NUR 227 PEDS Test 2 Questions and
Correct Answers
The potential physiologic and psychologic effects of prolonged immobilization on a 9-
year-old child who has experienced significant trauma in a motor vehicle crash include
which of the following? Select all that apply.
A. Orthostatic intolerance
B. Deep vein thrombosis
C. Pressure ulcer formation
D. Pneumonia
E. Diarrhea
F. Kidney stones
G. Sense of euphoria and elation
H. Constipation ✅ANS:
a
b
c
d
f
h
A 12-year-old who was in an ATV accident has a long-leg fiberglass cast on his left leg
for a tibia-fibula fracture. He requests pain medication at 2:00 AM for pain he rates at a
10/10 on the numeric scale. The nurse brings the pain medication and notes that he has
removed the pillows that kept his leg elevated. He complains of pain in the left foot, and
she notes that there is 3+ edema in the exposed leg and foot and she is unable to slip a
finger under the cast. The nurse's priority interventions in this situation should include:
A. Administer the pain medication and elevate the child's leg on the pillows
B. Elevate the leg on the pillows and follow up within 2 to 3 hours to see if the edema
has decreased
C. Let the child know he cannot have any additional pain medication until 6:00 AM
D. Notify the surgeon of the findings immediately ✅ANS:
D
Disordered eating patterns, which may be observed in the female athlete triad, may
include which of the following? Select all that apply.
A. Use of diet pills and laxatives
B. Fasting
C. Binge eating
D. Restriction of certain foods
E. Inadequate caloric intake
F. Excessive vitamin consumption ✅ANS:
A
B
,D
E
After the sudden death of a 14-year-old seemingly healthy basketball player, his parents
ask the school administration to install an automatic external defibrillator (AED) in a
central area of the athletic center. The school nurse is asked to participate in a meeting
with the parents in which the administrators insist that such a device is not necessary.
The school nurse advocates by providing which information about AEDs and children?
A. An AED should be used only by health care persons trained in its use.
B. An AED provides too much of an energy shock dose for children under 12 years of
age.
C. An AED can be effective in the resuscitation of a child or adolescent with a shockable
rhythm.
D. An AED is more commonly used in adults who have heart attacks than in children
with undiagnosed heart conditions ✅ANS:
C
A 2-day-old infant in the newborn nursery is diagnosed with developmental dysplasia of
the hip, and treatment is started by the orthopedist. The nurse assists the parents by
providing home care instructions that include:
A. Return to the orthopedist's office in 2 weeks to remove the hip spica cast
B. The infant's bilateral foot casts should be elevated on pillows as much as possible
C. Remove the Pavlik harness once a day for no more than an hour and inspect skin
D. Remove the Pavlik harness while the infant is awake to allow "tummy time" ✅ANS:
C
The most common complication that should be anticipated and observed for in an infant
with myelomeningocele after surgical repair of the defect is:
A. Urinary stress
B. Chiari malformation
C. Hydrocephalus
D. Latex allergy ✅ANS:
C
A 14-year-old male with a spinal cord injury is placed on a standing table and suddenly
begins to sweat profusely and complain of a headache. The nurse takes a set of vital
signs and notes a significant increase in systolic blood pressure and a heart rate of 50
beats per minute. The most helpful intervention in this situation would be for the nurse
to:
A. Place the adolescent back in his wheelchair and take him to his room
B. Palpate the bladder for distention
C. Administer a routine analgesic for his headache and discontinue the therapy
D. Place the standing table in a horizontal position and allow the adolescent to rest for a
few minut ✅ANS: B
The primary risk factor for the development of cerebral palsy is:
, A. Maternal chorioamnionitis
B. Premature birth
C. Birth asphyxia
D. Intraventricular hemorrhage ✅ANS: B
Urinary system distress (neurogenic bladder) in children with spina bifida is managed
by:
A. DDAVP (1-deamino-8-D-arginine vasopressin)
B. Clean intermittent catheterization
C. Continuous urinary catheterization
D. Mitrofanoff procedure ✅ANS:B
Which of these statements accurately describes Duchenne muscular dystrophy (DMD)?
Select all that apply.
A. The absence of dystrophin leads to muscle fiber degeneration.
B. DMD is inherited as an X-linked recessive trait.
C. Cognitive and intellectual impairment are rare in children with DMD.
D. Affected children have a waddling gait and lordosis and fall frequently.
E. Ambulation usually becomes impossible by 12 years of age, and affected children
are confined to a wheelchair.
F. Affected children must be hospitalized when ambulation becomes impossible.
✅ANS:
A
B
D
E
The nurse is caring for a 4-year-old girl with a history of frequent urinary tract infections.
What should the nurse be aware of before obtaining a urine sample? Select all that
apply.
A. To obtain a clean-catch urine specimen, have the child sit on the toilet facing
backward toward the tank.
B. Because children who have a UTI will have painful urination, have the child drink a
large amount of fluid before obtaining the sample.
C. The specimen must be fresh—less than 1 hour after voiding with storage at room
temperature or less than 4 hours after voiding with refrigeration.
D. If a urinalysis obtained by a bag specimen is negative, a specimen still needs to be
obtained by catheterization or suprapubic aspiration.
E. The key to distinguishing a true UTI from asymptomatic bacteriuria is the presence of
pyuria.
