NSG 222 Peds Exam 2 Questions With Complete Solutions
1. A child is diagnosed with Kawasaki disease and is in the
acute phase of the disorder. What would the nurse expect the
healthcare provider to prescribe? Select all that apply.
a. Intravenous immunoglobulin
b. Ibuprofen
c. Acetaminophen
d. Aspirin
e. Alprostadil Correct Answers . Intravenous immunoglobulin
. Aspirin
1. A child is in the emergency department with an asthma
exacerbation. Upon auscultation the nurse is unable to hear air
movement in the lungs. What action should the nurse take first?
a. Administer a beta-2 adrenergic agonist
b. Administer oxygen
c. Start a peripheral IV
d. Administer corticosteroids Correct Answers Administer a
beta-2 adrenergic agonist
1. A child with heart failure is receiving supplemental oxygen.
The nurse understands that in addition to improving oxygen
saturation, this intervention also has what effect?
a. Causes vasodilation
b. Increase pulmonary vascular resistance
c. Promote diuresis
d. Mobilize secretions Correct Answers Causes vasodilation
1. A group of nursing students are reviewing information about
the variations in respiratory anatomy and physiology in children
,in comparison to adults. The students demonstrate understanding
of the information when they identify which finding?
a. Children's demand for oxygen is lower than that of adults.
b. Children develop hypoxemia more rapidly than adults do.
c. An increase in oxygen saturation leads to a much larger
decrease in pO2.
d. Children's bronchi are wider in diameter than those of an
adult. Correct Answers . Children develop hypoxemia more
rapidly than adults do.
1. A mother brings her child to the healthcare clinic because she
thinks that the child has conjunctivitis. Which assessment
findings would lead the nurse to suspect bacterial conjunctivitis?
Select all that apply.
a. Itching of the eyes
b. Inflamed conjunctiva
c. Stringy discharge
d. Photophobia
e. Mild pain
f. Tearing Correct Answers Inflamed conjunctiva
Mild pain
1. A newborn is diagnosed with patent ductus arteriosus. The
nurse anticipates that the healthcare provider will most likely
order which medication?
a. Alprostadil
b. Heparin
c. Indomethacin
d. Spironolactone Correct Answers Indomethacin
,1. After teaching a mother how to remove a tick from her 6-
year-old boy's arm, the nurse determines that additional teaching
is needed when the mother makes what statement?
a. "I'll protect my fingers with a paper towel."
b. "I'll grasp the tick and pull it away quickly."
c. "I should put the tick in a plastic bag in the freezer."
d. "I need to grasp the tick close to the child's skin." Correct
Answers "I'll grasp the tick and pull it away quickly."
1. After teaching the parents of a child with a hydrocele about
this condition, which statement indicates that the teaching was
successful?
a. "If this gets worse and we don't treat it, our son could become
infertile."
b. "This condition should gradually go away on its own."
c. "The surgeon is going to operate on him immediately."
d. "It's going to be difficult putting ice packs on his scrotum."
Correct Answers "This condition should gradually go away on
its own."
1. The mother of a 15-year-old girl has contacted the clinic to
report that her daughter has burned the back of her hand with a
curling iron. The child's mother reports the burn is mild but
states her daughter is complaining of pain. After consulting with
the healthcare provider, what instructions can the nurse
anticipate will be recommended? Select all that apply.
a. Apply a thin layer of cocoa butter
b. Run cool water over the injured area
c. Apply ice for 15-20 minutes each hour until the pain subsides
d. Take acetaminophen using the manufacturers guidelines
, e. Apply a thin layer of petroleum jelly to the burned area
Correct Answers Run cool water over the injured area
Take acetaminophen using the manufacturers guidelines
1. The mother of a 3-week-old infant old brings her daughter in
for an evaluation. During the visit, the mother tells the nurse that
her baby is spitting up after feedings. Which response by the
nurse would be most appropriate?
a. "We need to tell the healthcare provider about this."
b. "Infants this age commonly spit up."
c. "Your daughter might have an allergy."
d. "Don't worry; you're just feeding her too much." Correct
Answers "Infants this age commonly spit up."
1. The mother of a child with end-stage renal disease asks the
nurse why her son is getting an injection of erythropoietin.
