Saunders Peds Latest Update
Comprehensive Questions with Correct
Answers Guaranteed Pass
A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip. On
assessment, the nurse understands that which finding should be noted in this condition? -
Answer -remember: infant
-limited range of motion
A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The
nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the
condition? - Answer -Decreased wheezing
-Decreased wheezing in a child with asthma may be interpreted incorrectly as a positive sign when it
may actually signal an inability to move air. A "silent chest" is an ominous sign during an asthma episode.
With treatment, increased wheezing actually may signal that the child's condition is improving.
A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should
prepare to administer which prescription? - Answer -Intravenous infusion of factor VIII
A 7-year-old child is seen in a clinic, and the primary health care provider documents a diagnosis of
primary nocturnal enuresis. The nurse should provide which information to the parents? -
Answer -Most children outgrow the bed-wetting problem without therapeutic intervention.
A child is placed in skeletal traction for treatment of a fractured femur. The nurse develops a plan of care
and includes which intervention? - Answer -Check the health care provider's (HCP's) prescriptions
for the amount of weight to be applied.
A child who has undergone spinal fusion for scoliosis complains of abdominal discomfort and begins to
have episodes of vomiting. On further assessment, the nurse notes abdominal distention. On the basis of
these findings, the nurse should take which action? - Answer -worry about SUPERIOR MESENTERIC
ARTERY SYNDROME--> s/sx like intestinal obstruction (vomiting and abdominal distention)
A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying and trying to climb out of the tent. Which
is the most appropriate nursing action? - Answer -Let the mother hold the child and direct the cool
mist over the child's face.
Acute otitis media is an inflammatory disorder caused by an infection of the middle ear. The child often
has fever, pain, loss of appetite, and possible ear drainage. The child also is irritable and lethargic and
may roll the head or pull on or rub the affected ear. Otoscopic examination may reveal a red, opaque,
bulging, and immobile tympanic membrane. Hearing loss may be noted particularly in chronic otitis
, media. The child's fever should be treated with ibuprofen (Motrin IB). The child is positioned on his or
her affected side to facilitate drainage. A soft diet is recommended during the acute stage to avoid pain
that can occur with chewing. Antibiotics are prescribed to treat the bacterial infection and should be
administered for the full prescribed course. The ear should not be irrigated with normal saline because it
can exacerbate the inflammation further. Antihistamines are not usually recommended as a part of -
Answer -x
After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action?
- Answer -Turn the child to the side.
After a tonsillectomy, the nurse reviews the health care provider's (HCP's) postoperative prescriptions.
Which prescription should the nurse question? - Answer -Suction every 2 hours.- only suction
when there is an airway obstruction d/t risk for trauma to the surgical site
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The
nurse should place the infant in which best position at this time? - Answer -left lateral side
An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing
intervention in the preoperative period? - Answer -Reposition the infant frequently.
-increase head growth = pressure ulcer behind the head
any invasive procedure to a child with HF, need to administer 02 - Answer -ex- drawing blood from
electrolyte level testing
bacterial meingitis + lumbar puncture to obtain CSF - Answer -bacterial meningitis: an elevated
pressure; turbid or cloudy cerebrospinal fluid; and elevated leukocyte, elevated protein, and decreased
glucose levels.
bronchiolitis (RSV) - Answer --contact precautions ~ good hand washing
-isolation or cohort
-gown, gloves. mask is not required
club foot: interventions + education - Answer -"Treatment needs to be started as soon as
possible."
"I realize my infant will require follow-up care until fully grown."
"I need to bring my infant back to the clinic in 1 month for a new cast."
cast need to be weekly to adjust to growth period, not monthly
Comprehensive Questions with Correct
Answers Guaranteed Pass
A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip. On
assessment, the nurse understands that which finding should be noted in this condition? -
Answer -remember: infant
-limited range of motion
A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The
nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the
condition? - Answer -Decreased wheezing
-Decreased wheezing in a child with asthma may be interpreted incorrectly as a positive sign when it
may actually signal an inability to move air. A "silent chest" is an ominous sign during an asthma episode.
With treatment, increased wheezing actually may signal that the child's condition is improving.
A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should
prepare to administer which prescription? - Answer -Intravenous infusion of factor VIII
A 7-year-old child is seen in a clinic, and the primary health care provider documents a diagnosis of
primary nocturnal enuresis. The nurse should provide which information to the parents? -
Answer -Most children outgrow the bed-wetting problem without therapeutic intervention.
A child is placed in skeletal traction for treatment of a fractured femur. The nurse develops a plan of care
and includes which intervention? - Answer -Check the health care provider's (HCP's) prescriptions
for the amount of weight to be applied.
A child who has undergone spinal fusion for scoliosis complains of abdominal discomfort and begins to
have episodes of vomiting. On further assessment, the nurse notes abdominal distention. On the basis of
these findings, the nurse should take which action? - Answer -worry about SUPERIOR MESENTERIC
ARTERY SYNDROME--> s/sx like intestinal obstruction (vomiting and abdominal distention)
A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying and trying to climb out of the tent. Which
is the most appropriate nursing action? - Answer -Let the mother hold the child and direct the cool
mist over the child's face.
Acute otitis media is an inflammatory disorder caused by an infection of the middle ear. The child often
has fever, pain, loss of appetite, and possible ear drainage. The child also is irritable and lethargic and
may roll the head or pull on or rub the affected ear. Otoscopic examination may reveal a red, opaque,
bulging, and immobile tympanic membrane. Hearing loss may be noted particularly in chronic otitis
, media. The child's fever should be treated with ibuprofen (Motrin IB). The child is positioned on his or
her affected side to facilitate drainage. A soft diet is recommended during the acute stage to avoid pain
that can occur with chewing. Antibiotics are prescribed to treat the bacterial infection and should be
administered for the full prescribed course. The ear should not be irrigated with normal saline because it
can exacerbate the inflammation further. Antihistamines are not usually recommended as a part of -
Answer -x
After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which initial action?
- Answer -Turn the child to the side.
After a tonsillectomy, the nurse reviews the health care provider's (HCP's) postoperative prescriptions.
Which prescription should the nurse question? - Answer -Suction every 2 hours.- only suction
when there is an airway obstruction d/t risk for trauma to the surgical site
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The
nurse should place the infant in which best position at this time? - Answer -left lateral side
An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing
intervention in the preoperative period? - Answer -Reposition the infant frequently.
-increase head growth = pressure ulcer behind the head
any invasive procedure to a child with HF, need to administer 02 - Answer -ex- drawing blood from
electrolyte level testing
bacterial meingitis + lumbar puncture to obtain CSF - Answer -bacterial meningitis: an elevated
pressure; turbid or cloudy cerebrospinal fluid; and elevated leukocyte, elevated protein, and decreased
glucose levels.
bronchiolitis (RSV) - Answer --contact precautions ~ good hand washing
-isolation or cohort
-gown, gloves. mask is not required
club foot: interventions + education - Answer -"Treatment needs to be started as soon as
possible."
"I realize my infant will require follow-up care until fully grown."
"I need to bring my infant back to the clinic in 1 month for a new cast."
cast need to be weekly to adjust to growth period, not monthly
