Q4 PEDS
1. Which is the best position for an 8 yr old who has just returned to the pediatric unit after
an appendectomy for a ruptured appendix?
a. High fowler
b. Prone
c. Right side lying
d. Left side lying
2. The nurse is providing education to the parents of a child who is on prolonged steroid therapy
for a preexisting condition. The parents share with the nurse that the child wants to participate in
sports like most of his friends. Which of the following activities should the nurse recommend?
a. Hockey
b. Lacrosse
c. Football
d. Tennis
3. The nurse is providing education to the caregiver of an infant with cleft lip and palate. The
parents ask the nurse what future healthcare resources the infant will require. What is the nurse's
best response?
a. The infant will require orthodontic care
b. The infant will require physical therapy
c. The infant will require neurological follow up
d. The infant will require cardiology follow up
4. What is the daily fluid maintenance requirement of a pediatric patient that weighs 27kg?
1640
5. A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize
that which of the following findings are associated with this condition? SATA
a. Arching of back
b. Frequent spit ups
c. Irritability
d. Abdominal pain at McBurney’s point
e. Fever
f. Olive shaped mass in the right upper quadrant
6. The nurse is caring for a 4-month-old infant in the family health clinic who is being seen for
their 4 month well child checkup. The parent reports when the infant cries or strains that a bulge
, at the umbilicus forms and that she has been bandaging the abdomen in order to prevent the
protrusion. Which of the following is the nurse's best response?
a. This protrusion rarely resolves on its own and surgery will be necessary
b. Application of abdominal banding is appropriate in reducing the protrusion
c. This protrusion is probably a tumor and must be evaluated immediately
d. Application of abdominal banding can lead to constriction of the intestine
7. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a
cleft palate. Which of the following actions is most important for the nurse to take?
a. Offer the infant a pacifier for comfort
b. Position the infant upright
c. Administer aspirin as needed for pain
d. Assess placement of elbow restraints
8. A nurse is caring for a preschool aged child who has a suspected appendicitis. What clinical
manifestations can be seen in the patient suspected appendicitis?
a. Leukocytes
b. Abdominal pain in the left lower quadrant
c. Positive AS titer
d. HR of 105 bpm
9. A nurse is educating the parent of a child with gastroenteritis on health promotion activities
what health promotion activities should the nurse recommend? SATA
a. Encourage raw fruits and vegetables
b. Immunizations
c. Use of prophylactic antibiotics
d. Short clipped nails
e. Frequent hand washing
f. Sanitation of toys
10. The nurse is teaching a student about the presenting clinical manifestation of type 1 diabetes
mellitus. Which of the following statements by the student indicates an understanding of the
teaching?
a. Weight Loss is common presenting clinical manifestation of type 1 diabetes mellitus
b. Weight gain is a common presenting clinical manifestation in type 1 diabetes mellitus
c. Decreased urine input is a presenting clinical manifestation of type 1 diabetes mellitus
d. A decreases appetite is a presenting manifestation
11. A nurse is providing teaching to a 12 year old patient who has diabetes mellitus type 1.
Which statement indicates understanding of diabetes mellitus management?
a. I will need to check my blood glucose levels more often when I’m sick
1. Which is the best position for an 8 yr old who has just returned to the pediatric unit after
an appendectomy for a ruptured appendix?
a. High fowler
b. Prone
c. Right side lying
d. Left side lying
2. The nurse is providing education to the parents of a child who is on prolonged steroid therapy
for a preexisting condition. The parents share with the nurse that the child wants to participate in
sports like most of his friends. Which of the following activities should the nurse recommend?
a. Hockey
b. Lacrosse
c. Football
d. Tennis
3. The nurse is providing education to the caregiver of an infant with cleft lip and palate. The
parents ask the nurse what future healthcare resources the infant will require. What is the nurse's
best response?
a. The infant will require orthodontic care
b. The infant will require physical therapy
c. The infant will require neurological follow up
d. The infant will require cardiology follow up
4. What is the daily fluid maintenance requirement of a pediatric patient that weighs 27kg?
1640
5. A nurse is caring for an infant who has gastroesophageal reflux. The nurse should recognize
that which of the following findings are associated with this condition? SATA
a. Arching of back
b. Frequent spit ups
c. Irritability
d. Abdominal pain at McBurney’s point
e. Fever
f. Olive shaped mass in the right upper quadrant
6. The nurse is caring for a 4-month-old infant in the family health clinic who is being seen for
their 4 month well child checkup. The parent reports when the infant cries or strains that a bulge
, at the umbilicus forms and that she has been bandaging the abdomen in order to prevent the
protrusion. Which of the following is the nurse's best response?
a. This protrusion rarely resolves on its own and surgery will be necessary
b. Application of abdominal banding is appropriate in reducing the protrusion
c. This protrusion is probably a tumor and must be evaluated immediately
d. Application of abdominal banding can lead to constriction of the intestine
7. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a
cleft palate. Which of the following actions is most important for the nurse to take?
a. Offer the infant a pacifier for comfort
b. Position the infant upright
c. Administer aspirin as needed for pain
d. Assess placement of elbow restraints
8. A nurse is caring for a preschool aged child who has a suspected appendicitis. What clinical
manifestations can be seen in the patient suspected appendicitis?
a. Leukocytes
b. Abdominal pain in the left lower quadrant
c. Positive AS titer
d. HR of 105 bpm
9. A nurse is educating the parent of a child with gastroenteritis on health promotion activities
what health promotion activities should the nurse recommend? SATA
a. Encourage raw fruits and vegetables
b. Immunizations
c. Use of prophylactic antibiotics
d. Short clipped nails
e. Frequent hand washing
f. Sanitation of toys
10. The nurse is teaching a student about the presenting clinical manifestation of type 1 diabetes
mellitus. Which of the following statements by the student indicates an understanding of the
teaching?
a. Weight Loss is common presenting clinical manifestation of type 1 diabetes mellitus
b. Weight gain is a common presenting clinical manifestation in type 1 diabetes mellitus
c. Decreased urine input is a presenting clinical manifestation of type 1 diabetes mellitus
d. A decreases appetite is a presenting manifestation
11. A nurse is providing teaching to a 12 year old patient who has diabetes mellitus type 1.
Which statement indicates understanding of diabetes mellitus management?
a. I will need to check my blood glucose levels more often when I’m sick
