NURS PEDS EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023
A+ ASSUARED SUCCESS
A client who delivered by cesarean section 4 days ago is diagnosed with thromboembolus The RN knows that which of the following factors is NOT likely to increase the clients susceptibility to thromboembolus?
A.Delayed ambulation after delivery
B.Increased amounts of blood clotting factor
C.Varicose veins
D.Increased basal metabolic rate after giving birth
The nurse prepares to administer an intramuscular injection to a 4 month old infant. The nurse selects which best site to administer the
injection?
A.Vatus Lateralis
B.Ventrogluteal
C.Lateral deltoid
D.Rectus femoris
Which question should the nurse ask the parents of a child suspected of having glomerulonephritis?
A.“Did your child fall off a bike onto the handlebars?”
B.“Has the child been itching or had a rash anytime in the last week?”
C.“Had the child had a sore throat or throat infection in the last weeks?”
D.“Has the child had persistent nausea and vomiting?”
The nurse performing an admission assessment on a 2 year old who has been diagnosed with nephrotic syndrome notes that which most
common characteristic is associated with this syndrome?
A.Generalized edema
B.Increased urinary output
C.Hypertension
D.Frank, Bright red blood in the urine
A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficient is resolving if which finding is noted? NURS PEDS EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023
A+ ASSUARED SUCCESS
A.Urine output is less than 1 ml/kg/hr
B.Urine specific gravity is 1.035
C.Capillary refill is less an 2 seconds
D.The child has no tears
A gravida 3 postpartum client is complaining of intermittent uterine cramping while breastfeeding. The nurse knows that these symptoms
are most likely due to:
A.Uterine involution
B.Retained placental fragments
C.Uterine atony
D.Endometritis
The nurse is teaching a new mother how to tell if her infant is receiving enough breast milk now that her milk is in. Which statement by the mother suggest that the client needs MORE teaching:
A.The infant should gain weight at a steady rate
B.The infant should have six wet diapers daily
C.The infant will no longer have the crying reflex
D.The infant will have frequent loose yellow stools each day
The nurse is reviewing discharge instructions with the postpartum client that had a cesarean section 4 days ago and will include which of the following danger signs to report once she is home? SATA
A.Temperature greater than 100.4
B.Heavy bright red lochia
C.Breast enlargement
D.Burning while urination
E.Unilateral calf pain
The nurse prepares a list of home care instructions for the parents of a child who has a cast applied to the left forearm, which instructions should the nurse include on the list? SATA
A.Contact the HCP if the child complains of numbness or tingling in the extremity NURS PEDS EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023
A+ ASSUARED SUCCESS
B.Use a padded ruler or another padded object to scratch the skin inside the cast if it itches
C.Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold D.Keep small toys and sharp objects away from the cast
E.Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling
The RN has received a hand off report and is caring for the following clients. Who does the RN need to see first? A.The client who had a postpartum hemorrhage 2 hours ago
B.The client with a previous history of pre-eclampsia and now has a BP of 130/80
C.The client complaining of pain 6 out of 10 and requesting medication
D.The client having trouble breastfeeding her infant
A health care provider prescription read “Ampicillin sodium 125mg IV every 6 hours”. The medication label reads “ when reconstituted
with 7.4 ml of bacteriostatic water, the final concentration is 1g/7.4 ml.” the nurse prepares to draw up how many ml’s to administer
1 dose?
A.0.54 ml
B.7.425 ml
C.1.1 ml D.0.925 ml
A mother refuses to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan. Which of the following signs or symptoms might the nurse observe in the baby as a result?
A.Circumcision site oozes blood
B.Glucose levels are low
C.Skin color is dusky
D.Vital signs are stable
Which of the following would the nurse emphasize in the teaching plan for a postpartum women who is reluctant to begin taking warm sitz baths?
