PEDS B 2023 QUESTIONS AND
ANSWERS
A6nurse6on6a6pediatric6unit6is6admitting6a6preschooler.After6reviewing6the6information6in6t
he6medical6record,6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6which6
of6the6following6conditions?
Complete6the6following6sentence6by6using6the6list6of6options.6-6ans--
dropdown61:6splenomegaly
dropdown62:6positive6mononucleosis6rapid6test
Nurses'6Notes
1000,616week6ago:
Parent6presents6to6primary6care6provider's6office6with613-month-
old.6Parent6states6the6toddler6is6having6trouble6passing6stool.6States6this6has6been6happ
ening6on6and6off6for6the6last6few6months.6Toddler6is6awake6and6alert.6S16and6S26auscult
ated,6no6murmur.6Respirations6unlabored.6Hypoactive6bowel6sounds.6Provider6recomme
nded6over-the-
counter6stool6softener6and6encouraged6hydration6and6increasing6fruits6and6vegetables6in
6diet.6-6ans--Click6to6highlight6the6findings6that6require6follow-
up.6To6deselect6a6finding,6click6on6the6finding6again
highlight:6
When6recognizing6cues,6the6nurse6should6identify6that6the6assessment6findings6of6lethar
gy,6disinterest6in6eating,6hypoactive6bowel6sounds,6distended6abdomen,6palpable6fecal6
mass,6ribbon-like,6foul-smelling6stools6and6elevated6blood6pressure6require6follow-
up.6These6findings6indicate6the6toddler's6constipation6has6worsened6and6the6toddler6nee
ds6further6evaluation6for6suspected6Hirschsprung's6disease.
A6nurse6is6caring6for6a6preschooler6who6has6congestive6heart6failure.6The6nurse6observe
s6wide6QRS6complexes6and6peaked6T6waves6on6the6cardiac6monitor.6Which6of6the6follow
ing6prescriptions6should6the6nurse6clarify6with6the6provider6-6ans--potassium6chloride
For6each6assessment6finding,6click6to6specify6if6the6finding6is6consistent6with6nightmares,
6sleep6terrors,6or6insomnia.6Each6finding6may6support6more6than616disease6process.6-
6ans--
When6analyzing6cues,6the6nurse6should6recognize6that6manifestations6of6nightmares6incl
ude6awakening6during6the6night6after6a6scary6dream.6Nightmares6are6sleep6disturbances
6that6cause6distress6after6the6dream6is6over.6The6child6might6be6crying,6fearful6of6returnin
g6to6sleep,6and6believe6the6dream6is6real.6Sleep6disturbances6cause6interruptions6in6the6
sleep-
, wake6cycle6and6can6cause6impaired6concentration,6daytime6fatigue,6and6impulsive6beha
viors.
When6analyzing6cues,6the6nurse6should6recognize6that6manifestations6of6sleep6terrors6in
clude6partial6awakening6during6a6deep6sleep.6Sleep6terrors6are6sleep6disturbances6that6c
ause6a6child6to6exhibit6behaviors6such6as6thrashing,6screaming,6moaning,6and6diaphores
is6that6disappear6once6the6child6awakens.6The6child6does6not6remember6the6episode6an
d6is6not6comforted6by6others6during6the6disturbance.6The6child6usually6falls6asleep6easily6
afterwards.6Sleep6terrors6cause6interruptions6in6the6sleep-
wake6cycle6and6can6cause6impaired6concentration,6daytim
0830:Child6is6alert6and6responsive6to6stimuli.6Skin6is6warm6and6dry.6Capillary6refill6less6th
an636seconds.6Respirations6regular6and6shallow.6Mild6intercostal6retractions6noted.6Expir
atory6wheezes6auscultated6in6the6anterior6and6posterior6lung6bases.6Abdomen6is6soft,6fla
t,6and6non-distended.6-6ans--
arterial6blood6gases,6WBC,6oxygen6sat,6respiratory6assessment
A6nurse6is6assessing6a63-year-old6toddler6at6a6well-
child6visit.6Which6of6the6following6manifestations6should6the6nurse6report6to6the6provider?
6-6ans--rest6of6456per6min
Complete6the6diagram6by6dragging6from6the6choices6below6to6specify6what6condition6the6
client6is6most6likely6experiencing,626actions6the6nurse6should6take6to6address6that6conditi
on,6and626parameters6the6nurse6should6monitor6to6assess6the6client's6progress.6-6ans--
middle-6cystic6fibrosis
educate6the6parents6on6sweat6chloride6testing6and6prepare6for6chest6physiotherapy
monitor6the6oxygen6saturation6and6stools
Which6of6the6following6statements6by6a6guardian6indicate6that6the6discharge6teaching6wa
s6effective?
Select6all6that6apply.6-6ans--apply6skin6emollient
keep6the6fingernails6trimmed6short
use6a6mild6detergent6for6laundry
A6nurse6is6preparing6to6administer6ibuprofen656mg/
kg6every666hr6PRN6for6a6temperatures6above638.0º6C6(100.5º6F)6to6an6infant6who6weighs6
17.66lb.6Available6is6ibuprofen6oral6suspension61006mg/
56mL.6How6many6mL6should6the6nurse6administer6to6the6infant6per6dose?
6(Round6the6answer6to6the6nearest6whole6number.6Use6a6leading6zero6if6it6applies.6Do6no
t6use6a6trailing6zero.)6-6ans--2ml6per6dose
A6nurse6is6providing6discharge6teaching6to6the6guardians6of6a6toddler6who6had6a6lower6le
g6cast6applied6246hr6ago.6The6nurse6should6instruct6the6guardians6to6report6which6of6the6
following6findings6to6the6provider?6-6ans--restricted6ability6to6move6the6toes
ANSWERS
A6nurse6on6a6pediatric6unit6is6admitting6a6preschooler.After6reviewing6the6information6in6t
he6medical6record,6the6nurse6should6identify6that6the6child6is6at6risk6for6developing6which6
of6the6following6conditions?
