PEDIATRICS CMS EXAM 2024
QUESTIONS WITH ANSWERS
A nurse is assessing a school-age child who has heart failure and is taking
furosemide.Which of the following findings should the nurse identify as an
indication that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
b. a decrease in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the following
findingsshould the nurse expect (select all that apply)
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever
c. Crying
d. Restlessness
e. fever
a nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine lontophoresis Testing for Cystic Fibrosis. Which of the following
statements should the nurse
include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hour period
b. The test will measure the amount of water in your baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test
,b. The test will measure the amount of water in your baby's sweat
A nurse in an urgent care clinic is prioritizing care for children. Which of the
following children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of 200
mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11
lb)
b. a preschool-age child who has a muffled voice and no spontaneous cough
A nurse is providing teaching to the parents of a toddler who is to undergo a
sweat chloride test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is cold
d. your child's sweat will be collected over 24 hours
b. the technician will use a device to produce an electrical current during the test
A nurse in the emergency department is caring for an adolescent who is
requesting testing for STI. Which of the following action is appropriate for the
nurse to take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are present
d. obtain written consent from the client
d. obtain written consent from the client
A nurse in the emergency department is assessing the toddler who has
hyperpyrexia severe dyspnea and drooling which of the following actions should
the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
,c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
d. prepare the toddler for nasotracheal intubation
A nurse is providing teaching to a 10 year old child with scheduled for an arterial
cardiac catheterization. Which of the following information should the nurse
include in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the
procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure
b. you will need to keep your legs straight for 8 hours following the
procedure
A nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child is now ready to resume oral intake which of the following
dietary choices should the nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
d. lime flavored ice pop
A nurse is caring for an infant who has Patent ductus arteriosus. The nurse
should identify that the defect is a switch of the following locations of the heart. (
you will find hot spots to select
in the artwork below) Select only the hot spot that corresponds to your answer)
Answer: B
A nurse is caring for a 10 month old child was brought to the emergency
department by his parents following a head injury. Which of the following actions
should the nurse take first?
a. Inspect for fluid leaking from the ears
b. assess respiratory status
, c. check pupil reactions
d. examine the scalp for lacerations
b. assess respiratory status
A charge nurse is planning care for an infant who has failure to thrive. Which of
the following actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
c. use half-strength formula when feeding the infant
A nurse is providing teaching about home care to the parent of a child who has
scabies. Which of the following instruction should the nurse include in the
teaching?
a. Wash your client's hair with shampoo containing Ketoconazole
b. soak Combs and brushes in boiling water for 10 minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child
d. treat everyone who came into close contact with a child
A nurse is caring for a preschooler who refuses to take a start dose of oral
diphenhydramine. Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction
d. sometimes, when a child has to take medication, they feel sad.
a. The medication isn't bad it taste like candy
OR
D. Sometimes when a child has to take medication they feel sad
A nurse is teaching the parent of a school-age child about bicycle safety. Which
of the following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seated on
QUESTIONS WITH ANSWERS
A nurse is assessing a school-age child who has heart failure and is taking
furosemide.Which of the following findings should the nurse identify as an
indication that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
b. a decrease in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the following
findingsshould the nurse expect (select all that apply)
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever
c. Crying
d. Restlessness
e. fever
a nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine lontophoresis Testing for Cystic Fibrosis. Which of the following
statements should the nurse
include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hour period
b. The test will measure the amount of water in your baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test
,b. The test will measure the amount of water in your baby's sweat
A nurse in an urgent care clinic is prioritizing care for children. Which of the
following children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of 200
mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11
lb)
b. a preschool-age child who has a muffled voice and no spontaneous cough
A nurse is providing teaching to the parents of a toddler who is to undergo a
sweat chloride test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is cold
d. your child's sweat will be collected over 24 hours
b. the technician will use a device to produce an electrical current during the test
A nurse in the emergency department is caring for an adolescent who is
requesting testing for STI. Which of the following action is appropriate for the
nurse to take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are present
d. obtain written consent from the client
d. obtain written consent from the client
A nurse in the emergency department is assessing the toddler who has
hyperpyrexia severe dyspnea and drooling which of the following actions should
the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
,c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
d. prepare the toddler for nasotracheal intubation
A nurse is providing teaching to a 10 year old child with scheduled for an arterial
cardiac catheterization. Which of the following information should the nurse
include in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the
procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure
b. you will need to keep your legs straight for 8 hours following the
procedure
A nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child is now ready to resume oral intake which of the following
dietary choices should the nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
d. lime flavored ice pop
A nurse is caring for an infant who has Patent ductus arteriosus. The nurse
should identify that the defect is a switch of the following locations of the heart. (
you will find hot spots to select
in the artwork below) Select only the hot spot that corresponds to your answer)
Answer: B
A nurse is caring for a 10 month old child was brought to the emergency
department by his parents following a head injury. Which of the following actions
should the nurse take first?
a. Inspect for fluid leaking from the ears
b. assess respiratory status
, c. check pupil reactions
d. examine the scalp for lacerations
b. assess respiratory status
A charge nurse is planning care for an infant who has failure to thrive. Which of
the following actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
c. use half-strength formula when feeding the infant
A nurse is providing teaching about home care to the parent of a child who has
scabies. Which of the following instruction should the nurse include in the
teaching?
a. Wash your client's hair with shampoo containing Ketoconazole
b. soak Combs and brushes in boiling water for 10 minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child
d. treat everyone who came into close contact with a child
A nurse is caring for a preschooler who refuses to take a start dose of oral
diphenhydramine. Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction
d. sometimes, when a child has to take medication, they feel sad.
a. The medication isn't bad it taste like candy
OR
D. Sometimes when a child has to take medication they feel sad
A nurse is teaching the parent of a school-age child about bicycle safety. Which
of the following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seated on
