Pediatric Nursing Exam 1 with correct detailed answers
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A |6-month |old |male |is |at |his |well-child |checkup. |The |nurse |weighs |him, |and |his |mother |asks |if
|his |weight |is |normal |for |his |age. |The |nurse's |best |response |is:
1. |"At |6 |months |his |weight |should |be |approximately |three |times |his |birth |weight."
2. |"Each |child |gains |weight |at |his |or |her |own |pace."
3. |"At |6 |months |his |weight |should |be |approximately |twice |his |birth |weight."
4. |At |6 |months |a |child |should |weigh |about |10 |lb |more |than |his |or |her |birth |weight." |- |correct |
answer |3. |"At |6 |months |his |weight |should |be |approximately |twice |his |birth |weight."
Rationale: |Infants |should |double |their |weight |by |4-6-months |of |age.
How |can |the |nurse |best |facilitate |the |trust |relationship |between |infant |and |parents |while |the |
infant |is |hospitalized? |The |nurse |should:
1. |Encourage |the |parents |to |remain |at |their |child's |bedside |as |much |as |possible.
2. |Keep |parents |informed |about |all |aspects |of |their |child's |condition.
3. |Encourage |the |parents |to |hold |their |child |as |much |as |possible.
4. |Advise |the |parents |to |participate |actively |in |their |child's |care. |- |correct |answer |3. |Encourage
|the |parents |to |hold |their |child |as |much |as |possible.
The |nurse |is |going |to |give |a |6-month-old |a |dose |of |Rocephin |IM. |What |must |the |nurse |do |
when |the |1.5 |mL |dose |arrives |from |the |pharmacy?
1. |Administer |the |injection |into |the |deltoid |muscle. |
2. |Divide |the |dose |into |two |injections.
3. |Administer |the |injection |into |the |dorsogluteal |muscle.
4. |Give |dose |as |a |single |injection |into |the |vastus |lateralis |muscle. |- |correct |answer |2. |Divide |
the |dose |into |two |injections.
Rationale: |A |nurse |should |not |deliver |more |than |1 |mL |per |IM |injection |to |a |6-month |old.
,Which |statement |by |an |infant's |mother |leads |the |nurse |to |believe |she |needs |further |
education |about |the |nutritional |needs |of |a |6-month-old?
1. |"I |will |continue |to |breastfeed |my |son |and |will |give |him |rice |cereal |three |times |a |day."
2. |"I |will |start |my |son |on |fruits |and |gradually |introduce |vegetables."
3. |"I |will |start |my |son |on |carrots |and |will |introduce |one |new |vegetable |every |few |days."
4. |"I |will |not |give |my |son |any |more |than |8 |ounces |of |baby |juice |per |day." |- |correct |answer |2.
|"I |will |start |my |son |on |fruits |and |gradually |introduce |vegetables."
Rationale: |Infants |should |be |started |on |vegetables |prior |to |fruits. |The |sweetness |of |fruits |may |
inhibit |infants |from |taking |vegetables. |
** |As |a |parent, |this |is |true! |Trust |me |😂
Which |statement |accurately |describes |the |best |method |for |assessing |a |12-month |old?
1. |The |nurse |should |assess |the |child |on |the |examining |table.
2. |The |nurse |should |assess |the |child |in |a |head-to-toe |sequence.
3. |The |nurse |should |have |the |child's |mother |assist |in |holding |her |down.
4. |The |nurse |should |assess |the |child |while |she |is |in |her |mother's |lap. |- |correct |answer |4. |The |
nurse |should |assess |the |child |while |she |is |in |her |mother's |lap.
The |nurse |is |instructing |a |new |breastfeeding |mother |in |the |need |to |provide |her |premature |
infant |with |an |adequate |source |of |iron |in |her |diet. |Which |statement |reflects |a |need |for |
further |education |of |the |new |mother?
1. |"I |will |use |only |breast |milk |or |an |iron-fortified |formula |as |a |source |of |milk |for |my |baby |until
|she |is |at |least |12 |months |old."
2. |"My |baby |will |need |to |have |iron |supplements |introduce |when |she |is |4 |months |old."
3. |"I |will |need |to |add |iron |supplements |to |my |baby's |diet |when |she |is |2 |months |old."
4. |:When |my |baby |begins |to |eat |solid |foods, |I |should |introduce |iron-fortified |cereals |to |her |
diet." |- |correct |answer |3. |"I |will |need |to |add |iron |supplements |to |my |baby's |diet |when |she |is |2
|months |old."
Rationale: |Premature |infants |have |iron |stores |from |the |mother |that |last |approximately |2 |
months, |so |it |is |important |to |introduce |iron |supplement |by |2 |months |of |age. |Full-term |infants |
have |iron |stores |that |last |approximately |4-6 |months.
