Pediatric Nursing Exam 3 | Practice Questions & Verified Answers
The nurse percussing over an empty stomach expects to A. Tympany
hear which sound?
a.
Tympany
b.
Resonance
c.
Flatness
d.
Dullness
The nurse is admitting a toddler to the pediatric infectious d. Obtaining an accurate history
disease unit. What is the single most important component
of the child's physical examination?
a. Assessment of heart and lungs
b. Measurement of height and weight
c. Documentation of parental concerns
d. Obtaining an accurate history
. In which section of the health history should the nurse b. Chief complaint
record that the parent brought the infant to the clinic today
because of frequent diarrhea?
a. Review of systems
b. Chief complaint
c. Lifestyle and life patterns
d. Health history
The nurse assesses a child's oculomotor, trochlear, and a. Assessing the six cardinal gazes
abducent nerves by using which technique?
a. Assessing the six cardinal gazes
b. Identification of common odors
c. Having child bite on a tongue blade
d. Ask child to shrug against resistance
The nurse is performing a comprehensive physical c. 1 year
examination on a young child in the hospital. At what age
can the nurse expect a child's head and chest
circumferences to be almost equal?
a. Birth
b. 6 months
c. 1 year
d. 3 years
An 8-year-old girl asks the nurse how the blood pressure c. Explain in simple terms how it works.
apparatus works. The most appropriate nursing action is to
a. Ask her why she wants to know.
b. Determine why she is so anxious.
c. Explain in simple terms how it works.
d. Tell her she will see how it works as it is used.
Which chart should the nurse use to assess the visual b. Snellen chart
acuity of an 8-year-old child?
a. Lea chart
b. Snellen chart
c. HOTV chart
d. Tumbling E chart
Which action is appropriate when the nurse is assessing c. Encourage the child to play with the stethoscope to distract and to calm down
breath sounds of an 18-month-old crying child? before auscultating
a. Ask the parent to quiet the child so the nurse can listen.
b. Auscultate breath sounds and chart that the child was
crying.
c. Encourage the child to play with the stethoscope to
distract and to calm down before auscultating.
d. Document that data are not available because of
noncompliance.
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, Pediatric Nursing Exam 3 | Practice Questions & Verified Answers
The nurse is obtaining vital signs on a 1-year-old child. a. Apical
What is the most appropriate site for assessing the pulse
rate?
a. Apical
b. Radial
c. Carotid
d. Femoral
A nurse is reviewing pediatric physical assessment a. Physical examinations proceed systematically from head to toe unless
techniques. Which statement about performing a pediatric developmental considerations dictate otherwise.
physical assessment is correct?
a. Physical examinations proceed systematically from
head to toe unless developmental considerations dictate
otherwise.
b. The physical examination should be done with parents
in the examining room for children of any age.
c. Measurement of head circumference is done until the
child is 5 years old.
d. The physical examination is done only when the child is
cooperative.
What term should be used in the nurse's documentation to c. Crackles
describe auscultation of breath sounds that are short,
popping, and discontinuous on inspiration?
a. Pleural friction rub
b. Bronchovesicular sounds
c. Crackles
d. Wheeze
Which strategy is the best approach when initiating the b. Have the parent hold the child on his or her lap.
physical examination of a 9-month-old male infant?
a. Undress the infant and do a head-to-toe examination.
b. Have the parent hold the child on his or her lap.
c. Put the infant on the examination table and begin
assessments at the head.
d. Ask the parent to leave because the infant will be upset.
Which strategy is not always appropriate for pediatric b. Examine the child from head to toe.
physical examination?
a. Take the history in a quiet, private place.
b. Examine the child from head to toe.
c. Exhibit sensitivity to cultural needs and differences.
d. Perform frightening procedures last.
Which assessment should the nurse perform last when d. Throat
examining a 5-year-old child?
a. Heart
b. Lungs
c. Abdomen
d. Throat
When is the most appropriate time to inspect the genital c. After the abdominal assessment.
area during a well-child examination of a 14-year-old girl?
a. It is not necessary to inspect the genital area.
b. Examine the genital area first.
c. After the abdominal assessment.
d. Do the genital inspection last.
