Peds Exam #2 Practice Questions and Correct Answers Graded A+
A 10-year-old child suffered extensive second- and third-degree burns in an apartment fire. His weight is 75lbs
(34kg). Fluid replacement therapy will optimally:
a. result in an hourly urine output of 1mL/kg
b. result in an hourly urine output of 20mL/kg
c. result in an hourly urine output of 30mL/kg
d. maintain a systolic BP in the 95th percentile for the child's weight - ANSC
A 16-month-old has a Hx of diarrhea for 3 days w/ poor oral intake. He received IV fluids, has tolerated some
oral fluids in the ED, and is being discharged home. Instructions for diet for this child should include:
a. BRAT diet (bananas, rice, applesauce, toast) for 24hrs, then a soft diet as tolerated
b. Chicken or beef broth for 24hrs, then resume a soft diet
c. Offer a regular diet as child's appetite warrants
d. Keep on clear liquids and toast for 24hrs - ANSC
A 3-year-old boy is seen in the clinic at 8:30pm w/ a Hx of vomiting for 2 days and poor oral intake; he has
voided once since the previous day. Examination reveals a lethargic child sitting on the mother's lap. He has a
capillary refill of 4 sec, apical HR of 128, RR of 32, and poor skin turgor. Stated body weight is 25kg. Based on
this info, the nurse anticipates performing which of the following?
a. demonstrating to the mother how to give 5-10mL of Pedialyte by mouth every 5-10 mins
b. Administering an IV fluid bolus of 450mL of 5% dextrose in water over 60 mins
c. Administering an IV fluid bolus of 500mL of 0.9% NS over 20 mins
d. Administering an IV fluid bolus of 1000mL of 5% dextrose and 0.45% NS over 30 mins - ANSC
A 4-day-old infant is seen in the ED for a possible seizure earlier in the day. The infant was being breastfed but
w/o much success, so an aunt gave him a bottle of water. The infant continued to cry, and the mother was too
exhausted to breastfeed, so another bottle of water was given while someone went to the store to purchase
infant formula. The pregnancy, delivery, and postpartum Hx reveal no particular problems for this term infant
that might contribute to seizures. The physical exam is unremarkable, with the exception of hypertonic
reflexes. The infant is awake, alert, and sucking on his fists. Diagnostic studies are obtained, including and EEG.
The nurse anticipates which of the following as the possible explanation for the infant's condition.
, a. serum potassium 3.9 mEq
b. serum glucose 69mg
c. serum sodium 118 mEq
d. arterial pH of 7.34 - ANSC
A 5-month-old infant is seen in the well-child clinic for a complaint of vomiting and failure to grow. His birth
weight was 7lbs, and he now weighs 8lbs, 10oz. The infant's mother reports that he is taking 4-7oz of formula
every 4-5hrs, be he "spits up a lot after eating and then is hungry again." The child is noted to be alert appears
malnourished. The mother reports his stools are brown in color, and he has 1-2 bowel movements every day.
Based on these findings, the nurse anticipates the infant has:
a. meckel diverticulum
b. hypertropic pyloric stenosis
c. intussusception
d. Hirschprung disease - ANSB
A 9-year-old child in the ED is diagnosed w/ Lyme disease. The nurse anticipates that the HCP orders will
include the administration of:
a. cefotaxime
b. aqueous penicillin
c. doxycycline
d. thrimethoprim-sulfamethoxazole - ANSC
A burn injury involving the epidermis and varying degrees of the dermal leyer that is painful, moist, red, and
blistered describes which of the following?
a. superficial or first-degree burn
b. partial-thickness or second-degree burn
c. full-thickness or third-degree burn
d. fourth-degree burn - ANSB
A 10-year-old child suffered extensive second- and third-degree burns in an apartment fire. His weight is 75lbs
(34kg). Fluid replacement therapy will optimally:
a. result in an hourly urine output of 1mL/kg
b. result in an hourly urine output of 20mL/kg
c. result in an hourly urine output of 30mL/kg
d. maintain a systolic BP in the 95th percentile for the child's weight - ANSC
A 16-month-old has a Hx of diarrhea for 3 days w/ poor oral intake. He received IV fluids, has tolerated some
oral fluids in the ED, and is being discharged home. Instructions for diet for this child should include:
a. BRAT diet (bananas, rice, applesauce, toast) for 24hrs, then a soft diet as tolerated
b. Chicken or beef broth for 24hrs, then resume a soft diet
c. Offer a regular diet as child's appetite warrants
d. Keep on clear liquids and toast for 24hrs - ANSC
A 3-year-old boy is seen in the clinic at 8:30pm w/ a Hx of vomiting for 2 days and poor oral intake; he has
voided once since the previous day. Examination reveals a lethargic child sitting on the mother's lap. He has a
capillary refill of 4 sec, apical HR of 128, RR of 32, and poor skin turgor. Stated body weight is 25kg. Based on
this info, the nurse anticipates performing which of the following?
a. demonstrating to the mother how to give 5-10mL of Pedialyte by mouth every 5-10 mins
b. Administering an IV fluid bolus of 450mL of 5% dextrose in water over 60 mins
c. Administering an IV fluid bolus of 500mL of 0.9% NS over 20 mins
d. Administering an IV fluid bolus of 1000mL of 5% dextrose and 0.45% NS over 30 mins - ANSC
A 4-day-old infant is seen in the ED for a possible seizure earlier in the day. The infant was being breastfed but
w/o much success, so an aunt gave him a bottle of water. The infant continued to cry, and the mother was too
exhausted to breastfeed, so another bottle of water was given while someone went to the store to purchase
infant formula. The pregnancy, delivery, and postpartum Hx reveal no particular problems for this term infant
that might contribute to seizures. The physical exam is unremarkable, with the exception of hypertonic
reflexes. The infant is awake, alert, and sucking on his fists. Diagnostic studies are obtained, including and EEG.
The nurse anticipates which of the following as the possible explanation for the infant's condition.
, a. serum potassium 3.9 mEq
b. serum glucose 69mg
c. serum sodium 118 mEq
d. arterial pH of 7.34 - ANSC
A 5-month-old infant is seen in the well-child clinic for a complaint of vomiting and failure to grow. His birth
weight was 7lbs, and he now weighs 8lbs, 10oz. The infant's mother reports that he is taking 4-7oz of formula
every 4-5hrs, be he "spits up a lot after eating and then is hungry again." The child is noted to be alert appears
malnourished. The mother reports his stools are brown in color, and he has 1-2 bowel movements every day.
Based on these findings, the nurse anticipates the infant has:
a. meckel diverticulum
b. hypertropic pyloric stenosis
c. intussusception
d. Hirschprung disease - ANSB
A 9-year-old child in the ED is diagnosed w/ Lyme disease. The nurse anticipates that the HCP orders will
include the administration of:
a. cefotaxime
b. aqueous penicillin
c. doxycycline
d. thrimethoprim-sulfamethoxazole - ANSC
A burn injury involving the epidermis and varying degrees of the dermal leyer that is painful, moist, red, and
blistered describes which of the following?
a. superficial or first-degree burn
b. partial-thickness or second-degree burn
c. full-thickness or third-degree burn
d. fourth-degree burn - ANSB
