Pediatrics Final Exam Solved 100% Correct
A 10-year-old boy on a bicycle has been hit by a car in front of the school. The school
nurse immediately assesses airway, breathing, and circulation. What is the next nursing
action
A. Stabilize neck and spine
B. Check scalp and back for bleeding
C. Take blood pressure
D. Place on side - ANSWER-A. Stabilize neck and spine
A 12 month old child is in the being sent up from the Emergency Room with a fever and
cough for 2 days the nurse suspects influenza .The charge nurse is following best
practice by?
A. Allow child to go to the playroom as long as they wash there hands
B. Place child in a private room
C. Place child in a room with another child that has the same symptoms
D. Place child in a warm mist tent - ANSWER-B. Place child in a private room
A 12 month old is at her well child visit .What abnormal finding needs to be reported to
the provider?
A. Birth length Birth length has increased by 50%
B. 8 teeth have erupted
C. Birth weight has doubled
D. Child is able to take 3 steps - ANSWER-C. Birth weight has doubled
A 12 year old female is complaining of sever back pain in the flank area and has a fever
of 103.4.The renal sonogram shows rt sided backup obstruction and distention the child
has most likely has what condition?
Hypernephrosis
Ureternephrosis
Urethranephrosis
Hydronephrosis - ANSWER-Hydronephrosis
A 12-year-old male has short stature and appears depressed . What should the nurse
be the most concerned about?
A. Child's self-esteem
B. Proper administration of thyroid hormone
C. Proper administration of human growth hormones
D. Helping child understand that he has not completed growing - ANSWER-A. Child's
self-esteem
,A 15 year-old patient is treated for an asthma attack following exposure to tobacco
smoke at a friend's home. The BEST advice the nurse can give is
A. "avoidance of known triggers is the best way to prevent attacks."
B. "it will be a good practice to take your preventive medications after going to your
friend's house the next time."
C. "your friend's parents need to be advised that they cannot smoke in their home
when you come to visit."
D. "take a extra dose of your long acting inhaler before you go over to your friends
house" - ANSWER-A. "avoidance of known triggers is the best way to prevent attacks."
A 19 year old just delivered a baby in the Emergency room. She stated that she did not
know she was pregnant and did not receive prenatal care.The child is cyanotic ,sunken
abdomen and bowel sounds are heard in the chest .The nurse is concerned the child
may have what condition?
Hiatal Henia
Diaphragmatic Hernia
Abdominal Hernia
Umbilical Hernia - ANSWER-Diaphragmatic Hernia
A 20 month-old presents for treatment of stridor associated with croup. The nurse
anticipates a STAT order from the physician for
acetaminophen (Tylenol)
levalbuterol (Xopenex)
prednisone (Prelone)
racemic epinephrine (Vaponephrine) - ANSWER-racemic epinephrine (Vaponephrine)
A 20 month-old presents for treatment of stridor associated with croup. The nurse
anticipates a STAT order from the physician for
acetaminophen (Tylenol)
levalbuterol (Xopenex)
prednisone (Prelone)
racemic epinephrine (Vaponephrine) - ANSWER-racemic epinephrine (Vaponephrine)
A 3-month-old infant dies shortly after arrival to the emergency department. The infant
has subdural and retinal hemorrhages but no external signs of trauma. What should the
nurse suspect?
Shaken-baby syndrome
Unintentional injury
Congenital neurologic problem
Sudden infant death syndrome (SID - ANSWER-Shaken-baby syndrome
, A 4 week old infant is not feeding well and when examined there is white coating in the
oral in the mouth .The nurse suspects thrush the mom asked how is this treated the
nurse answers by stating which of the following ? Select all that apply
A. Wash and sterilize nipples and pacifiers
B. The child has yeast infection oral nystatin will be used
C. Amoxicillin to the oral mucosa
D. Antibiotics to the mothers breast if nursing - ANSWER-A. Wash and sterilize nipples
and pacifiers
B. The child has yeast infection oral nystatin will be used
A 4 year old is admitted with pneumonia the orders read ibuprofen 5mg/kg every 6hours
for a temp above 101.2 The medication is labeled 100mg in 5ml. The child has a temp
of 102.2 last dose was 8 hours ago patients weight 44 lbs.Please calculate how many
milliliters the child will receive.
5ml
4.5ml
6.5ml
10ml - ANSWER-5ml
A 4-month-old infant has gastroesophageal reflux (GERD) but is thriving without other
complications. Which should the nurse suggest to minimize reflux? Select all that apply
Place in Trendelenburg position after eating.
Thicken formula with rice cereal
Feed baby more often
Give continuous nasogastric tubes fee - ANSWER-Thicken formula with rice cereal
Feed baby more often
A 5 month old infant is admitted for treatment of respiratory syncytial virus (RSV). Which
of the following alerts the nurse to EARLY signs of increasing distress?
