Final Exam Nursing Care of Children
1. A child with autism spectrum disorder (ASD) is admitted to the hospital with
Cellulitis. The nurse should plan which priority intervention when caring for the child?
1) Maintain a structured routine and keep stimulation to a minimum.
2) Place child in a room with a roommate of the same age.
3) Maintain frequent touch and eye contact with the child.
4) Take the child frequently to the playroom to play with other children.
2. The Doctor has ordered 200mg of Ibuprofen for the patient that weighs 25kg. the
safe dosage range for ibuprofen is 4-10mg/kg/dose. Is this a safe dose?
1) Yes
2) No
3. The main vessels that lead to the right atrium are (Select all that apply):
1) Superior Vena cava
2) Inferior vena cava
3) Aorta
4) Right pulmonary artery
5) Right pulmonary vein
4. A child presents to the pediatrician’s office with a rash consistent with impetigo.
The nurse knows this infection is caused by:
1) Virus
2) Fungus
3) Bacteria
4) None of the above
5. The doctor ordered Diuril 1.8mg/kg oral every 8 hours for the patient that weighs 31
pounds. The available dosage is Diuril 12.5mg tablets. How many capsules will the
nurse administer for each dose to this patient?
1) 2 tablets
2) 2.5 tablets
3) 3 tablets
4) 1.5 tablets
,6. A 5-month-old has been diagnosed with an Atrial Septal Defect (ASD). The flow
of blood through the heart with this type of defect is:
1) Right to left
2) Equal between the two chambers
3) Left to right
4) None of the above
7. The Newborn screening results are sent to the pediatrician’s office via faxed report
and show an elevated TSH & a low T4. The nurse expects the provider to:
1) Diagnose the baby with congenital hypothyroidism
2) See the baby next month for the scheduled 1-month exam
3) Reassure the parents that many newborn screening tests are abnormal
4) Tell the parents that they will give medication every week
for hyperthyroidism
8. Your patient has just returned from the OR following an arterial septal defect repair.
You are reviewing your orders and question the fluid rate ordered. Your patient is 6
years old and weighs 50 pounds. Select the appropriate hourly maintenance fluid rate for
your patient.
1) 63 ml/hr
2) 64 ml/hr
3) 65 ml/hr
4) 107 ml/hr
9. Which is the correct positioning of a child experiencing epistaxis:
1) The child should be placed in a prone position
2) The child should be placed in a supping position
3) The child should be sitting with their head tilted back
4) The child should sit up and lean forward
, 10. A 15-year-old with type 1 diabetes mellitus presents with a fever and 48-hour history of
vomiting. As the nurse, you note the child’s breath has a fruity odor, his breathing is
deep and rapid, and mom states he has become less arousable. You recognize these are
the signs of:
1) Acute Hypoglycemia
2) Diabetic Ketoacidosis
3) Hyperglycemia
4) Polydipsia
11. The nurse is providing education to the parents of an infant with cradle cap. Which of
the following statements by the parents indicates their understanding?
1) “We should use hydrogen peroxide as shampoo for my child
until it is resolved”
2) “We should expect that my child will probably have asthma
& allergies too”
3) “We should brush the loosened crusts out of the hair
after shampooing”
4) “We should decrease the frequency that I wash my child’s hair
to once a week”
12. Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
1) Manifestations of ADHD are typically so bizarre that the
diagnosis is easy
2) Manifestations of ADHD affect all aspects of the child’s life
but are most obvious in the classroom
3) Manifestations of ADHD such as learning disabilities
eventually disappear by adulthood
4) Manifestations of ADHD must always be present and are
required to receive a positive diagnosis
1. A child with autism spectrum disorder (ASD) is admitted to the hospital with
Cellulitis. The nurse should plan which priority intervention when caring for the child?
1) Maintain a structured routine and keep stimulation to a minimum.
2) Place child in a room with a roommate of the same age.
3) Maintain frequent touch and eye contact with the child.
4) Take the child frequently to the playroom to play with other children.
2. The Doctor has ordered 200mg of Ibuprofen for the patient that weighs 25kg. the
safe dosage range for ibuprofen is 4-10mg/kg/dose. Is this a safe dose?
1) Yes
2) No
3. The main vessels that lead to the right atrium are (Select all that apply):
1) Superior Vena cava
2) Inferior vena cava
3) Aorta
4) Right pulmonary artery
5) Right pulmonary vein
4. A child presents to the pediatrician’s office with a rash consistent with impetigo.
The nurse knows this infection is caused by:
1) Virus
2) Fungus
3) Bacteria
4) None of the above
5. The doctor ordered Diuril 1.8mg/kg oral every 8 hours for the patient that weighs 31
pounds. The available dosage is Diuril 12.5mg tablets. How many capsules will the
nurse administer for each dose to this patient?
1) 2 tablets
2) 2.5 tablets
3) 3 tablets
4) 1.5 tablets
,6. A 5-month-old has been diagnosed with an Atrial Septal Defect (ASD). The flow
of blood through the heart with this type of defect is:
1) Right to left
2) Equal between the two chambers
3) Left to right
4) None of the above
7. The Newborn screening results are sent to the pediatrician’s office via faxed report
and show an elevated TSH & a low T4. The nurse expects the provider to:
1) Diagnose the baby with congenital hypothyroidism
2) See the baby next month for the scheduled 1-month exam
3) Reassure the parents that many newborn screening tests are abnormal
4) Tell the parents that they will give medication every week
for hyperthyroidism
8. Your patient has just returned from the OR following an arterial septal defect repair.
You are reviewing your orders and question the fluid rate ordered. Your patient is 6
years old and weighs 50 pounds. Select the appropriate hourly maintenance fluid rate for
your patient.
1) 63 ml/hr
2) 64 ml/hr
3) 65 ml/hr
4) 107 ml/hr
9. Which is the correct positioning of a child experiencing epistaxis:
1) The child should be placed in a prone position
2) The child should be placed in a supping position
3) The child should be sitting with their head tilted back
4) The child should sit up and lean forward
, 10. A 15-year-old with type 1 diabetes mellitus presents with a fever and 48-hour history of
vomiting. As the nurse, you note the child’s breath has a fruity odor, his breathing is
deep and rapid, and mom states he has become less arousable. You recognize these are
the signs of:
1) Acute Hypoglycemia
2) Diabetic Ketoacidosis
3) Hyperglycemia
4) Polydipsia
11. The nurse is providing education to the parents of an infant with cradle cap. Which of
the following statements by the parents indicates their understanding?
1) “We should use hydrogen peroxide as shampoo for my child
until it is resolved”
2) “We should expect that my child will probably have asthma
& allergies too”
3) “We should brush the loosened crusts out of the hair
after shampooing”
4) “We should decrease the frequency that I wash my child’s hair
to once a week”
12. Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
1) Manifestations of ADHD are typically so bizarre that the
diagnosis is easy
2) Manifestations of ADHD affect all aspects of the child’s life
but are most obvious in the classroom
3) Manifestations of ADHD such as learning disabilities
eventually disappear by adulthood
4) Manifestations of ADHD must always be present and are
required to receive a positive diagnosis
