OB/PEDS FINAL EXAM TEST BANK ACTUAL EXAM (ALL POSSIBLE QUESTIONS AND ALL
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
1) Which assessment finding for a 4-month-old infant would require further action by the nurse?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft. - (ANSWER)1. The posterior fontanel is open.
2) The nurse is providing care for a pediatric client in the emergency department (ED) with a diagnosis of
decreased level of consciousness (LOC) secondary to increased intracranial pressure (ICP). Which
healthcare provider order should the nurse question?
1. Passive range-of-motion exercises to promote hip flexion
2. Oxygen at 2 L nasal cannula to keep saturation above 95%
3. Hourly vital signs and neurologic checks
4. Elevate head of bed 30 degrees - (ANSWER)1. Passive range-of-motion exercises to promote hip
flexion
3) A 4-year-old client with intractable seizures has been on a ketogenic diet for the last 6 months, with a
decrease in seizure activity. This child is now admitted to the pediatric unit with left-sided pain. Which
possible complication to this diet does the nurse suspect?
1. Appendicitis
2. Bowel obstruction
3. Urinary tract infection
4. Kidney stones - (ANSWER)4. Kidney stones
,OB/PEDS FINAL EXAM TEST BANK ACTUAL EXAM (ALL POSSIBLE QUESTIONS AND ALL
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
4) A child with a history of seizures arrives in the emergency department (ED) in status epilepticus.
Which is the priority nursing action?
1. Take vital signs.
2. Establish an intravenous line.
3. Perform rapid neurologic assessment.
4. Maintain patent airway. - (ANSWER)4. Maintain patent airway.
5) The nurse is teaching a mother of a young child with a newly diagnosed seizure disorder. The child is
prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need
for further education?
1. "I will not use carbonated beverages to dilute his medication."
2. "I will give his medicine on an empty stomach so he will absorb it better."
3. "I will not let him chew his tablet."
4. "I will bring him to the physician's office for regular blood work to check bleeding times." -
(ANSWER)2. "I will give his medicine on an empty stomach so he will absorb it better."
6) A young child admitted to the pediatric unit has fever, irritability, and vomiting with suspected
bacterial meningitis. Which cerebrospinal fluid (CSF) result should the nurse anticipate based on these
data?
1. Decreased protein count
2. Clear, straw-colored fluid
,OB/PEDS FINAL EXAM TEST BANK ACTUAL EXAM (ALL POSSIBLE QUESTIONS AND ALL
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
3. Positive for red blood cells (RBCs)
4. Decreased glucose level - (ANSWER)4. Decreased glucose level
7) Which is the priority nursing diagnosis when planning care for a pediatric client who is diagnosed with
bacterial meningitis?
1. Impaired Gas Exchange
2. Risk for Infection
3. Anxiety (parental)
4. Acute Pain - (ANSWER)1. Impaired Gas Exchange
8) The nurse is caring for a 9-month-old infant who just returned from the postanesthesia care unit
(PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the
nurse question?
1. Vital signs and neurologic checks hourly
2. Small, frequent formula feedings
3. Elevate head of bed
4. Daily head circumference - (ANSWER)3. Elevate head of bed
9) A neonate with a meningomyelocele is to have surgery in the morning. Which nursing action is
appropriate for this neonate?
1. Applying a diaper to prevent contamination of sac
2. Positioning the newborn in a side-lying position
, OB/PEDS FINAL EXAM TEST BANK ACTUAL EXAM (ALL POSSIBLE QUESTIONS AND ALL
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
3. Encouraging the mother to hold the newborn because she will not be able to pick him up after
surgery
4. Positioning the newborn in a prone position - (ANSWER)4. Positioning the newborn in a prone
position
10) Which should the nurse include in the plan of care for a hospitalized school-age child with
meningomyelocele? Select all that apply.
1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
4. Ensuring that the client has a low-fiber diet
5. Encouraging the client to shift positions hourly when in the wheelchair - (ANSWER)1. Implementing
interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
5. Encouraging the client to shift positions hourly when in the wheelchair
11) Which side effect should the nurse include in the parent teaching for a child who is prescribed a
baclofen pump for cerebral palsy?
1. Diarrhea
2. Hypertonia
3. Hypotonia
4. Restlessness - (ANSWER)3. Hypotonia
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
1) Which assessment finding for a 4-month-old infant would require further action by the nurse?
