PEDS TEST BANK EXAM VERIFIED
SOLUTIONS, SCORED A+
An .otherwise .healthy .18-month-old .child .with .a .history .of .febrile .seizures .is .in
.the .well-child .clinic. .Which .statement .by .the .father .would .indicate .to .the .nurse
.that .additional .teaching .should .be .done?
A. ."I .have .ibuprofen .available .in .case .it's .needed."
B. ."My .child .will .likely .outgrow .these .seizures .by .age .5." .
C. ."I .always .keep .phenobarbital .with .me .in .case .of .a .fever." .
D. ."The .most .likely .time .for .a .seizure .is .when .the .fever .is .rising." .- .CORRECT
.ANSWER-C
A .6-month-old .infant .is .admitted .with .a .diagnosis .of .bacterial .meningitis. .The
.nurse .would .place .the .infant .in .which .room?
.
A. .A .room .with .a .12-month-old .infant .with .a .urinary .tract .infection .
B. .A .room .with .an .8-month-old .infant .with .failure .to .thrive .
C. .A .private .room .near .the .nurses' .station .
D. .A .two-bed .room .in .the .middle .of .the .hall .- .CORRECT .ANSWER-C
The .parents .of .a .child .with .a .history .of .seizures .who .has .been .taking
.phenytoin .(Dilantin) .ask .the .nurse .why .it's .difficult .to .maintain .therapeutic
.plasma .levels .of .this .medication. .Which .statement .by .the .nurse .would .be .most
.accurate? .
A. ."A .drop .in .the .plasma .drug .level .will .lead .to .a .toxic .state."
B. ."The .capacity .to .metabolize .the .drug .becomes .overwhelmed .over .time." .
C. ."Small .increments .in .dosage .lead .to .sharp .increases .in .plasma .drug .levels."
.
D. ."Large .increments .in .dosage .lead .to .a .more .rapid .stabilizing .therapeutic
.effect." .- .CORRECT .ANSWER-C
,A .panicked .mother .calls .the .health .care .provider's .office .and .reports .that .her .5-
year-old .has .a .high .fever .and .just .had .a .seizure. .The .mother .asks .the .nurse
.what .she .should .do. .Which .is .the .nurse's .best .response? .
A. .Report .to .the .emergency .room .for .medical .evaluation .
B. .Immerse .the .child .in .a .bathtub .of .tepid .water .
C. .Administer .oral .acetaminophen .per .package .directions .
D. .Remove .any .heavy .clothing .and .cover .with .a .thin .sheet .- .CORRECT
.ANSWER-A
The .nurse .is .assessing .a .7-year-old .with .a .hearing .aid. .His .mother .says .he .is
.losing .his .hearing .again. .Which .finding .would .the .nurse .identify .as
.contributing .to .this .current .complaint? .
A. .Overproduction .of .cerumen .
B. .Soreness .of .the .outer .ear .
C. .History .of .a .normal .term .birth
D. .The .eardrum .responds .to .a .puff .of .air .- .CORRECT .ANSWER-A
The .nurse .is .taking .a .health .history .for .a .9-year-old .with .conjunctivitis. .Which
.statement .by .the .parents .leads .the .nurse .to .suspect .that .the .child .is
.experiencing .allergic .conjunctivitis?
A. ."He .recently .helped .clean .the .basement. .
B. ."He .was .exposed .to .several .family .members .with .an .infection. .
C. .He .just .recovered .from .an .upper .respiratory .infection. .
D. .We .have .a .family .history .of .conjunctivitis. .- .CORRECT .ANSWER-A
The .mother .of .a .12-year-old .with .Reye .syndrome .approaches .the .nurse .wanting
.to .know .how .this .happened .to .her .child, .saying, ."I .never .give .my .kids .aspirin!"
.Which .response .by .the .nurse .would .be .most .appropriate? .
A. ."Sometimes .it's .hard .to .tell .if .a .product .contains .aspirin." .
B. ."Do .you .think .that .maybe .your .child .took .aspirin .on .his .own?" .
C. ."Don't .worry; .you're .in .good .hands. .We .have .it .under .control .now." .
,D. ."Aspirin .in .combination .with .the .virus .will .make .the .brain .swell .and .the .liver
.fail." .- .CORRECT .ANSWER-A
The .nurse .is .caring .for .a .3-year-old .girl .who .has .just .undergone .a
.ventriculostomy. .Which .of .the .following .would .the .nurse .include .in .this .child's
.plan .of .care .to .manage .increased .intracranial .pressure .(ICP)? .
