PEDIATRIC NR 328 EXAM 2 2025 | ALL QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS | LATEST EXAM 2025
A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows
that before this young woman can be examined, consent must be obtained from which source?
- Herself
The nurse needs to take the blood pressure of a preschool boy for the first time. What action
would be best in gaining his cooperation? - Permit him to handle the equipment and see the
cuff inflate and deflate before putting the cuff in place.
A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her mother
puts the hospital gown on her, but the child is crying because she wants to leave on her
underpants. What is the most appropriate nursing action at this time?? - Allow her to wear her
underpants.
Using knowledge of child development, what approach is best when preparing a toddler for a
procedure? - Demonstrate on a doll how the procedure will be done.
The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The
child tells the nurse he does not want to lose his blood. What approach is best by the nurse? -
Discuss with him how his body is always in the process of making blood.
A bone marrow biopsy will be performed on a 7-year-old girl. She wants her mother to hold her
during the procedure. How should the nurse respond? - Holding may help your child relax.
A 6-year-old child needs to drink 1 L of GoLYTELY in preparation for a computed tomography
scan of the abdomen. To encourage the child to drink, what should the nurse do? - Use little
cups and make a game to reward him for each cup he drinks.
,A toddler is being sent to the operating room for surgery at 9 AM. As the nurse prepares the
child, what is the priority intervention? - Verifying that the child and procedure are correct
A 5-year-old child returns from the pediatric intensive care unit after abdominal surgery. The
orders state to monitor vital signs every 2 hours. On assessment, the nurse observes that the
childs heart rate is 20 beats/min less than it was preoperatively. What should be the nurses next
action? - Recheck the pulse and blood pressure in 15 minutes.
A 10-year-old child requires daily medications for a chronic illness. Her mother tells the nurse
that the child continually forgets to take the medicine unless reminded. What nursing action is
most appropriate to promote adherence to the medication regimen? - Establish a contract with
her, including rewards.
A 7-year-old is identified as being at risk for skin breakdown. What intervention should the
nursing care plan include? - Ensuring that nutritional intake meets requirements
A 6-year-old boy is hospitalized for intravenous antibiotic therapy. He eats very little on his
regular diet trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. What
nursing action is the most appropriate? - Request these favorite foods for him.
A 14-year-old adolescent is hospitalized with cystic fibrosis. What nursing note entry represents
best documentation of his breakfast meal? - One pancake, eggs, and 240 ml OJ
A child, age 7 years, has a fever associated with a viral illness. She is being cared for at home.
What is the principal reason for treating fever in this child? - Relief of discomfort
A critically ill child has hyperthermia. The parents ask the nurse to give an antipyretic such as
acetaminophen. How should the nurse respond to the parents? - Antipyretics are of no value in
treating hyperthermia.
,The nurse gives an injection in a patients room. How should the nurse dispose of the needle? -
Dispose of the syringe and needle in a rigid, puncture-resistant container in the patients room.
A child who has cystic fibrosis is admitted to the pediatric unit with methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse recognizes that in addition to a private
room, the child is placed on what precautions? - Contact
An 11-month-old hospitalized boy is restrained because he is receiving intravenous (IV) fluids.
His grandmother has come to stay with him for the afternoon and asks the nurse if the
restraints can be removed. What nurses response is best? - That is fine as long as you are with
him.
A nurse must do a venipuncture on a 6-year-old child. What consideration is important in
providing atraumatic care? - Show the child the equipment to be used before the procedure.
A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When
preparing for a lumbar puncture, what should the nurse do? - Prepare the child for conscious
sedation being used for the procedure.
Frequent urine tests for specific gravity are required on a 6-month-old infant. What method is
the most appropriate way to collect small amounts of urine for these tests? - Aspirate urine
from cotton balls inside the diaper with a syringe without a needle.
A child has a central venous access device for intravenous (IV) fluid administration. A blood
sample is needed for a complete blood count, hemogram, and electrolytes. What is the
appropriate procedure to implement for this blood sample? - Withdraw a blood sample equal to
the amount of fluid in the device, discard, and then withdraw the sample needed.
The nurse has just collected blood by venipuncture in the antecubital fossa. What should the
nurse do next? - Keep the childs arm extended and apply pressure to the site for a few minutes.
, An appropriate method for administering oral medications that are bitter to an infant or small
child should be to mix them with which? - One teaspoon of something sweet-tasting such as
jam
The practitioner has ordered a liquid oral antibiotic for a toddler with otitis media. The
prescription reads 1 1/2 tsp four times per day. What should the nurse consider in teaching the
mother how to give the medicine? - A hollow-handled medication spoon is advisable, and the
medication should be equally spaced while the child is awake.
Guidelines for intramuscular administration of medication in school-age children include what
standard? - Insert needle quickly, using a dartlike motion.
What is an advantage of the ventrogluteal muscle as an injection site in young children? - Free
of significant nerves and vascular structures
When teaching a mother how to administer eye drops, where should the nurse tell her to place
them? - In the conjunctival sac when the lower eyelid is pulled down
What is the best method to verify the placement of a nasogastric tube before each use? -
Aspiration of stomach contents
Parents are being taught how to feed their infant using a newly placed gastrostomy tube (G-
tube). What is essential information for the parents to receive? - Position the infant on the right
side during and after the feeding.
