NRSG 421 Pediatrics
What age group is most likely to view illness and hospitalization as a punishment? -
CORRECT ANSWER - preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The
parents gave their son the correct dosage of Tylenol 3 hours prior to coming in to
hospital. After orders from MRP, what is the best action? - CORRECT ANSWER - give
the ordered Advil doses
T/F Systematically rotate injection sites for insulin for diabetes - CORRECT ANSWER -
T
What age can babies first eat sweetened food and sugar? - CORRECT ANSWER - 12
months
When a mother asks the nurse when she should start giving her infant solid foods, the
nurse should instruct her to introduce which solid food first? - CORRECT ANSWER -
rice cereal
T/F Children are more likely to have ruptured appendix - CORRECT ANSWER - T
Which is best method for nurse to perform physical assessment on an 18 month old
(toddler) - CORRECT ANSWER - Least to most invasive
What age should children be able to sit unsupported? - CORRECT ANSWER - 3-4
months
What age should babies be eating solid food? - CORRECT ANSWER - 6 months
9 year old patient waiting for appendectomy at noon/ Your AM assessment findings
show HR130, RR30, T39.2, and 8/10 on FACES scale and states "my tummy hurts
more than last night? What do you suspect the patient most likely has? - CORRECT
ANSWER - peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? - CORRECT
ANSWER - D5NS
sugar helps because of increased metabolism in children
Which respiratory condition is always considered a medical emergency? What kind of
condition is it? - CORRECT ANSWER - epiglottitis
higher up airway condition
, T/F Always consider ABC and what is normal for that condition - CORRECT ANSWER -
T
Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on ____
If swaddling, use ____ blanket or sleep ____
Toys, stuffies, and pillows are not recommended until at least _____ months
Best to room share with baby in their own sleeping area (crib, bassinet) for
_____months
If smoking, avoid smoking in ______ - CORRECT ANSWER - back
velcro, sack
12
4
house
4 types of indrawing for babies - CORRECT ANSWER - Supersternal, substernal,
subcostal, intercostal
When should kids take rescue inhaler for sports? - CORRECT ANSWER - before and
during sometimes
8 S/S of appendicitis - CORRECT ANSWER - RLQ pain
guarding
rebound tenderness
low grade fever
diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? - CORRECT
ANSWER - fluids first
*6 steps of DKA protocol - CORRECT ANSWER - assess neurovitals
insert IV
rapid fluid resuscitation
stabilize fluid and electrolytes with NS and KCl
start 3 bug system
start SQ insulin when stable
What is 3 bag system for DKA? - CORRECT ANSWER - glucose
NS with potassium
insulin
What is defining feature of sepsis? - CORRECT ANSWER - Lactate acid levels
What age group is most likely to view illness and hospitalization as a punishment? -
CORRECT ANSWER - preschoolers
Parents bring 7 year old son in to the ER for what appeared to be a febrile seizurel The
parents gave their son the correct dosage of Tylenol 3 hours prior to coming in to
hospital. After orders from MRP, what is the best action? - CORRECT ANSWER - give
the ordered Advil doses
T/F Systematically rotate injection sites for insulin for diabetes - CORRECT ANSWER -
T
What age can babies first eat sweetened food and sugar? - CORRECT ANSWER - 12
months
When a mother asks the nurse when she should start giving her infant solid foods, the
nurse should instruct her to introduce which solid food first? - CORRECT ANSWER -
rice cereal
T/F Children are more likely to have ruptured appendix - CORRECT ANSWER - T
Which is best method for nurse to perform physical assessment on an 18 month old
(toddler) - CORRECT ANSWER - Least to most invasive
What age should children be able to sit unsupported? - CORRECT ANSWER - 3-4
months
What age should babies be eating solid food? - CORRECT ANSWER - 6 months
9 year old patient waiting for appendectomy at noon/ Your AM assessment findings
show HR130, RR30, T39.2, and 8/10 on FACES scale and states "my tummy hurts
more than last night? What do you suspect the patient most likely has? - CORRECT
ANSWER - peritonitis
What is most common IV fluid ordered for a child with appendicitis? Why? - CORRECT
ANSWER - D5NS
sugar helps because of increased metabolism in children
Which respiratory condition is always considered a medical emergency? What kind of
condition is it? - CORRECT ANSWER - epiglottitis
higher up airway condition
, T/F Always consider ABC and what is normal for that condition - CORRECT ANSWER -
T
Sudden Infant Death Syndrome (SIDS) teaching
Baby should always be put on ____
If swaddling, use ____ blanket or sleep ____
Toys, stuffies, and pillows are not recommended until at least _____ months
Best to room share with baby in their own sleeping area (crib, bassinet) for
_____months
If smoking, avoid smoking in ______ - CORRECT ANSWER - back
velcro, sack
12
4
house
4 types of indrawing for babies - CORRECT ANSWER - Supersternal, substernal,
subcostal, intercostal
When should kids take rescue inhaler for sports? - CORRECT ANSWER - before and
during sometimes
8 S/S of appendicitis - CORRECT ANSWER - RLQ pain
guarding
rebound tenderness
low grade fever
diarrhea
chills
distension
vomiting/nausea
*What is first intervention for diabetic ketoacidosis (DKA) protocol? - CORRECT
ANSWER - fluids first
*6 steps of DKA protocol - CORRECT ANSWER - assess neurovitals
insert IV
rapid fluid resuscitation
stabilize fluid and electrolytes with NS and KCl
start 3 bug system
start SQ insulin when stable
What is 3 bag system for DKA? - CORRECT ANSWER - glucose
NS with potassium
insulin
What is defining feature of sepsis? - CORRECT ANSWER - Lactate acid levels
