PEDIATRIC PROCTORED EXAM 2024 3
NEWEST VERSIONS EACH VERSION WITH 60
QUESTIONS WITH 100% CORRECT ANSWERS
AND RATIONALES BRAND NEW ALREADY
GRADED A+
A nurse is preparing to collect a sample from a toddler
for a sickle turbidity
test. Which of the following actions should the nurse
plan to take?
A- Obtain a sputum specimen
B- perform an allen test
C- perform a finger stick
D- obtain a stool specimen - ...ANSWER...C- perform a
finger stick;
RATIONALE: The nurse should perform a finger stick
on a toddler as a component of the sickleturbidity
test. If the test is positive, hemoglobin electrophoresis is
required to
distinguish between children who have the genetic trait
and children who have the
disease.
,A nurse is caring for a school-age child who has
peripheral edema. Which of
the following assessments should the nurse perform to
confirm peripheral
edema?
A- Palpate the dorsum of the child's feet
B- play the child daily using the same scale
C- assess the child's skin turgor
D- observe the child for periorbital swelling -
...ANSWER...A- Palpate the dorsum of the child's feet;
RATIONALE: The nurse should palpate the dorsum of
the feet by pressing her fingertip against a
bony prominence for 5 seconds to assess for peripheral
edema.
A nurse in the emergency department is caring for a
toddler who has partial
thickness burns on his right arm. Which of the following
actions should the
nurse take?
A- Insert a nasogastric tube
B- initiate prophylactic antibiotics therapy
C- cleanse the affected area with mild soap and water
D- apply a topical corticosteroid to the affected area -
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...ANSWER...C- cleanse the affected area with mild
soap and water;
RATIONALE: The nurse should wash the affected
area with mild soap and water to remove any
loose tissue that could cause infection.
A nurse in an emergency department is caring for a
school-age child who is experiencing an anaphylactic
reaction. Which of the following is the
priority action by the nurse?
A- Elevate the head of the child's bed
B- insert a large-bore IV catheter for the child
C- determine the allergen that caused the child's
reaction
D- administer IM epinephrine to the
child - ...ANSWER...D- administer IM epinephrine to the
child;
RATIONALE: When using the urgent vs no urgent
approach to client care, the nurse determines that
the priority action is administering IM epinephrine to the
child. During an
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anaphylactic reaction, histamine release causes
bronchoconstriction and
vasodilation. This is an emergency becauseultimately it
causes decreased blood
return to the heart.
A nurse at an urgent care clinic is assessing an
adolescent client who has an
upper respiratory tract infection. Which of the following
findings should the
nurse recognize as a manifestation of pertussis?
A- Inflamed throat with exudate
B- purulent eye drainage
C- dry, hacking cough
D- koplik spots on buccal mucosa - ...ANSWER...C- dry,
hacking cough;
RATIONALE: The nurse should recognize that a dry,
hacking cough is a manifestation of
pertussis. This disease usually begins with indications of
an upper respiratory
tract infection, which includes a dry, hacking cough that
is sometimes more
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