EVOLVE PEDATRICS PRACTICE EXAM
QUESTIONS AND ANSWERS
a full term infant is admitted to the newborn nursery. after careful assessment, the
nurse suspects that the infant may have esophageal atresia. which symptoms is this
newborn likely to have exhibited?
a- chocking, coughing, and cyanosis
b- projectile vomiting and cyanosis
c- apneic spells and grunting
d- scaphoid abdomen and anorexia - ANSWER-a (A, includes the "3 Cs" of
esophageal atresia caused by the overflow of secretions into the trachea. Projectile
vomiting, B, is characteristic of pyloric stenosis in the infant. Apneic spells often
occur with prematurity or sepsis, and grunting, C, is a sign of respiratory distress. A
scaphoid abdomen, D, is characteristic of diaphragmatic hernia.)
The nurse expects a 2-year-old child to exhibit which behavior?
A. Build a house with blocks.
B. Ride a small tricycle 6 feet.
C. Display possessiveness with toys.
D. Look at a picture book for 15 minutes. - ANSWER-c (Two-year-old children are
egocentric and unable to share, C, with other children. A, B, and D, are behaviors of
a preschooler.)
The mother of a preschool-aged child asks the nurse if it is all right to administer
Pepto Bismol to her son when he "has a tummy ache." After reminding the mother to
check the label of all over-the-counter drugs for the presence of aspirin, which
instruction should the nurse include when replying to this mother's question?
A) If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B) Do not give if the child has chickenpox, the flu, or any other viral illness.
C) Avoid the use of Pepto Bismol until the child is at least 16 years old.
D) Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." -
ANSWER-b (Pepto Bismol contains aspirin and there is the potential of Reye's
syndrome , B,. A, is a common effect of Pepto Bismol and does not warrant
discontinuation. Pepto Bismol can be used by children, C,. Pepto Bismol does not
cause rebound hyperacidity, D, which is a complication of antacids containing
calcium.)
The nurse is giving preoperative instructions to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client
best demonstrates that learning has taken place?
A) I will read all the literature you gave me before surgery.
QUESTIONS AND ANSWERS
a full term infant is admitted to the newborn nursery. after careful assessment, the
nurse suspects that the infant may have esophageal atresia. which symptoms is this
newborn likely to have exhibited?
a- chocking, coughing, and cyanosis
b- projectile vomiting and cyanosis
c- apneic spells and grunting
d- scaphoid abdomen and anorexia - ANSWER-a (A, includes the "3 Cs" of
esophageal atresia caused by the overflow of secretions into the trachea. Projectile
vomiting, B, is characteristic of pyloric stenosis in the infant. Apneic spells often
occur with prematurity or sepsis, and grunting, C, is a sign of respiratory distress. A
scaphoid abdomen, D, is characteristic of diaphragmatic hernia.)
The nurse expects a 2-year-old child to exhibit which behavior?
A. Build a house with blocks.
B. Ride a small tricycle 6 feet.
C. Display possessiveness with toys.
D. Look at a picture book for 15 minutes. - ANSWER-c (Two-year-old children are
egocentric and unable to share, C, with other children. A, B, and D, are behaviors of
a preschooler.)
The mother of a preschool-aged child asks the nurse if it is all right to administer
Pepto Bismol to her son when he "has a tummy ache." After reminding the mother to
check the label of all over-the-counter drugs for the presence of aspirin, which
instruction should the nurse include when replying to this mother's question?
A) If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B) Do not give if the child has chickenpox, the flu, or any other viral illness.
C) Avoid the use of Pepto Bismol until the child is at least 16 years old.
D) Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." -
ANSWER-b (Pepto Bismol contains aspirin and there is the potential of Reye's
syndrome , B,. A, is a common effect of Pepto Bismol and does not warrant
discontinuation. Pepto Bismol can be used by children, C,. Pepto Bismol does not
cause rebound hyperacidity, D, which is a complication of antacids containing
calcium.)
The nurse is giving preoperative instructions to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client
best demonstrates that learning has taken place?
A) I will read all the literature you gave me before surgery.
