Pediatric Nursing Exam -2 with precise detailed answers

Pediatric Nursing Exam #2 with precise detailed answers
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An |infant |arrives |at |the |clinic |with |a |persistent |cough. |Mother |reports |the |infant |has |not |been |
feeding |well |for |the |past |day. |What |nursing |interventions |would |be |appropriate?

A. |Provide |oxygen |to |the |infant |via |cannula

B. |Undress |the |infant |to |do |a |complete |assessment

C. |Suction |the |infant's |nose |with |a |bulb |syringe

D. |Start |an |IV |- |correct |answer |C. |Suction |the |infant's |nose |with |a |bulb |syringe



Cough |& |hasn't |been |eating |well |= |prodromal |symptom



Think |about |1st |priority |→ |C |would |be |the |answer |b/c |of |airway

Bulb |syringe |before |Mom |puts |baby |to |breast |or |bottle |b/c |if |they |can't |breathe, |they're |not |
going |to |be |able |to |feed



Don't |give |O2 |until |we |have |a |provider's |order |→ |considered |a |med



A |nurse |is |assessing |an |infant |who |has |manifestations |of |acute |otitis |media |(AOM). |Which |of |
the |following |assessment |data |should |the |nurse |identify |as |risk |factors |for |otitis |media?

Select |all |that |apply.

A. |Breastfeeds |without |formula |supplementation.

B. |Attends |day |care |4 |days |per |week.

C. |Immunizations |are |up |to |date.

D. |History |of |a |cleft |palate |repair.

E. |Parents |smoke |cigarettes |outside. |- |correct |answer |B. |Attends |day |care |4 |days |per |week.

D. |History |of |a |cleft |palate |repair.

E. |Parents |smoke |cigarettes |outside.

,When |recognizing |cues |during |the |care |of |an |infant |who |has |manifestation |of |acute |otitis |
media, |the |nurse |should |identify |that |attending |daycare, |having |a |history |of |cleft |palate |repair,
|and |living |with |parents |who |smoke |are |risk |factors |for |acute |otitis |media. |Attending |daycare |


increases |the |risk |due |to |exposure |to |multiple |children. |Children |who |have |had |a |cleft |palate |
repair |are |more |prone |to |AOM |because |micro-organisms |can |easily |enter |the |Eustachian |
tubes. |Children |who |live |with |parents |who |smoke |cigarettes, |even |outside, |are |at |a |greater |
risk |due |to |exposure |to |secondhand |smoke. |Breastfeeding |helps |to |protect |against |AOM |
because |breast |milk |contains |secretory |immunoglobulin |A. |The |pneumococcal |conjugate |
vaccine |decreases |the |incidence |of |OM.



A |nurse |is |assessing |an |infant |who |has |presented |for |a |well-baby |check-up. |Which |of |the |
following |findings |should |the |nurse |identify |as |clinical |manifestations |of |acute |otitis |media?

Select |all |that |apply.

A. |Decreased |pain |in |the |supine |position

B. |Rolling |head |side |to |side

C. |Loss |of |appetite

D. |Increased |sensitivity |to |sound

E. |Crying |- |correct |answer |B. |Rolling |head |side |to |side

C. |Loss |of |appetite

E. |Crying



When |recognizing |cues |during |the |assessment |of |an |infant, |the |nurse |should |recognize |that |
rolling |the |head |side |to |side, |loss |of |appetite, |and |crying |are |manifestations |of |acute |otitis |
media. |Infants |who |have |acute |otitis |media |will |have |an |increase |in |pain |in |the |supine |position
|from |the |fluid |and |pressure |in |the |ear. |Infants |who |have |acute |otitis |media |have |a |decreased |


sensitivity |to |sound |from |the |fluid |and |pressure |in |the |ear.



A |nurse |is |caring |for |a |toddler |who |has |had |rhinitis, |cough, |and |diarrhea |for |2 |days. |Upon |
assessment, |it |is |noted |that |the |tympanic |membrane |has |an |orange |discoloration |and |
decreased |movement. |Which |of |the |following |statements |should |the |nurse |make |to |the |
caregiver?

A. |"Your |child |has |an |ear |infection |that |requires |antibiotics."

B. |"Your |child |may |have |transient |hearing |loss."

,C. |"Your |child |will |need |a |decongestant |until |this |condition |clears."

