA2isA2seenA2inA2theA2EDA2forA2aA2possibleA2seizureA2earlierA2inA2theA2day.A2TheA2
infantA2wasA2beingA2breastfedA2butA2w/
oA2muchA2success,A2soA2anA2auntA2gaveA2himA2aA2bottleA2ofA2water.A2TheA2infantA2continu
edA2toA2cry,A2andA2theA2motherA2wasA2tooA2exhaustedA2toA2breastfeed,A2soA2anotherA2bottl
eA2ofA2waterA2wasA2givenA2whileA2someoneA2wentA2toA2theA2storeA2toA2purchaseA2infantA2f
ormula.A2TheA2pregnancy,A2delivery,A2andA2postpartumA2HxA2revealA2noA2particularA2probl
emsA2forA2thisA2termA2infantA2thatA2mightA2contributeA2toA2seizures.A2TheA2physicalA2exam
A2isA2unremarkable,A2withA2theA2exceptionA2ofA2hypertonicA2reflexes.A2TheA2infantA2isA2aw
ake,A2alert,A2andA2suckingA2onA2hisA2fists.A2DiagnosticA2studiesA2areA2obtained,A2including
A2andA2EEG.A2TheA2nurseA2anticipatesA2whichA2ofA2theA2followingA2asA2theA2possibleA2expl
anationA2forA2theA2infant'sA2condition.
a.A2serumA2potassiumA23.9A2mEq