A.Sitz baths increase the blood supply to the perineal area
B.The longer a sitz bath is continued, the more therapeutic it becomes
A+ ASSUARED SUCCESS
A client who delivered by cesarean section 4 days ago is diagnosed with thromboembolus The RN knows that which of the following factors is NOT likely to increase the clients susceptibility to thromboembolus?
A.Delayed ambulation after delivery
B.Increased amounts of blood clotting factor
C.Varicose veins
D.Increased basal metabolic rate after giving birth
The nurse prepares to administer an intramuscular injection to a 4 month old infant. The nurse selects which best site to administer the
injection?
A.Vatus Lateralis
B.Ventrogluteal
C.Lateral deltoid
D.Rectus femoris
Which question should the nurse ask the parents of a child suspected of having glomerulonephritis?
A.“Did your child fall off a bike onto the handlebars?”
B.“Has the child been itching or had a rash anytime in the last week?”
C.“Had the child had a sore throat or throat infection in the last weeks?”
D.“Has the child had persistent nausea and vomiting?”
The nurse performing an admission assessment on a 2 year old who has been diagnosed with nephrotic syndrome notes that which most
common characteristic is associated with this syndrome?
A.Generalized edema
B.Increased urinary output
C.Hypertension
D.Frank, Bright red blood in the urine
A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficient is resolving if which finding is noted? NURS PEDS EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023
A+ ASSUARED SUCCESS
A.Urine output is less than 1 ml/kg/hr
B.Urine specific gravity is 1.035
C.Capillary refill is less an 2 seconds
D.The child has no tears
A gravida 3 postpartum client is complaining of intermittent uterine cramping while breastfeeding. The nurse knows that these symptoms
are most likely due to:
A.Uterine involution
B.Retained placental fragments
C.Uterine atony
D.Endometritis
The nurse is teaching a new mother how to tell if her infant is receiving enough breast milk now that her milk is in. Which statement by the mother suggest that the client needs MORE teaching:
A.The infant should gain weight at a steady rate
B.The infant should have six wet diapers daily
C.The infant will no longer have the crying reflex
D.The infant will have frequent loose yellow stools each day
The nurse is reviewing discharge instructions with the postpartum client that had a cesarean section 4 days ago and will include which of the following danger signs to report once she is home? SATA
A.Temperature greater than 100.4
B.Heavy bright red lochia
C.Breast enlargement
D.Burning while urination
E.Unilateral calf pain
The nurse prepares a list of home care instructions for the parents of a child who has a cast applied to the left forearm, which instructions should the nurse include on the list? SATA
A.Contact the HCP if the child complains of numbness or tingling in the extremity NURS PEDS EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2023
A+ ASSUARED SUCCESS
B.Use a padded ruler or another padded object to scratch the skin inside the cast if it itches
C.Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold D.Keep small toys and sharp objects away from the cast
E.Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling
The RN has received a hand off report and is caring for the following clients. Who does the RN need to see first? A.The client who had a postpartum hemorrhage 2 hours ago
B.The client with a previous history of pre-eclampsia and now has a BP of 130/80
C.The client complaining of pain 6 out of 10 and requesting medication
D.The client having trouble breastfeeding her infant
A health care provider prescription read “Ampicillin sodium 125mg IV every 6 hours”. The medication label reads “ when reconstituted
with 7.4 ml of bacteriostatic water, the final concentration is 1g/7.4 ml.” the nurse prepares to draw up how many ml’s to administer
1 dose?
A.0.54 ml
B.7.425 ml
C.1.1 ml D.0.925 ml
A mother refuses to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan. Which of the following signs or symptoms might the nurse observe in the baby as a result?
A.Circumcision site oozes blood
B.Glucose levels are low
C.Skin color is dusky
D.Vital signs are stable
Which of the following would the nurse emphasize in the teaching plan for a postpartum women who is reluctant to begin taking warm sitz baths?
A.Sitz baths increase the blood supply to the perineal area
B.The longer a sitz bath is continued, the more therapeutic it becomes