Complete6the6following6sentence6by6using6the6list6of6options.6-6ans--
dropdown61:6splenomegaly
dropdown62:6positive6mononucleosis6rapid6test
Nurses'6Notes
1000,616week6ago:
Parent6presents6to6primary6care6provider's6office6with613-month-
old.6Parent6states6the6toddler6is6having6trouble6passing6stool.6States6this6has6been6happ
ening6on6and6off6for6the6last6few6months.6Toddler6is6awake6and6alert.6S16and6S26auscult
ated,6no6murmur.6Respirations6unlabored.6Hypoactive6bowel6sounds.6Provider6recomme
nded6over-the-
counter6stool6softener6and6encouraged6hydration6and6increasing6fruits6and6vegetables6in
6diet.6-6ans--Click6to6highlight6the6findings6that6require6follow-
up.6To6deselect6a6finding,6click6on6the6finding6again
highlight:6
When6recognizing6cues,6the6nurse6should6identify6that6the6assessment6findings6of6lethar
gy,6disinterest6in6eating,6hypoactive6bowel6sounds,6distended6abdomen,6palpable6fecal6
mass,6ribbon-like,6foul-smelling6stools6and6elevated6blood6pressure6require6follow-
up.6These6findings6indicate6the6toddler's6constipation6has6worsened6and6the6toddler6nee
ds6further6evaluation6for6suspected6Hirschsprung's6disease.
A6nurse6is6caring6for6a6preschooler6who6has6congestive6heart6failure.6The6nurse6observe
s6wide6QRS6complexes6and6peaked6T6waves6on6the6cardiac6monitor.6Which6of6the6follow
ing6prescriptions6should6the6nurse6clarify6with6the6provider6-6ans--potassium6chloride
For6each6assessment6finding,6click6to6specify6if6the6finding6is6consistent6with6nightmares,
6sleep6terrors,6or6insomnia.6Each6finding6may6support6more6than616disease6process.6-
6ans--
When6analyzing6cues,6the6nurse6should6recognize6that6manifestations6of6nightmares6incl
ude6awakening6during6the6night6after6a6scary6dream.6Nightmares6are6sleep6disturbances
6that6cause6distress6after6the6dream6is6over.6The6child6might6be6crying,6fearful6of6returnin
g6to6sleep,6and6believe6the6dream6is6real.6Sleep6disturbances6cause6interruptions6in6the6
sleep-
, wake6cycle6and6can6cause6impaired6concentration,6daytime6fatigue,6and6impulsive6beha
viors.
When6analyzing6cues,6the6nurse6should6recognize6that6manifestations6of6sleep6terrors6in
clude6partial6awakening6during6a6deep6sleep.6Sleep6terrors6are6sleep6disturbances6that6c
ause6a6child6to6exhibit6behaviors6such6as6thrashing,6screaming,6moaning,6and6diaphores
is6that6disappear6once6the6child6awakens.6The6child6does6not6remember6the6episode6an
d6is6not6comforted6by6others6during6the6disturbance.6The6child6usually6falls6asleep6easily6
afterwards.6Sleep6terrors6cause6interruptions6in6the6sleep-
wake6cycle6and6can6cause6impaired6concentration,6daytim
0830:Child6is6alert6and6responsive6to6stimuli.6Skin6is6warm6and6dry.6Capillary6refill6less6th
an636seconds.6Respirations6regular6and6shallow.6Mild6intercostal6retractions6noted.6Expir
atory6wheezes6auscultated6in6the6anterior6and6posterior6lung6bases.6Abdomen6is6soft,6fla
t,6and6non-distended.6-6ans--
arterial6blood6gases,6WBC,6oxygen6sat,6respiratory6assessment
A6nurse6is6assessing6a63-year-old6toddler6at6a6well-
child6visit.6Which6of6the6following6manifestations6should6the6nurse6report6to6the6provider?
6-6ans--rest6of6456per6min
Complete6the6diagram6by6dragging6from6the6choices6below6to6specify6what6condition6the6
client6is6most6likely6experiencing,626actions6the6nurse6should6take6to6address6that6conditi
on,6and626parameters6the6nurse6should6monitor6to6assess6the6client's6progress.6-6ans--
middle-6cystic6fibrosis
educate6the6parents6on6sweat6chloride6testing6and6prepare6for6chest6physiotherapy
monitor6the6oxygen6saturation6and6stools
Which6of6the6following6statements6by6a6guardian6indicate6that6the6discharge6teaching6wa
s6effective?
Select6all6that6apply.6-6ans--apply6skin6emollient
keep6the6fingernails6trimmed6short
use6a6mild6detergent6for6laundry
A6nurse6is6preparing6to6administer6ibuprofen656mg/
kg6every666hr6PRN6for6a6temperatures6above638.0º6C6(100.5º6F)6to6an6infant6who6weighs6
17.66lb.6Available6is6ibuprofen6oral6suspension61006mg/
56mL.6How6many6mL6should6the6nurse6administer6to6the6infant6per6dose?
6(Round6the6answer6to6the6nearest6whole6number.6Use6a6leading6zero6if6it6applies.6Do6no
t6use6a6trailing6zero.)6-6ans--2ml6per6dose
A6nurse6is6providing6discharge6teaching6to6the6guardians6of6a6toddler6who6had6a6lower6le
g6cast6applied6246hr6ago.6The6nurse6should6instruct6the6guardians6to6report6which6of6the6
following6findings6to6the6provider?6-6ans--restricted6ability6to6move6the6toes