,A |first-time |mother |brings |in |her |5-day-old |baby |for |a |well-child |visit. |The |nurse |weighs |the |
infant |and |reports |a |weight |of |7 |lbs |5 |oz |to |the |mother. |The |mother |looks |concerned |and |tells |
the |nurse |that |her |baby |weighed |7 |lb |10 |oz |when |she |was |discharged |4 |days |ago. |The |nurse's |
best |response |to |the |mother |is:
1. |"I |will |let |the |doctor |the |doctor |know, |and |he |will |talk |with |you |about |the |possible |causes |
of |our |infant's |weigh |loss."
2. |"A |weight |loss |of |a |few |ounces |is |common |among |newborns, |especially |for |breastfeeding |
mothers."
3. |I |can |tell |you |are |a |first-time |mother. |Don't |worry; |we |will |find |out |why |she |is |losing |
weight."
4. |"Maybe |she |isn't |getting |enough |milk. |How |often |are |you |breastfeeding |her?" |- |correct |
answer |2. |"A |weight |loss |of |a |few |ounces |is |common |among |newborns, |especially |for |
breastfeeding |mothers."
Which |toy |is |the |best |choice |for |a |12-month-old?
1. |Baby |doll
2. |Musical |rattle
3. |Board |book
4. |Colorful |beads |- |correct |answer |2. |Musical |rattle
Rationale: |A |musical |rattle |is |the |perfect |toy |for |this |child. |Infants |have |short |attention |spans |
and |enjoy |auditory |and |visual |stimulation. |
** |1 |and |3 |are |good |options, |but |they |will |likely |just |put |them |in |their |mouth, |so |they're |not |
the |best |option. |4 |is |a |choking |hazard.
The |parents |of |a |newborn |are |asking |the |nurse |how |to |use |the |infant |car |seat |and |where |it |
should |be |placed |in |their |vehicle. |Which |is |the |next |most |appropriate |action |by |the |nurse?
1. |Give |the |parents |a |pamphlet |explaining |how |to |install |the |car |seat.
2. |Accompany |the |parents |to |the |car, |and |show |them |how |to |install |the |car |seat.
3. |Contact |the |hospital's |car |seat |safety |officer, |and |ask |the |officer |to |accompany |the |parents |
to |the |car |for |car |seat |installations. |
, 4. |Show |the |parents |a |video |on |car |seat |installation |and |safety, |and |ask |if |they |are |
comfortable |with |the |information. |- |correct |answer |3. |Contact |the |hospital's |car |seat |safety |
officer, |and |ask |the |officer |to |accompany |the |parents |to |the |car |for |car |seat |installations. |
Rationale: |The |car |seat |safety |officer |is |the |best |choice, |as |that |individual |would |have |the |
needed |information |and |certification |to |help |the |family.
The |mother |of |a |newborn |asks |the |nurse |when |the |infant |will |receive |the |first |hepatitis |B |
immunization. |Which |is |the |nurse's |best |response?
1. |"Babies |receive |the |hepatitis |B |vaccine |only |if |their |mother |is |hepatitis |B-positive."
2. |"The |first |dose |of |hepatitis |B |vaccine |will |be |given |prior |to |discharge |today."
3. |"The |first |dose |of |hepatitis |B |vaccine |is |given |at |1 |year |of |age."
4. |"Babies |receive |their |first |hepatitis |B |vaccine |at |6-months |of |age." |- |correct |answer |2. |"The |
first |dose |of |hepatitis |B |vaccine |will |be |given |prior |to |discharge |today."
Which |finding |would |the |nurse |consider |abnormal |when |performing |a |physical |assessment |on |
a |6-month-old?
1. |The |posterior |fontanel |is |open.
2. |The |anterior |fontanel |is |open. |
3. |Beginning |signs |of |tooth |eruption.
4. |Able |to |track |and |follow |objects. |- |correct |answer |1. |The |posterior |fontanel |is |open.
Rationale: |The |posterior |fontanel |should |close |between |6 |and |8 |weeks |of |age. |The |anterior |
fontanel |should |close |between |12 |and |18 |months |of |age. |The |other |two |options |are |normal.
A |mother |requests |that |her |child |receive |the |varicella |vaccine |at |the |9-month |well-child |
checkup. |The |nurse |tells |the |mother |that:
1. |Children |who |are |vaccinated |will |likely |develop |a |mild |case |of |the |disease.
2. |The |vaccine |cannot |be |given |at |that |visit.
