PEDS Exam 2 EXAM VERIFIED
SOLUTIONS, SCORED A+
Nursing .care .of .a .9 .month .old .who .has .recently .undergone .cleft .palate .lip
.repair .can .be .expected .to .include .feeding .with .a(n):
a. .Plastic .spoon
b. .Open .cup
c. .Pigeon .bottle
d. .Special .needs .feeder .- .CORRECT .ANSWER-B.
A .3 .month .old .infant .is .seen .in .the .clinic .with .the .following .symptoms:
.irritability, .crying, .refusal .to .nurse .for .more .than .2-3min, .rhinitis, .and .a .rectal
.temperature .of .101.8F .(38.8). .The .labor, .delivery .and .postpartum .history .for .this
.term .infant .is .unremarkable. .The .nurse .anticipates .a .diagnosis .of:
a. .Acute .Otitis .Media
b. .Otitis .Media .with .effusion .(OME)
c. .Otitis .externa
d. .Respiratory .syncitial .virus .(RSV) .- .CORRECT .ANSWER-a.
A .child .with .Croup .is .placed .in .a .cool .mist .tent. .The .mother .becomes
.concerned .because .the .child .is .frightened, .consistently .crying .and .trying .to
.climb .out .of .the .tent. .Which .is .the .most .appropriate .nursing .action?
1. .Tell .the .mother .that .the .child .must .stay .in .the .tent.
2. .Place .a .toy .in .the .tent .to .make .the .child .feel .more .comfortable
3. .Call .the .health .care .provider .and .obtain .a .prescription .for .a .mild .sedative
4. .Let .the .mother .gold .the .child .and .direct .the .cool .mist .over .the .child's .face .-
.CORRECT .ANSWER-4.
The .mother .of .a .hospitalized .2 .year .old .child .with .Croup .asks .the .nurse .why
.the .health .care .provider .did .not .prescribe .antibiotics. .Which .response .should
.the .nurse .make?
1. .The .child .may .be .allergic .to .antibiotics
2. .The .child .is .too .young .to .receive .antibiotics
3. .Antibiotics .are .not .indicated .unless .a .bacterial .infection .is .present
4. .The .child .still .has .the .maternal .antibodies .from .birth .and .does .not .need
.antibiotics. .- .CORRECT .ANSWER-3.
An .infant .has .just .returned .to .the .nursing .unit .after .surgical .repair .of .a .cleft .lip
.on .the .right .side. .The .nurse .should .place .the .infant .in .which .best .position .at
.this .time?
1. .Prone .position
2. .On .the .stomach
3. .Left .lateral .position
,4. .Right .lateral .position .- .CORRECT .ANSWER-3.
Which .of .the .following .statements .about .the .inheritance .of .CF .is .most
.accurate? .
1. .CF .is .an .autosomal-dominant .trait .that .is .passed .on .from .the .child's .mother. .
2. .CF .is .an .autosomal-dominant .trait .that .is .passed .on .from .the .child's .father. .
3. .The .child .of .parents .who .are .both .carriers .of .the .gene .for .CF .has .a .50%
.chance .of .acquiring .CF. .
4. .The .child .of .a .mother .who .has .CF .and .a .father .who .is .a .carrier .of .the .gene
.for .CF .has .a .50% .chance .of .acquiring .CF .- .CORRECT .ANSWER-4. .If .the .child
.is .born .to .a .mother .with .CF .and .a .father .who .is .a .carrier, .the .child .has .a .50%
.chance .of .acquiring .the .disease .and .a .50% .chance .of .being .a .carrier .of .the
.disease.
The .parent .of .a .4-month-old .with .CF .asks .the .nurse .what .time .to .begin .the
.child's .first .CPT .each .day. .Which .is .the .nurse's .best .response? .
1. ."You .should .do .the .first .CPT .30 .minutes .before .feeding .the .child .breakfast." .
2. ."You .should .do .the .first .CPT .after .deep-suctioning .the .child .each .morning." .
