NSG 3600 Exam 1 – Pediatric Nursing
– Actual Questions & Answers (Galen)
100% Guarantee Pass
A 5-year-old child is hospitalized with osteomyelitis and will be going home in the
next few days on intravenous (IV) antibiotics. Which action by the nurse is the most
appropriate?
a. ensure that a valid permit for a PICC line is on the chart
b. locate a pharmacy that will supply the IV medications
c. research the pt's insurance for home infusion coverage
d. teach the child about PICC line using a doll - ------------ANS: A
A 10 y/o child who has been hospitalized frequently and for long periods of time has
the nursing diagnosis of delayed growth and development. Which action by the child
would demonstrate that outcomes for this diagnosis have been met?
a. able to play harmoniously with peers
b. does own homework independently
c. seeks out parental approval for activities
d. selects age-appropriate games and toys - ------------ANS: B
A 10-month-old-child is int he pediatric clinic for his 8th ear infection. Which
assessment is most important for the nurse to perform on this child?
a. ask the parent about possible allergy testing
b. assess the Childs mouth for oral thrush
c. graph height and weight on the growth chart
d. inquire about the health of the entire family - ------------ANS: C
A child has been hospitalized with an acute-grade IV slipped femoral capital
epiphysis (SFCE) and is on bedrest awaiting surgical correction. A new nurse places
the following interventions on the childs care plan. Which intervention leads the
experienced nurse to intervene?
a. consult child-life therapist for diversionary activities
b. perform range-of-motion exercises to both lower extremities
c. reinforce teaching on crutch-walking postoperatively
d. teach child and family about non-weight-bearing status - ------------ANS: B
A child has been hospitalized with rubella. Which action by the charge nurse is most
appropriate?
a. do not allow pregnant nursing staff in the room
b. inform the parents that fresh produce is not allowed
,c. place the child on contact isolation precautions
d. use standard precautions when caring for this child - ------------ANS: A
A child has been hospitalized with rubeola. Which actions by the nursing staff are
most important? (Select all that apply.)
a. administer ordered antibiotics on time
b. assess the child for Kopliks spots
c. ensure the room is dark for photophobia
d. monitor the child for febrile seizures
e. report the disease to health authorities - ------------ANS: B, C, E
A child is hospitalized with a. serious bacterial infection. Which assessment finding
indicates that he goals for a priority nursing diagnosis have been met?
a. intact skin integrity
b. normal temperature
c. stable weight
d. urine output of 1mL/kg/hour - ------------ANS: D
A child is in the ED following an OD of acetaminophen (Tylenol). What medication
does the nurse anticipate administering?
a. activated charcoal
b. N-acetylcysteine (NAC)
c. Naloxone (Narcan)
d. Syrup of ipecac - ------------ANS: B
A child who has been limping for several weeks is brought to the clinic and
undergoes radiological studies. The results show osteonecrosis. Which information
does the nurse plan to teach the parents about their child's condition?
a. non-weight-bearing status and mobility limitations
b. overcorrection with the Z-plasty technique
d. wearing and caring for a Browne splint - ------------ANS: A
A child with a congenital immunodeficiency is scheduled for a routine vaccination.
What instruction is most important for the nurse to provide the parent before they
leave the clinic?
a. "if your child has a little temperature, give acetaminophen (Tylenol)"
b. keep your child away from other children for the next few days"
c. "let's schedule your return visit to have blood drawn for a titer"
d. "put ice not he injection site 4 times a day for 15 minutes" - ------------ANS: C
A child with special needs has moved into the community. Which health-care
resource should the school nurse direct the child's family toward?
a. medical home
b. pediatric clinic
, c. home health care
d. community center - ------------ANS: A
A child's family history includes muscular dystrophy (MD). What diagnostic testing
does the nurse prepare the child and family for? (Select all that apply.)
a. blood urea nitrogen
b. creating kinase
c. electromyelogram
d. muscle biopsy
e. ultrasound - ------------ANS: B, C, D
A home health-care nurse is visiting a child with Duchennes muscular dystrophy
(MD). The child has a new cough, poor appetite, fatigue, and a reddened area on his
coccyx from sitting in his wheelchair all day. What intervention by the nurse takes
priority?
a. assess child for his favorite high-protein foods
b. develop a protocol for changing positions more often
c. encourage family to allow the child plenty of rest
d. notify the health-care provider and request antibiotics - ------------ANS: D
A home health-care nurse sees several pediatric patients who have the nursing
diagnosis of delayed growth and development. Which action by a child would
indicated that outcomes have been met?
a. a 3 y/o child walks backward
b. a 4 y/o plays video games
c. a 5 y/o child can unscrew items
d. a 7 y/o child uses scissors to cut an outline figure - ------------ANS: A
A mother is complaining to the nurse that her 3 y/o child often has difficulty falling
and staying asleep. The following day, the child is cranky and uncooperative. Which
action by the nurse is the most appropriate?
a. asses the child's usual nighttime routine
b. Assure mom that sleep and behavior are not related
c. Encourage active play before bedtime
d. Have mom put the child to bed only when sleepy - ------------ANS: A
A new nurse is placing an elastic wrap on a patient with an ankle sprain. Which
action by this nurse causes an experienced nurse to intervene?