3. |The |vaccine |will |be |administered |after |the |physician |examines |the |child. |
4. |A |booster |vaccination |will |be |needed |at |18 |months |of |age. |- |correct |answer |2. |The |vaccine |
cannot |be |given |at |that |visit.
| | | | | | |
A |6-month |old |male |is |at |his |well-child |checkup. |The |nurse |weighs |him, |and |his |mother |asks |if
|his |weight |is |normal |for |his |age. |The |nurse's |best |response |is:
1. |"At |6 |months |his |weight |should |be |approximately |three |times |his |birth |weight."
2. |"Each |child |gains |weight |at |his |or |her |own |pace."
3. |"At |6 |months |his |weight |should |be |approximately |twice |his |birth |weight."
4. |At |6 |months |a |child |should |weigh |about |10 |lb |more |than |his |or |her |birth |weight." |- |correct |
answer |3. |"At |6 |months |his |weight |should |be |approximately |twice |his |birth |weight."
Rationale: |Infants |should |double |their |weight |by |4-6-months |of |age.
How |can |the |nurse |best |facilitate |the |trust |relationship |between |infant |and |parents |while |the |
infant |is |hospitalized? |The |nurse |should:
1. |Encourage |the |parents |to |remain |at |their |child's |bedside |as |much |as |possible.
2. |Keep |parents |informed |about |all |aspects |of |their |child's |condition.
3. |Encourage |the |parents |to |hold |their |child |as |much |as |possible.
4. |Advise |the |parents |to |participate |actively |in |their |child's |care. |- |correct |answer |3. |Encourage
|the |parents |to |hold |their |child |as |much |as |possible.
The |nurse |is |going |to |give |a |6-month-old |a |dose |of |Rocephin |IM. |What |must |the |nurse |do |
when |the |1.5 |mL |dose |arrives |from |the |pharmacy?
1. |Administer |the |injection |into |the |deltoid |muscle. |
2. |Divide |the |dose |into |two |injections.
3. |Administer |the |injection |into |the |dorsogluteal |muscle.
4. |Give |dose |as |a |single |injection |into |the |vastus |lateralis |muscle. |- |correct |answer |2. |Divide |
the |dose |into |two |injections.
Rationale: |A |nurse |should |not |deliver |more |than |1 |mL |per |IM |injection |to |a |6-month |old.
,Which |statement |by |an |infant's |mother |leads |the |nurse |to |believe |she |needs |further |
education |about |the |nutritional |needs |of |a |6-month-old?
1. |"I |will |continue |to |breastfeed |my |son |and |will |give |him |rice |cereal |three |times |a |day."
2. |"I |will |start |my |son |on |fruits |and |gradually |introduce |vegetables."
3. |"I |will |start |my |son |on |carrots |and |will |introduce |one |new |vegetable |every |few |days."
4. |"I |will |not |give |my |son |any |more |than |8 |ounces |of |baby |juice |per |day." |- |correct |answer |2.
|"I |will |start |my |son |on |fruits |and |gradually |introduce |vegetables."
Rationale: |Infants |should |be |started |on |vegetables |prior |to |fruits. |The |sweetness |of |fruits |may |
inhibit |infants |from |taking |vegetables. |
** |As |a |parent, |this |is |true! |Trust |me |😂
Which |statement |accurately |describes |the |best |method |for |assessing |a |12-month |old?
1. |The |nurse |should |assess |the |child |on |the |examining |table.
2. |The |nurse |should |assess |the |child |in |a |head-to-toe |sequence.
3. |The |nurse |should |have |the |child's |mother |assist |in |holding |her |down.
4. |The |nurse |should |assess |the |child |while |she |is |in |her |mother's |lap. |- |correct |answer |4. |The |
nurse |should |assess |the |child |while |she |is |in |her |mother's |lap.
The |nurse |is |instructing |a |new |breastfeeding |mother |in |the |need |to |provide |her |premature |
infant |with |an |adequate |source |of |iron |in |her |diet. |Which |statement |reflects |a |need |for |
further |education |of |the |new |mother?
1. |"I |will |use |only |breast |milk |or |an |iron-fortified |formula |as |a |source |of |milk |for |my |baby |until
|she |is |at |least |12 |months |old."
2. |"My |baby |will |need |to |have |iron |supplements |introduce |when |she |is |4 |months |old."
3. |"I |will |need |to |add |iron |supplements |to |my |baby's |diet |when |she |is |2 |months |old."
4. |:When |my |baby |begins |to |eat |solid |foods, |I |should |introduce |iron-fortified |cereals |to |her |
diet." |- |correct |answer |3. |"I |will |need |to |add |iron |supplements |to |my |baby's |diet |when |she |is |2
|months |old."
Rationale: |Premature |infants |have |iron |stores |from |the |mother |that |last |approximately |2 |
months, |so |it |is |important |to |introduce |iron |supplement |by |2 |months |of |age. |Full-term |infants |
have |iron |stores |that |last |approximately |4-6 |months.
