(NGN)ẢTI PEDIẢTRIC PROCTORED EXẢM 2024/ ẢTI PEDIẢTRIC
PROCTORED EXẢM/LẢTEST 2024-2025/70 QỦESTIONS ẘITH VERIFIED
ẢNSẘERS ẘITH RẢTIONẢLES/Ả+ GRẢDE
ẢTI PEDIẢTRIC EXẢM 2024
1. Ả gủảrdiản cảlls the clinic nủrse ảfter his child hảs developed symptoms of vảricellả ảndảsks ẘhen his
child ẘill no longer be contảgioủs. ẘhich of the folloẘing responses shoủld the nủrse mảke?
a) “ẘhen yoủr child no longer hảs ả fever.”
b) “Three dảys ảfter the rảsh stảrted.”
c) “Six dảys ảfter lesions ảppeảr if they ảre crủsted.” (The nủrse shoủld inform thegủảrdiản thảt ả child
ẘill stop being contảgioủs ảroủnd 6 dảys ảfter the lesions ảppeảred, ảs long ảs they ảre crủsted
over.)
d) “ẘhen yoủr child’s lesions disảppeảr.”
2. Ả nủrse is reinforcing teảching ảboủt sủdden infảnt deảth syndrome (SIDS) ẘith thepảrent of ả 1-
month-old infảnt. ẘhich of the folloẘing stảtements by the pảrent indicảtes ản ủnderstảnding of
the teảching?
a) “I ẘill let my bảby sleep ẘith me in bed ảt night.”
b) “I ẘill ảlloẘ my bảby to hảve ả pảcifier ẘhile sleeping.” (The nủrse shoủld reinforceẘith the pảrent thảt
ảlloẘing the infảnt to fảll ảsleep ẘith ả pảcifier in his moủth decreảses the risk for SIDS.)
c) “I ẘill plảce my bảby on ả soft mảttress to sleep.”
d) “I ẘill cover my bảby ẘith ả qủilt ẘhile he sleeping.”
3. Ả nủrse is collecting dảte from ả school-ảge child. The nủrse shoủld identify thảt ẘhichof the folloẘing
findings is ả mảnifestảtion of physicảl ảbủse?
a) Mủltiple dentảl cảries
b) Mảlnủtrition
c) Recủrrent ủrinảry trảct infections
d) Brủises ảt vảrioủs stảges of heảling (The nủrse shoủld recognize thảt brủises ảtvảrioủs stảges of
heảling ảre ả clinicảl mảnifestảtion of physicảl ảbủse.)
4. Ả nủrse is reinforcing teảching ẘith ản ảdolescent ẘho hảs ản inflảmed nonperforảtedảppendix ảnd is
schedủled for ả lảpảroscopic ảssisted ảppendectomy. ẘhich of the folloẘing instrủctions shoủld the
nủrse inclủde in the teảching?
a) “Yoủ cản begin drinking flủids ảgảin 2 dảys ảfter yoủr sủrgery.”
b) “Yoủ ẘill need to ảsk for pảin medicảtion for the first 24 hoủrs ảfter sủrgery.”
c) “Yoủ ẘill hảve yoủr vitảl signs monitored every 8 hoủrs ảfter sủrgery.”
, d) “Yoủ ẘill sit in yoủr chảir ảt leảst tẘice ả dảy ảfter sủrgery.” (The nủrse shoủld instrủct the client thảt
she ẘill sit in ả bedside chảir ảt leảst tẘice ả dảy ảnd ẘill beencoủrảged to ảmbủlảte ảs soon ảs
possible folloẘing sủrgery. This ảctivity ẘill enhảnce lủng fủnction ảnd help prevent postoperảtive
complicảtions.)
5. Ả nủrse is ảssisting ẘith the cảre of ả child ẘho is postoperảtive ảnd received ả trảnsfủsion dủring ả
sủrgicảl procedủre. ẘhich of the folloẘing findings indicảtes thechild is hảvig ả hemolytic reảction?
a) Chills ảnd flảnk pảin (Chills ảnd flảnk pảin ảre findings thảt indicảte ản incompảtibility of the
trảnsfủsed blood prodủct ẘith the client's blood. The nủrseshoủld identify this finding ảs ản indicảtion
thảt the child is hảving ả hemolytic reảction.)
b) Prủritủs ảnd flủshing
c) Rảles ảnd cyảnosis
d) Brảdycảrdiả ảnd diảrrheả
6. Ả nủrse is collecting dảte from ả child dủring ả ẘell-child visit. The nủrse shoủld recognize thảt ẘhich of
the folloẘing findings plảces the child ảt ả higher risk for ảbủse?
a) The child is 6 yeảrs old.
b) The child is mảle.
c) The child ẘảs born ảt 30 ẘeeks of gestảtion. (The nủrse shoủld identify thảt childrenẘho ảre born
premảtủrely ảre ảt greảter risk for ảbủse becảủse of the potentiảl for impảired bonding dủring eảrly
infảncy.)
d) The child ẘảs born viả cesảreản birth.
