NR328 Exam 1 peds UPDATED ACTUAL Questions and
CORRECT Answers
What factors have been shown to increase the risk of - recent illness
SIDS? Select all that apply - sleeping with an adult (co-sleeping)
- smoking around the infant
An important milestone in the infant's life is the The infant turns & looks for the mother when she walks out of his view
development of object permanence. This milestone is
represented by which of these statements?
The type of play that infants engage in is called? Onlooker
What are the clinical manifestations of failure to thrive? - growth failure
Select all that apply - developmental delays
- avoidance of eye contact
What must the nurse teach the parents of the child with Extra enzymes must be taken with high-fat foods
cystic fibrosis about the use of pancreatic enzymes?
A nurse is teaching an adolescent about the appropriate Albuterol
use of his asthma medications. Which of the following
medications should the nurse instruct the adolescent to
use before he participates in exercise?
A child with asthma is undergoing pulmonary function Used to assess the severity of asthma
tests. What is the purpose of the peak expiratory flow
rate test?
a 5-year old is recovering from a tonsillectomy & Observe the child for continuous swallowing.
adenoidectomy and is being discharged home with his
mother. Home care instructions should include which of
the following?
What assessment finding does the nurse recognize as a Presence of fever and otalgia (earache)
manifestation of acute otitis media?
A 5-year-old is seen in the urgent care clinic with the Acute epiglottis
following history and symptoms: sudden onset of severe
sore throat after going to bed, drooling and difficulty
swallowing, axillary temperature of 102.2°F (39.0°C), clear
breath sounds, and absence of cough. The child appears
anxious and is flushed. Based on these symptoms and
history, the nurse anticipates a diagnosis of
, A 5-year-old child is brought to the emergency -Vital signs
department with abrupt onset of sore throat, pain with -Medical history
swallowing, fever, and sitting upright and forward. Acute -Assessment of breath sounds
epiglottitis is suspected. What are the most appropriate -Ready availability of emergency airway equipment
nursing interventions? Select all that apply.
What is an important nursing intervention in the care of a Intermittent warmth, moist compresses to remove crusts on the eye area
child with bacterial conjunctivitis?
The school nurse is concerned about an outbreak of Administer varicella zoster immune globulin (VZIG) to prevent chickenpox
chickenpox, because two children at the school have
cancer and are immunodeficient as a result of
chemotherapy. What is the most appropriate
recommendation the school nurse can give to the two
children’s parents?
An infant has a low-grade fever, is sneezing, has tearing - Provide humidified oxygenation and suction
eyes, and exhibits a short and rapid cough that occurs - Place the patient on droplet precautions
mainly at night and is followed by a crowing sound.
Which nursing actions are appropriate for this patient?
Select all that apply.
Strict isolation is required for a child who is hospitalized Chickenpox
with which infectious disease?
How can the nurse prepare a child for a painful Involve the child in the use of distraction, such as using bubbles, music, or playing
procedure? games
The nurse works in a vaccination clinic. Which patients - A 12-month-old baby with a cold
should receive the measles, mumps, and rubella (MMR) - A 14-month-old baby allergic to eggs
vaccine? Select all that apply. - A breastfeeding mother
Which childhood vaccine provides some protection Hib vaccine
against bacterial meningitis, epiglottitis, and bacterial
pneumonia?
A nurse is preparing to assess a preschooler. Which of the Allow the child to role play using mini equipment
following actions should the nurse take to prepare the
child?
An infant with a congenital heart defect is being given Prevent RSV infection
palivizumab.
Two parents bring their 4-month-old infant in for a well- "Our child has not made attempts to speak words yet, but he does coo and laugh"
baby visit. They are describing the child's growth and
development to the nurse during the assessment
interview. Which parent statement below indicates a
potential delay in milestone development?
CORRECT Answers
What factors have been shown to increase the risk of - recent illness
SIDS? Select all that apply - sleeping with an adult (co-sleeping)
- smoking around the infant
An important milestone in the infant's life is the The infant turns & looks for the mother when she walks out of his view
development of object permanence. This milestone is
represented by which of these statements?
The type of play that infants engage in is called? Onlooker
What are the clinical manifestations of failure to thrive? - growth failure
Select all that apply - developmental delays
- avoidance of eye contact
What must the nurse teach the parents of the child with Extra enzymes must be taken with high-fat foods
cystic fibrosis about the use of pancreatic enzymes?
A nurse is teaching an adolescent about the appropriate Albuterol
use of his asthma medications. Which of the following
medications should the nurse instruct the adolescent to
use before he participates in exercise?
A child with asthma is undergoing pulmonary function Used to assess the severity of asthma
tests. What is the purpose of the peak expiratory flow
rate test?
a 5-year old is recovering from a tonsillectomy & Observe the child for continuous swallowing.
adenoidectomy and is being discharged home with his
mother. Home care instructions should include which of
the following?
What assessment finding does the nurse recognize as a Presence of fever and otalgia (earache)
manifestation of acute otitis media?
A 5-year-old is seen in the urgent care clinic with the Acute epiglottis
following history and symptoms: sudden onset of severe
sore throat after going to bed, drooling and difficulty
swallowing, axillary temperature of 102.2°F (39.0°C), clear
breath sounds, and absence of cough. The child appears
anxious and is flushed. Based on these symptoms and
history, the nurse anticipates a diagnosis of
, A 5-year-old child is brought to the emergency -Vital signs
department with abrupt onset of sore throat, pain with -Medical history
swallowing, fever, and sitting upright and forward. Acute -Assessment of breath sounds
epiglottitis is suspected. What are the most appropriate -Ready availability of emergency airway equipment
nursing interventions? Select all that apply.
What is an important nursing intervention in the care of a Intermittent warmth, moist compresses to remove crusts on the eye area
child with bacterial conjunctivitis?
The school nurse is concerned about an outbreak of Administer varicella zoster immune globulin (VZIG) to prevent chickenpox
chickenpox, because two children at the school have
cancer and are immunodeficient as a result of
chemotherapy. What is the most appropriate
recommendation the school nurse can give to the two
children’s parents?
An infant has a low-grade fever, is sneezing, has tearing - Provide humidified oxygenation and suction
eyes, and exhibits a short and rapid cough that occurs - Place the patient on droplet precautions
mainly at night and is followed by a crowing sound.
Which nursing actions are appropriate for this patient?
Select all that apply.
Strict isolation is required for a child who is hospitalized Chickenpox
with which infectious disease?
How can the nurse prepare a child for a painful Involve the child in the use of distraction, such as using bubbles, music, or playing
procedure? games
The nurse works in a vaccination clinic. Which patients - A 12-month-old baby with a cold
should receive the measles, mumps, and rubella (MMR) - A 14-month-old baby allergic to eggs
vaccine? Select all that apply. - A breastfeeding mother
Which childhood vaccine provides some protection Hib vaccine
against bacterial meningitis, epiglottitis, and bacterial
pneumonia?
A nurse is preparing to assess a preschooler. Which of the Allow the child to role play using mini equipment
following actions should the nurse take to prepare the
child?
An infant with a congenital heart defect is being given Prevent RSV infection
palivizumab.
Two parents bring their 4-month-old infant in for a well- "Our child has not made attempts to speak words yet, but he does coo and laugh"
baby visit. They are describing the child's growth and
development to the nurse during the assessment
interview. Which parent statement below indicates a
potential delay in milestone development?
