NURS3524 PEDS EXAM
1. The nurse understands that timely therapeutic man- C. aneurysms
agement of Kawasaki disease is crucial to prevent
which condition?
A. heart valve dysfunction
B. endocarditis
C. aneurysms
D. hyper-cyanotic spells
2. You are caring for a 12-month-old child admitted for 1. Tylenol
Kawasaki's disease. List 4 therapeutic nursing inter- 2. immunoglobulins
ventions 3. corticosteroids
4. Aspirin
3. signs of Kawasaki disease include all of the following A. purulent conjunctivitis
EXCEPT: (they will have conjunctivi-
A. purulent conjunctivitis tis, BUT NOT PURULENT)
B. red rash
C. redness + swelling of hands + feet
D. persistent fever lasting more than 5 days
E. swollen cervical lymph nodes
F. strawberry tongue
4. severe pulmonic stenosis + right to left shunting in- B+E
crease the child's risk of developing which 2 condi-
tions?
A. high WBC count
B. polycythemia
C. high oxygen saturation
D. low BP
E. clots
5. C.
, NURS3524 PEDS EXAM
You are caring for a 15-month-old child w/ bronchiolitis
who presents w/ the following VS:
temp: 38.8
HR: 140 bpm
RR: 38
BP: 84/50
SpO2: 93% RA
the child also has a frequent cough, intercostal re-
traction + wheezing in the upper lobes. What is the
appropriate intervention?
A. perform deep suctioning w/ a 10 FR suction
catheter
B. administer continuous salbutamol nebulizers
C. administer PRN acetaminophen as per order
D. administer 3L oxygen via nasal canula
6. Which of the following symptoms are consistent w/ ALL OF THEM
bacterial pneumonia?
A. high fever
B. cough
C. tachypnea
D. decreased breath sounds
E. abdominal pain
7. you are caring for an 11 year old w/ heart failure who B.
is currently on digoxin. which of the following state- there are different para-
ments about digoxin administration is correct? meters for kids based on
A. administer digoxin if HR is greater than 120 bpm their age!
B. administer digoxin if HR is greater than prescribed
parameters
, NURS3524 PEDS EXAM
C. measure radial pulse before administering digoxin
D. obtain HR from oximeter prior to administering
digoxin
8. a child w/ tetralogy of fallot has which of the following B, C, E, + F
features? V - ventricular septal de-
A. atrial septal defect fect
B. ventricular septal defect P- pulmonic stenosis
C. pulmonic stenosis O- overriding aorta
D. aortic stenosis R- right ventricular hyper-
E. overriding aorta trophy
F. right ventricular hypertrophy
G. left ventricular hypertrophy
9. you are caring for an 8 y/o w/ sickle cell crisis. list 1. respiratory assessment
4 therapeutic nursing interventions, including one to 2. hydration
prevent acute chest syndrome. 3. assess for infection
4. blow bubbles, incentive
spirometry
10. which of the following symptoms are consistent w/ A, B, C, D, F + G
new onset of insulin dependent diabetes mellitus in
young children?
A. polyuria
B. polydipsia
C. polyphagia
D. weight loss
E. weight gain
F. fatigue
G. frequent yeast infections
11. you are caring for an 11 y/o w/ Crohn's disease. com- D. bloody diarrhea
mon clinical manifestations include the following EX- *found in ulcerative colitis!
, NURS3524 PEDS EXAM
CEPT
A. anorexia
B. weight loss
C. growth restriction
D. bloody diarrhea
12. You are caring for a child with vomiting, headache, irri- E.
tability, heavy breathing, and fruit like smelling breath.
The parents report that the teacher has noted frequent
washroom use during class, and they have observed
that their child has not gained any weight over the past
month. Based on these findings, the nurse suspects
the child may be experiencing which condition:
A. hypoglycemia
B. food poisoning
C. bullying at school
D. low BP
E. new diabetic ketoacidosis
13. name 2 classes of medications should anticipate ad- A + B
ministering to a child experiencing a MODERATE asth-
ma exacerbation.
A. oral corticosteroids
B. short acting beta-2 adrenergic receptor antagonist
C. long acting beta-2 adrenergic receptor antagonist
D. inhaled corticosteroid
14. You are caring for a child just got diagnosed with Type A.
1 diabetes. The parent tells the child not to worry and
they are going to see another doctor for a second
opinion.
