PEDS EXAM AND ANSWERS.
A nurse, on the pediatric unit, received shift report on a 15 month old with the following
needs. Using Maslow's hierarchy framework, prioritize the following nursing care
activities for the toddler. All options must be used. NO COMMA NEEDED.
ex. 12345
1. Progressing the diet after surgery
2. Clearing the airway of secretions
3. Changing a soiled diaper
4. Administering antpyretics for an axillary temperature of 100.0 F
5. Notifying the practitioner about suspected compartment syndrom - Answers-25341
A 3 year old is to receive 500ml of dextrose 5% in normal saline solution over 8 hours.
At what rate (in milliliters per hour) should a nurse set the infusion pump? Round your
answer to a whole number. DO NOT PUT ML. IT IS PROVIDED FOR YOU - Answers-
63 ml
Working at Anderson Heights clinic, you receive a child diagnosed with epiglottis. As the
nurse you enter the room to perform the assessment and you notice that the child is in
the tripod position drooling. The initial intervention you should implement is :
1. Have the parent assist the child to lie down for assessment
2.Pick the child up
3.Notify the physician (UNSURE)
4.Prepare for a possible intubation of trach (UNSURE) - Answers-3.Notify the physician
(UNSURE)
4.Prepare for a possible intubation of trach (UNSURE)
The nurse is planning to teach parents about preventing sudden infant death syndrome
(SIDS). What significant information would the nurse include?
Positioning the infant prone for sleep
Sitting the infant up in an infant seat
Placing infants on their backs for sleep
Wrapping the infant snuggly for rest periods - Answers-Placing infants on their backs for
sleep
The teaching plan for the use of dry powder inhaler for the treatment of asthma should
include the warning to rinse the mouth after inhaling the powder. What does this
prevent?
Halitosis
Irritation of oral membranes
Candidiasis
Discoloration of tooth enamel - Answers-Candidiasis
You are the nurse assigned to the Pediatric ED. An infant is hospitalized with RSV
bronchiolitis. What is the primary diagnosis?
, Fear and /or anxiety related to dyspnea and hospitalization
Fatigue related to increased work of breathing
Ineffective breathing pattern related to airway inflammation and increase secretions
Risk for fluid volume eficit related to tachypnea and decreased oral intake - Answers-
Ineffective breathing pattern related to airway inflammation and increase secretions
The nurse must make a room assignment for a 16- year- old with cystic fibrosis. Which
roommate would be the most appropriate for this patient?
To assign the adolescent to a private room
A 10 year-old child with sickle cell disease in a vaso-occlusive crisis
A 4 year-old child who had an appendectomy
A 15 year-old with type 1 diabetes mellitus - Answers-A 15 year-old with type 1 diabetes
mellitus
What non pharmacological recommendation by the nurse commonly relieves the
symptoms caused by croup?
Ensuring that the child's room is dust free
Maintaining an air conditioned environment
Placing a cool mist humidifier in the child's room
Providing central heating throughout the house - Answers-Placing a cool mist humidifier
in the child's room
When assisting with a physical examination on an infant, the nurse would expect to find
the posterior fontanel closed by what age?
10 months
3 months
8 months
5 months - Answers-3 months
When caring for a child in a pediatric setting, which action by the nurse indicates an
understanding of standard precautions?
Carrying used syringes immediately to the sharps container in the medication room.
Wearing one pair of gloves while doing all care for a client
Cleaning reusable equipment before using it for another client
Leaving an isolation frown hanging inside the client's room to reuse for the next
treatment or procedure - Answers-Cleaning reusable equipment before using it for
another client
A nurse caring for a child who has bronchiolitis. The nurse should administer humidified
oxygen to provide moisture.?
True· False - Answers-True·
A nurse checking the vital signs of a 3-year old child during a well -child visit. Which of
the following findings should the nurse report to the provider?