A. .Use .pillows .to .support .the .child .when .lying .on .her .side .
B. .Support .the .parents .in .starting .a .ketogenic .diet .
C. .Pad .the .side .rails .on .the .bed .
D. .Teach .her .to .do .deep .breathing .techniques .- .CORRECT .ANSWER-A
A .nurse .is .caring .for .a .3-year-old .girl .with .microcephaly. .Which .of .the .following
.actions .is .appropriate .for .the .nurse .to .take? .
A. .Playfully .ask .the .child .to .touch .her .nose .
B. .Teach .the .parents .about .ventriculoperitoneal .(VP) .shunts .
C. .Prepare .the .child .for .the .experience .of .cranial .surgery .
D. .Administer .antipyretics .as .ordered .- .CORRECT .ANSWER-A
The .nurse .caring .for .a .neonate .experiencing .seizures .asks .the .charge .nurse:
."How .can .I .tell .if .a .baby .is .having .a .seizure .or .is .just .crying .for .attention?"
.Which .response .would .be .most .appropriate? .Select .all .that .apply. .
A. ."You .will .not .be .able .to .stop .a .seizure .with .gentle .restraint." .
B. ."The .baby .experiencing .a .seizure .will .be .tachycardic." .
C. ."Stimulating .the .baby .by .singing .to .him .will .not .stop .a .seizure." .
D. ."There .will .be .no .changes .in .the .baby's .vital .signs .with .a .seizure" .
E. ."The .baby .will .become .more .active .with .sensory .stimulation .with .a .seizure."
.- .CORRECT .ANSWER-A, .B, .C
An .18-month-old .child .is .admitted .with .signs .of .increased .intracranial .pressure.
.What .should .the .nurse .observe .when .assessing .this .patient? .
A. .Numbness .of .fingers .and .decreased .temperature .
B. .Increased .pulse .rate .and .decreased .blood .pressure .
C. .Increased .temperature .and .decreased .respiratory .rate .
, D. .Decreased .level .of .consciousness .and .increased .respiratory .rate .- .CORRECT
.ANSWER-C
An .8-year-old .child .is .being .treated .for .tonic-clonic .seizures. .What .should .the
.nurse .emphasize .when .teaching .the .parents .about .this .disorder? .
A. .The .child .should .maintain .an .active .lifestyle. .
B. .Immediately .provide .medication .if .a .seizure .begins. .
C. .Have .the .child .carry .a .padded .tongue .blade .with .her .at .all .times. .
D. .Ensure .quiet .time .late .in .the .day, .when .seizure .activity .is .most .likely .to
.occur. .- .CORRECT .ANSWER-A
The .nurse .instructs .a .hearing-impaired .school-age .child .on .to .how .self-inject .a
.prescribed .medication. .Which .observation .indicates .to .the .nurse .that .additional
.teaching .is .required?
A. .The .child .pinches .the .skin .together .before .inserting .the .needle. .
B. .The .child .injects .the .appropriate .amount .of .air .into .the .vial .before
.withdrawing .medication. .
C. .The .child .places .the .filled .syringe .and .uncapped .needle .on .the .bed .to .open
.the .alcohol .wipe. .
D. .The .child .slowly .pushes .on .the .plunger .to .inject .the .medication .before
.withdrawing .the .needle. .- .CORRECT .ANSWER-C
The .nurse .is .caring .for .a .child .recovering .from .surgery .to .correct .strabismus.
.Which .interventions .should .the .nurse .include .when .planning .this .child's .care?
.Select .all .that .apply. .
A. .Apply .an .eye .patch. .
B. .Maintain .on .bed .rest .for .3 .days. .
C. .Support .for .nausea .and .vomiting. .
D. .Provide .pain .medication .as .prescribed. .
E. .Apply .antibiotic .ointment .as .prescribed. .- .CORRECT .ANSWER-C, .D, .E
The .nurse .is .providing .education .to .the .parents .of .a .female .with .hydrocephalus
.who .has .just .had .a .shunt .inserted. .When .discussing .the .child's .condition .with
.the .parents, .which .of .the .following .would .be .most .appropriate? .