3. ."You .should .do .the .first .CPT .30 .minutes .after .feeding .the .child .breakfast." .
4. ."You .should .do .the .first .CPT .only .when .the .child .has .congestion .or
.coughing." .- .CORRECT .ANSWER-1. .CPT .should .be .done .in .the .morning .prior
.to .feeding .to .avoid .the .risk .of .the .child .vomiting
The .parent .of .a .10-month-old .with .CF .asks .the .nurse .how .to .meet .the .child's
.increased .nutritional .needs. .Which .is .the .nurse's .best .suggestion? .
1. ."You .may .need .to .increase .the .number .of .fresh .fruits .and .vegetables .you
.give .your .child .each .day." .
2. ."You .may .need .to .advance .your .child's .diet .to .whole .cow's .milk .because .it
.is .higher .in .fat .than .formula." .
3. ."You .may .need .to .change .your .child .to .a .higher-calorie .formula." .
4. ."You .may .need .to .increase .your .child's .carbohydrate .intake .each .day." .-
.CORRECT .ANSWER-3. .Often .infants .with .CF .need .to .have .a .higher-calorie
.formula .to .meet .their .nutritional .needs. .Infants .may .also .be .placed .on
.hydrolysate .formulas .that .contain .added .medium-chain .triglycerides.
The .parent .of .an .18-year-old .with .CF .is .excited .about .the .possibility .of .the
.child .receiving .a .double .lung .transplant. .What .should .the .parent .understand? .
1. .The .transplant .will .cure .the .child .of .CF .and .allow .the .child .to .lead .a .long
.and .healthy .life. .
2. .The .transplant .will .not .cure .the .child .of .CF .but .will .allow .the .child .to .have .a
.longer .life. .
3. .The .transplant .will .help .to .reverse .the .multisystem .damage .that .has .already
.been .caused .by .CF. .
4. .The .transplant .will .be .the .child's .only .chance .at .surviving .long .enough .to
.graduate .college. .- .CORRECT .ANSWER-2. .A .lung .transplant .does .not .cure .CF,
.but .it .does .offer .the .patient .an .opportunity .to .live .a .longer .life. .The .concerns
.are .that, .after .the .lung .transplant, .the .child .is .at .risk .for .rejection .of .the .new
.organ .and .for .development .of .secondary .infections .because .of .the
.immunosuppressive .therapy.
, A .2-year-old .has .just .been .diagnosed .with .CF. .The .parents .ask .the .nurse .what
.early .respiratory .symptoms .they .should .expect .to .see .in .their .child. .Which .is
.the .nurse's .best .response? .
1. ."You .can .expect .your .child .to .develop .a .barrel-shaped .chest." .
2. ."You .can .expect .your .child .to .develop .a .chronic .productive .cough." .
3. ."You .can .expect .your .child .to .develop .bronchiectasis." .
4. ."You .can .expect .your .child .to .develop .wheezing .respirations." .- .CORRECT
.ANSWER-4. .Wheezing .respirations .and .a .dry .nonproductive .cough .are
.common .early .symptoms .in .CF.
A .female .child .with .CF .is .hospitalized .with .constipation. .The .parent .asks .the
.nurse .what .will .need .to .be .done .to .relieve .the .child's .constipation. .Which .is
.the .nurse's .best .response? .
1. ."Your .child .likely .has .an .obstruction .and .will .require .surgery." .
2. ."Your .child .will .likely .be .given .IV .fluids .to .relieve .her .constipation." .
3. ."Your .child .will .likely .be .given .GoLYTELY .to .relieve .her .constipation." .
4. ."Your .child .will .be .placed .on .a .clear .liquid .diet .to .relieve .her .constipation." .-
.CORRECT .ANSWER-3. .CF .patients .with .constipation .commonly .receive .a .stool
.softener .or .an .osmotic .solution .orally .to .relieve .their .constipation.