F. Because the child is febrile, the nurse should immediately start an antimicrobial and
then obtain a urine c ✅ANS:
A
C
E
Correct Answers
The potential physiologic and psychologic effects of prolonged immobilization on a 9-
year-old child who has experienced significant trauma in a motor vehicle crash include
which of the following? Select all that apply.
A. Orthostatic intolerance
B. Deep vein thrombosis
C. Pressure ulcer formation
D. Pneumonia
E. Diarrhea
F. Kidney stones
G. Sense of euphoria and elation
H. Constipation ✅ANS:
a
b
c
d
f
h
A 12-year-old who was in an ATV accident has a long-leg fiberglass cast on his left leg
for a tibia-fibula fracture. He requests pain medication at 2:00 AM for pain he rates at a
10/10 on the numeric scale. The nurse brings the pain medication and notes that he has
removed the pillows that kept his leg elevated. He complains of pain in the left foot, and
she notes that there is 3+ edema in the exposed leg and foot and she is unable to slip a
finger under the cast. The nurse's priority interventions in this situation should include:
A. Administer the pain medication and elevate the child's leg on the pillows
B. Elevate the leg on the pillows and follow up within 2 to 3 hours to see if the edema
has decreased
C. Let the child know he cannot have any additional pain medication until 6:00 AM
D. Notify the surgeon of the findings immediately ✅ANS:
D
Disordered eating patterns, which may be observed in the female athlete triad, may
include which of the following? Select all that apply.
A. Use of diet pills and laxatives
B. Fasting
C. Binge eating
D. Restriction of certain foods
E. Inadequate caloric intake
F. Excessive vitamin consumption ✅ANS:
A
B
,D
E
After the sudden death of a 14-year-old seemingly healthy basketball player, his parents
ask the school administration to install an automatic external defibrillator (AED) in a
central area of the athletic center. The school nurse is asked to participate in a meeting
with the parents in which the administrators insist that such a device is not necessary.
The school nurse advocates by providing which information about AEDs and children?
A. An AED should be used only by health care persons trained in its use.
B. An AED provides too much of an energy shock dose for children under 12 years of
age.
C. An AED can be effective in the resuscitation of a child or adolescent with a shockable
rhythm.
D. An AED is more commonly used in adults who have heart attacks than in children
with undiagnosed heart conditions ✅ANS:
C
A 2-day-old infant in the newborn nursery is diagnosed with developmental dysplasia of
the hip, and treatment is started by the orthopedist. The nurse assists the parents by
providing home care instructions that include:
A. Return to the orthopedist's office in 2 weeks to remove the hip spica cast
B. The infant's bilateral foot casts should be elevated on pillows as much as possible
C. Remove the Pavlik harness once a day for no more than an hour and inspect skin
D. Remove the Pavlik harness while the infant is awake to allow "tummy time" ✅ANS:
C
The most common complication that should be anticipated and observed for in an infant
with myelomeningocele after surgical repair of the defect is:
A. Urinary stress
B. Chiari malformation
C. Hydrocephalus
D. Latex allergy ✅ANS:
C
A 14-year-old male with a spinal cord injury is placed on a standing table and suddenly
begins to sweat profusely and complain of a headache. The nurse takes a set of vital
signs and notes a significant increase in systolic blood pressure and a heart rate of 50
beats per minute. The most helpful intervention in this situation would be for the nurse
to:
A. Place the adolescent back in his wheelchair and take him to his room
B. Palpate the bladder for distention
C. Administer a routine analgesic for his headache and discontinue the therapy
D. Place the standing table in a horizontal position and allow the adolescent to rest for a
few minut ✅ANS: B
The primary risk factor for the development of cerebral palsy is:
, A. Maternal chorioamnionitis
B. Premature birth
C. Birth asphyxia
D. Intraventricular hemorrhage ✅ANS: B
Urinary system distress (neurogenic bladder) in children with spina bifida is managed
by:
A. DDAVP (1-deamino-8-D-arginine vasopressin)
B. Clean intermittent catheterization
C. Continuous urinary catheterization
D. Mitrofanoff procedure ✅ANS:B
Which of these statements accurately describes Duchenne muscular dystrophy (DMD)?
Select all that apply.
A. The absence of dystrophin leads to muscle fiber degeneration.
B. DMD is inherited as an X-linked recessive trait.
C. Cognitive and intellectual impairment are rare in children with DMD.
D. Affected children have a waddling gait and lordosis and fall frequently.
E. Ambulation usually becomes impossible by 12 years of age, and affected children
are confined to a wheelchair.
F. Affected children must be hospitalized when ambulation becomes impossible.
✅ANS:
A
B
D
E
The nurse is caring for a 4-year-old girl with a history of frequent urinary tract infections.
What should the nurse be aware of before obtaining a urine sample? Select all that
apply.
A. To obtain a clean-catch urine specimen, have the child sit on the toilet facing
backward toward the tank.
B. Because children who have a UTI will have painful urination, have the child drink a
large amount of fluid before obtaining the sample.
C. The specimen must be fresh—less than 1 hour after voiding with storage at room
temperature or less than 4 hours after voiding with refrigeration.
D. If a urinalysis obtained by a bag specimen is negative, a specimen still needs to be
obtained by catheterization or suprapubic aspiration.
E. The key to distinguishing a true UTI from asymptomatic bacteriuria is the presence of
pyuria.
F. Because the child is febrile, the nurse should immediately start an antimicrobial and
then obtain a urine c ✅ANS:
A
C
E
