PEDI EXAM 2 2024-
2025 questions and
answers - notes
Pediatrics (College of the Mainland)
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EXAM 2 – CH: 12,13,14,15,16,17,18
Chapter 12 Respiratory Disorders
____ 1. A nurse is caring for a 4-month-old child diagnosed with in 昀氀 uenza. Which order should the
nurse expect to read in the electronic health record?
1. Limit oral hydra 琀椀 on.
2. Ini 琀椀 ate airborne precau 琀椀 ons.
3. Administer Tylenol for fever.
4. Administer Motrin for malaise.
____ 2. The nurse in the newborn unit of a pediatric hospital is providing care for a neonate born at 34
weeks’ gesta 琀椀 on. The nurse is aware that the immediate risk to the neonate is which condi 琀椀
on?
1. A lack of a phospholipid in the alveoli
2. Inability to maintain body temperature
3. Delay in closure of cardiac foramen
4. A decrease in renal func 琀椀 on
____ 3. The nurse is providing care for a 7-year-old pa 琀椀 ent who was brought to the
emergency department with a persistent dry cough, low fever, and abdominal pain and
diarrhea. Tes 琀椀 ng con 昀椀 rms the child has COVID-19. Which pa 琀椀 ent characteris 琀
椀 c does the nurse recognize as being a risk factor for more severe disease?
1. The child is from a middle-income community.
2. The child is White.
3. The child has not reached puberty.
4. The child has diabetes.
____ 4. The nurse is providing care for a school-age pa 琀椀 ent who received a head injury while
playing sports. Which ini 琀椀 al assessment 昀椀 nding causes the nurse greatest concern?
1. Confusion and disorienta 琀椀 on
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EXAM 2 – CH: 12,13,14,15,16,17,18
2. Headache with periods of nausea
3. Immediate loss of consciousness
4. Changes in breathing and heart rates
____ 5. The nurse is caring for a child who has been diagnosed with epiglo 琀琀椀 s. Which statement
by the parents demonstrates e 昀昀 ec 琀椀 ve pa 琀椀 ent educa 琀椀 on?
1. “I will stop giving the an 琀椀 bio 琀椀 cs when my daughter feels be 琀琀 er.”
2. “I will look into her mouth and throat to see it is red and swollen.”
3. “I will comfort her as much as possible to prevent her from crying.”
4. “I will expect the doctor to order a polymerase chain reac 琀椀 on (PCR) test to con 昀椀 rm the
diagnosis.”
____ 6. A toddler who is 2 years old is playing in the playroom at the hospital and suddenly begins to
choke and cough. The nurse a 琀琀 ending to the toddler understands airway physiology and places
the child in which posi 琀椀 on to dislodge a possibly inhaled object?
1. Head down and on the le 昀琀 side
2. Head down and on the right side
3. Head horizontal to the 昀氀 oor and supine
4. Head in a neutral posi 琀椀 on and prone
____ 7. The nurse is caring for a newborn born at 36 weeks’ gesta 琀椀 on and observes an apneic
episode of
15 seconds. Which ac 琀椀 on does the nurse take 昀椀 rst?
1. Administer oxygen.
2. Apply pulse oximetry on right hand.
3. Suc 琀椀 on secre 琀椀 ons with the bulb suc 琀椀 on.
4. Hold the newborn in an upright posi 琀椀 on.
____ 8. The nurse is providing care for an infant with an inner ear infec 琀椀 on. The nurse is aware
that the condi 琀椀 on has occurred mul 琀椀 ple 琀椀 mes in a 3-month period. Which comment by
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EXAM 2 – CH: 12,13,14,15,16,17,18
the parent indicates to the nurse that speci 昀椀 c teaching is needed regarding the incidences of
infec 琀椀 on?
1. “I now put her to bed with a bo 琀琀 le.”
2. “I clean her ears with co 琀琀 on swabs.”
3. “She likes her ears submerged while bathing.”
4. “Her older brother brings colds home from school.”
____ 9. The nurse in a pediatric clinic is performing assessments on mul 琀椀 ple infants. Which infant
does the nurse recognize as being at greatest risk for a respiratory disorder?
1. The infant born at 36 weeks who exhibited respiratory problems at birth
2. The infant who was born at term and recently adopted from another country
3. The infant who sleeps all night, exhibits eczema, and has a family history of
asthma
4. The infant with recurrent sore throats and both pets and smokers in the house
____ 10. The nurse in an acute care pediatric facility is preparing to assume care of mul 琀椀 ple pa 琀
椀 ents at the change of shi 昀琀. Which pa 琀椀 ent will the nurse plan to assess 昀椀 rst? 1 . The
toddler who exhibits clubbing of the 昀椀 nger 琀椀 ps
2. The preschooler with pneumonia who has poor skin turgor
3. The infant who can sleep only with the head of the bed elevated
4. The infant who prefers a tripod posi 琀椀 on instead of lying down
____ 11. Parents bring a toddler who is 2-1/2 years old to the hospital because of observed di 昀
케 culty with breathing. In addi 琀椀 on, they share that at bed 琀椀 me the toddler has a barky
cough. The toddler is diagnosed with laryngotracheobronchi 琀椀 s, commonly referred to as croup.
Which assessment 昀椀 nding does the nurse expect related to the diagnosis?
1. Fever accompanied by a congested cough
2. Inspiratory stridor heard in the upper airway
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