NRSG 421 PEDIATRICS TEST BANK EXAM
ASSESSMENT QUESTIONS WITH CORRECT
ANSWERS
What age group is most likely to view illness and hospitalization as a punishment? - ANS-preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The parents gave
their son the correct dosage of Tylenol 3 hours prior to coming in to hospital. After orders from MRP,
what is the best action? - ANS-give the ordered Advil doses
T/F Systematically rotate injection sites for insulin for diabetes - ANS-T
What age can babies first eat sweetened food and sugar? - ANS-12 months
When a mother asks the nurse when she should start giving her infant solid foods, the nurse should
instruct her to introduce which solid food first? - ANS-rice cereal
T/F Children are more likely to have ruptured appendix - ANS-T
Which is best method for nurse to perform physical assessment on an 18 month old (toddler) - ANS-
Least to most invasive
What age should children be able to sit unsupported? - ANS-3-4 months
What age should babies be eating solid food? - ANS-6 months
9 year old patient waiting for appendectomy at noon/ Your AM assessment findings show HR130, RR30,
T39.2, and 8/10 on FACES scale and states "my tummy hurts more than last night? What do you suspect
the patient most likely has? - ANS-peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? - ANS-D5NS
sugar helps because of increased metabolism in children
Which respiratory condition is always considered a medical emergency? What kind of condition is it? -
ANS-epiglottitis
higher up airway condition
T/F Always consider ABC and what is normal for that condition - ANS-T
, Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on ____
If swaddling, use ____ blanket or sleep ____
Toys, stuffies, and pillows are not recommended until at least _____ months
Best to room share with baby in their own sleeping area (crib, bassinet) for _____months
If smoking, avoid smoking in ______ - ANS-back
velcro, sack
12
4
house
4 types of indrawing for babies - ANS-Supersternal, substernal, subcostal, intercostal
When should kids take rescue inhaler for sports? - ANS-before and during sometimes
8 S/S of appendicitis - ANS-RLQ pain
guarding
rebound tenderness
low grade fever
diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? - ANS-fluids first
*6 steps of DKA protocol - ANS-assess neurovitals
insert IV
rapid fluid resuscitation
stabilize fluid and electrolytes with NS and KCl
start 3 bug system
start SQ insulin when stable
What is 3 bag system for DKA? - ANS-glucose
NS with potassium
insulin
What is defining feature of sepsis? - ANS-Lactate acid levels
T/F Use simple language and understanding when talking to children - ANS-T
Fears of infants (0-12 months) (6) - ANS-loss of support
separation anxiety
strangers
bright light
loud noise
sudden movement
ASSESSMENT QUESTIONS WITH CORRECT
ANSWERS
What age group is most likely to view illness and hospitalization as a punishment? - ANS-preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The parents gave
their son the correct dosage of Tylenol 3 hours prior to coming in to hospital. After orders from MRP,
what is the best action? - ANS-give the ordered Advil doses
T/F Systematically rotate injection sites for insulin for diabetes - ANS-T
What age can babies first eat sweetened food and sugar? - ANS-12 months
When a mother asks the nurse when she should start giving her infant solid foods, the nurse should
instruct her to introduce which solid food first? - ANS-rice cereal
T/F Children are more likely to have ruptured appendix - ANS-T
Which is best method for nurse to perform physical assessment on an 18 month old (toddler) - ANS-
Least to most invasive
What age should children be able to sit unsupported? - ANS-3-4 months
What age should babies be eating solid food? - ANS-6 months
9 year old patient waiting for appendectomy at noon/ Your AM assessment findings show HR130, RR30,
T39.2, and 8/10 on FACES scale and states "my tummy hurts more than last night? What do you suspect
the patient most likely has? - ANS-peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? - ANS-D5NS
sugar helps because of increased metabolism in children
Which respiratory condition is always considered a medical emergency? What kind of condition is it? -
ANS-epiglottitis
higher up airway condition
T/F Always consider ABC and what is normal for that condition - ANS-T
, Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on ____
If swaddling, use ____ blanket or sleep ____
Toys, stuffies, and pillows are not recommended until at least _____ months
Best to room share with baby in their own sleeping area (crib, bassinet) for _____months
If smoking, avoid smoking in ______ - ANS-back
velcro, sack
12
4
house
4 types of indrawing for babies - ANS-Supersternal, substernal, subcostal, intercostal
When should kids take rescue inhaler for sports? - ANS-before and during sometimes
8 S/S of appendicitis - ANS-RLQ pain
guarding
rebound tenderness
low grade fever
diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? - ANS-fluids first
*6 steps of DKA protocol - ANS-assess neurovitals
insert IV
rapid fluid resuscitation
stabilize fluid and electrolytes with NS and KCl
start 3 bug system
start SQ insulin when stable
What is 3 bag system for DKA? - ANS-glucose
NS with potassium
insulin
What is defining feature of sepsis? - ANS-Lactate acid levels
T/F Use simple language and understanding when talking to children - ANS-T
Fears of infants (0-12 months) (6) - ANS-loss of support
separation anxiety
strangers
bright light
loud noise
sudden movement
