PEDS TEST BANK WITH QUESTIONS AND ANSWERS
An otherwise healthy 18-month-old child with a history of febrile seizures is in the well-child clinic.
Which statement by the father would indicate to the nurse that additional teaching should be done?
A. "I have ibuprofen available in case it's needed."
B. "My child will likely outgrow these seizures by age 5."
C. "I always keep phenobarbital with me in case of a fever."
D. "The most likely time for a seizure is when the fever is rising." - correct answersC
A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. The nurse would place the
infant in which room?
A. A room with a 12-month-old infant with a urinary tract infection
B. A room with an 8-month-old infant with failure to thrive
C. A private room near the nurses' station
D. A two-bed room in the middle of the hall - correct answersC
The parents of a child with a history of seizures who has been taking phenytoin (Dilantin) ask the nurse
why it's difficult to maintain therapeutic plasma levels of this medication. Which statement by the nurse
would be most accurate?
A. "A drop in the plasma drug level will lead to a toxic state."
B. "The capacity to metabolize the drug becomes overwhelmed over time."
,C. "Small increments in dosage lead to sharp increases in plasma drug levels."
D. "Large increments in dosage lead to a more rapid stabilizing therapeutic effect." - correct answersC
A panicked mother calls the health care provider's office and reports that her 5-year-old has a high fever
and just had a seizure. The mother asks the nurse what she should do. Which is the nurse's best
response?
A. Report to the emergency room for medical evaluation
B. Immerse the child in a bathtub of tepid water
C. Administer oral acetaminophen per package directions
D. Remove any heavy clothing and cover with a thin sheet - correct answersA
The nurse is assessing a 7-year-old with a hearing aid. His mother says he is losing his hearing again.
Which finding would the nurse identify as contributing to this current complaint?
A. Overproduction of cerumen
B. Soreness of the outer ear
C. History of a normal term birth
D. The eardrum responds to a puff of air - correct answersA
The nurse is taking a health history for a 9-year-old with conjunctivitis. Which statement by the parents
leads the nurse to suspect that the child is experiencing allergic conjunctivitis?
,A. "He recently helped clean the basement.
B. "He was exposed to several family members with an infection.
C. He just recovered from an upper respiratory infection.
D. We have a family history of conjunctivitis. - correct answersA
The mother of a 12-year-old with Reye syndrome approaches the nurse wanting to know how this
happened to her child, saying, "I never give my kids aspirin!" Which response by the nurse would be
most appropriate?
A. "Sometimes it's hard to tell if a product contains aspirin."
B. "Do you think that maybe your child took aspirin on his own?"
C. "Don't worry; you're in good hands. We have it under control now."
D. "Aspirin in combination with the virus will make the brain swell and the liver fail." - correct answersA
The nurse is caring for a 3-year-old girl who has just undergone a ventriculostomy. Which of the following
would the nurse include in this child's plan of care to manage increased intracranial pressure (ICP)?
A. Use pillows to support the child when lying on her side
B. Support the parents in starting a ketogenic diet
C. Pad the side rails on the bed
D. Teach her to do deep breathing techniques - correct answersA
, A nurse is caring for a 3-year-old girl with microcephaly. Which of the following actions is appropriate for
the nurse to take?
A. Playfully ask the child to touch her nose
B. Teach the parents about ventriculoperitoneal (VP) shunts
C. Prepare the child for the experience of cranial surgery
D. Administer antipyretics as ordered - correct answersA
The nurse caring for a neonate experiencing seizures asks the charge nurse: "How can I tell if a baby is
having a seizure or is just crying for attention?" Which response would be most appropriate? Select all
that apply.
A. "You will not be able to stop a seizure with gentle restraint."
B. "The baby experiencing a seizure will be tachycardic."
C. "Stimulating the baby by singing to him will not stop a seizure."
D. "There will be no changes in the baby's vital signs with a seizure"
E. "The baby will become more active with sensory stimulation with a seizure." - correct answersA, B, C
An 18-month-old child is admitted with signs of increased intracranial pressure. What should the nurse
observe when assessing this patient?
