ARDMS EXAM
PEDIATRIC ARDMS EXAM PRACTICE EXAM
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A nurse who is working in the Poison Control Center receives a telephone call from a parent of a 16-month-old
child who drank 2 ounces of acetaminophen elixir. Which action should the nurse recommend to the parent?
a. Administer oral syrup of ipecac.
b. Give the child a glass of whole milk.
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ARDMS EXAM
c. Transport the child to the emergency department for gastric decontamination.
d. Obtain oral activated charcoal tablets from the pharmacy. –
Correct Answer :c. Transport the child to the emergency department for gastric decontamination.
Each 5 mL of elixir contains 160 mg of acetaminophen. This child has ingested twice the maximum
recommended 24-hour dose, which can cause acetaminophen toxicity. The parent should transport the child to
the emergency department for gastrointestinal decontamination and the possible administration of the
antidote, acetylcysteine. Overdosing of acetaminophen can cause serious liver damage.
A 4-year-old boy is brought to the emergency department by his parent who reports that the child has been
pointing at his stomach and saying, "It hurts so bad." Which pain assessment tool should the nurse use?
a. Descriptor Scale.
b. Brief Pain Inventory.
c. A numeric rating scale.
d. Wong-Baker FACES Scale. - Correct Answer :d. Wong-Baker FACES Scale.
A pain rating scale using pictures, such as the Wong-Baker FACES Scale, allows the child to choose a facial
expression that shows "how much hurt you have now" and should be used for a preschool-aged child.
An infant with developmental dysplasia of the hip is placed in a Pavlik harness. Which instructions should the
nurse include in a teaching plan for the parents?
a. Apply lotion or powder to minimize skin irritation.
b. Put clothing over the harness for maximum effectiveness.
c. Check for red areas under the straps two to three times a day.
d. Use a thin absorbent disposable diaper over the harness. - Correct Answer :c. Check for red areas under the
straps two to three times a day.
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ARDMS EXAM
The Pavlik harness, which maintains the hips in abduction, is the most widely used device for developmental
dysplasia of the hip. An infant who continuously wears a Pavlik harness is at risk for skin breakdown, so parents
should be instructed to check two to three times a day for red areas under clothing and harness straps. To avoid
direct contact with the skin, clothing and diapers should be placed under the straps.
During a well-child assessment, the parents of a 4-year-old express concern that their child often chatters while
playing alone. What information should the nurse provide the parents?
a. The child is attempting to formulate a secondary language.
b. This is an attempt by the child to form an imaginary social base.
c. "Private speech" is normal at this age and serves as a problem-solving tool.
d. Concern for psychological development is warranted, so further testing is required. –
Correct Answer :c. "Private speech" is normal at this age and serves as a problem-solving tool.
Children chatter to themselves between the ages of 4 and 6 years. This "private speech" serves as a problem-
solving tool as children try new tasks or work through unfamiliar situations.
A nurse reviews the methods for preventing recurring urinary tract infections (UTI) with the parent of a female
child. Which response by the parent indicates that further teaching is needed in caring for the child?
a. States they will buy the child only nylon underclothes.
b. Increases oral fluids and encourages the child to void frequently.
c. Provides the child with cotton underwear for daily use.
d. Teaches the child to cleanse the perineal area from front to back.
- Correct Answer :a. States they will buy the child only nylon underclothes.
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Nylon underwear traps moisture and can contribute to bacterial growth, thus the parent's statement indicates
the need for further teaching.
The mother of a 2-month-old reports that she often lets the baby cry in the middle of the night instead of going
to pick up or sooth the infant. What information should the nurse provide the mother?
a. Picking up the infant in the middle of the night fosters dependency on the mother.
b. A sense of trust is developed in an infant when others respond to the infant's cry.
c. An infant is learning to manipulate others when the infant is picked up unnecessarily.
d. A 2-month-old who does not sleep through the night should be evaluated further. - Correct Answer :b. A
sense of trust is developed in an infant when others respond to the infant's cry.
According to Erikson, a crucial element in the developmental stage of the infant is "Trust versus mistrust", which
is nurtured when the mother or the primary caregiver is responsive and consistent in responding to the infant's
needs and cries.
The parents of a child with autism ask the nurse if they could help them to better understand the disorder. Which
information best describes autism spectrum disorder?
a. Obsession with moving objects.
b. Repetitive patterns of behavior.
c. A neurobehavioral disorder diagnosed after assessment in two areas: social communication and interaction
and restricted, repetitive behavior.
d. Stereotypic movements and speech patterns. - Correct Answer :c. A neurobehavioral disorder diagnosed
after assessment in two areas: social communication and interaction and restricted, repetitive behavior.
Autism spectrum disorder is a neurodevelopmental disorder of unknown origin. Diagnosis is based on two
behavioral domains: difficulties in social communication and social interaction and unusually restricted, repetitive
behavior, interest, or activities.
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