Pediatrics CMS Review exam

Pediatrics CMS Review exam 1. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take? a. Change the IV site every 3 days b. Cover the insertion site with an opaque dressing c. Start the IV in the infant’s foot d. Use a 24-gauge catheter to start the IV 2. A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching? a. You will have your dressing removed 12 hours after the procedure b. you will need to keep your legs straight for 8 hoursfollowing the procedure c. you will be on a clear liquid diet for 24 hours following the procedure d. you will be on bed rest for 2 days after the procedure 3. A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? a. Keep the child away from others until the skin is clear ofscabs b. Dress the child in warm clothing to promote healing of vesicles c. Apply calamine lotion to vesicles on the child’sskin d. Avoid giving the child a bath while vesicles are present 4. A nurse is caring for a two-year-old child who has cystic fibrosis and is being discharged from the hospital. The nurse should ensure that which of the following pieces of equipment is available for the child's home? a. steam vaporizer b. suction machine c. continuous positive airway pressure machine d. high frequency chest compression vest 5. A nurse is providing teaching for the parent of a child who has measles. Which of the following information should the nurse include? a. Bathe the child using tepid water b. remove loose crust from the lesions c. give the child aspirin for a fever d. withhold live vaccines for 3 months 6. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver a traumatic care? a. Provide a pacifier coated with an oralsucrose prior to injections b. Inject the immunizations into the deltoid muscle c. Use as 20-gauge needle for injections d. Apply eutectic mixture of local anesthetics cream immediately before the injections 7. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parent indicates an understanding of the teaching? a. I will have my baby sleep next to me in the bed during the night b. Elmo my baby stuffed animal to the corner of her crib while she sleeps c. I will dress my baby in lightweight clothing to sleep d. I will lay my baby on her side to sleep for her naps 8. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect? a. Steatorrhea b. Rhinorrhea c. weight gain d. visible peristalsis 9. A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg / ml. How many ml should the nurse administer. Round the answer to the nearest tenth. Use leading zero that applies. Do not use trailing zero. a. 0.6 mL 10. A nurse is caring for an infant who receives intermittent enteral feeding through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? Select all that apply a. offer the infant a pacifier during readings b. formula to 39° C (102 degrees Fahrenheit ) prior to Administration c. check the for residual volume by aspirating stomach contents d. instill the formula over a period Of 30 and 45 minutes 11. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? a. Encourage frequent physical activity to increase bone mass b. maintain patent intravenous catheter c. initiate contact precaution for the child d. provide a high calorie low protein diet 12. A nurse is providing teaching to the guardian of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include? a. Apply cold compress to painful areas b. but I shall wear a surgical mask to school c. encourage physical activity astolerated d. offer fluids of bedtime 13. A nurse is assessing a 5 month old infant. Which of the following findings should the nurse report to the provider? a. Unable to hold a bottle (6 months) b. exhibits head lag when pulled a sitting position c. absent grasp reflex (3 months) d. unable to roll from back to abdomen (6 months) 14. A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage? a. Flushing of the face b. continuous swallowing c. blood pressure 99/ 56 mmhg d. heart rate 54/ minutes 15. A nurse is discussing coping mechanisms with a parent of a three-month-old infant which of the following therapeutic questions should the nurse ask the parent? a. What do you do when your infant is fussy? b. Are you willing to take new parenting classes?