SOLUTIONS, SCORED A+
An .otherwise .healthy .18-month-old .child .with .a .history .of .febrile .seizures .is .in
.the .well-child .clinic. .Which .statement .by .the .father .would .indicate .to .the .nurse
.that .additional .teaching .should .be .done?
A. ."I .have .ibuprofen .available .in .case .it's .needed."
B. ."My .child .will .likely .outgrow .these .seizures .by .age .5." .
C. ."I .always .keep .phenobarbital .with .me .in .case .of .a .fever." .
D. ."The .most .likely .time .for .a .seizure .is .when .the .fever .is .rising." .- .CORRECT
.ANSWER-C
A .6-month-old .infant .is .admitted .with .a .diagnosis .of .bacterial .meningitis. .The
.nurse .would .place .the .infant .in .which .room?
.
A. .A .room .with .a .12-month-old .infant .with .a .urinary .tract .infection .
B. .A .room .with .an .8-month-old .infant .with .failure .to .thrive .
C. .A .private .room .near .the .nurses' .station .
D. .A .two-bed .room .in .the .middle .of .the .hall .- .CORRECT .ANSWER-C
The .parents .of .a .child .with .a .history .of .seizures .who .has .been .taking
.phenytoin .(Dilantin) .ask .the .nurse .why .it's .difficult .to .maintain .therapeutic
.plasma .levels .of .this .medication. .Which .statement .by .the .nurse .would .be .most
.accurate? .
A. ."A .drop .in .the .plasma .drug .level .will .lead .to .a .toxic .state."
B. ."The .capacity .to .metabolize .the .drug .becomes .overwhelmed .over .time." .
C. ."Small .increments .in .dosage .lead .to .sharp .increases .in .plasma .drug .levels."
.
D. ."Large .increments .in .dosage .lead .to .a .more .rapid .stabilizing .therapeutic
.effect." .- .CORRECT .ANSWER-C
,A .panicked .mother .calls .the .health .care .provider's .office .and .reports .that .her .5-
year-old .has .a .high .fever .and .just .had .a .seizure. .The .mother .asks .the .nurse
.what .she .should .do. .Which .is .the .nurse's .best .response? .
A. .Report .to .the .emergency .room .for .medical .evaluation .
B. .Immerse .the .child .in .a .bathtub .of .tepid .water .
C. .Administer .oral .acetaminophen .per .package .directions .
D. .Remove .any .heavy .clothing .and .cover .with .a .thin .sheet .- .CORRECT
.ANSWER-A
The .nurse .is .assessing .a .7-year-old .with .a .hearing .aid. .His .mother .says .he .is
.losing .his .hearing .again. .Which .finding .would .the .nurse .identify .as
.contributing .to .this .current .complaint? .
A. .Overproduction .of .cerumen .
B. .Soreness .of .the .outer .ear .
C. .History .of .a .normal .term .birth
D. .The .eardrum .responds .to .a .puff .of .air .- .CORRECT .ANSWER-A
The .nurse .is .taking .a .health .history .for .a .9-year-old .with .conjunctivitis. .Which
.statement .by .the .parents .leads .the .nurse .to .suspect .that .the .child .is
.experiencing .allergic .conjunctivitis?
A. ."He .recently .helped .clean .the .basement. .
B. ."He .was .exposed .to .several .family .members .with .an .infection. .
C. .He .just .recovered .from .an .upper .respiratory .infection. .
D. .We .have .a .family .history .of .conjunctivitis. .- .CORRECT .ANSWER-A
The .mother .of .a .12-year-old .with .Reye .syndrome .approaches .the .nurse .wanting
.to .know .how .this .happened .to .her .child, .saying, ."I .never .give .my .kids .aspirin!"
.Which .response .by .the .nurse .would .be .most .appropriate? .
A. ."Sometimes .it's .hard .to .tell .if .a .product .contains .aspirin." .
B. ."Do .you .think .that .maybe .your .child .took .aspirin .on .his .own?" .
C. ."Don't .worry; .you're .in .good .hands. .We .have .it .under .control .now." .
,D. ."Aspirin .in .combination .with .the .virus .will .make .the .brain .swell .and .the .liver
.fail." .- .CORRECT .ANSWER-A
The .nurse .is .caring .for .a .3-year-old .girl .who .has .just .undergone .a
.ventriculostomy. .Which .of .the .following .would .the .nurse .include .in .this .child's
.plan .of .care .to .manage .increased .intracranial .pressure .(ICP)? .
