EVOLVE PEDATRICS PRACTICE EXAM
QUESTIONS AND ANSWERS
To take the vital signs of a 4-month-old child, which order provides the most accurate
results?
A) Respiratory rate, heart rate, then rectal temperature.
B) Heart rate, rectal temperature, then respiratory rate.
C) Rectal temperature, heart rate, then respiratory rate.
D) Rectal temperature, respiratory rate, then heart rate. - ANSWER-A) Respiratory
rate, heart rate, then rectal temperature.
During routine screening at a school clinic, an otoscope examination of a child's ear
reveals a tympanic membrane that is pearly gray, slightly bulging, and not movable.
Based on these findings, what action should the nurse take?
A. No action is required, because this is an expected finding for a school-aged child.
B. Ask if the child has had a cold, runny nose, or any ear pain lately.
C. Send a note home advising parents to have the child evaluated by a health care
provider.
D. Call the parents and have them take the child home from school for the rest of the
day. - ANSWER-B. Ask if the child has had a cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A) Clove hitch.
B) Mummy.
C) Elbow.
D) Jacket. - ANSWER-c (Elbow restraints prevent children from bending their arms
and bringing their hands to the oral surgical site. A, restrains the hands, but the child
can bend and bring their head to their hands. B is used during procedures. D,
restrains the body torso and is not appropriate.)
Which preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
QUESTIONS AND ANSWERS
To take the vital signs of a 4-month-old child, which order provides the most accurate
results?
A) Respiratory rate, heart rate, then rectal temperature.
B) Heart rate, rectal temperature, then respiratory rate.
C) Rectal temperature, heart rate, then respiratory rate.
D) Rectal temperature, respiratory rate, then heart rate. - ANSWER-A) Respiratory
rate, heart rate, then rectal temperature.
During routine screening at a school clinic, an otoscope examination of a child's ear
reveals a tympanic membrane that is pearly gray, slightly bulging, and not movable.
Based on these findings, what action should the nurse take?
A. No action is required, because this is an expected finding for a school-aged child.
B. Ask if the child has had a cold, runny nose, or any ear pain lately.
C. Send a note home advising parents to have the child evaluated by a health care
provider.
D. Call the parents and have them take the child home from school for the rest of the
day. - ANSWER-B. Ask if the child has had a cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A) Clove hitch.
B) Mummy.
C) Elbow.
D) Jacket. - ANSWER-c (Elbow restraints prevent children from bending their arms
and bringing their hands to the oral surgical site. A, restrains the hands, but the child
can bend and bring their head to their hands. B is used during procedures. D,
restrains the body torso and is not appropriate.)
Which preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