,A |first-time |mother |brings |in |her |5-day-old |baby |for |a |well-child |visit. |The |nurse |weighs |the |
infant |and |reports |a |weight |of |7 |lbs |5 |oz |to |the |mother. |The |mother |looks |concerned |and |tells |
the |nurse |that |her |baby |weighed |7 |lb |10 |oz |when |she |was |discharged |4 |days |ago. |The |nurse's |
best |response |to |the |mother |is:
1. |"I |will |let |the |doctor |the |doctor |know, |and |he |will |talk |with |you |about |the |possible |causes |
of |our |infant's |weigh |loss."
2. |"A |weight |loss |of |a |few |ounces |is |common |among |newborns, |especially |for |breastfeeding |
mothers."
3. |I |can |tell |you |are |a |first-time |mother. |Don't |worry; |we |will |find |out |why |she |is |losing |
weight."
4. |"Maybe |she |isn't |getting |enough |milk. |How |often |are |you |breastfeeding |her?" |- |correct |
answer |2. |"A |weight |loss |of |a |few |ounces |is |common |among |newborns, |especially |for |
breastfeeding |mothers."
Which |toy |is |the |best |choice |for |a |12-month-old?
1. |Baby |doll
2. |Musical |rattle
3. |Board |book
4. |Colorful |beads |- |correct |answer |2. |Musical |rattle
Rationale: |A |musical |rattle |is |the |perfect |toy |for |this |child. |Infants |have |short |attention |spans |
and |enjoy |auditory |and |visual |stimulation. |
** |1 |and |3 |are |good |options, |but |they |will |likely |just |put |them |in |their |mouth, |so |they're |not |
the |best |option. |4 |is |a |choking |hazard.
The |parents |of |a |newborn |are |asking |the |nurse |how |to |use |the |infant |car |seat |and |where |it |
should |be |placed |in |their |vehicle. |Which |is |the |next |most |appropriate |action |by |the |nurse?
1. |Give |the |parents |a |pamphlet |explaining |how |to |install |the |car |seat.
2. |Accompany |the |parents |to |the |car, |and |show |them |how |to |install |the |car |seat.
3. |Contact |the |hospital's |car |seat |safety |officer, |and |ask |the |officer |to |accompany |the |parents |
to |the |car |for |car |seat |installations. |
, 4. |Show |the |parents |a |video |on |car |seat |installation |and |safety, |and |ask |if |they |are |
comfortable |with |the |information. |- |correct |answer |3. |Contact |the |hospital's |car |seat |safety |
officer, |and |ask |the |officer |to |accompany |the |parents |to |the |car |for |car |seat |installations. |
Rationale: |The |car |seat |safety |officer |is |the |best |choice, |as |that |individual |would |have |the |
needed |information |and |certification |to |help |the |family.
The |mother |of |a |newborn |asks |the |nurse |when |the |infant |will |receive |the |first |hepatitis |B |
immunization. |Which |is |the |nurse's |best |response?
1. |"Babies |receive |the |hepatitis |B |vaccine |only |if |their |mother |is |hepatitis |B-positive."
2. |"The |first |dose |of |hepatitis |B |vaccine |will |be |given |prior |to |discharge |today."
3. |"The |first |dose |of |hepatitis |B |vaccine |is |given |at |1 |year |of |age."
4. |"Babies |receive |their |first |hepatitis |B |vaccine |at |6-months |of |age." |- |correct |answer |2. |"The |
first |dose |of |hepatitis |B |vaccine |will |be |given |prior |to |discharge |today."
Which |finding |would |the |nurse |consider |abnormal |when |performing |a |physical |assessment |on |
a |6-month-old?
1. |The |posterior |fontanel |is |open.
2. |The |anterior |fontanel |is |open. |
3. |Beginning |signs |of |tooth |eruption.
4. |Able |to |track |and |follow |objects. |- |correct |answer |1. |The |posterior |fontanel |is |open.
Rationale: |The |posterior |fontanel |should |close |between |6 |and |8 |weeks |of |age. |The |anterior |
fontanel |should |close |between |12 |and |18 |months |of |age. |The |other |two |options |are |normal.
A |mother |requests |that |her |child |receive |the |varicella |vaccine |at |the |9-month |well-child |
checkup. |The |nurse |tells |the |mother |that:
1. |Children |who |are |vaccinated |will |likely |develop |a |mild |case |of |the |disease.
2. |The |vaccine |cannot |be |given |at |that |visit.
3. |The |vaccine |will |be |administered |after |the |physician |examines |the |child. |
4. |A |booster |vaccination |will |be |needed |at |18 |months |of |age. |- |correct |answer |2. |The |vaccine |
cannot |be |given |at |that |visit.
