PEDS Final Exam (Modules; Practice Questions)

A child comes in with Tachycardia and delayed capillary refill, this child is currently is in shock. What other s/s would indicate a LATE sign of shock in children? A. Fever B. Restlessness C. Decreased B/P D. Headache - CORRECT ANSWER-C. Decreased B/P A client who is one (1) day post-op appendectomy refuses to get up and walk, has an elevated blood pressure & increased heart rate. What is the BEST nursing intervention? A. Tell the child that walking will help with pain control B. Check the MAR to see when the last pain medication was given and administer the pain medication C. The goal is to wean the client off of addicting narcotics D. Give the child a developmentally appropriate toy/game in order to distract the client from thinking about the pain - CORRECT ANSWER-B. Check the MAR to see when the last pain medication was given and administer the pain medication. A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia during this procedure is to apply _____ before the procedure. A. TAC (tetracaine-adrenaline-cocaine) 15 minutes B. transdermal fentanyl (Duragesic) patch immediately C. EMLA (eutectic mixture of local anesthetics) 1 hour D. EMLA (eutectic mixture of local anesthetics) 30 minutes - CORRECT ANSWER-C. EMLA (eutectic mixture of local anesthetics) 1 hour A neonate is born with bilateral mild talipes equinovarus (clubfoot). When the parents ask the nurse how this will be corrected, the nurse should give which explanation? A. Traction is tried first. B. Surgical intervention is needed. C. Frequent, serial casting is tried first. D. Children outgrow this condition when they learn to walk. - CORRECT ANSWER-C. Frequent, serial casting is tried first. A nurse is caring for a child in acute respiratory failure. Which blood gas analysis indicates the child is still in respiratory acidosis? A. pH 7.50, CO2 48 B. pH 7.30, CO2 30 C. pH 7.32, CO2 50