Peds (Module 5c) Exam Questions &
Answers (Grade A+)
A nurse is caring for a pediatric patient with diabetic ketoacidosis
(DKA) who is receiving fluid resuscitation. The nurse recognizes that
cerebral edema is a rare but life-threatening complication. Which
early sign of cerebral edema should prompt immediate
intervention?
A. Polyuria
B. Kussmaul respirations
C. Sudden onset of headache and neuro status changes
D. Hyperactive deep tendon reflexes -
correct answer ✅C. Sudden onset of headache and neuro status
changes
A nurse is monitoring a patient receiving aggressive IV fluid
resuscitation for DKA. Which finding would indicate over-hydration?
A. Dry mucous membranes
B. Generalized edema and crackles in lung fields
C. Increased urine specific gravity
D. Decreased blood pressure -
correct answer ✅B. Generalized edema and crackles in lung fields
,Peds (Module 5c) Exam Questions &
Answers (Grade A+)
A patient with DKA is receiving an insulin infusion. The nurse knows
that lowering blood glucose too rapidly increases the risk of which
complication?
A. Cerebral edema
B. Hyperkalemia
C. Metabolic alkalosis
D. Hypoglycemic seizures -
correct answer ✅A. Cerebral edema
A nurse is preparing to administer insulin to a patient in DKA. When
should IV insulin be initiated after starting fluid therapy?
A. Immediately with the first liter of fluids
B. Only after blood glucose normalizes
C. After bicarbonate therapy is initiated
D. After 1-2 hours of fluid resuscitation -
correct answer ✅D. After 1-2 hours of fluid resuscitation
, Peds (Module 5c) Exam Questions &
Answers (Grade A+)
The nurse is assessing a patient with suspected increased
intracranial pressure (ICP). Which set of findings suggests
worsening ICP?
A. Hypertension, bradycardia, irregular respirations, desaturation,
seizures
B. Tachycardia, hypotension, hyperventilation
C. Polyuria, tachypnea, hypertension
D. Bradypnea, hypoglycemia, tremors -
correct answer ✅A. Hypertension, bradycardia, irregular
respirations, desaturation, seizures
A 9-year-old with DKA is admitted to the ED. Which of the following
situations place the child at risk for cerebral edema during DKA
management? (Select all that apply)
A. Administering a bolus of isotonic saline over 60 minutes to
restore perfusion.
B. Rapidly decreasing the blood glucose level by more than 10mmol
per hour.
C. Delaying insulin administration until 2hr after the initial fluid
resuscitation.
Answers (Grade A+)
A nurse is caring for a pediatric patient with diabetic ketoacidosis
(DKA) who is receiving fluid resuscitation. The nurse recognizes that
cerebral edema is a rare but life-threatening complication. Which
early sign of cerebral edema should prompt immediate
intervention?
A. Polyuria
B. Kussmaul respirations
C. Sudden onset of headache and neuro status changes
D. Hyperactive deep tendon reflexes -
correct answer ✅C. Sudden onset of headache and neuro status
changes
A nurse is monitoring a patient receiving aggressive IV fluid
resuscitation for DKA. Which finding would indicate over-hydration?
A. Dry mucous membranes
B. Generalized edema and crackles in lung fields
C. Increased urine specific gravity
D. Decreased blood pressure -
correct answer ✅B. Generalized edema and crackles in lung fields
,Peds (Module 5c) Exam Questions &
Answers (Grade A+)
A patient with DKA is receiving an insulin infusion. The nurse knows
that lowering blood glucose too rapidly increases the risk of which
complication?
A. Cerebral edema
B. Hyperkalemia
C. Metabolic alkalosis
D. Hypoglycemic seizures -
correct answer ✅A. Cerebral edema
A nurse is preparing to administer insulin to a patient in DKA. When
should IV insulin be initiated after starting fluid therapy?
A. Immediately with the first liter of fluids
B. Only after blood glucose normalizes
C. After bicarbonate therapy is initiated
D. After 1-2 hours of fluid resuscitation -
correct answer ✅D. After 1-2 hours of fluid resuscitation
, Peds (Module 5c) Exam Questions &
Answers (Grade A+)
The nurse is assessing a patient with suspected increased
intracranial pressure (ICP). Which set of findings suggests
worsening ICP?
A. Hypertension, bradycardia, irregular respirations, desaturation,
seizures
B. Tachycardia, hypotension, hyperventilation
C. Polyuria, tachypnea, hypertension
D. Bradypnea, hypoglycemia, tremors -
correct answer ✅A. Hypertension, bradycardia, irregular
respirations, desaturation, seizures
A 9-year-old with DKA is admitted to the ED. Which of the following
situations place the child at risk for cerebral edema during DKA
management? (Select all that apply)
A. Administering a bolus of isotonic saline over 60 minutes to
restore perfusion.
B. Rapidly decreasing the blood glucose level by more than 10mmol
per hour.
C. Delaying insulin administration until 2hr after the initial fluid
resuscitation.
