lOMoAR cPSD| 54901389
Final Exam Nursing Care of Children
1. A child with autism spectrum disorder (ASD) is admitted to the hospital with Cellulitis.
The nurse should plan which priority intervention when caring for the child?
1) Maintain a structured routine and keep stimulation to a minimum.
2) Place child in a room with a roommate of the same age.
3) Maintain frequent touch and eye contact with the child.
4) Take the child frequently to the playroom to play with other children.
2. The Doctor has ordered 200mg of Ibuprofen for the patient that weighs 25kg. the safe
dosage range for ibuprofen is 4-10mg/kg/dose. Is this a safe dose?
1) Yes
2) No
3. The main vessels that lead to the right atrium are (Select all that apply):
1) Superior Vena cava
2) Inferior vena cava
3) Aorta
4) Right pulmonary artery
5) Right pulmonary vein
4. A child presents to the pediatrician’s office with a rash consistent with impetigo. The
nurse knows this infection is caused by:
1) Virus
2) Fungus
3) Bacteria
4) None of the above
5. The doctor ordered Diuril 1.8mg/kg oral every 8 hours for the patient that weighs 31
pounds. The available dosage is Diuril 12.5mg tablets. How many capsules will the nurse
administer for each dose to this patient?
1) 2 tablets
2) 2.5 tablets
3) 3 tablets
4) 1.5 tablets
6. A 5-month-old has been diagnosed with an Atrial Septal Defect (ASD). The flow of
blood through the heart with this type of defect is:
1) Right to left
2) Equal between the two chambers
3) Left to right
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, lOMoAR cPSD| 54901389
4) None of the above
7. The Newborn screening results are sent to the pediatrician’s office via faxed report and
show an elevated TSH & a low T4. The nurse expects the provider to:
1) Diagnose the baby with congenital hypothyroidism
2) See the baby next month for the scheduled 1-month exam
3) Reassure the parents that many newborn screening tests are abnormal
4) Tell the parents that they will give medication every week for
hyperthyroidism
8. Your patient has just returned from the OR following an arterial septal defect repair. You
are reviewing your orders and question the fluid rate ordered. Your patient is 6 years old
and weighs 50 pounds. Select the appropriate hourly maintenance fluid rate for your
patient.
1) 63 ml/hr
2) 64 ml/hr
3) 65 ml/hr
4) 107 ml/hr
9. Which is the correct positioning of a child experiencing epistaxis:
1) The child should be placed in a prone position
2) The child should be placed in a supping position
3) The child should be sitting with their head tilted back
4) The child should sit up and lean forward
10. A 15-year-old with type 1 diabetes mellitus presents with a fever and 48-hour history of
vomiting. As the nurse, you note the child’s breath has a fruity odor, his breathing is deep
and rapid, and mom states he has become less arousable. You recognize these are the
signs of:
1) Acute Hypoglycemia
2) Diabetic Ketoacidosis
3) Hyperglycemia
4) Polydipsia
11. The nurse is providing education to the parents of an infant with cradle cap. Which of the
following statements by the parents indicates their understanding?
1) “We should use hydrogen peroxide as shampoo for my child until
it is resolved”
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, lOMoAR cPSD| 54901389
2) “We should expect that my child will probably have asthma &
allergies too”
3) “We should brush the loosened crusts out of the hair after
shampooing”
4) “We should decrease the frequency that I wash my child’s hair to
once a week”
12. Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
1) Manifestations of ADHD are typically so bizarre that the diagnosis
is easy
2) Manifestations of ADHD affect all aspects of the child’s life but
are most obvious in the classroom
3) Manifestations of ADHD such as learning disabilities eventually
disappear by adulthood
4) Manifestations of ADHD must always be present and are required
to receive a positive diagnosis
13. Which is an effective strategy to reduce the stress of burn dressing procedures for a 6-
year-old child?
1) Give the child as many choices as possible
2) Reassure the child that dressing changes are not painful
3) Explain to the child why analgesics cannot be used
4) Encourage the child to master stress with controlled passivity
14. A child with a history of diabetes mellitus presents with sweating. Confusion and slurred
speech. The nurse suspects the cause is:
1) Hyperglycemia
2) Hyperkalemia
3) Hyponatremia
4) Hypoglycemia
15. When educating the parents of a child with growth hormone deficiency, the following
statement made by the parents would indicate the need for further teaching:
1) “Our child may have increased sensitivity to insulin”
2) “Hormone replacement therapy is not likely to be successful”
3) “Growth hormone deficiency is caused by diminished pituitary
function”
4) “We need to prepare our child for daily injections”
Downloaded by Beavan Chomba ()
Final Exam Nursing Care of Children
1. A child with autism spectrum disorder (ASD) is admitted to the hospital with Cellulitis.
The nurse should plan which priority intervention when caring for the child?