A. .Use .pillows .to .support .the .child .when .lying .on .her .side .
B. .Support .the .parents .in .starting .a .ketogenic .diet .
C. .Pad .the .side .rails .on .the .bed .
D. .Teach .her .to .do .deep .breathing .techniques .- .CORRECT .ANSWER-A
A .nurse .is .caring .for .a .3-year-old .girl .with .microcephaly. .Which .of .the .following
.actions .is .appropriate .for .the .nurse .to .take? .
A. .Playfully .ask .the .child .to .touch .her .nose .
B. .Teach .the .parents .about .ventriculoperitoneal .(VP) .shunts .
C. .Prepare .the .child .for .the .experience .of .cranial .surgery .
D. .Administer .antipyretics .as .ordered .- .CORRECT .ANSWER-A
The .nurse .caring .for .a .neonate .experiencing .seizures .asks .the .charge .nurse:
."How .can .I .tell .if .a .baby .is .having .a .seizure .or .is .just .crying .for .attention?"
.Which .response .would .be .most .appropriate? .Select .all .that .apply. .
A. ."You .will .not .be .able .to .stop .a .seizure .with .gentle .restraint." .
B. ."The .baby .experiencing .a .seizure .will .be .tachycardic." .
C. ."Stimulating .the .baby .by .singing .to .him .will .not .stop .a .seizure." .
D. ."There .will .be .no .changes .in .the .baby's .vital .signs .with .a .seizure" .
E. ."The .baby .will .become .more .active .with .sensory .stimulation .with .a .seizure."
.- .CORRECT .ANSWER-A, .B, .C
An .18-month-old .child .is .admitted .with .signs .of .increased .intracranial .pressure.
.What .should .the .nurse .observe .when .assessing .this .patient? .
A. .Numbness .of .fingers .and .decreased .temperature .
B. .Increased .pulse .rate .and .decreased .blood .pressure .
C. .Increased .temperature .and .decreased .respiratory .rate .
, D. .Decreased .level .of .consciousness .and .increased .respiratory .rate .- .CORRECT
.ANSWER-C
An .8-year-old .child .is .being .treated .for .tonic-clonic .seizures. .What .should .the
.nurse .emphasize .when .teaching .the .parents .about .this .disorder? .
A. .The .child .should .maintain .an .active .lifestyle. .
B. .Immediately .provide .medication .if .a .seizure .begins. .
C. .Have .the .child .carry .a .padded .tongue .blade .with .her .at .all .times. .
D. .Ensure .quiet .time .late .in .the .day, .when .seizure .activity .is .most .likely .to
.occur. .- .CORRECT .ANSWER-A
The .nurse .instructs .a .hearing-impaired .school-age .child .on .to .how .self-inject .a
.prescribed .medication. .Which .observation .indicates .to .the .nurse .that .additional
.teaching .is .required?
A. .The .child .pinches .the .skin .together .before .inserting .the .needle. .
B. .The .child .injects .the .appropriate .amount .of .air .into .the .vial .before
.withdrawing .medication. .
C. .The .child .places .the .filled .syringe .and .uncapped .needle .on .the .bed .to .open
.the .alcohol .wipe. .
D. .The .child .slowly .pushes .on .the .plunger .to .inject .the .medication .before
.withdrawing .the .needle. .- .CORRECT .ANSWER-C
The .nurse .is .caring .for .a .child .recovering .from .surgery .to .correct .strabismus.
.Which .interventions .should .the .nurse .include .when .planning .this .child's .care?
.Select .all .that .apply. .
A. .Apply .an .eye .patch. .
B. .Maintain .on .bed .rest .for .3 .days. .
C. .Support .for .nausea .and .vomiting. .
D. .Provide .pain .medication .as .prescribed. .
E. .Apply .antibiotic .ointment .as .prescribed. .- .CORRECT .ANSWER-C, .D, .E
The .nurse .is .providing .education .to .the .parents .of .a .female .with .hydrocephalus
.who .has .just .had .a .shunt .inserted. .When .discussing .the .child's .condition .with
.the .parents, .which .of .the .following .would .be .most .appropriate? .