When responding to the mother, the nurse explains that the
rationale is:
a. To treat low calcium levels
b. To stimulate growth in stature
c. To stimulate red blood cell growth
d. To correct acidosis Correct Answers To stimulate red blood
cell growth
1. The nurse has developed a plan of care for a 12-month-old
hospitalized with dehydration as a result of rotavirus. Which
intervention would the nurse include in the plan of care?
a. Encouraging consumption of fruit juice
b. Offering Kool-Aid or popsicles as tolerated
c. Encouraging milk products to boost caloric intake
1. A child is diagnosed with Kawasaki disease and is in the
acute phase of the disorder. What would the nurse expect the
healthcare provider to prescribe? Select all that apply.
a. Intravenous immunoglobulin
b. Ibuprofen
c. Acetaminophen
d. Aspirin
e. Alprostadil Correct Answers . Intravenous immunoglobulin
. Aspirin
1. A child is in the emergency department with an asthma
exacerbation. Upon auscultation the nurse is unable to hear air
movement in the lungs. What action should the nurse take first?
a. Administer a beta-2 adrenergic agonist
b. Administer oxygen
c. Start a peripheral IV
d. Administer corticosteroids Correct Answers Administer a
beta-2 adrenergic agonist
1. A child with heart failure is receiving supplemental oxygen.
The nurse understands that in addition to improving oxygen
saturation, this intervention also has what effect?
a. Causes vasodilation
b. Increase pulmonary vascular resistance
c. Promote diuresis
d. Mobilize secretions Correct Answers Causes vasodilation
1. A group of nursing students are reviewing information about
the variations in respiratory anatomy and physiology in children
,in comparison to adults. The students demonstrate understanding
of the information when they identify which finding?
a. Children's demand for oxygen is lower than that of adults.
b. Children develop hypoxemia more rapidly than adults do.
c. An increase in oxygen saturation leads to a much larger
decrease in pO2.
d. Children's bronchi are wider in diameter than those of an
adult. Correct Answers . Children develop hypoxemia more
rapidly than adults do.
1. A mother brings her child to the healthcare clinic because she
thinks that the child has conjunctivitis. Which assessment
findings would lead the nurse to suspect bacterial conjunctivitis?
Select all that apply.
a. Itching of the eyes
b. Inflamed conjunctiva
c. Stringy discharge
d. Photophobia
e. Mild pain
f. Tearing Correct Answers Inflamed conjunctiva
Mild pain
1. A newborn is diagnosed with patent ductus arteriosus. The
nurse anticipates that the healthcare provider will most likely
order which medication?
a. Alprostadil
b. Heparin
c. Indomethacin
d. Spironolactone Correct Answers Indomethacin
,1. After teaching a mother how to remove a tick from her 6-
year-old boy's arm, the nurse determines that additional teaching
is needed when the mother makes what statement?
a. "I'll protect my fingers with a paper towel."
b. "I'll grasp the tick and pull it away quickly."
c. "I should put the tick in a plastic bag in the freezer."
d. "I need to grasp the tick close to the child's skin." Correct
Answers "I'll grasp the tick and pull it away quickly."
1. After teaching the parents of a child with a hydrocele about
this condition, which statement indicates that the teaching was
successful?
a. "If this gets worse and we don't treat it, our son could become
infertile."
b. "This condition should gradually go away on its own."
c. "The surgeon is going to operate on him immediately."
d. "It's going to be difficult putting ice packs on his scrotum."
Correct Answers "This condition should gradually go away on
its own."
1. The mother of a 15-year-old girl has contacted the clinic to
report that her daughter has burned the back of her hand with a
curling iron. The child's mother reports the burn is mild but
states her daughter is complaining of pain. After consulting with
the healthcare provider, what instructions can the nurse
anticipate will be recommended? Select all that apply.
a. Apply a thin layer of cocoa butter
b. Run cool water over the injured area
c. Apply ice for 15-20 minutes each hour until the pain subsides
d. Take acetaminophen using the manufacturers guidelines
, e. Apply a thin layer of petroleum jelly to the burned area
Correct Answers Run cool water over the injured area
Take acetaminophen using the manufacturers guidelines
1. The mother of a 3-week-old infant old brings her daughter in
for an evaluation. During the visit, the mother tells the nurse that
her baby is spitting up after feedings. Which response by the
nurse would be most appropriate?
a. "We need to tell the healthcare provider about this."
b. "Infants this age commonly spit up."
c. "Your daughter might have an allergy."
d. "Don't worry; you're just feeding her too much." Correct
Answers "Infants this age commonly spit up."
1. The mother of a child with end-stage renal disease asks the
nurse why her son is getting an injection of erythropoietin.
When responding to the mother, the nurse explains that the
rationale is:
a. To treat low calcium levels
b. To stimulate growth in stature
c. To stimulate red blood cell growth
d. To correct acidosis Correct Answers To stimulate red blood
cell growth
1. The nurse has developed a plan of care for a 12-month-old
hospitalized with dehydration as a result of rotavirus. Which
intervention would the nurse include in the plan of care?
a. Encouraging consumption of fruit juice
b. Offering Kool-Aid or popsicles as tolerated
c. Encouraging milk products to boost caloric intake