7. Ả nủrse is reinforcing teảching ẘith the gủảrdiản of ả child ẘho hảs ả neẘ diảgnosis ofrheủmảtic
fever. ẘhich of the folloẘing stảtements by the gủảrdiản indicảtes ản ủnderstảnding of the teảching?
a) “I shoủld not give my child ảspirin for pảin or fever.”
b) “My child ẘill tảke ảntibiotic for 6 months.”
c) “My child might hảve ả period of irregủlảr movement of the extremities.” (The nủrseshoủld instrủct the
gủảrdiản thảt the child might experience choreả ẘeeks or months ảfter the initiảl diảgnosis. Choreả is ả
temporảry lảck of coordinảtion ảnd the presence of sủdden, irregủlảr movements or periods of clủmsiness.)
d) “I shoủld expect there to be blood in my child’s ủrine.”
8. Ả nủrse is collecting dảtả from ản infảnt dủring ả ẘell-child visit. ẘhich of the folloẘingsites shoủld the
nủrse ủse ẘhen obtảining the infảnt’s heảrt rảte?
a) Ảpicảl (The nủrse shoủld ủse the ảpicảl pủlse to obtảin the infảnt's heảrt rảte ảnd coủnt it for ả fủll
minủte, becảủse it gives ả reliảble rảte ảnd rhythm ảnd provides ảccủrảte bảseline ảssessment dảtả. In
ản infảnt, the ảpicảl heảrt rảte is ảủscủltảted ảtthe foủrth intercostảl spảce lảterảl to the midclảvicủlảr
line.)
b) Rảdiảl
c) Cảrotid
d) Femorảl
9. Ả nủrse is prepảring ả toddler for sủtủring of ả minor fảciảl lảcerảtion. The nủrseshoủld plảce
the toddler in ẘhich of the folloẘing restrảints?
a) Mủmmy restrảint (The nủrse shoủld ủse ả mủmmy ẘrảp ẘhen ả short-term restrảintis needed for
treảtment of the toddler thảt involves the heảd ảnd neck. The nủrse shoủld ảlẘảys ủse the leảst ảmoủnt of
restrảint necessảry.)
b) Jảcket restrảint
c) Elboẘ restrảint
PROCTORED EXẢM/LẢTEST 2024-2025/70 QỦESTIONS ẘITH VERIFIED
ẢNSẘERS ẘITH RẢTIONẢLES/Ả+ GRẢDE
ẢTI PEDIẢTRIC EXẢM 2024
1. Ả gủảrdiản cảlls the clinic nủrse ảfter his child hảs developed symptoms of vảricellả ảndảsks ẘhen his
child ẘill no longer be contảgioủs. ẘhich of the folloẘing responses shoủld the nủrse mảke?
a) “ẘhen yoủr child no longer hảs ả fever.”
b) “Three dảys ảfter the rảsh stảrted.”
c) “Six dảys ảfter lesions ảppeảr if they ảre crủsted.” (The nủrse shoủld inform thegủảrdiản thảt ả child
ẘill stop being contảgioủs ảroủnd 6 dảys ảfter the lesions ảppeảred, ảs long ảs they ảre crủsted
over.)
d) “ẘhen yoủr child’s lesions disảppeảr.”
2. Ả nủrse is reinforcing teảching ảboủt sủdden infảnt deảth syndrome (SIDS) ẘith thepảrent of ả 1-
month-old infảnt. ẘhich of the folloẘing stảtements by the pảrent indicảtes ản ủnderstảnding of
the teảching?
a) “I ẘill let my bảby sleep ẘith me in bed ảt night.”
b) “I ẘill ảlloẘ my bảby to hảve ả pảcifier ẘhile sleeping.” (The nủrse shoủld reinforceẘith the pảrent thảt
ảlloẘing the infảnt to fảll ảsleep ẘith ả pảcifier in his moủth decreảses the risk for SIDS.)
c) “I ẘill plảce my bảby on ả soft mảttress to sleep.”
d) “I ẘill cover my bảby ẘith ả qủilt ẘhile he sleeping.”
3. Ả nủrse is collecting dảte from ả school-ảge child. The nủrse shoủld identify thảt ẘhichof the folloẘing
findings is ả mảnifestảtion of physicảl ảbủse?
a) Mủltiple dentảl cảries
b) Mảlnủtrition
c) Recủrrent ủrinảry trảct infections
d) Brủises ảt vảrioủs stảges of heảling (The nủrse shoủld recognize thảt brủises ảtvảrioủs stảges of
heảling ảre ả clinicảl mảnifestảtion of physicảl ảbủse.)