D. |"Your |child |will |need |to |have |a |myringotomy." |- |correct |answer |B. |"Your |child |may |have |
transient |hearing |loss."



When |analyzing |cues |during |the |care |of |a |toddler |who |has |had |rhinitis, |cough, |and |diarrhea |
for |2 |days |that |is |accompanied |by |a |tympanic |membrane |with |an |orange |discoloration |and |
decreased |movement, |the |nurse |should |identify |that |the |toddler |has |manifestations |of |otitis |
media |effusion |(OME). |Transient |hearing |loss |is |a |complication |of |OME; |therefore, |the |nurse |
should |inform |the |guardians |that |the |child |may |have |transient |hearing |loss. |Antibiotics |are |not
|recommended |for |OME. |Decongestants |are |not |recommended |for |OME. |Myringotomy |is |


recommended |for |clients |who |have |chronic |OME. |NCLEX |Connection: |Physiological |
Adaptation, |Unexpected |Response |to |Therapies



A |nurse |is |caring |for |a |toddler |who |has |acute |otitis |media. |Which |of |the |following |is |the |
priority |action |for |the |nurse |to |take?

A. |Provide |emotional |support |to |the |family.

B. |Educate |the |family |on |care |of |the |child.

C. |Provide |a |diversional |activity.

D. |Administer |analgesics. |- |correct |answer |D. |Administer |analgesics



When |using |Maslow's |hierarchy |of |needs |to |prioritize |hypothesis |during |the |care |of |a |toddler |
who |has |acute |otitis |media, |the |nurse |should |identify |that |the |administration |of |analgesics |can
|meet |the |toddlers |physiologic |need |for |pain |relief. |Therefore, |this |is |the |priority |action |to |


take. |Providing |emotional |support |to |the |family |will |promote |psychological |well-being. |
However, |it |is |not |the |priority |action. |Educating |the |family |on |the |care |of |the |child |will |
promote |recovery |from |illness. |However, |it |is |not |the |priority |action. |Providing |a |diversional |
activity |for |the |toddler |will |help |provide |normalcy |during |care. |However, |it |is |not |the |priority |
action. |NCLEX |Connection: |Physiological |Adaptation, |Illness |Management



A |nurse |is |caring |for |a |toddler |who |has |had |three |ear |infections |in |the |past |5 |months. |The |
nurse |should |identify |that |the |toddler |is |at |risk |for |developing |which |of |the |following |long-
term |complications?

A. |Balance |difficulties

B. |Rash

, C. |Speech |delays

D. |Mastoiditis |- |correct |answer |C. |Speech |delays



When |analyzing |cues |during |the |care |of |a |toddler |who |has |had |three |ear |infections |in |the |past
|five |months, |the |nurse |should |identify |that |the |toddler |is |at |risk |for |speech |delays |as |a |


complication |of |recurrent |otitis |media. |Balance |difficulties |can |be |present |with |otitis |media. |
However, |it |is |not |a |long-term |complication. |Although |rash |can |indicate |antibiotic |sensitivity, |it
|is |not |a |long-term |complication |of |otitis |media. |Mastoiditis |can |be |a |result |of |otitis |media. |


However, |it |is |not |a |long-term |complication. |NCLEX |Connection: |Physiological |Adaptation, |
Pathophysiology



A |nurse |is |assessing |a |child |who |has |a |rotavirus |infection. |Which |of |the |following |findings |
should |the |nurse |expect?

Select |all |that |apply.

A. |Fever

B. |Vomiting

C. |Watery |stools

D. |Bloody |stools

E. |Confusion |- |correct |answer |A. |Fever

B. |Vomiting

C. |Watery |stools



A |nurse |is |teaching |a |group |of |parents |about |Salmonella. |Which |of |the |following |information |
should |the |nurse |include |in |the |teaching?

Select |all |that |apply.

A. |Incubation |period |is |nonspecific.

B. |It |is |a |bacterial |infection.

C. |Bloody |diarrhea |is |common.

D. |Transmission |can |be |from |house |pets.

E. |Antibiotics |are |used |for |treatment. |- |correct |answer |B. |It |is |a |bacterial |infection.

C. |Bloody |diarrhea |is |common.