What is a priority intervention for an infant with a temporary colostomy for Hirschsprung
disease? - Protecting the skin around the colostomy
GRADED A+ | VERIFIED ANSWERS | LATEST EXAM 2025
A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows
that before this young woman can be examined, consent must be obtained from which source?
- Herself
The nurse needs to take the blood pressure of a preschool boy for the first time. What action
would be best in gaining his cooperation? - Permit him to handle the equipment and see the
cuff inflate and deflate before putting the cuff in place.
A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her mother
puts the hospital gown on her, but the child is crying because she wants to leave on her
underpants. What is the most appropriate nursing action at this time?? - Allow her to wear her
underpants.
Using knowledge of child development, what approach is best when preparing a toddler for a
procedure? - Demonstrate on a doll how the procedure will be done.
The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The
child tells the nurse he does not want to lose his blood. What approach is best by the nurse? -
Discuss with him how his body is always in the process of making blood.
A bone marrow biopsy will be performed on a 7-year-old girl. She wants her mother to hold her
during the procedure. How should the nurse respond? - Holding may help your child relax.
A 6-year-old child needs to drink 1 L of GoLYTELY in preparation for a computed tomography
scan of the abdomen. To encourage the child to drink, what should the nurse do? - Use little
cups and make a game to reward him for each cup he drinks.
,A toddler is being sent to the operating room for surgery at 9 AM. As the nurse prepares the
child, what is the priority intervention? - Verifying that the child and procedure are correct
A 5-year-old child returns from the pediatric intensive care unit after abdominal surgery. The
orders state to monitor vital signs every 2 hours. On assessment, the nurse observes that the
childs heart rate is 20 beats/min less than it was preoperatively. What should be the nurses next
action? - Recheck the pulse and blood pressure in 15 minutes.
A 10-year-old child requires daily medications for a chronic illness. Her mother tells the nurse
that the child continually forgets to take the medicine unless reminded. What nursing action is
most appropriate to promote adherence to the medication regimen? - Establish a contract with
her, including rewards.
A 7-year-old is identified as being at risk for skin breakdown. What intervention should the
nursing care plan include? - Ensuring that nutritional intake meets requirements
A 6-year-old boy is hospitalized for intravenous antibiotic therapy. He eats very little on his
regular diet trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. What
nursing action is the most appropriate? - Request these favorite foods for him.
A 14-year-old adolescent is hospitalized with cystic fibrosis. What nursing note entry represents
best documentation of his breakfast meal? - One pancake, eggs, and 240 ml OJ
A child, age 7 years, has a fever associated with a viral illness. She is being cared for at home.
What is the principal reason for treating fever in this child? - Relief of discomfort
A critically ill child has hyperthermia. The parents ask the nurse to give an antipyretic such as
acetaminophen. How should the nurse respond to the parents? - Antipyretics are of no value in
treating hyperthermia.
,The nurse gives an injection in a patients room. How should the nurse dispose of the needle? -
Dispose of the syringe and needle in a rigid, puncture-resistant container in the patients room.
A child who has cystic fibrosis is admitted to the pediatric unit with methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse recognizes that in addition to a private
room, the child is placed on what precautions? - Contact
An 11-month-old hospitalized boy is restrained because he is receiving intravenous (IV) fluids.
His grandmother has come to stay with him for the afternoon and asks the nurse if the
restraints can be removed. What nurses response is best? - That is fine as long as you are with
him.
A nurse must do a venipuncture on a 6-year-old child. What consideration is important in
providing atraumatic care? - Show the child the equipment to be used before the procedure.
A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. When
preparing for a lumbar puncture, what should the nurse do? - Prepare the child for conscious
sedation being used for the procedure.
Frequent urine tests for specific gravity are required on a 6-month-old infant. What method is
the most appropriate way to collect small amounts of urine for these tests? - Aspirate urine
from cotton balls inside the diaper with a syringe without a needle.
A child has a central venous access device for intravenous (IV) fluid administration. A blood
sample is needed for a complete blood count, hemogram, and electrolytes. What is the
appropriate procedure to implement for this blood sample? - Withdraw a blood sample equal to
the amount of fluid in the device, discard, and then withdraw the sample needed.
The nurse has just collected blood by venipuncture in the antecubital fossa. What should the
nurse do next? - Keep the childs arm extended and apply pressure to the site for a few minutes.
, An appropriate method for administering oral medications that are bitter to an infant or small
child should be to mix them with which? - One teaspoon of something sweet-tasting such as
jam
The practitioner has ordered a liquid oral antibiotic for a toddler with otitis media. The
prescription reads 1 1/2 tsp four times per day. What should the nurse consider in teaching the
mother how to give the medicine? - A hollow-handled medication spoon is advisable, and the
medication should be equally spaced while the child is awake.
Guidelines for intramuscular administration of medication in school-age children include what
standard? - Insert needle quickly, using a dartlike motion.
What is an advantage of the ventrogluteal muscle as an injection site in young children? - Free
of significant nerves and vascular structures
When teaching a mother how to administer eye drops, where should the nurse tell her to place
them? - In the conjunctival sac when the lower eyelid is pulled down
What is the best method to verify the placement of a nasogastric tube before each use? -
Aspiration of stomach contents
Parents are being taught how to feed their infant using a newly placed gastrostomy tube (G-
tube). What is essential information for the parents to receive? - Position the infant on the right
side during and after the feeding.
What is a priority intervention for an infant with a temporary colostomy for Hirschsprung
disease? - Protecting the skin around the colostomy