Temperature 37.2 C (99.0 F)
Heart rate 106/min
A nurse, on the pediatric unit, received shift report on a 15 month old with the following
needs. Using Maslow's hierarchy framework, prioritize the following nursing care
activities for the toddler. All options must be used. NO COMMA NEEDED.
ex. 12345
1. Progressing the diet after surgery
2. Clearing the airway of secretions
3. Changing a soiled diaper
4. Administering antpyretics for an axillary temperature of 100.0 F
5. Notifying the practitioner about suspected compartment syndrom - Answers-25341
A 3 year old is to receive 500ml of dextrose 5% in normal saline solution over 8 hours.
At what rate (in milliliters per hour) should a nurse set the infusion pump? Round your
answer to a whole number. DO NOT PUT ML. IT IS PROVIDED FOR YOU - Answers-
63 ml
Working at Anderson Heights clinic, you receive a child diagnosed with epiglottis. As the
nurse you enter the room to perform the assessment and you notice that the child is in
the tripod position drooling. The initial intervention you should implement is :
1. Have the parent assist the child to lie down for assessment
2.Pick the child up
3.Notify the physician (UNSURE)
4.Prepare for a possible intubation of trach (UNSURE) - Answers-3.Notify the physician
(UNSURE)
4.Prepare for a possible intubation of trach (UNSURE)
The nurse is planning to teach parents about preventing sudden infant death syndrome
(SIDS). What significant information would the nurse include?
Positioning the infant prone for sleep
Sitting the infant up in an infant seat
Placing infants on their backs for sleep
Wrapping the infant snuggly for rest periods - Answers-Placing infants on their backs for
sleep
The teaching plan for the use of dry powder inhaler for the treatment of asthma should
include the warning to rinse the mouth after inhaling the powder. What does this
prevent?
Halitosis
Irritation of oral membranes
Candidiasis
Discoloration of tooth enamel - Answers-Candidiasis
You are the nurse assigned to the Pediatric ED. An infant is hospitalized with RSV
bronchiolitis. What is the primary diagnosis?
, Fear and /or anxiety related to dyspnea and hospitalization
Fatigue related to increased work of breathing
Ineffective breathing pattern related to airway inflammation and increase secretions
Risk for fluid volume eficit related to tachypnea and decreased oral intake - Answers-
Ineffective breathing pattern related to airway inflammation and increase secretions
The nurse must make a room assignment for a 16- year- old with cystic fibrosis. Which
roommate would be the most appropriate for this patient?
To assign the adolescent to a private room
A 10 year-old child with sickle cell disease in a vaso-occlusive crisis
A 4 year-old child who had an appendectomy
A 15 year-old with type 1 diabetes mellitus - Answers-A 15 year-old with type 1 diabetes
mellitus
What non pharmacological recommendation by the nurse commonly relieves the
symptoms caused by croup?
Ensuring that the child's room is dust free
Maintaining an air conditioned environment
Placing a cool mist humidifier in the child's room
Providing central heating throughout the house - Answers-Placing a cool mist humidifier
in the child's room
When assisting with a physical examination on an infant, the nurse would expect to find
the posterior fontanel closed by what age?
10 months
3 months
8 months
5 months - Answers-3 months
When caring for a child in a pediatric setting, which action by the nurse indicates an
understanding of standard precautions?
Carrying used syringes immediately to the sharps container in the medication room.
Wearing one pair of gloves while doing all care for a client
Cleaning reusable equipment before using it for another client
Leaving an isolation frown hanging inside the client's room to reuse for the next
treatment or procedure - Answers-Cleaning reusable equipment before using it for
another client
A nurse caring for a child who has bronchiolitis. The nurse should administer humidified
oxygen to provide moisture.?
True· False - Answers-True·
A nurse checking the vital signs of a 3-year old child during a well -child visit. Which of
the following findings should the nurse report to the provider?
Temperature 37.2 C (99.0 F)
Heart rate 106/min
