Peds Test #1-NUR 263 MTC (Summer 2025 Nursing 263 at
Midlands Tech) Questions With Complete Solutions
At what age can an infant face forward in a car seat Correct
Answers They have to be at LEAST 2 years of age
At what ages might treatment be withheld and the patient simply
observed with Otitis media? Correct Answers -6 months to 2
years with nonsevere illness
-older than 2 years with nonsevere illness
-older than 2 years
At what ages should screening for children at high risk for lead
poisoning happen? Correct Answers 9 and 12 months and
repeat at 24 months
Can drowning victims die without aspirating fluid? If yes, what
would it be from? Correct Answers YES, may occur from
prolonged reflex laryngospasm
Children 4 months to 5 years old commonly have pneumonia
caused by what? Correct Answers Respiratory viruses
(streptococcus pneumonia, chlamydia pneumonia)
Children ages 5 to 18 most commonly have pneumonia caused
by what? Correct Answers Mycoplasma pneumonia-will need
antibiotic (z-pack, zithromax)
Children with what other disease also have increased incidence
of celiac disease, constipation, Hirschprung disease and
imperforate anus? Correct Answers Down Syndrome
,Congenital heart disease and septal defects (hole between atria
of heart) occur in 40-50% of children with what other disease?
Correct Answers Down Syndrome
Cystic fibrosis results in what type of secretions in the sweat
glands, GI tract, pancreas, respiratory tract and other exocrine
tissues? Correct Answers Thick, tenacious secretions that are
difficult to clear
Does the neurologic lesion associated with Cerebral Palsy
progress over time? Correct Answers NO
How can nurses promote nutrition for the patient with cerebral
palsy? Correct Answers G-tube feedings may be needed if oral
feeding issues present
• manual jaw control during feedings
• risk for aspiration due to swallowing difficulties
• special diets may be needed, soft or pureed
How can RSV (Respiratory Synctial Virus) be prevented?
Correct Answers -no cure
-strict handwashing in daycare centers
-COSTLY antibodies for susceptible children
How can you control exposure to allergens? Correct Answers
avoid tobacco smoke, use pillow and mattress covers, wash
sheets, pillowcases, comforters once a week in 130 degree water
-use blinds rather than curtains, remove stuffed animals
-reduce indoor humidity to less than 50%
,-remove carpet from bedroom, clean solid-surface floors with
wet mop once per week
-remove pets from home permanently
How can you minimize stress for a child AFTER a procedure?
Correct Answers -hold and comfort the child (cuddle and
soothe infants)
-encourage the parents to do this if they are around
-encourage children to express their feelings through PLAY
-praise children for appropriate behavior (prize box or stickers)
How can you minimize stress for a child before a procedure?
Correct Answers -give a description of the procedure and the
reason using age appropriate language
-tell them where the procedure will occur
-introduce them to strange equipment that he/she may see
-inform the child if there is ANY pain involved (DO NOT LIE)
-identify any special care after the procedure
How can you minimize stress for a child DURING a procedure?
Correct Answers -use firm, positive, confident approach to help
give the child a sense of security
-involve the child in decision making and selecting from a list of
choices
-allow the child to express feelings (anger, fear, anxiety,
frustration)
-use distraction methods
How can you prevent otitis externa "swimmers ear?" Correct
Answers -avoid use of cotton swabs, headphones, earphones
-wear earplugs when swimming
, -dry ear canals w/hair dryer on low setting
-mixture of rubbing alcohol and vinegar squirted in ear and
allowed to run out
-Domeboro solution in to canal and allowed to run out
How do you relieve pain associated with a tonsillectomy?
Correct Answers -ice collar, analgesics with or without
narcotics, popsicles, ice chips
AVOID: citrus juices (may irritate throat), brown or red fluids
(may be confused w/blood)
How does activated charcoal work with poisoning/overdose and
when is it NOT effective? Correct Answers -binds with the
substance and sticks to anything in the stomach to prevent
absorption
-NOT effective with iron overdose
How is lead poisoning diagnosed? Correct Answers
Venipuncture (fingersticks lead to many false positives)
How long does it take (in minutes) for irreversible damage to
neurons and cerebral cells to happen? Correct Answers 4 to 6
minutes
How might RSV (Respiratory Synctial Virus) be diagnosed?