1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft. - (ANSWER)1. The posterior fontanel is open.
2) The nurse is providing care for a pediatric client in the emergency department (ED) with a diagnosis of
decreased level of consciousness (LOC) secondary to increased intracranial pressure (ICP). Which
healthcare provider order should the nurse question?
1. Passive range-of-motion exercises to promote hip flexion
2. Oxygen at 2 L nasal cannula to keep saturation above 95%
3. Hourly vital signs and neurologic checks
4. Elevate head of bed 30 degrees - (ANSWER)1. Passive range-of-motion exercises to promote hip
flexion
3) A 4-year-old client with intractable seizures has been on a ketogenic diet for the last 6 months, with a
decrease in seizure activity. This child is now admitted to the pediatric unit with left-sided pain. Which
possible complication to this diet does the nurse suspect?
1. Appendicitis
2. Bowel obstruction
3. Urinary tract infection
4. Kidney stones - (ANSWER)4. Kidney stones
,OB/PEDS FINAL EXAM TEST BANK ACTUAL EXAM (ALL POSSIBLE QUESTIONS AND ALL
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
4) A child with a history of seizures arrives in the emergency department (ED) in status epilepticus.
Which is the priority nursing action?
1. Take vital signs.
2. Establish an intravenous line.
3. Perform rapid neurologic assessment.
4. Maintain patent airway. - (ANSWER)4. Maintain patent airway.
5) The nurse is teaching a mother of a young child with a newly diagnosed seizure disorder. The child is
prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need
for further education?
1. "I will not use carbonated beverages to dilute his medication."
2. "I will give his medicine on an empty stomach so he will absorb it better."
3. "I will not let him chew his tablet."
4. "I will bring him to the physician's office for regular blood work to check bleeding times." -
(ANSWER)2. "I will give his medicine on an empty stomach so he will absorb it better."
6) A young child admitted to the pediatric unit has fever, irritability, and vomiting with suspected
bacterial meningitis. Which cerebrospinal fluid (CSF) result should the nurse anticipate based on these
data?
1. Decreased protein count
2. Clear, straw-colored fluid
,OB/PEDS FINAL EXAM TEST BANK ACTUAL EXAM (ALL POSSIBLE QUESTIONS AND ALL
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
3. Positive for red blood cells (RBCs)
4. Decreased glucose level - (ANSWER)4. Decreased glucose level
7) Which is the priority nursing diagnosis when planning care for a pediatric client who is diagnosed with
bacterial meningitis?
1. Impaired Gas Exchange
2. Risk for Infection
3. Anxiety (parental)
4. Acute Pain - (ANSWER)1. Impaired Gas Exchange
8) The nurse is caring for a 9-month-old infant who just returned from the postanesthesia care unit
(PACU) after a shunt placement for hydrocephalus. Which healthcare provider prescription should the
nurse question?
1. Vital signs and neurologic checks hourly
2. Small, frequent formula feedings
3. Elevate head of bed
4. Daily head circumference - (ANSWER)3. Elevate head of bed
9) A neonate with a meningomyelocele is to have surgery in the morning. Which nursing action is
appropriate for this neonate?
1. Applying a diaper to prevent contamination of sac
2. Positioning the newborn in a side-lying position
, OB/PEDS FINAL EXAM TEST BANK ACTUAL EXAM (ALL POSSIBLE QUESTIONS AND ALL
TESTED QUESTIONS) CONTAINS REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
3. Encouraging the mother to hold the newborn because she will not be able to pick him up after
surgery
4. Positioning the newborn in a prone position - (ANSWER)4. Positioning the newborn in a prone
position
10) Which should the nurse include in the plan of care for a hospitalized school-age child with
meningomyelocele? Select all that apply.
1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
4. Ensuring that the client has a low-fiber diet
5. Encouraging the client to shift positions hourly when in the wheelchair - (ANSWER)1. Implementing
interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
5. Encouraging the client to shift positions hourly when in the wheelchair
11) Which side effect should the nurse include in the parent teaching for a child who is prescribed a
baclofen pump for cerebral palsy?
1. Diarrhea
2. Hypertonia
3. Hypotonia
4. Restlessness - (ANSWER)3. Hypotonia