The .parents .of .a .5-week-old .have .just .been .told .that .their .child .has .CF. .The
.mother .had .a .sister .who .died .of .CF .when .she .was .19 .years .of .age. .The
.parents .are .sad .and .ask .the .nurse .several .questions .about .CF .and .the .current
.projected .life .expectancy. .What .is .the .nurse's .best .initial .intervention? .
1. .The .nurse .should .tell .the .parents .that .the .life .expectancy .for .CF .patients .has
.improved .significantly .in .recent .years. .
2. .The .nurse .should .tell .the .parents .that .their .child .might .not .follow .the .same
.course .that .the .mother's .sister .did. .
3. .The .nurse .should .listen .to .the .parents .and .tell .them .that .the .physician .will
.come .to .speak .to .them .about .treatment .options. .
4. .The .nurse .should .listen .to .the .parents .and .be .available .to .them .anytime
.during .the .day .to .answer .their .questions. .- .CORRECT .ANSWER-4. .The .nurse's
.best .intervention .is .to .let .the .parents .express .their .concerns .and .fears. .The
.nurse .should .be .available .if .the .parents .have .any .other .concerns .or .questions
.or .if .they .just .need .someone .with .whom .to .talk.
A .physician .diagnoses .a .school-age .child .with .strep .throat .and .pharyngitis.
.The .child's .parent .asks .the .nurse .what .treatment .the .child .will .need. .Which .is
.the .nurse's .best .response? .
1. ."Your .child .will .be .sent .home .on .bedrest .and .should .recover .in .a .few .days
.without .any .intervention." .
2. ."Your .child .will .need .to .have .the .tonsils .removed .to .prevent .future .strep
.infections." .
3. ."Your .child .will .need .oral .penicillin .for .10 .days .and .should .feel .better .in .a
.few .days." .
4. ."Your .child .will .need .to .be .admitted .to .the .hospital .for .5 .days .of .intravenous
.antibiotics." .- .CORRECT .ANSWER-3. .The .child .will .need .a .10-day .course .of
SOLUTIONS, SCORED A+
Nursing .care .of .a .9 .month .old .who .has .recently .undergone .cleft .palate .lip
.repair .can .be .expected .to .include .feeding .with .a(n):
a. .Plastic .spoon
b. .Open .cup
c. .Pigeon .bottle
d. .Special .needs .feeder .- .CORRECT .ANSWER-B.
A .3 .month .old .infant .is .seen .in .the .clinic .with .the .following .symptoms:
.irritability, .crying, .refusal .to .nurse .for .more .than .2-3min, .rhinitis, .and .a .rectal
.temperature .of .101.8F .(38.8). .The .labor, .delivery .and .postpartum .history .for .this
.term .infant .is .unremarkable. .The .nurse .anticipates .a .diagnosis .of:
a. .Acute .Otitis .Media
b. .Otitis .Media .with .effusion .(OME)
c. .Otitis .externa
d. .Respiratory .syncitial .virus .(RSV) .- .CORRECT .ANSWER-a.
A .child .with .Croup .is .placed .in .a .cool .mist .tent. .The .mother .becomes
.concerned .because .the .child .is .frightened, .consistently .crying .and .trying .to
.climb .out .of .the .tent. .Which .is .the .most .appropriate .nursing .action?
1. .Tell .the .mother .that .the .child .must .stay .in .the .tent.
2. .Place .a .toy .in .the .tent .to .make .the .child .feel .more .comfortable
3. .Call .the .health .care .provider .and .obtain .a .prescription .for .a .mild .sedative
4. .Let .the .mother .gold .the .child .and .direct .the .cool .mist .over .the .child's .face .-
.CORRECT .ANSWER-4.
The .mother .of .a .hospitalized .2 .year .old .child .with .Croup .asks .the .nurse .why
.the .health .care .provider .did .not .prescribe .antibiotics. .Which .response .should
.the .nurse .make?