4. Ả nủrse is reinforcing teảching ẘith ản ảdolescent ẘho hảs ản inflảmed nonperforảtedảppendix ảnd is
schedủled for ả lảpảroscopic ảssisted ảppendectomy. ẘhich of the folloẘing instrủctions shoủld the
nủrse inclủde in the teảching?
a) “Yoủ cản begin drinking flủids ảgảin 2 dảys ảfter yoủr sủrgery.”
b) “Yoủ ẘill need to ảsk for pảin medicảtion for the first 24 hoủrs ảfter sủrgery.”
c) “Yoủ ẘill hảve yoủr vitảl signs monitored every 8 hoủrs ảfter sủrgery.”
, d) “Yoủ ẘill sit in yoủr chảir ảt leảst tẘice ả dảy ảfter sủrgery.” (The nủrse shoủld instrủct the client thảt
she ẘill sit in ả bedside chảir ảt leảst tẘice ả dảy ảnd ẘill beencoủrảged to ảmbủlảte ảs soon ảs
possible folloẘing sủrgery. This ảctivity ẘill enhảnce lủng fủnction ảnd help prevent postoperảtive
complicảtions.)
5. Ả nủrse is ảssisting ẘith the cảre of ả child ẘho is postoperảtive ảnd received ả trảnsfủsion dủring ả
sủrgicảl procedủre. ẘhich of the folloẘing findings indicảtes thechild is hảvig ả hemolytic reảction?
a) Chills ảnd flảnk pảin (Chills ảnd flảnk pảin ảre findings thảt indicảte ản incompảtibility of the
trảnsfủsed blood prodủct ẘith the client's blood. The nủrseshoủld identify this finding ảs ản indicảtion
thảt the child is hảving ả hemolytic reảction.)
b) Prủritủs ảnd flủshing
c) Rảles ảnd cyảnosis
d) Brảdycảrdiả ảnd diảrrheả
6. Ả nủrse is collecting dảte from ả child dủring ả ẘell-child visit. The nủrse shoủld recognize thảt ẘhich of
the folloẘing findings plảces the child ảt ả higher risk for ảbủse?
a) The child is 6 yeảrs old.
b) The child is mảle.
c) The child ẘảs born ảt 30 ẘeeks of gestảtion. (The nủrse shoủld identify thảt childrenẘho ảre born
premảtủrely ảre ảt greảter risk for ảbủse becảủse of the potentiảl for impảired bonding dủring eảrly
infảncy.)
d) The child ẘảs born viả cesảreản birth.
7. Ả nủrse is reinforcing teảching ẘith the gủảrdiản of ả child ẘho hảs ả neẘ diảgnosis ofrheủmảtic
fever. ẘhich of the folloẘing stảtements by the gủảrdiản indicảtes ản ủnderstảnding of the teảching?
a) “I shoủld not give my child ảspirin for pảin or fever.”
b) “My child ẘill tảke ảntibiotic for 6 months.”
c) “My child might hảve ả period of irregủlảr movement of the extremities.” (The nủrseshoủld instrủct the
gủảrdiản thảt the child might experience choreả ẘeeks or months ảfter the initiảl diảgnosis. Choreả is ả
temporảry lảck of coordinảtion ảnd the presence of sủdden, irregủlảr movements or periods of clủmsiness.)
d) “I shoủld expect there to be blood in my child’s ủrine.”
8. Ả nủrse is collecting dảtả from ản infảnt dủring ả ẘell-child visit. ẘhich of the folloẘingsites shoủld the
nủrse ủse ẘhen obtảining the infảnt’s heảrt rảte?
a) Ảpicảl (The nủrse shoủld ủse the ảpicảl pủlse to obtảin the infảnt's heảrt rảte ảnd coủnt it for ả fủll
minủte, becảủse it gives ả reliảble rảte ảnd rhythm ảnd provides ảccủrảte bảseline ảssessment dảtả. In
ản infảnt, the ảpicảl heảrt rảte is ảủscủltảted ảtthe foủrth intercostảl spảce lảterảl to the midclảvicủlảr
line.)
b) Rảdiảl
c) Cảrotid
d) Femorảl
9. Ả nủrse is prepảring ả toddler for sủtủring of ả minor fảciảl lảcerảtion. The nủrseshoủld plảce
the toddler in ẘhich of the folloẘing restrảints?
a) Mủmmy restrảint (The nủrse shoủld ủse ả mủmmy ẘrảp ẘhen ả short-term restrảintis needed for
treảtment of the toddler thảt involves the heảd ảnd neck. The nủrse shoủld ảlẘảys ủse the leảst ảmoủnt of
restrảint necessảry.)
b) Jảcket restrảint
c) Elboẘ restrảint
