Nursing Peds Exam 2 practice Questions And Verified Solutions

Which of the following should be used in the care of all pediatric care patients to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection? a. Transmission-based precautions b. Airborne precautions c. Standard precautions d. Droplet precautions - C Which childhood vaccine provides some protection against bacterial meningitis, epiglottis, and bacterial pneumonia? a. Hib vaccine b. Hep B vaccine c. Varicella vaccine d. Influenza vaccine - A Which vaccine should pregnant adolescents and women who are not protected against pertussis receive optimally between 27 and 36 weeks' gestation or postpartum prior to discharge from the hospital? a. DTap b. Td c. IPV d. Tdap - D Which childhood vaccine provides protection against streptococcal infections such as otitis media, sinusitis, and pneumonia? a. Rotavirus vaccine b. Hib vaccine c. Pneumococcal vaccine d. MMR vaccine - C One of the most common intestinal parasitic pathogens in the US acquired from a contaminated water source such as a lake or swimming pool is: a. tinea capitis b. giardia intestinalis c. pediculosis capitis d. enterobiasis - B Peds Exam 2 practice Questions And Verified Solutions A 9-year-old child in the ED is diagnosed w/ Lyme disease. The nurse anticipates that the HCP orders will include the administration of: a. cefotaxime b. aqueous penicillin c. doxycycline d. thrimethoprim-sulfamethoxazole - C The most common type of dehydration in children occurs when electrolyte and water deficits are present in approximately balanced proportions. This is called __________ dehydration. a. hypotonic b. hypertonic c. isotonic d. hyponatremic - C The greatest threat to life as a result of dehydration in children is: a. oliguria b. shock c. arrhythmia d. hypotension - B A 3-year-old boy is seen in the clinic at 8:30pm w/ a Hx of vomiting for 2 days and poor oral intake; he has voided once since the previous day. Examination reveals a lethargic child sitting on the mother's lap. He has a capillary refill of 4 sec, apical HR of 128, RR of 32, and poor skin turgor. Stated body weight is 25kg. Based on this info, the nurse anticipates performing which of the following? a. demonstrating to the mother how to give 5-10mL of Pedialyte by mouth every 5-10 mins b. Administering an IV fluid bolus of 450mL of 5% dextrose in water over 60 mins c. Administering an IV fluid bolus of 500mL of 0.9% NS over 20 mins d. Administering an IV fluid bolus of 1000mL of 5% dextrose and 0.45% NS over 30 mins - C A 4-day-old infant is seen in the ED for a possible seizure earlier in the day. The infant was being breastfed but w/o much success, so an aunt gave him a bottle of water. The infant continued to cry, and the mother was too exhausted to breastfeed, so another bottle of water was given while someone went to the store to purchase infant formula. The pregnancy, delivery, and postpartum Hx reveal no particular problems for this term infant that might contribute to seizures. The physical exam is unremarkable, with the exception of hypertonic reflexes. The infant is awake, alert, and sucking on his fists. Diagnostic studies are obtained, including and EEG. The nurse anticipates which of the following as the possible explanation for the infant's condition. a. serum potassium 3.9 mEq b. serum glucose 69mg c. serum sodium 118 mEq d. arterial pH of 7.34 - C