1. .The .child .may .be .allergic .to .antibiotics
2. .The .child .is .too .young .to .receive .antibiotics
3. .Antibiotics .are .not .indicated .unless .a .bacterial .infection .is .present
4. .The .child .still .has .the .maternal .antibodies .from .birth .and .does .not .need
.antibiotics. .- .CORRECT .ANSWER-3.
An .infant .has .just .returned .to .the .nursing .unit .after .surgical .repair .of .a .cleft .lip
.on .the .right .side. .The .nurse .should .place .the .infant .in .which .best .position .at
.this .time?
1. .Prone .position
2. .On .the .stomach
3. .Left .lateral .position
,4. .Right .lateral .position .- .CORRECT .ANSWER-3.
Which .of .the .following .statements .about .the .inheritance .of .CF .is .most
.accurate? .
1. .CF .is .an .autosomal-dominant .trait .that .is .passed .on .from .the .child's .mother. .
2. .CF .is .an .autosomal-dominant .trait .that .is .passed .on .from .the .child's .father. .
3. .The .child .of .parents .who .are .both .carriers .of .the .gene .for .CF .has .a .50%
.chance .of .acquiring .CF. .
4. .The .child .of .a .mother .who .has .CF .and .a .father .who .is .a .carrier .of .the .gene
.for .CF .has .a .50% .chance .of .acquiring .CF .- .CORRECT .ANSWER-4. .If .the .child
.is .born .to .a .mother .with .CF .and .a .father .who .is .a .carrier, .the .child .has .a .50%
.chance .of .acquiring .the .disease .and .a .50% .chance .of .being .a .carrier .of .the
.disease.
The .parent .of .a .4-month-old .with .CF .asks .the .nurse .what .time .to .begin .the
.child's .first .CPT .each .day. .Which .is .the .nurse's .best .response? .
1. ."You .should .do .the .first .CPT .30 .minutes .before .feeding .the .child .breakfast." .
2. ."You .should .do .the .first .CPT .after .deep-suctioning .the .child .each .morning." .
3. ."You .should .do .the .first .CPT .30 .minutes .after .feeding .the .child .breakfast." .
4. ."You .should .do .the .first .CPT .only .when .the .child .has .congestion .or
.coughing." .- .CORRECT .ANSWER-1. .CPT .should .be .done .in .the .morning .prior
.to .feeding .to .avoid .the .risk .of .the .child .vomiting
The .parent .of .a .10-month-old .with .CF .asks .the .nurse .how .to .meet .the .child's
.increased .nutritional .needs. .Which .is .the .nurse's .best .suggestion? .
1. ."You .may .need .to .increase .the .number .of .fresh .fruits .and .vegetables .you
.give .your .child .each .day." .
2. ."You .may .need .to .advance .your .child's .diet .to .whole .cow's .milk .because .it
.is .higher .in .fat .than .formula." .
3. ."You .may .need .to .change .your .child .to .a .higher-calorie .formula." .
4. ."You .may .need .to .increase .your .child's .carbohydrate .intake .each .day." .-
.CORRECT .ANSWER-3. .Often .infants .with .CF .need .to .have .a .higher-calorie
.formula .to .meet .their .nutritional .needs. .Infants .may .also .be .placed .on
.hydrolysate .formulas .that .contain .added .medium-chain .triglycerides.
The .parent .of .an .18-year-old .with .CF .is .excited .about .the .possibility .of .the
.child .receiving .a .double .lung .transplant. .What .should .the .parent .understand? .
1. .The .transplant .will .cure .the .child .of .CF .and .allow .the .child .to .lead .a .long
.and .healthy .life. .
2. .The .transplant .will .not .cure .the .child .of .CF .but .will .allow .the .child .to .have .a
.longer .life. .
3. .The .transplant .will .help .to .reverse .the .multisystem .damage .that .has .already
.been .caused .by .CF. .