A. Numbness of fingers and decreased temperature
An otherwise healthy 18-month-old child with a history of febrile seizures is in the well-child clinic.
Which statement by the father would indicate to the nurse that additional teaching should be done?
A. "I have ibuprofen available in case it's needed."
B. "My child will likely outgrow these seizures by age 5."
C. "I always keep phenobarbital with me in case of a fever."
D. "The most likely time for a seizure is when the fever is rising." - correct answersC
A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. The nurse would place the
infant in which room?
A. A room with a 12-month-old infant with a urinary tract infection
B. A room with an 8-month-old infant with failure to thrive
C. A private room near the nurses' station
D. A two-bed room in the middle of the hall - correct answersC
The parents of a child with a history of seizures who has been taking phenytoin (Dilantin) ask the nurse
why it's difficult to maintain therapeutic plasma levels of this medication. Which statement by the nurse
would be most accurate?
A. "A drop in the plasma drug level will lead to a toxic state."
B. "The capacity to metabolize the drug becomes overwhelmed over time."
,C. "Small increments in dosage lead to sharp increases in plasma drug levels."
D. "Large increments in dosage lead to a more rapid stabilizing therapeutic effect." - correct answersC
A panicked mother calls the health care provider's office and reports that her 5-year-old has a high fever
and just had a seizure. The mother asks the nurse what she should do. Which is the nurse's best
response?
A. Report to the emergency room for medical evaluation
B. Immerse the child in a bathtub of tepid water
C. Administer oral acetaminophen per package directions
D. Remove any heavy clothing and cover with a thin sheet - correct answersA
The nurse is assessing a 7-year-old with a hearing aid. His mother says he is losing his hearing again.
Which finding would the nurse identify as contributing to this current complaint?
A. Overproduction of cerumen
B. Soreness of the outer ear
C. History of a normal term birth
D. The eardrum responds to a puff of air - correct answersA
The nurse is taking a health history for a 9-year-old with conjunctivitis. Which statement by the parents
leads the nurse to suspect that the child is experiencing allergic conjunctivitis?
,A. "He recently helped clean the basement.
B. "He was exposed to several family members with an infection.
C. He just recovered from an upper respiratory infection.
D. We have a family history of conjunctivitis. - correct answersA
The mother of a 12-year-old with Reye syndrome approaches the nurse wanting to know how this
happened to her child, saying, "I never give my kids aspirin!" Which response by the nurse would be
most appropriate?
A. "Sometimes it's hard to tell if a product contains aspirin."
B. "Do you think that maybe your child took aspirin on his own?"
C. "Don't worry; you're in good hands. We have it under control now."
D. "Aspirin in combination with the virus will make the brain swell and the liver fail." - correct answersA
The nurse is caring for a 3-year-old girl who has just undergone a ventriculostomy. Which of the following
would the nurse include in this child's plan of care to manage increased intracranial pressure (ICP)?
A. Use pillows to support the child when lying on her side
B. Support the parents in starting a ketogenic diet
C. Pad the side rails on the bed
D. Teach her to do deep breathing techniques - correct answersA
, A nurse is caring for a 3-year-old girl with microcephaly. Which of the following actions is appropriate for
the nurse to take?
A. Playfully ask the child to touch her nose
B. Teach the parents about ventriculoperitoneal (VP) shunts
C. Prepare the child for the experience of cranial surgery
D. Administer antipyretics as ordered - correct answersA
The nurse caring for a neonate experiencing seizures asks the charge nurse: "How can I tell if a baby is
having a seizure or is just crying for attention?" Which response would be most appropriate? Select all
that apply.
A. "You will not be able to stop a seizure with gentle restraint."
B. "The baby experiencing a seizure will be tachycardic."
C. "Stimulating the baby by singing to him will not stop a seizure."
D. "There will be no changes in the baby's vital signs with a seizure"
E. "The baby will become more active with sensory stimulation with a seizure." - correct answersA, B, C
An 18-month-old child is admitted with signs of increased intracranial pressure. What should the nurse
observe when assessing this patient?
A. Numbness of fingers and decreased temperature
