PEDS NOTES
1. The nurse is caring for a 32 month old child who has been hospitalized for three months for a
chronic illness. Which of the following would the nurse identify as regressive type behaviors?
a. wetting the bed
b. be holding their stool (bowel movement)
c. loss of fine motor skills
d. decreased use of vocabulary or baby talk
e. altered gait
2. A mother brings her four-month-old in for a routine checkup and vaccinations. The mother
reports that the four-month-old was exposed to a brother who had the flu. The infant currently
has cold symptoms and is afebrile. What actions should be taken by the nurse?
a. give the vaccinations as scheduled
b. withhold the vaccinations
c. withhold the D tap vaccination but give the others as scheduled
d. give the infant the flu vaccination but withhold the others
3. Leukemia patients and their parents should be prepared for common side effects of
chemotherapy which include:
a. confusion
b. alopecia
c. tachycardia
d. hypertension
4. One day after six month old Alec had his routine immunizations, his mother called the doctor's
office to report that Alec had a temperature of 102 degrees Fahrenheit and vomiting and a large
red Welt on his thigh. What should the nurse tell Alec’s mother?
a. give Alex a baby aspirin every four hours
b. this is normal after an immunization and will resolve soon
c. the symptoms could not be related to Alex immunizations
d. bring Alec in to see the doctor
5. A nurse is teaching the parents of a 6-month-old infant about normal growth and development.
Which statements regarding infant development are true? (select all that apply)
a. a six-month-old infant has difficulty holding objects
b. a teething ring is appropriate for six-month-old infant
c. stranger anxiety usually begins at age 6 months
d. head lag is commonly noted in infants at age 6 months
e. a six-month-old infant can usually roll from the prone to the supine position
6. At what developmental period do children have the most difficulty coping with death,
particularly their own?
a. Adolescent
b. Toddlerhood
c. School age
d. Preschool
, 7. Anorexia is a common problem for the leukemia patient. The best approach to improve the
preschooler’s appetite during hospitalization is to:
a. ask if the child would like to be fed
b. Withhold dessert until the child has eaten half of the meal
c. ask the parents to bring favorite foods from home
d. serve food only when the child requests it
8. A nurse is taking the preop history of an 18-month-old who will undergo a cardiac
catheterization. Which assessment finding by the nurse may necessitate rescheduling of the
procedure?
a. the father is allergic to iodine and shellfish
b. the mother reports that the child is very scared and doesn't like strangers
c. the child has a runny nose and a bad diaper rash
d. the child is not taking any medications
9. To administer an intramuscular injection to a 5-year-old, you should:
a. explain the procedure in simple terms and comfort the child
b. ask the mother to leave the room because children cry more when mom is there
c. ask the mother to restrain the child during the injection
d. give the injection quickly and leave the room without making eye contact
10. When offering support to the family of a 5-month-old infant who died from sudden infant death
syndrome, why is it important to have the parents discuss this loss with the infant's 6 year old
sibling?
a. allow the sibling to accept the infant's death
b. prevent the sibling from thinking that they caused the infant's death
c. to develop an in depth understanding that the infant is dead
d. to discourage questions about dying
e. prevent them from thinking that they will die
too
11. The mother of a 3-month-old tells the nurse she worries that her infant will get meningitis like
her oldest brother had when he was an infant. The nurse should base her response on what
fact?
a. meningitis rarely occurs during infancy
b. vaccinations to prevent all types of meningitis are available now
c. there is often a genetic predisposition to meningitis
d. vaccination to prevent H influenza type B meningitis is now available
(The mother of a 1-month-old infant tells the nurse that she worries that her baby will get
meningitis like her oldest son did when he was an infant. The nurse should base her response
on knowing that:
Vaccination to prevent Haemophilus influenzae type b meningitis has decreased the frequency
of this disease in children.