4. .The .transplant .will .be .the .child's .only .chance .at .surviving .long .enough .to
.graduate .college. .- .CORRECT .ANSWER-2. .A .lung .transplant .does .not .cure .CF,
.but .it .does .offer .the .patient .an .opportunity .to .live .a .longer .life. .The .concerns
.are .that, .after .the .lung .transplant, .the .child .is .at .risk .for .rejection .of .the .new
.organ .and .for .development .of .secondary .infections .because .of .the
.immunosuppressive .therapy.
, A .2-year-old .has .just .been .diagnosed .with .CF. .The .parents .ask .the .nurse .what
.early .respiratory .symptoms .they .should .expect .to .see .in .their .child. .Which .is
.the .nurse's .best .response? .
1. ."You .can .expect .your .child .to .develop .a .barrel-shaped .chest." .
2. ."You .can .expect .your .child .to .develop .a .chronic .productive .cough." .
3. ."You .can .expect .your .child .to .develop .bronchiectasis." .
4. ."You .can .expect .your .child .to .develop .wheezing .respirations." .- .CORRECT
.ANSWER-4. .Wheezing .respirations .and .a .dry .nonproductive .cough .are
.common .early .symptoms .in .CF.
A .female .child .with .CF .is .hospitalized .with .constipation. .The .parent .asks .the
.nurse .what .will .need .to .be .done .to .relieve .the .child's .constipation. .Which .is
.the .nurse's .best .response? .
1. ."Your .child .likely .has .an .obstruction .and .will .require .surgery." .
2. ."Your .child .will .likely .be .given .IV .fluids .to .relieve .her .constipation." .
3. ."Your .child .will .likely .be .given .GoLYTELY .to .relieve .her .constipation." .
4. ."Your .child .will .be .placed .on .a .clear .liquid .diet .to .relieve .her .constipation." .-
.CORRECT .ANSWER-3. .CF .patients .with .constipation .commonly .receive .a .stool
.softener .or .an .osmotic .solution .orally .to .relieve .their .constipation.
The .parents .of .a .5-week-old .have .just .been .told .that .their .child .has .CF. .The
.mother .had .a .sister .who .died .of .CF .when .she .was .19 .years .of .age. .The
.parents .are .sad .and .ask .the .nurse .several .questions .about .CF .and .the .current
.projected .life .expectancy. .What .is .the .nurse's .best .initial .intervention? .
1. .The .nurse .should .tell .the .parents .that .the .life .expectancy .for .CF .patients .has
.improved .significantly .in .recent .years. .
2. .The .nurse .should .tell .the .parents .that .their .child .might .not .follow .the .same
.course .that .the .mother's .sister .did. .
3. .The .nurse .should .listen .to .the .parents .and .tell .them .that .the .physician .will
.come .to .speak .to .them .about .treatment .options. .
4. .The .nurse .should .listen .to .the .parents .and .be .available .to .them .anytime
.during .the .day .to .answer .their .questions. .- .CORRECT .ANSWER-4. .The .nurse's
.best .intervention .is .to .let .the .parents .express .their .concerns .and .fears. .The
.nurse .should .be .available .if .the .parents .have .any .other .concerns .or .questions
.or .if .they .just .need .someone .with .whom .to .talk.
A .physician .diagnoses .a .school-age .child .with .strep .throat .and .pharyngitis.
.The .child's .parent .asks .the .nurse .what .treatment .the .child .will .need. .Which .is
.the .nurse's .best .response? .
1. ."Your .child .will .be .sent .home .on .bedrest .and .should .recover .in .a .few .days
.without .any .intervention." .
2. ."Your .child .will .need .to .have .the .tonsils .removed .to .prevent .future .strep
.infections." .
3. ."Your .child .will .need .oral .penicillin .for .10 .days .and .should .feel .better .in .a
.few .days." .
4. ."Your .child .will .need .to .be .admitted .to .the .hospital .for .5 .days .of .intravenous
.antibiotics." .- .CORRECT .ANSWER-3. .The .child .will .need .a .10-day .course .of