a. exerts moderate pull on the wrap
b. instructs the pt on wrapping the injury
c. starts wrapping distal to the injury
d. wraps in a proximal-to-distal fashion - ------------ANS: D
– Actual Questions & Answers (Galen)
100% Guarantee Pass
A 5-year-old child is hospitalized with osteomyelitis and will be going home in the
next few days on intravenous (IV) antibiotics. Which action by the nurse is the most
appropriate?
a. ensure that a valid permit for a PICC line is on the chart
b. locate a pharmacy that will supply the IV medications
c. research the pt's insurance for home infusion coverage
d. teach the child about PICC line using a doll - ------------ANS: A
A 10 y/o child who has been hospitalized frequently and for long periods of time has
the nursing diagnosis of delayed growth and development. Which action by the child
would demonstrate that outcomes for this diagnosis have been met?
a. able to play harmoniously with peers
b. does own homework independently
c. seeks out parental approval for activities
d. selects age-appropriate games and toys - ------------ANS: B
A 10-month-old-child is int he pediatric clinic for his 8th ear infection. Which
assessment is most important for the nurse to perform on this child?
a. ask the parent about possible allergy testing
b. assess the Childs mouth for oral thrush
c. graph height and weight on the growth chart
d. inquire about the health of the entire family - ------------ANS: C
A child has been hospitalized with an acute-grade IV slipped femoral capital
epiphysis (SFCE) and is on bedrest awaiting surgical correction. A new nurse places
the following interventions on the childs care plan. Which intervention leads the
experienced nurse to intervene?
a. consult child-life therapist for diversionary activities
b. perform range-of-motion exercises to both lower extremities
c. reinforce teaching on crutch-walking postoperatively
d. teach child and family about non-weight-bearing status - ------------ANS: B
A child has been hospitalized with rubella. Which action by the charge nurse is most
appropriate?
a. do not allow pregnant nursing staff in the room
b. inform the parents that fresh produce is not allowed
,c. place the child on contact isolation precautions
d. use standard precautions when caring for this child - ------------ANS: A
A child has been hospitalized with rubeola. Which actions by the nursing staff are
most important? (Select all that apply.)
a. administer ordered antibiotics on time
b. assess the child for Kopliks spots
c. ensure the room is dark for photophobia
d. monitor the child for febrile seizures
e. report the disease to health authorities - ------------ANS: B, C, E
A child is hospitalized with a. serious bacterial infection. Which assessment finding
indicates that he goals for a priority nursing diagnosis have been met?
a. intact skin integrity
b. normal temperature
c. stable weight
d. urine output of 1mL/kg/hour - ------------ANS: D
A child is in the ED following an OD of acetaminophen (Tylenol). What medication
does the nurse anticipate administering?
a. activated charcoal
b. N-acetylcysteine (NAC)
c. Naloxone (Narcan)
d. Syrup of ipecac - ------------ANS: B
A child who has been limping for several weeks is brought to the clinic and
undergoes radiological studies. The results show osteonecrosis. Which information
does the nurse plan to teach the parents about their child's condition?
a. non-weight-bearing status and mobility limitations
b. overcorrection with the Z-plasty technique
d. wearing and caring for a Browne splint - ------------ANS: A
A child with a congenital immunodeficiency is scheduled for a routine vaccination.
What instruction is most important for the nurse to provide the parent before they
leave the clinic?
a. "if your child has a little temperature, give acetaminophen (Tylenol)"
b. keep your child away from other children for the next few days"
c. "let's schedule your return visit to have blood drawn for a titer"
d. "put ice not he injection site 4 times a day for 15 minutes" - ------------ANS: C
A child with special needs has moved into the community. Which health-care
resource should the school nurse direct the child's family toward?
a. medical home
b. pediatric clinic
, c. home health care
d. community center - ------------ANS: A
A child's family history includes muscular dystrophy (MD). What diagnostic testing
does the nurse prepare the child and family for? (Select all that apply.)
a. blood urea nitrogen
b. creating kinase
c. electromyelogram
d. muscle biopsy
e. ultrasound - ------------ANS: B, C, D
A home health-care nurse is visiting a child with Duchennes muscular dystrophy
(MD). The child has a new cough, poor appetite, fatigue, and a reddened area on his
coccyx from sitting in his wheelchair all day. What intervention by the nurse takes
priority?
a. assess child for his favorite high-protein foods
b. develop a protocol for changing positions more often
c. encourage family to allow the child plenty of rest
d. notify the health-care provider and request antibiotics - ------------ANS: D
A home health-care nurse sees several pediatric patients who have the nursing
diagnosis of delayed growth and development. Which action by a child would
indicated that outcomes have been met?
a. a 3 y/o child walks backward
b. a 4 y/o plays video games
c. a 5 y/o child can unscrew items
d. a 7 y/o child uses scissors to cut an outline figure - ------------ANS: A
A mother is complaining to the nurse that her 3 y/o child often has difficulty falling
and staying asleep. The following day, the child is cranky and uncooperative. Which
action by the nurse is the most appropriate?
a. asses the child's usual nighttime routine
b. Assure mom that sleep and behavior are not related
c. Encourage active play before bedtime
d. Have mom put the child to bed only when sleepy - ------------ANS: A
A new nurse is placing an elastic wrap on a patient with an ankle sprain. Which
action by this nurse causes an experienced nurse to intervene?
a. exerts moderate pull on the wrap
b. instructs the pt on wrapping the injury
c. starts wrapping distal to the injury
d. wraps in a proximal-to-distal fashion - ------------ANS: D
