Pediatric Certification Prep - Nursing World Sample
Test: Questions With Reliable Solutions
A pediatric nurse advises a parent how to best convey the circumstances
surrounding the sudden death of an infant to a four-year-old sibling. The
nurse anticipates that the sibling:
A may feel guilty about the infant's death.
B may mistrust the parent.
C understands the permanence of death.
D will role-play the infant's death. Correct Answer - may feel guilty
about the infant's death.
At which stage of development are children apt to believe in the reversibility
of death?
A Adolescent
B Preschool age
C School age
D Toddler Correct Answer - Preschool age
The physical manifestations of fetal alcohol syndrome include:
A cleft lip and palette.
B hepatomegaly, hypotonia, and microphthalmia.
C hyperbilirubinemia, jaundice, and failure to thrive.
D microcephaly, short philtrum, and prenatal growth retardation. Correct
Answer - microcephaly, short philtrum, and prenatal growth retardation.
Which blood gas analyses are most indicative of respiratory acidosis?
A pH = 7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L
B pH = 7.28, PC02 = 45 mm Hg, HC03 = 15 mEq/L
C pH = 7.34, PC02 = 35 mm Hg, HC03 = 25 mEq/L
D pH = 7.40, PC02 = 25 mm Hg, HC03 = 30 mEq/L Correct Answer - pH =
7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L
After receiving an immunization for diphtheria, tetanus, and pertussis, a
patient develops swelling and tenderness at the injection site, a low-grade
fever, and malaise. The pediatric nurse informs the patient's parents that:
A the reaction is severe enough that they should bring the patient to an
emergency department.
, B they should delay future immunizations until the patient sees an allergist.
C this is a mild reaction, and teaches them how to manage it.
D this is an appropriate reaction, and instructs them to do nothing. Correct
Answer - this is a mild reaction, and teaches them how to manage it.
The laboratory results of a patient with disseminated intravascular
coagulation are likely to include:
A decreased levels of fibrin split products.
B increased levels of fibrinogen.
C increased platelet counts.
D prolonged prothrombin and partial thromboplastin times. Correct Answer
- prolonged prothrombin and partial thromboplastin times.
A one-month-old female infant, who has developmental dysplasia of the hip, is
placed in a hip spica cast. The infant's mother expresses the desire to continue
breastfeeding. The pediatric nurse's best response is:
A "After breastfeeding, hold your baby upright for 45 minutes."
B "Due to the weight of the cast, breastfeeding is not encouraged. I
recommend that you bottle-feed expressed breast milk so your baby will get
the benefits of the breast milk."
C "Feed your baby 2 oz of formula to decrease her hunger frustration, and
then place her upright in your lap with her legs straddling your leg."
D "To breastfeed, hold your baby under your arm, with her facing you and her
legs extended behind your back." Correct Answer - "To breastfeed, hold
your baby under your arm, with her facing you and her legs extended behind
your back."
A pediatric nurse instructs parents who are concerned about the spread of
illness at their children's daycare centers to inquire about the facilities':
A immunization rates among enrolled children.
B infection control practices.
C reported cases of diarrhea during the previous year.
D staff-to-child ratios. Correct Answer - infection control practices.
A pediatric nurse is caring for a male patient who has undergone a hydrocele
repair. While assessing the patient, the nurse notices that the scrotum is
swollen and discolored. These findings are:
A abnormal, and indicate the need for a cool compress.
B abnormal, and indicate the presence of hemorrhaging.
Test: Questions With Reliable Solutions
A pediatric nurse advises a parent how to best convey the circumstances
surrounding the sudden death of an infant to a four-year-old sibling. The
nurse anticipates that the sibling:
A may feel guilty about the infant's death.
B may mistrust the parent.
C understands the permanence of death.
D will role-play the infant's death. Correct Answer - may feel guilty
about the infant's death.
At which stage of development are children apt to believe in the reversibility
of death?
A Adolescent
B Preschool age
C School age
D Toddler Correct Answer - Preschool age
The physical manifestations of fetal alcohol syndrome include:
A cleft lip and palette.
B hepatomegaly, hypotonia, and microphthalmia.
C hyperbilirubinemia, jaundice, and failure to thrive.
D microcephaly, short philtrum, and prenatal growth retardation. Correct
Answer - microcephaly, short philtrum, and prenatal growth retardation.
Which blood gas analyses are most indicative of respiratory acidosis?
A pH = 7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L
B pH = 7.28, PC02 = 45 mm Hg, HC03 = 15 mEq/L
C pH = 7.34, PC02 = 35 mm Hg, HC03 = 25 mEq/L
D pH = 7.40, PC02 = 25 mm Hg, HC03 = 30 mEq/L Correct Answer - pH =
7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L
After receiving an immunization for diphtheria, tetanus, and pertussis, a
patient develops swelling and tenderness at the injection site, a low-grade
fever, and malaise. The pediatric nurse informs the patient's parents that:
A the reaction is severe enough that they should bring the patient to an
emergency department.
, B they should delay future immunizations until the patient sees an allergist.
C this is a mild reaction, and teaches them how to manage it.
D this is an appropriate reaction, and instructs them to do nothing. Correct
Answer - this is a mild reaction, and teaches them how to manage it.
The laboratory results of a patient with disseminated intravascular
coagulation are likely to include:
A decreased levels of fibrin split products.
B increased levels of fibrinogen.
C increased platelet counts.
D prolonged prothrombin and partial thromboplastin times. Correct Answer
- prolonged prothrombin and partial thromboplastin times.
A one-month-old female infant, who has developmental dysplasia of the hip, is
placed in a hip spica cast. The infant's mother expresses the desire to continue
breastfeeding. The pediatric nurse's best response is:
A "After breastfeeding, hold your baby upright for 45 minutes."
B "Due to the weight of the cast, breastfeeding is not encouraged. I
recommend that you bottle-feed expressed breast milk so your baby will get
the benefits of the breast milk."
C "Feed your baby 2 oz of formula to decrease her hunger frustration, and
then place her upright in your lap with her legs straddling your leg."
D "To breastfeed, hold your baby under your arm, with her facing you and her
legs extended behind your back." Correct Answer - "To breastfeed, hold
your baby under your arm, with her facing you and her legs extended behind
your back."
A pediatric nurse instructs parents who are concerned about the spread of
illness at their children's daycare centers to inquire about the facilities':
A immunization rates among enrolled children.
B infection control practices.
C reported cases of diarrhea during the previous year.
D staff-to-child ratios. Correct Answer - infection control practices.
A pediatric nurse is caring for a male patient who has undergone a hydrocele
repair. While assessing the patient, the nurse notices that the scrotum is
swollen and discolored. These findings are:
A abnormal, and indicate the need for a cool compress.
B abnormal, and indicate the presence of hemorrhaging.
