NR452 Pediatrics
When making rounds, the nurse should assess which client first? First choice:
a. 16-month-old child with periorbital cellulitis who is to be
discharged today
b. 10-year-old child who has just been admitted in sickle cell
crisis
c. 16-year-old adolescent receiving a third day of Answer:
chemotherapy
d. 7-year-old child who had an appendectomy yesterday and
developed peritonitis
Rationale:
Key Content Area: Key Test-Taking Strategy If first choice was wrong, why? (knowledge
cap, read question too fast, missed key word,
etc.)
A nurse is conducting a well-child visit with a child who is First choice:
scheduled to receive the recommended immunizations for 4- to 6-
year-olds. Which of the following immunizations should the nurse
administer? (Select all that apply)
a. Diphtheria, tetanus, pertussis (DTaP)
b. Inactivated poliovirus (IPV)
Answer:
c. Measles, mumps, rubella (MMR)
d. Pneumococcal (PCV)
e. Haemophilus influenzae type b (Hib)
Rationale:
Key content Area: Key Test-Taking Strategy If first choice was wrong, why? (knowledge
cap, read question too fast, missed key word,
etc.)
, A nurse is caring for a child who just experienced a generalized seizure. First choice:
Which of the following is the priority action for the nurse to take?
a. Maintain in a side-lying position.
b. Monitor vital signs. Answer:
c. Reorient the child to the environment.
d. Assess for injuries
Rationale:
Key Content Area: Key Test-Taking Strategy If first choice was wrong, why?
(knowledge cap, read question
too fast, missed key word, etc.)
A nurse is caring for a child who was admitted to the emergency department First choice:
after a motor-vehicle crash. The child is unresponsive, has spontaneous
respirations of 22/min, and has a laceration on the forehead that is bleeding.
Which of the following is the priority nursing action at this time?
A. Keep the neck stabilized. Answer:
B. Insert a nasogastric tube.
C. Obtain vital signs.
D. Establish IV access
Rationale:
Key Content Area: Key Test-Taking Strategy If first choice was wrong, why?
(knowledge cap, read question
too fast, missed key word, etc.)
A nurse is teaching the parent of a child who has strabismus. Which of the First choice:
following should be included in the teaching?
When making rounds, the nurse should assess which client first? First choice:
a. 16-month-old child with periorbital cellulitis who is to be
discharged today
b. 10-year-old child who has just been admitted in sickle cell
crisis
c. 16-year-old adolescent receiving a third day of Answer:
chemotherapy
d. 7-year-old child who had an appendectomy yesterday and
developed peritonitis
Rationale:
Key Content Area: Key Test-Taking Strategy If first choice was wrong, why? (knowledge
cap, read question too fast, missed key word,
etc.)
A nurse is conducting a well-child visit with a child who is First choice:
scheduled to receive the recommended immunizations for 4- to 6-
year-olds. Which of the following immunizations should the nurse
administer? (Select all that apply)
a. Diphtheria, tetanus, pertussis (DTaP)
b. Inactivated poliovirus (IPV)
Answer:
c. Measles, mumps, rubella (MMR)
d. Pneumococcal (PCV)
e. Haemophilus influenzae type b (Hib)
Rationale:
Key content Area: Key Test-Taking Strategy If first choice was wrong, why? (knowledge
cap, read question too fast, missed key word,
etc.)
, A nurse is caring for a child who just experienced a generalized seizure. First choice:
Which of the following is the priority action for the nurse to take?
a. Maintain in a side-lying position.
b. Monitor vital signs. Answer:
c. Reorient the child to the environment.
d. Assess for injuries
Rationale:
Key Content Area: Key Test-Taking Strategy If first choice was wrong, why?
(knowledge cap, read question
too fast, missed key word, etc.)
A nurse is caring for a child who was admitted to the emergency department First choice:
after a motor-vehicle crash. The child is unresponsive, has spontaneous
respirations of 22/min, and has a laceration on the forehead that is bleeding.
Which of the following is the priority nursing action at this time?
A. Keep the neck stabilized. Answer:
B. Insert a nasogastric tube.
C. Obtain vital signs.
D. Establish IV access
Rationale:
Key Content Area: Key Test-Taking Strategy If first choice was wrong, why?
(knowledge cap, read question
too fast, missed key word, etc.)
A nurse is teaching the parent of a child who has strabismus. Which of the First choice:
following should be included in the teaching?
