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Peds Exam 4 Review Questions And Correct Verified Answers New Version 2026

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Peds Exam 4 Review Questions And Correct Verified Answers New Version 2026

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1. The nurse is teaching parents of a toddler who has diabetes mellitus type 1 aout ways to
include their child in the plan of care. Which of the following actions should the parents
have the toddler preform?
- Choose which finger to use for fingerstick pg 667 table about growth and
development involveschildintheirowncare
allowsdecisionmaking
2. What are clinical manifestation of a child with attention-deficit/hyperactivity disorder?
(ADHD)
3
- Inattention DoesnotfollowrulesDoesnotlistenDistracted
i

Dmain - Behaviors displaying hyperactivity
- Impulsivity Difficulty
takingturns biff if L p
the90
- Pg 855 more detailed list

3. The nurse is teaching a teenager who has been diagnosed with diabetes mellitus (type
2) about exercise. Which of the following statements by the teenager indicates a need
for further teaching? Pg 675 table 19-10
❖ “ I should check my urine for protein prior to exercising”Checkforketonesonlyduringsick
days
➢ The teenager should do the following
■ Check blood glucose levels before and after exercise
■ Will adjust their carbohydrate intake based on their exercise
pattern
■ Engage is some type of physical activity every day

4. The nurse is caring for the following assigned children who have diabetes mellitus. The
nurse should see which child first?
❖ A child who has not eaten since receiving regular insulin 1 hr ago
➢ Regular insulin is a rapid acting insulins, which is also clear and begins to
act quickly; it merely takes slightly longer to reach its peak than humalog
or novolog ( pg 608)
InsulinlowersBS
5. The mother of a 6-year old
ifchildhasnoteaten BScangetreally low
sochild who has diabetes mellitus (type 1)calls the clinic nurse
reporting that her child is sick and is concerned about the effect this may have on the
child’s glucose levels. Which of the following instruction should the nurse provide to the
mother?
❖ Encourage rest and sleep while at home
➢ Sick day rules for DM :
■ Urine testing for ketones at least every 3 hours during a child's
illness

6. What are clinical manifestations of Autism spectrum disorder observed in a 6 year old
child?
❖ Impairment in social reciprocity

THE
❖ Inability to maintain eye contact
❖ Impaired communication

, Yourtismisshowing

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❖ Restrictive or repetitive behaviors, interests or activities

7. A nurse is providing discharge instructions to the parents of a child who has precocious
puberty. What teaching should the nurse include?
❖ This conditions is early development of secondary sexual characteristics
❖ It is important to approach the child in a manner appropriate to their level of
emotional and cognitive development.
❖ Psychosocial, body image É that aphrodinherremshe
❖ Be sure family follow chronological age not development

8. The nurse is reviewing the medical records of pediatric clients. Which of the following
children is at greatest risk for diabetes mellitus (type 2 )
❖ A hispanic american who had a weight in the 90th percentile for height nad a
sister who was recently diagnosed with diabetes mellitus type 2
➢ Dx: BMI greater than 85th percentile for height or weight
➢ Race ethnicity: native american, african american., latinos/hispanic, asian
american, or pacific islander
➢ Family HX of diabetes mellitus in a first or second degree relative
sibling
9. What clinical manifestations would a nurse documents when caring for a child who has
down syndrome?
❖ Poor muscle tone
❖ Slanting eyes
❖ Hyper flexibility of the joints
❖ Fla bridge of nose
❖ Short neck with extra folds of skin
❖ Small stature
❖ Low-set ears
❖ Simian crease
❖ Protruding tongue

10. The nurse is teaching the mother of a 2 months old infant about newly prescribed
levothyroxine. Which of the following instructions should a nurse include in the teaching?
Hmociation
❖ Give the crushed medication if applicable in a small amount of water before
giving a bottle (pg 655 box talking about medication)
DON'TPUTinbottle
11. The nurse is caring for an infant and observed findings as indicated in the image below.
The nurse identifies the infant has ?


knits lice
Perdiculosiscapitis

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