Correct Answers Nasopharyngeal washings, chest x-rays,
blood gases
How often must symptoms persist in order for a child to be
diagnosed with ADHD? Correct Answers more than 6 months,
Midlands Tech) Questions With Complete Solutions
At what age can an infant face forward in a car seat Correct
Answers They have to be at LEAST 2 years of age
At what ages might treatment be withheld and the patient simply
observed with Otitis media? Correct Answers -6 months to 2
years with nonsevere illness
-older than 2 years with nonsevere illness
-older than 2 years
At what ages should screening for children at high risk for lead
poisoning happen? Correct Answers 9 and 12 months and
repeat at 24 months
Can drowning victims die without aspirating fluid? If yes, what
would it be from? Correct Answers YES, may occur from
prolonged reflex laryngospasm
Children 4 months to 5 years old commonly have pneumonia
caused by what? Correct Answers Respiratory viruses
(streptococcus pneumonia, chlamydia pneumonia)
Children ages 5 to 18 most commonly have pneumonia caused
by what? Correct Answers Mycoplasma pneumonia-will need
antibiotic (z-pack, zithromax)
Children with what other disease also have increased incidence
of celiac disease, constipation, Hirschprung disease and
imperforate anus? Correct Answers Down Syndrome
,Congenital heart disease and septal defects (hole between atria
of heart) occur in 40-50% of children with what other disease?
Correct Answers Down Syndrome
Cystic fibrosis results in what type of secretions in the sweat
glands, GI tract, pancreas, respiratory tract and other exocrine
tissues? Correct Answers Thick, tenacious secretions that are
difficult to clear
Does the neurologic lesion associated with Cerebral Palsy
progress over time? Correct Answers NO
How can nurses promote nutrition for the patient with cerebral
palsy? Correct Answers G-tube feedings may be needed if oral
feeding issues present
• manual jaw control during feedings
• risk for aspiration due to swallowing difficulties
• special diets may be needed, soft or pureed
How can RSV (Respiratory Synctial Virus) be prevented?
Correct Answers -no cure
-strict handwashing in daycare centers
-COSTLY antibodies for susceptible children
How can you control exposure to allergens? Correct Answers
avoid tobacco smoke, use pillow and mattress covers, wash
sheets, pillowcases, comforters once a week in 130 degree water
-use blinds rather than curtains, remove stuffed animals
-reduce indoor humidity to less than 50%
,-remove carpet from bedroom, clean solid-surface floors with
wet mop once per week
-remove pets from home permanently
How can you minimize stress for a child AFTER a procedure?
Correct Answers -hold and comfort the child (cuddle and
soothe infants)
-encourage the parents to do this if they are around
-encourage children to express their feelings through PLAY
-praise children for appropriate behavior (prize box or stickers)
How can you minimize stress for a child before a procedure?
Correct Answers -give a description of the procedure and the
reason using age appropriate language
-tell them where the procedure will occur
-introduce them to strange equipment that he/she may see
-inform the child if there is ANY pain involved (DO NOT LIE)
-identify any special care after the procedure
How can you minimize stress for a child DURING a procedure?
Correct Answers -use firm, positive, confident approach to help
give the child a sense of security
-involve the child in decision making and selecting from a list of
choices
-allow the child to express feelings (anger, fear, anxiety,
frustration)
-use distraction methods
How can you prevent otitis externa "swimmers ear?" Correct
Answers -avoid use of cotton swabs, headphones, earphones
-wear earplugs when swimming
, -dry ear canals w/hair dryer on low setting
-mixture of rubbing alcohol and vinegar squirted in ear and
allowed to run out
-Domeboro solution in to canal and allowed to run out
How do you relieve pain associated with a tonsillectomy?
Correct Answers -ice collar, analgesics with or without
narcotics, popsicles, ice chips
AVOID: citrus juices (may irritate throat), brown or red fluids
(may be confused w/blood)
How does activated charcoal work with poisoning/overdose and
when is it NOT effective? Correct Answers -binds with the
substance and sticks to anything in the stomach to prevent
absorption
-NOT effective with iron overdose
How is lead poisoning diagnosed? Correct Answers
Venipuncture (fingersticks lead to many false positives)
How long does it take (in minutes) for irreversible damage to
neurons and cerebral cells to happen? Correct Answers 4 to 6
minutes
How might RSV (Respiratory Synctial Virus) be diagnosed?
Correct Answers Nasopharyngeal washings, chest x-rays,
blood gases
How often must symptoms persist in order for a child to be
diagnosed with ADHD? Correct Answers more than 6 months,