Which measurement is not indicated for a 4-year-old well- d. Head circumference
child examination?
a. Blood pressure
b. Weight
c. Height
d. Head circumference
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, Pediatric Nursing Exam 3 | Practice Questions & Verified Answers
The nurse inspecting the skin of a dark-skinned child b. Erythema
notices an area that is a dusky red or violet color. This skin
coloration is associated with what?
a. Cyanosis
b. Erythema
c. Vitiligo
d. Nevi
The nurse palpated the anterior fontanel of a 14-month-old a. This is a normal finding.
infant and found that it was closed. What does this finding
indicate?
a. This is a normal finding.
b. This finding indicates premature closure of cranial
sutures.
c. This is abnormal and the child should have a
developmental evaluation.
d. This is an abnormal finding and the child should have a
neurologic evaluation.
The nurse is assessing a 4-year-old child's visual acuity. b. "Your child's visual acuity is normal for his age."
He is planning to attend preschool next week. The results
indicate a visual acuity of 20/40 in both eyes. The child's
father asks the nurse about his son's results. Which
response, if made by the nurse, is correct?
a. "Your child will need a referral to the ophthalmologist
before he can attend preschool next week."
b. "Your child's visual acuity is normal for his age."
c. "The results of this test indicate your child may be color
blind."
d. "Your child did not pass the screening test. He will need
to return within the next few weeks to be reevaluated."
When interviewing the mother of a 3-year-old child, the c. An important part of the child's past growth and development
nurse asks about developmental milestones such as the
age of walking without assistance. This should be
considered
a. Unnecessary information, because the child is 3 years
old
b. An important part of the family history
c. An important part of the child's past growth and
development
d. An important part of the child's review of systems
Which cranial nerve is assessed when the child is asked to d. Facial
imitate the examiner's wrinkled frown, wrinkled forehead,
smile, and raised eyebrow?
a. Accessory
b. Hypoglossal
c. Trigeminal
d. Facial
Which assessment finding is considered a neurologic soft b. Poor muscle coordination
sign in a 7-year-old child?
a. Plantar reflex
b. Poor muscle coordination
c. Stereognostic function
d. Graphesthesia
Which parameter correlates best with measurements of d. Mid arm circumference
the body's total muscle-mass to fat ratio?
a. Height
b. Weight
c. Skin-fold thickness
d. Mid arm circumference
Which tool measures body fat most accurately? b. Calipers
a. Measuring board
b. Calipers
c. Cloth tape measure
d. Paper or metal tape measure
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The nurse percussing over an empty stomach expects to A. Tympany
hear which sound?
a.
Tympany
b.
Resonance
c.
Flatness
d.
Dullness
The nurse is admitting a toddler to the pediatric infectious d. Obtaining an accurate history
disease unit. What is the single most important component
of the child's physical examination?
a. Assessment of heart and lungs
b. Measurement of height and weight
c. Documentation of parental concerns
d. Obtaining an accurate history
. In which section of the health history should the nurse b. Chief complaint
record that the parent brought the infant to the clinic today
because of frequent diarrhea?
a. Review of systems
b. Chief complaint
c. Lifestyle and life patterns
d. Health history
The nurse assesses a child's oculomotor, trochlear, and a. Assessing the six cardinal gazes
abducent nerves by using which technique?
a. Assessing the six cardinal gazes
b. Identification of common odors
c. Having child bite on a tongue blade
d. Ask child to shrug against resistance
The nurse is performing a comprehensive physical c. 1 year
examination on a young child in the hospital. At what age
can the nurse expect a child's head and chest
circumferences to be almost equal?
a. Birth
b. 6 months
c. 1 year
d. 3 years
An 8-year-old girl asks the nurse how the blood pressure c. Explain in simple terms how it works.
apparatus works. The most appropriate nursing action is to
a. Ask her why she wants to know.
b. Determine why she is so anxious.
c. Explain in simple terms how it works.
d. Tell her she will see how it works as it is used.
Which chart should the nurse use to assess the visual b. Snellen chart
acuity of an 8-year-old child?
a. Lea chart
b. Snellen chart
c. HOTV chart
d. Tumbling E chart
Which action is appropriate when the nurse is assessing c. Encourage the child to play with the stethoscope to distract and to calm down
breath sounds of an 18-month-old crying child? before auscultating
a. Ask the parent to quiet the child so the nurse can listen.
b. Auscultate breath sounds and chart that the child was
crying.
c. Encourage the child to play with the stethoscope to
distract and to calm down before auscultating.
d. Document that data are not available because of
noncompliance.
