Peds Final Exam Test Bank exam with ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ||\\||\\
1) Which assessment finding for a 4-month-old infant would
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
require further action by the nurse? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. The posterior fontanel is open.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. The infant has good head control when held upright.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. The infant is able to roll only from abdomen to back.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. The anterior fontanel is open and soft. - correct answer✔✔1.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The posterior fontanel is open.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2) The nurse is providing care for a pediatric client in the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
emergency department (ED) with a diagnosis of decreased level ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of consciousness (LOC) secondary to increased intracranial
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pressure (ICP). Which healthcare provider order should the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse question? ||\\||\\
1. Passive range-of-motion exercises to promote hip flexion
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. Oxygen at 2 L nasal cannula to keep saturation above 95%
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,3. Hourly vital signs and neurologic checks
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Elevate head of bed 30 degrees - correct answer✔✔1.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Passive range-of-motion exercises to promote hip flexion
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3) A 4-year-old client with intractable seizures has been on a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ketogenic diet for the last 6 months, with a decrease in seizure ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
activity. This child is now admitted to the pediatric unit with left-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sided pain. Which possible complication to this diet does the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse suspect? ||\\||\\
1. Appendicitis
||\\||\\
2. Bowel obstruction
||\\||\\ ||\\||\\
3. Urinary tract infection
||\\||\\ ||\\||\\ ||\\||\\
4. Kidney stones - correct answer✔✔4. Kidney stones
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4) A child with a history of seizures arrives in the emergency
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
department (ED) in status epilepticus. Which is the priority ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nursing action? ||\\||\\
1. Take vital signs.
||\\||\\ ||\\||\\ ||\\||\\
2. Establish an intravenous line.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,3. Perform rapid neurologic assessment.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Maintain patent airway. - correct answer✔✔4. Maintain
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patent airway. ||\\||\\
5) The nurse is teaching a mother of a young child with a newly
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
diagnosed seizure disorder. The child is prescribed valproic acid ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(Depakote) for control of seizures. Which parental statement ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
indicates the need for further education? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. "I will not use carbonated beverages to dilute his
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
medication."
2. "I will give his medicine on an empty stomach so he will
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
absorb it better." ||\\||\\ ||\\||\\
3. "I will not let him chew his tablet."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. "I will bring him to the physician's office for regular blood
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
work to check bleeding times." - correct answer✔✔2. "I will
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
give his medicine on an empty stomach so he will absorb it
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
better."
6) A young child admitted to the pediatric unit has fever,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
irritability, and vomiting with suspected bacterial meningitis. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Which cerebrospinal fluid (CSF) result should the nurse
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
anticipate based on these data? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Decreased protein count
||\\||\\ ||\\||\\ ||\\||\\
2. Clear, straw-colored fluid
||\\||\\ ||\\||\\ ||\\||\\
3. Positive for red blood cells (RBCs)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Decreased glucose level - correct answer✔✔4. Decreased
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
glucose level ||\\||\\
7) Which is the priority nursing diagnosis when planning care for
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a pediatric client who is diagnosed with bacterial meningitis?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Impaired Gas Exchange
||\\||\\ ||\\||\\ ||\\||\\
2. Risk for Infection
||\\||\\ ||\\||\\ ||\\||\\
3. Anxiety (parental)
||\\||\\ ||\\||\\
4. Acute Pain - correct answer✔✔1. Impaired Gas Exchange
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
8) The nurse is caring for a 9-month-old infant who just returned
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
from the postanesthesia care unit (PACU) after a shunt
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
placement for hydrocephalus. Which healthcare provider ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
prescription should the nurse question? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ||\\||\\
1) Which assessment finding for a 4-month-old infant would
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
require further action by the nurse? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. The posterior fontanel is open.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. The infant has good head control when held upright.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3. The infant is able to roll only from abdomen to back.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. The anterior fontanel is open and soft. - correct answer✔✔1.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
The posterior fontanel is open.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2) The nurse is providing care for a pediatric client in the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
emergency department (ED) with a diagnosis of decreased level ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of consciousness (LOC) secondary to increased intracranial
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pressure (ICP). Which healthcare provider order should the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse question? ||\\||\\
1. Passive range-of-motion exercises to promote hip flexion
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
2. Oxygen at 2 L nasal cannula to keep saturation above 95%
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,3. Hourly vital signs and neurologic checks
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Elevate head of bed 30 degrees - correct answer✔✔1.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Passive range-of-motion exercises to promote hip flexion
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
3) A 4-year-old client with intractable seizures has been on a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ketogenic diet for the last 6 months, with a decrease in seizure ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
activity. This child is now admitted to the pediatric unit with left-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sided pain. Which possible complication to this diet does the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse suspect? ||\\||\\
1. Appendicitis
||\\||\\
2. Bowel obstruction
||\\||\\ ||\\||\\
3. Urinary tract infection
||\\||\\ ||\\||\\ ||\\||\\
4. Kidney stones - correct answer✔✔4. Kidney stones
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4) A child with a history of seizures arrives in the emergency
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
department (ED) in status epilepticus. Which is the priority ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nursing action? ||\\||\\
1. Take vital signs.
||\\||\\ ||\\||\\ ||\\||\\
2. Establish an intravenous line.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,3. Perform rapid neurologic assessment.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Maintain patent airway. - correct answer✔✔4. Maintain
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patent airway. ||\\||\\
5) The nurse is teaching a mother of a young child with a newly
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
diagnosed seizure disorder. The child is prescribed valproic acid ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(Depakote) for control of seizures. Which parental statement ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
indicates the need for further education? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. "I will not use carbonated beverages to dilute his
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
medication."
2. "I will give his medicine on an empty stomach so he will
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
absorb it better." ||\\||\\ ||\\||\\
3. "I will not let him chew his tablet."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. "I will bring him to the physician's office for regular blood
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
work to check bleeding times." - correct answer✔✔2. "I will
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
give his medicine on an empty stomach so he will absorb it
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
better."
6) A young child admitted to the pediatric unit has fever,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
irritability, and vomiting with suspected bacterial meningitis. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Which cerebrospinal fluid (CSF) result should the nurse
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
anticipate based on these data? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Decreased protein count
||\\||\\ ||\\||\\ ||\\||\\
2. Clear, straw-colored fluid
||\\||\\ ||\\||\\ ||\\||\\
3. Positive for red blood cells (RBCs)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
4. Decreased glucose level - correct answer✔✔4. Decreased
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
glucose level ||\\||\\
7) Which is the priority nursing diagnosis when planning care for
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a pediatric client who is diagnosed with bacterial meningitis?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
1. Impaired Gas Exchange
||\\||\\ ||\\||\\ ||\\||\\
2. Risk for Infection
||\\||\\ ||\\||\\ ||\\||\\
3. Anxiety (parental)
||\\||\\ ||\\||\\
4. Acute Pain - correct answer✔✔1. Impaired Gas Exchange
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
8) The nurse is caring for a 9-month-old infant who just returned
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
from the postanesthesia care unit (PACU) after a shunt
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
placement for hydrocephalus. Which healthcare provider ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
prescription should the nurse question? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
