Peds B GRADE A Q&A
Charge nurse prepares to make room assignment for newly admitted school age
child. Which considerations is the nurse's priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability - (CORRECT ANSWER)c. Disease process
Community health nurse assesses 18 month old toddler in community day care.
Which findings should the nurse ID as potential indication of physical neglect?
Resists having an axillary temperature taken
Exhibits withdrawal behaviors when their parent leaves
Has multiple bruises on their knees
Poor personal hygiene - (CORRECT ANSWER)Poor personal hygiene
Nure gives discharge teachingguardian of school age child who's undergone
tonsillectomy. Which statements by guardian indicates understanding of teaching?
"My child can resume usual activities since this was just an outpatient surgery."
"My child will be able to drink the chocolate milkshake I promised to get for them
tonight."
"I will notify the doctor if I notice that my child is swallowing frequently."
"I will have my child gargle with warm salt water to relieve their sore throat." -
(CORRECT ANSWER)"I will notify the doctor if I notice that my child is swallowing
frequently."
Nurse admitting a 4 month old infant with heart failure who is prescribed Digoxin 0.5
mcg PO Q12H Furosemide 20 mg PO Q12H. Which findings is the nurse's priority?
a. Exhibits: Temperature 37.5° C (99.5° F), Heart rate 70/min, Respiratory rate
30/min
b. Birth weight 3.2 kg (7 lb) Current weight 5.9 (13 lb)
c. 3 episodes of vomiting 6 wet diapers in 24 hr
d. Consumed 3 oz concentrated formula every 3 hr - (CORRECT ANSWER)c. 3
episodes of vomiting 6 wet diapers in 24 hr
Nurse assesses 6 month old during well-child visit. Which findings should the nurse
report to HCP?
Presence of a central incisor tooth
Presence of strabismus
Presence of an open anterior fontanel
Presence of external cerumen - (CORRECT ANSWER)Presence of strabismus
Nurse assesses 8 y/o child with early indications of shock. After establishing airway
and stabilizing child's resp, which actions should the nurse take next?
a. Insert an indwelling urinary catheter.
b. Measure weight and height.
c. Initiate IV access.
d. Maintain ECG monitoring. - (CORRECT ANSWER)c. Initiate IV access.
, Nurse assesses adolescent who received sodium polystyrene sulfonate enema.
Which findings indicates effectiveness of med?
Reports an absence of nausea and vomiting
Reports experiencing an onset of loose stools within 15 min of administration
Serum potassium level 4.1 mEq/L
Blood pressure 86/52 mm Hg - (CORRECT ANSWER)Serum potassium level 4.1
mEq/L
Nurse assesses infant with pneumonia. Which findings is priority for nurse to report
to HCP?
a. Nasal flaring
b. WBC count 11,300/mm3
c. Diarrhea
d. Abdominal distension - (CORRECT ANSWER)a. Nasal flaring
Nurse assesses pain level of 3 y/o toddler. Which pain assessments should the
nurse use?
FACES
Numeric
CRIES
Visual analog - (CORRECT ANSWER)FACES
Nurse assesses school age child with infratentorial brain tumor. Which findings
should the nurse ID as manifestation of IICP?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia - (CORRECT ANSWER)c. Difficulty concentrating
Nurse cares for infant receiving IV fluids for tx of Tetralogy of Fallot and begins to
have hypercyanotic spell. Which actions should the nurse take?
Place the infant in a knee-chest position.
Administer a dose of meperidine IV.
Discontinue administration of IV fluids.
Apply oxygen at 2 L/min via nasal cannula. - (CORRECT ANSWER)Place the infant
in a knee-chest position.
Nurse cares for school age child with peripheral edema. Nurse should ID which
assessments should be performed to confirm peripheral edema?
Palpate the dorsum of the child's feet.
Weigh the child daily using the same scale
Assess the child's skin turgor
Observe the child for periorbital swelling - (CORRECT ANSWER)Palpate the dorsum
of the child's feet.
Nurse caring for 1 month old infant who's breastfeeding and requires heel stick.
Which actions should the nurse take to minimize infant's pain?
Use a manual lancet to obtain the heel blood sample.
Apply an ice pack to the infant's heel prior to obtaining the sample
Allow the mother to breastfeed while the sample is being obtained.