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, Pediatric Nursing Exam 3 | Practice Questions & Verified Answers
The nurse is obtaining vital signs on a 1-year-old child. a. Apical
What is the most appropriate site for assessing the pulse
rate?
a. Apical
b. Radial
c. Carotid
d. Femoral
A nurse is reviewing pediatric physical assessment a. Physical examinations proceed systematically from head to toe unless
techniques. Which statement about performing a pediatric developmental considerations dictate otherwise.
physical assessment is correct?
a. Physical examinations proceed systematically from
head to toe unless developmental considerations dictate
otherwise.
b. The physical examination should be done with parents
in the examining room for children of any age.
c. Measurement of head circumference is done until the
child is 5 years old.
d. The physical examination is done only when the child is
cooperative.
What term should be used in the nurse's documentation to c. Crackles
describe auscultation of breath sounds that are short,
popping, and discontinuous on inspiration?
a. Pleural friction rub
b. Bronchovesicular sounds
c. Crackles
d. Wheeze
Which strategy is the best approach when initiating the b. Have the parent hold the child on his or her lap.
physical examination of a 9-month-old male infant?
a. Undress the infant and do a head-to-toe examination.
b. Have the parent hold the child on his or her lap.
c. Put the infant on the examination table and begin
assessments at the head.
d. Ask the parent to leave because the infant will be upset.
Which strategy is not always appropriate for pediatric b. Examine the child from head to toe.
physical examination?
a. Take the history in a quiet, private place.
b. Examine the child from head to toe.
c. Exhibit sensitivity to cultural needs and differences.
d. Perform frightening procedures last.
Which assessment should the nurse perform last when d. Throat
examining a 5-year-old child?
a. Heart
b. Lungs
c. Abdomen
d. Throat
When is the most appropriate time to inspect the genital c. After the abdominal assessment.
area during a well-child examination of a 14-year-old girl?
a. It is not necessary to inspect the genital area.
b. Examine the genital area first.
c. After the abdominal assessment.
d. Do the genital inspection last.
Which measurement is not indicated for a 4-year-old well- d. Head circumference
child examination?
a. Blood pressure
b. Weight
c. Height
d. Head circumference
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, Pediatric Nursing Exam 3 | Practice Questions & Verified Answers
The nurse inspecting the skin of a dark-skinned child b. Erythema
notices an area that is a dusky red or violet color. This skin
coloration is associated with what?
a. Cyanosis
b. Erythema
c. Vitiligo
d. Nevi
The nurse palpated the anterior fontanel of a 14-month-old a. This is a normal finding.
infant and found that it was closed. What does this finding
indicate?
a. This is a normal finding.
b. This finding indicates premature closure of cranial
sutures.
c. This is abnormal and the child should have a
developmental evaluation.
d. This is an abnormal finding and the child should have a
neurologic evaluation.
The nurse is assessing a 4-year-old child's visual acuity. b. "Your child's visual acuity is normal for his age."
He is planning to attend preschool next week. The results
indicate a visual acuity of 20/40 in both eyes. The child's
father asks the nurse about his son's results. Which
response, if made by the nurse, is correct?
a. "Your child will need a referral to the ophthalmologist
before he can attend preschool next week."
b. "Your child's visual acuity is normal for his age."
c. "The results of this test indicate your child may be color
blind."
d. "Your child did not pass the screening test. He will need
to return within the next few weeks to be reevaluated."
When interviewing the mother of a 3-year-old child, the c. An important part of the child's past growth and development
nurse asks about developmental milestones such as the
age of walking without assistance. This should be
considered
a. Unnecessary information, because the child is 3 years
old
b. An important part of the family history
c. An important part of the child's past growth and
development
d. An important part of the child's review of systems
Which cranial nerve is assessed when the child is asked to d. Facial
imitate the examiner's wrinkled frown, wrinkled forehead,
smile, and raised eyebrow?
a. Accessory
b. Hypoglossal
c. Trigeminal
d. Facial
Which assessment finding is considered a neurologic soft b. Poor muscle coordination
sign in a 7-year-old child?
a. Plantar reflex
b. Poor muscle coordination
c. Stereognostic function
d. Graphesthesia
Which parameter correlates best with measurements of d. Mid arm circumference
the body's total muscle-mass to fat ratio?
a. Height
b. Weight
c. Skin-fold thickness
d. Mid arm circumference
Which tool measures body fat most accurately? b. Calipers
a. Measuring board
b. Calipers
c. Cloth tape measure
d. Paper or metal tape measure
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