The nurse understands the family is experiencing
1. The nurse understands that timely therapeutic man- C. aneurysms
agement of Kawasaki disease is crucial to prevent
which condition?
A. heart valve dysfunction
B. endocarditis
C. aneurysms
D. hyper-cyanotic spells
2. You are caring for a 12-month-old child admitted for 1. Tylenol
Kawasaki's disease. List 4 therapeutic nursing inter- 2. immunoglobulins
ventions 3. corticosteroids
4. Aspirin
3. signs of Kawasaki disease include all of the following A. purulent conjunctivitis
EXCEPT: (they will have conjunctivi-
A. purulent conjunctivitis tis, BUT NOT PURULENT)
B. red rash
C. redness + swelling of hands + feet
D. persistent fever lasting more than 5 days
E. swollen cervical lymph nodes
F. strawberry tongue
4. severe pulmonic stenosis + right to left shunting in- B+E
crease the child's risk of developing which 2 condi-
tions?
A. high WBC count
B. polycythemia
C. high oxygen saturation
D. low BP
E. clots
5. C.
, NURS3524 PEDS EXAM
You are caring for a 15-month-old child w/ bronchiolitis
who presents w/ the following VS:
temp: 38.8
HR: 140 bpm
RR: 38
BP: 84/50
SpO2: 93% RA
the child also has a frequent cough, intercostal re-
traction + wheezing in the upper lobes. What is the
appropriate intervention?
A. perform deep suctioning w/ a 10 FR suction
catheter
B. administer continuous salbutamol nebulizers
C. administer PRN acetaminophen as per order
D. administer 3L oxygen via nasal canula
6. Which of the following symptoms are consistent w/ ALL OF THEM
bacterial pneumonia?
A. high fever
B. cough
C. tachypnea
D. decreased breath sounds
E. abdominal pain
7. you are caring for an 11 year old w/ heart failure who B.
is currently on digoxin. which of the following state- there are different para-
ments about digoxin administration is correct? meters for kids based on
A. administer digoxin if HR is greater than 120 bpm their age!
B. administer digoxin if HR is greater than prescribed
parameters
, NURS3524 PEDS EXAM
C. measure radial pulse before administering digoxin
D. obtain HR from oximeter prior to administering
digoxin
8. a child w/ tetralogy of fallot has which of the following B, C, E, + F
features? V - ventricular septal de-
A. atrial septal defect fect
B. ventricular septal defect P- pulmonic stenosis
C. pulmonic stenosis O- overriding aorta
D. aortic stenosis R- right ventricular hyper-
E. overriding aorta trophy
F. right ventricular hypertrophy
G. left ventricular hypertrophy
9. you are caring for an 8 y/o w/ sickle cell crisis. list 1. respiratory assessment
4 therapeutic nursing interventions, including one to 2. hydration
prevent acute chest syndrome. 3. assess for infection
4. blow bubbles, incentive
spirometry
10. which of the following symptoms are consistent w/ A, B, C, D, F + G
new onset of insulin dependent diabetes mellitus in
young children?
A. polyuria
B. polydipsia
C. polyphagia
D. weight loss
E. weight gain
F. fatigue
G. frequent yeast infections
11. you are caring for an 11 y/o w/ Crohn's disease. com- D. bloody diarrhea
mon clinical manifestations include the following EX- *found in ulcerative colitis!
, NURS3524 PEDS EXAM
CEPT
A. anorexia
B. weight loss
C. growth restriction
D. bloody diarrhea
12. You are caring for a child with vomiting, headache, irri- E.
tability, heavy breathing, and fruit like smelling breath.
The parents report that the teacher has noted frequent
washroom use during class, and they have observed
that their child has not gained any weight over the past
month. Based on these findings, the nurse suspects
the child may be experiencing which condition:
A. hypoglycemia
B. food poisoning
C. bullying at school
D. low BP
E. new diabetic ketoacidosis
13. name 2 classes of medications should anticipate ad- A + B
ministering to a child experiencing a MODERATE asth-
ma exacerbation.
A. oral corticosteroids
B. short acting beta-2 adrenergic receptor antagonist
C. long acting beta-2 adrenergic receptor antagonist
D. inhaled corticosteroid
14. You are caring for a child just got diagnosed with Type A.
1 diabetes. The parent tells the child not to worry and
they are going to see another doctor for a second
opinion.
The nurse understands the family is experiencing