12. A child with sickle cell anemia is being discharged after treatment for a crisis. Which instructions
for avoiding future crises would the nurse provide to the child and family? (select all that apply)
1. The nurse is caring for a 32 month old child who has been hospitalized for three months for a
chronic illness. Which of the following would the nurse identify as regressive type behaviors?
a. wetting the bed
b. be holding their stool (bowel movement)
c. loss of fine motor skills
d. decreased use of vocabulary or baby talk
e. altered gait
2. A mother brings her four-month-old in for a routine checkup and vaccinations. The mother
reports that the four-month-old was exposed to a brother who had the flu. The infant currently
has cold symptoms and is afebrile. What actions should be taken by the nurse?
a. give the vaccinations as scheduled
b. withhold the vaccinations
c. withhold the D tap vaccination but give the others as scheduled
d. give the infant the flu vaccination but withhold the others
3. Leukemia patients and their parents should be prepared for common side effects of
chemotherapy which include:
a. confusion
b. alopecia
c. tachycardia
d. hypertension
4. One day after six month old Alec had his routine immunizations, his mother called the doctor's
office to report that Alec had a temperature of 102 degrees Fahrenheit and vomiting and a large
red Welt on his thigh. What should the nurse tell Alec’s mother?
a. give Alex a baby aspirin every four hours
b. this is normal after an immunization and will resolve soon
c. the symptoms could not be related to Alex immunizations
d. bring Alec in to see the doctor
5. A nurse is teaching the parents of a 6-month-old infant about normal growth and development.
Which statements regarding infant development are true? (select all that apply)
a. a six-month-old infant has difficulty holding objects
b. a teething ring is appropriate for six-month-old infant
c. stranger anxiety usually begins at age 6 months
d. head lag is commonly noted in infants at age 6 months
e. a six-month-old infant can usually roll from the prone to the supine position
6. At what developmental period do children have the most difficulty coping with death,
particularly their own?
a. Adolescent
b. Toddlerhood
c. School age
d. Preschool
, 7. Anorexia is a common problem for the leukemia patient. The best approach to improve the
preschooler’s appetite during hospitalization is to:
a. ask if the child would like to be fed
b. Withhold dessert until the child has eaten half of the meal
c. ask the parents to bring favorite foods from home
d. serve food only when the child requests it
8. A nurse is taking the preop history of an 18-month-old who will undergo a cardiac
catheterization. Which assessment finding by the nurse may necessitate rescheduling of the
procedure?
a. the father is allergic to iodine and shellfish
b. the mother reports that the child is very scared and doesn't like strangers
c. the child has a runny nose and a bad diaper rash
d. the child is not taking any medications
9. To administer an intramuscular injection to a 5-year-old, you should:
a. explain the procedure in simple terms and comfort the child
b. ask the mother to leave the room because children cry more when mom is there
c. ask the mother to restrain the child during the injection
d. give the injection quickly and leave the room without making eye contact
10. When offering support to the family of a 5-month-old infant who died from sudden infant death
syndrome, why is it important to have the parents discuss this loss with the infant's 6 year old
sibling?
a. allow the sibling to accept the infant's death
b. prevent the sibling from thinking that they caused the infant's death
c. to develop an in depth understanding that the infant is dead
d. to discourage questions about dying
e. prevent them from thinking that they will die
too
11. The mother of a 3-month-old tells the nurse she worries that her infant will get meningitis like
her oldest brother had when he was an infant. The nurse should base her response on what
fact?
a. meningitis rarely occurs during infancy
b. vaccinations to prevent all types of meningitis are available now
c. there is often a genetic predisposition to meningitis
d. vaccination to prevent H influenza type B meningitis is now available
(The mother of a 1-month-old infant tells the nurse that she worries that her baby will get
meningitis like her oldest son did when he was an infant. The nurse should base her response
on knowing that:
Vaccination to prevent Haemophilus influenzae type b meningitis has decreased the frequency
of this disease in children.
12. A child with sickle cell anemia is being discharged after treatment for a crisis. Which instructions
for avoiding future crises would the nurse provide to the child and family? (select all that apply)
