1
PEDS EXAM 2 / Practice Exam Questions with
Correct Detailed Answers (Verified) Rated A+
Which assessment finding after tonsillectomy should be reported to the physician?
a. Vomiting bright red blood
b. Pain at surgical site
c. Pain on swallowing
d. The ability to only take small sips of liquids- Correct Answer- A
Rationale;
A Vomiting bright red blood and swallowing frequently are signs of bleeding
postoperatively and should be reported to the physician.
B It is normal for the child to have pain at the surgical site.
C It is normal for the child to have pain on swallowing.
D Only clear liquids are offered immediately after surgery, and small sips are
preferred.
Teaching safety precautions with the administration of antihistamines is important
because
of what common side effect?
a. Dry mouth
b. Excitability
c. Drowsiness
d. Dry mucous membranes- Correct Answer- C
, 2
Rationale;
A. A dry mouth is not a safety issue.
B Excitability may affect rest or sleep, but drowsiness is the most important safety
hazard.
C Drowsiness is a safety hazard when alertness is needed, especially with a teenage
driver. Nonsedating brands should be used.
D Dry mucous membranes are not a safety issue.
What is an appropriate beverage for the nurse to give to a child who had a tonsillectomy
earlier in the day?
a. Chocolate ice cream
b. Orange juice
c. Fruit punch
d. Apple juice- Correct Answer- D
Rationale;
A The child can have full liquids on the second postoperative day.
B Citrus drinks are not offered because they can irritate the throat.
C Red liquids are avoided because they give the appearance of blood if vomited.
D The child can have clear, cool liquids when fully awake.
Which type of croup is always considered a medical emergency?
a. Laryngitis
b. Epiglottitis
c. Spasmodic croup
d. Laryngotracheobronchitis (LTB)- Correct Answer- B
, 3
Rationale;
A Laryngitis is a common viral illness in older children and adolescents, with
hoarseness and URI symptoms.
B Epiglottitis is always a medical emergency that requires antibiotics and airway
support for treatment.
C Spasmodic croup is treated with humidity.
D LTB may progress to a medical emergency in some children.
What information should the nurse teach workers at a daycare center about RSV?
a. RSV is transmitted through particles in the air.
b. RSV can live on skin or paper for up to a few seconds after contact.
c. RSV can survive on nonporous surfaces for about 60 minutes.
d. Frequent handwashing can decrease the spread of the virus.- Correct Answer- D
Rationale;
A RSV infection is not airborne. It is acquired mainly through contact with
contaminated surfaces.
B RSV can live on skin or paper for up to 1 hour.
C RSV can live on cribs and other nonporous surfaces for up to 6 hours.
D Meticulous handwashing can decrease the spread of organisms.
Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypneic.
d. Give cool, humidified oxygen.- Correct Answer- D
Rationale;
, 4
A The infant should be positioned with the head and chest elevated at a 30- to
40-degree angle and the neck slightly extended to maintain an open airway and
decrease pressure on the diaphragm.
B The etiology of bronchiolitis is viral. Antibiotics are only given if there is a
secondary bacterial infection.
C Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
given parenterally to prevent dehydration.
D Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible
fluid loss from tachypnea.
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory
phase of respiration. This suggests
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea- Correct Answer- A
Rationale;
A Children with asthma usually have these chronic symptoms.
B Pneumonia appears with an acute onset and fever and general malaise.
C Bronchiolitis is an acute condition caused by RSV.
D Foreign body in the trachea will occur with an acute respiratory distress or failure
and maybe stridor.
The nurse encourages the mother of a toddler with acute LTB to stay at the bedside as
much as possible. The nurse's rationale for this action is primarily that
a. Mothers of hospitalized toddlers often experience guilt.
b. The mother's presence will reduce anxiety and ease child's respiratory efforts.
PEDS EXAM 2 / Practice Exam Questions with
Correct Detailed Answers (Verified) Rated A+
Which assessment finding after tonsillectomy should be reported to the physician?
a. Vomiting bright red blood
b. Pain at surgical site
c. Pain on swallowing
d. The ability to only take small sips of liquids- Correct Answer- A
Rationale;
A Vomiting bright red blood and swallowing frequently are signs of bleeding
postoperatively and should be reported to the physician.
B It is normal for the child to have pain at the surgical site.
C It is normal for the child to have pain on swallowing.
D Only clear liquids are offered immediately after surgery, and small sips are
preferred.
Teaching safety precautions with the administration of antihistamines is important
because
of what common side effect?
a. Dry mouth
b. Excitability
c. Drowsiness
d. Dry mucous membranes- Correct Answer- C
, 2
Rationale;
A. A dry mouth is not a safety issue.
B Excitability may affect rest or sleep, but drowsiness is the most important safety
hazard.
C Drowsiness is a safety hazard when alertness is needed, especially with a teenage
driver. Nonsedating brands should be used.
D Dry mucous membranes are not a safety issue.
What is an appropriate beverage for the nurse to give to a child who had a tonsillectomy
earlier in the day?
a. Chocolate ice cream
b. Orange juice
c. Fruit punch
d. Apple juice- Correct Answer- D
Rationale;
A The child can have full liquids on the second postoperative day.
B Citrus drinks are not offered because they can irritate the throat.
C Red liquids are avoided because they give the appearance of blood if vomited.
D The child can have clear, cool liquids when fully awake.
Which type of croup is always considered a medical emergency?
a. Laryngitis
b. Epiglottitis
c. Spasmodic croup
d. Laryngotracheobronchitis (LTB)- Correct Answer- B
, 3
Rationale;
A Laryngitis is a common viral illness in older children and adolescents, with
hoarseness and URI symptoms.
B Epiglottitis is always a medical emergency that requires antibiotics and airway
support for treatment.
C Spasmodic croup is treated with humidity.
D LTB may progress to a medical emergency in some children.
What information should the nurse teach workers at a daycare center about RSV?
a. RSV is transmitted through particles in the air.
b. RSV can live on skin or paper for up to a few seconds after contact.
c. RSV can survive on nonporous surfaces for about 60 minutes.
d. Frequent handwashing can decrease the spread of the virus.- Correct Answer- D
Rationale;
A RSV infection is not airborne. It is acquired mainly through contact with
contaminated surfaces.
B RSV can live on skin or paper for up to 1 hour.
C RSV can live on cribs and other nonporous surfaces for up to 6 hours.
D Meticulous handwashing can decrease the spread of organisms.
Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypneic.
d. Give cool, humidified oxygen.- Correct Answer- D
Rationale;
, 4
A The infant should be positioned with the head and chest elevated at a 30- to
40-degree angle and the neck slightly extended to maintain an open airway and
decrease pressure on the diaphragm.
B The etiology of bronchiolitis is viral. Antibiotics are only given if there is a
secondary bacterial infection.
C Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
given parenterally to prevent dehydration.
D Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible
fluid loss from tachypnea.
A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory
phase of respiration. This suggests
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea- Correct Answer- A
Rationale;
A Children with asthma usually have these chronic symptoms.
B Pneumonia appears with an acute onset and fever and general malaise.
C Bronchiolitis is an acute condition caused by RSV.
D Foreign body in the trachea will occur with an acute respiratory distress or failure
and maybe stridor.
The nurse encourages the mother of a toddler with acute LTB to stay at the bedside as
much as possible. The nurse's rationale for this action is primarily that
a. Mothers of hospitalized toddlers often experience guilt.
b. The mother's presence will reduce anxiety and ease child's respiratory efforts.