Charge nurse prepares to make room assignment for newly admitted school age
child. Which considerations is the nurse's priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability - (CORRECT ANSWER)c. Disease process
Community health nurse assesses 18 month old toddler in community day care.
Which findings should the nurse ID as potential indication of physical neglect?
Resists having an axillary temperature taken
Exhibits withdrawal behaviors when their parent leaves
Has multiple bruises on their knees
Poor personal hygiene - (CORRECT ANSWER)Poor personal hygiene
Nure gives discharge teachingguardian of school age child who's undergone
tonsillectomy. Which statements by guardian indicates understanding of teaching?
"My child can resume usual activities since this was just an outpatient surgery."
"My child will be able to drink the chocolate milkshake I promised to get for them
tonight."
"I will notify the doctor if I notice that my child is swallowing frequently."
"I will have my child gargle with warm salt water to relieve their sore throat." -
(CORRECT ANSWER)"I will notify the doctor if I notice that my child is swallowing
frequently."
Nurse admitting a 4 month old infant with heart failure who is prescribed Digoxin 0.5
mcg PO Q12H Furosemide 20 mg PO Q12H. Which findings is the nurse's priority?
a. Exhibits: Temperature 37.5° C (99.5° F), Heart rate 70/min, Respiratory rate
30/min
b. Birth weight 3.2 kg (7 lb) Current weight 5.9 (13 lb)
c. 3 episodes of vomiting 6 wet diapers in 24 hr
d. Consumed 3 oz concentrated formula every 3 hr - (CORRECT ANSWER)c. 3
episodes of vomiting 6 wet diapers in 24 hr
Nurse assesses 6 month old during well-child visit. Which findings should the nurse
report to HCP?
Presence of a central incisor tooth
Presence of strabismus
Presence of an open anterior fontanel
Presence of external cerumen - (CORRECT ANSWER)Presence of strabismus
Nurse assesses 8 y/o child with early indications of shock. After establishing airway
and stabilizing child's resp, which actions should the nurse take next?
a. Insert an indwelling urinary catheter.
b. Measure weight and height.
c. Initiate IV access.
d. Maintain ECG monitoring. - (CORRECT ANSWER)c. Initiate IV access.
, Nurse assesses adolescent who received sodium polystyrene sulfonate enema.
Which findings indicates effectiveness of med?
Reports an absence of nausea and vomiting
Reports experiencing an onset of loose stools within 15 min of administration
Serum potassium level 4.1 mEq/L
Blood pressure 86/52 mm Hg - (CORRECT ANSWER)Serum potassium level 4.1
mEq/L
Nurse assesses infant with pneumonia. Which findings is priority for nurse to report
to HCP?
a. Nasal flaring
b. WBC count 11,300/mm3
c. Diarrhea
d. Abdominal distension - (CORRECT ANSWER)a. Nasal flaring
Nurse assesses pain level of 3 y/o toddler. Which pain assessments should the
nurse use?
FACES
Numeric
CRIES
Visual analog - (CORRECT ANSWER)FACES
Nurse assesses school age child with infratentorial brain tumor. Which findings
should the nurse ID as manifestation of IICP?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia - (CORRECT ANSWER)c. Difficulty concentrating
Nurse cares for infant receiving IV fluids for tx of Tetralogy of Fallot and begins to
have hypercyanotic spell. Which actions should the nurse take?
Place the infant in a knee-chest position.
Administer a dose of meperidine IV.
Discontinue administration of IV fluids.
Apply oxygen at 2 L/min via nasal cannula. - (CORRECT ANSWER)Place the infant
in a knee-chest position.
Nurse cares for school age child with peripheral edema. Nurse should ID which
assessments should be performed to confirm peripheral edema?
Palpate the dorsum of the child's feet.
Weigh the child daily using the same scale
Assess the child's skin turgor
Observe the child for periorbital swelling - (CORRECT ANSWER)Palpate the dorsum
of the child's feet.
Nurse caring for 1 month old infant who's breastfeeding and requires heel stick.
Which actions should the nurse take to minimize infant's pain?
Use a manual lancet to obtain the heel blood sample.
Apply an ice pack to the infant's heel prior to obtaining the sample
Allow the mother to breastfeed while the sample is being obtained.