Rales
oxygen saturation of 94% on room air.
respiratory rate 62
Slight wheezes clear with cough - ANSWER-respiratory rate 62
A 6 month old comes in with otitis media .The PCP prescribes Zithromax 10mg /kg for
the first day. Available 100mg/5ml .How many ml will the child get her weight is 22lb
3ml
0.5ml
1ml
5ml - ANSWER-5ml
A 10-year-old boy on a bicycle has been hit by a car in front of the school. The school
nurse immediately assesses airway, breathing, and circulation. What is the next nursing
action
A. Stabilize neck and spine
B. Check scalp and back for bleeding
C. Take blood pressure
D. Place on side - ANSWER-A. Stabilize neck and spine
A 12 month old child is in the being sent up from the Emergency Room with a fever and
cough for 2 days the nurse suspects influenza .The charge nurse is following best
practice by?
A. Allow child to go to the playroom as long as they wash there hands
B. Place child in a private room
C. Place child in a room with another child that has the same symptoms
D. Place child in a warm mist tent - ANSWER-B. Place child in a private room
A 12 month old is at her well child visit .What abnormal finding needs to be reported to
the provider?
A. Birth length Birth length has increased by 50%
B. 8 teeth have erupted
C. Birth weight has doubled
D. Child is able to take 3 steps - ANSWER-C. Birth weight has doubled
A 12 year old female is complaining of sever back pain in the flank area and has a fever
of 103.4.The renal sonogram shows rt sided backup obstruction and distention the child
has most likely has what condition?
Hypernephrosis
Ureternephrosis
Urethranephrosis
Hydronephrosis - ANSWER-Hydronephrosis
A 12-year-old male has short stature and appears depressed . What should the nurse
be the most concerned about?
A. Child's self-esteem
B. Proper administration of thyroid hormone
C. Proper administration of human growth hormones
D. Helping child understand that he has not completed growing - ANSWER-A. Child's
self-esteem
,A 15 year-old patient is treated for an asthma attack following exposure to tobacco
smoke at a friend's home. The BEST advice the nurse can give is
A. "avoidance of known triggers is the best way to prevent attacks."
B. "it will be a good practice to take your preventive medications after going to your
friend's house the next time."
C. "your friend's parents need to be advised that they cannot smoke in their home
when you come to visit."
D. "take a extra dose of your long acting inhaler before you go over to your friends
house" - ANSWER-A. "avoidance of known triggers is the best way to prevent attacks."
A 19 year old just delivered a baby in the Emergency room. She stated that she did not
know she was pregnant and did not receive prenatal care.The child is cyanotic ,sunken
abdomen and bowel sounds are heard in the chest .The nurse is concerned the child
may have what condition?
Hiatal Henia
Diaphragmatic Hernia
Abdominal Hernia
Umbilical Hernia - ANSWER-Diaphragmatic Hernia
A 20 month-old presents for treatment of stridor associated with croup. The nurse
anticipates a STAT order from the physician for
acetaminophen (Tylenol)
levalbuterol (Xopenex)
prednisone (Prelone)
racemic epinephrine (Vaponephrine) - ANSWER-racemic epinephrine (Vaponephrine)
A 20 month-old presents for treatment of stridor associated with croup. The nurse
anticipates a STAT order from the physician for
acetaminophen (Tylenol)
levalbuterol (Xopenex)
prednisone (Prelone)
racemic epinephrine (Vaponephrine) - ANSWER-racemic epinephrine (Vaponephrine)
A 3-month-old infant dies shortly after arrival to the emergency department. The infant
has subdural and retinal hemorrhages but no external signs of trauma. What should the
nurse suspect?
Shaken-baby syndrome
Unintentional injury
Congenital neurologic problem
Sudden infant death syndrome (SID - ANSWER-Shaken-baby syndrome
, A 4 week old infant is not feeding well and when examined there is white coating in the
oral in the mouth .The nurse suspects thrush the mom asked how is this treated the
nurse answers by stating which of the following ? Select all that apply
A. Wash and sterilize nipples and pacifiers
B. The child has yeast infection oral nystatin will be used
C. Amoxicillin to the oral mucosa
D. Antibiotics to the mothers breast if nursing - ANSWER-A. Wash and sterilize nipples
and pacifiers
B. The child has yeast infection oral nystatin will be used
A 4 year old is admitted with pneumonia the orders read ibuprofen 5mg/kg every 6hours
for a temp above 101.2 The medication is labeled 100mg in 5ml. The child has a temp
of 102.2 last dose was 8 hours ago patients weight 44 lbs.Please calculate how many
milliliters the child will receive.
5ml
4.5ml
6.5ml
10ml - ANSWER-5ml
A 4-month-old infant has gastroesophageal reflux (GERD) but is thriving without other
complications. Which should the nurse suggest to minimize reflux? Select all that apply
Place in Trendelenburg position after eating.
Thicken formula with rice cereal
Feed baby more often
Give continuous nasogastric tubes fee - ANSWER-Thicken formula with rice cereal
Feed baby more often
A 5 month old infant is admitted for treatment of respiratory syncytial virus (RSV). Which
of the following alerts the nurse to EARLY signs of increasing distress?
Rales
oxygen saturation of 94% on room air.
respiratory rate 62
Slight wheezes clear with cough - ANSWER-respiratory rate 62
A 6 month old comes in with otitis media .The PCP prescribes Zithromax 10mg /kg for
the first day. Available 100mg/5ml .How many ml will the child get her weight is 22lb
3ml
0.5ml
1ml
5ml - ANSWER-5ml