1) Maintain a structured routine and keep stimulation to a minimum.
2) Place child in a room with a roommate of the same age.
3) Maintain frequent touch and eye contact with the child.
4) Take the child frequently to the playroom to play with other children.
2. The Doctor has ordered 200mg of Ibuprofen for the patient that weighs 25kg. the safe
dosage range for ibuprofen is 4-10mg/kg/dose. Is this a safe dose?
1) Yes
2) No
3. The main vessels that lead to the right atrium are (Select all that apply):
1) Superior Vena cava
2) Inferior vena cava
3) Aorta
4) Right pulmonary artery
5) Right pulmonary vein
4. A child presents to the pediatrician’s office with a rash consistent with impetigo. The
nurse knows this infection is caused by:
1) Virus
2) Fungus
3) Bacteria
4) None of the above
5. The doctor ordered Diuril 1.8mg/kg oral every 8 hours for the patient that weighs 31
pounds. The available dosage is Diuril 12.5mg tablets. How many capsules will the nurse
administer for each dose to this patient?
1) 2 tablets
2) 2.5 tablets
3) 3 tablets
4) 1.5 tablets
6. A 5-month-old has been diagnosed with an Atrial Septal Defect (ASD). The flow of
blood through the heart with this type of defect is:
1) Right to left
2) Equal between the two chambers
3) Left to right
Downloaded by Beavan Chomba ()
, lOMoAR cPSD| 54901389
4) None of the above
7. The Newborn screening results are sent to the pediatrician’s office via faxed report and
show an elevated TSH & a low T4. The nurse expects the provider to:
1) Diagnose the baby with congenital hypothyroidism
2) See the baby next month for the scheduled 1-month exam
3) Reassure the parents that many newborn screening tests are abnormal
4) Tell the parents that they will give medication every week for
hyperthyroidism
8. Your patient has just returned from the OR following an arterial septal defect repair. You
are reviewing your orders and question the fluid rate ordered. Your patient is 6 years old
and weighs 50 pounds. Select the appropriate hourly maintenance fluid rate for your
patient.
1) 63 ml/hr
2) 64 ml/hr
3) 65 ml/hr
4) 107 ml/hr
9. Which is the correct positioning of a child experiencing epistaxis:
1) The child should be placed in a prone position
2) The child should be placed in a supping position
3) The child should be sitting with their head tilted back
4) The child should sit up and lean forward
10. A 15-year-old with type 1 diabetes mellitus presents with a fever and 48-hour history of
vomiting. As the nurse, you note the child’s breath has a fruity odor, his breathing is deep
and rapid, and mom states he has become less arousable. You recognize these are the
signs of:
1) Acute Hypoglycemia
2) Diabetic Ketoacidosis
3) Hyperglycemia
4) Polydipsia
11. The nurse is providing education to the parents of an infant with cradle cap. Which of the
following statements by the parents indicates their understanding?
1) “We should use hydrogen peroxide as shampoo for my child until
it is resolved”
Downloaded by Beavan Chomba ()
, lOMoAR cPSD| 54901389
2) “We should expect that my child will probably have asthma &
allergies too”
3) “We should brush the loosened crusts out of the hair after
shampooing”
4) “We should decrease the frequency that I wash my child’s hair to
once a week”
12. Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
1) Manifestations of ADHD are typically so bizarre that the diagnosis
is easy
2) Manifestations of ADHD affect all aspects of the child’s life but
are most obvious in the classroom
3) Manifestations of ADHD such as learning disabilities eventually
disappear by adulthood
4) Manifestations of ADHD must always be present and are required
to receive a positive diagnosis
13. Which is an effective strategy to reduce the stress of burn dressing procedures for a 6-
year-old child?
1) Give the child as many choices as possible
2) Reassure the child that dressing changes are not painful
3) Explain to the child why analgesics cannot be used
4) Encourage the child to master stress with controlled passivity
14. A child with a history of diabetes mellitus presents with sweating. Confusion and slurred
speech. The nurse suspects the cause is:
1) Hyperglycemia
2) Hyperkalemia
3) Hyponatremia
4) Hypoglycemia
15. When educating the parents of a child with growth hormone deficiency, the following
statement made by the parents would indicate the need for further teaching:
1) “Our child may have increased sensitivity to insulin”
2) “Hormone replacement therapy is not likely to be successful”
3) “Growth hormone deficiency is caused by diminished pituitary
function”
4) “We need to prepare our child for daily injections”
Downloaded by Beavan Chomba ()
