Peds Document 2023 PROCTORED EXAM COMPLETE 70
QUESTIONS WITH DETAILED VERIFIED ANSWERS
A nurse was reviewing the complete blood count results of four-year-old child is receiving
treatment for acute lymphoblastic leukemia which finding should indicate to the nurse that the
treatment is having a therapeutic effect?
A. Platelet count 98,000/mm (150,000-400,000)
B. Hemoglobin 6.8 (9.5-14)
C. WBC count 15,000 (5,000-10,000)
D. RBC count 5 (4-5.5)
D. RBC count 5 (4-5.5)
A nurse is caring for a five-year-old child who has cute post-streptococcal glomerulonephritis. Which
of the following findings should indicate to the nurse that treatment has been effective?
A. Odorless l urine
B. Temperature 99°F
C. Clear urine
D. No report of pain with voiding
C. Clear urine
A nurse is caring for a one-week-old newborn who has hyperbilirubinemia and is being treated with
phototherapy. Which action should the nurse take?
A. Monitor the newborn every two hours.
B. Place ___ on the newborn hands.
C. Check the newborn eyes every eight hours.
D. Apply lotion to the skin.
A. Monitor the newborn every two hours.
A nurse came for a five-year-old child following a tonsillectomy and adenoidectomy, which of the
following findings should the nurses identify as an indication of hemorrhage?
A. Continuous swallowing
B. Heart rate 54
C. Flushing of the face
D. Blood pressure 95/56
,A. Continuous swallowing
A nurse is providing teaching to the guardian of a two-year-old child about typical toddler behavior.
Which behavior should the nurse include?
A. Increased dependency
B. Less emotionally
C. Resistance to routines
D. Frequent negative responses
D. Frequent negative responses
(NGN) Nurse is caring for a six-week-old infant. Infant was full-term at birth weight was 3.5 kg (7.7
pounds). The infant is not gaining weight as expected. One week ago, at an outpatient visit, weight
was 3.6 kg (7.9 pounds). The Parent Reports that for the past two days, the infant has been breathing
faster during feedings and does not finish feedings. The parent also reports decreased appetite and
puffiness around the infant's eyes. The parent states that the last diaper was about 10 hours ago. The
infant was admitted for diagnostic evaluation failure to thrive and nutritional fluid support.
Admission: Vital Signs: Temperature 37.7C (99.9 F) Heart rate 174/min while sleeping Respiratory rate
72/min while sleeping. Respirations: Tachypneic with moderate retractions and nasal flaring. Upon
auscultation, crackles were heard in all lung fields. No nasal drainage noted. Dry cough noted
periodically. Skin: Pallor, scalp
C. Congestive heart failure
Actions to Take:
1. Administer prescribed medications: Medications such as diuretics and ACE inhibitors may be
prescribed to help the heart work more efficiently and reduce fluid buildup.
2. Provide nutritional/fluid support: The infant may need additional nutritional support due to poor
feeding. This could include supplemental feedings or a special formula.
Monitor the following parameters:
1. Input and output.
2. Presence of periorbital edema/or respiratory status
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers.
Which of the following safety measures Should the nurse include in the teaching?
A. Turn pot handles to the front of the stove.
B. Encourage outdoor activities between the hours of 1100 and 1300.
C. Electrical wires hidden from view.
D. Set the water heater to 140°F
C. Electrical wires hidden from view.
A nurse is planning care for a child with varicella. Which intervention should the nurse plan to
include?
A. Assess oral activity for kolpik spots.
, B. Provide a child with a worm blanket.
C. Initiate airborne precautions.
D. Administer aspirin for fever.
C. Initiate airborne precautions.
A nurse is assessing a preschool child who is in the immediate postoperative period following a
tonsillectomy, which assessment finding is a priority?
A. Throat pain increases.
B. Child refuses clear liquids
C. Child cries often
D. Child swallows frequently
D. Child swallows frequently
Five-year-old male. 39.7 pounds. Admitted following a motor vehicle crash. Surgical procedure done: L
open reduction and fixation. L arm closed reduction and fixation. A nurse is caring for a child who is
two hours post- op which action should the nurse take first?
A. Recheck the child's temperature.
B. Determine the child's sedation level.
C. Compare child's pedal pulses.
D. Assess the child's pain level.
C. Compare child's pedal pulses.
A nurse is preparing to perform a venipuncture on a four-year-old child which action should the nurse
take to ensure atraumatic care.
A. Ask the child's parents to leave the room during the procedure.
B. Perform the procedure in the unit's playroom.
C. Apply topical anesthetic cream, one hour prior to the procedure.
D. Explain the procedure in detail to three hours prior to the procedure.
C. Apply topical anesthetic cream, one hour prior to the procedure.
A Nurse is preparing to assess of four-year-old visual acuity. Which action should the nurse plant to
take?
A. Assess both eyes together first then each separately.
B. Test the child without glasses before testing with glasses.
C. Use a tumbling E chart for the assessment.
D. Position 15 feet from the chart
C. Use a tumbling E chart for the assessment.
A nurse caring for a child was receiving conditioning therapy for enuresis. Which of the following
Statements by the child's parents indicates that treatment is effective?
QUESTIONS WITH DETAILED VERIFIED ANSWERS
A nurse was reviewing the complete blood count results of four-year-old child is receiving
treatment for acute lymphoblastic leukemia which finding should indicate to the nurse that the
treatment is having a therapeutic effect?
A. Platelet count 98,000/mm (150,000-400,000)
B. Hemoglobin 6.8 (9.5-14)
C. WBC count 15,000 (5,000-10,000)
D. RBC count 5 (4-5.5)
D. RBC count 5 (4-5.5)
A nurse is caring for a five-year-old child who has cute post-streptococcal glomerulonephritis. Which
of the following findings should indicate to the nurse that treatment has been effective?
A. Odorless l urine
B. Temperature 99°F
C. Clear urine
D. No report of pain with voiding
C. Clear urine
A nurse is caring for a one-week-old newborn who has hyperbilirubinemia and is being treated with
phototherapy. Which action should the nurse take?
A. Monitor the newborn every two hours.
B. Place ___ on the newborn hands.
C. Check the newborn eyes every eight hours.
D. Apply lotion to the skin.
A. Monitor the newborn every two hours.
A nurse came for a five-year-old child following a tonsillectomy and adenoidectomy, which of the
following findings should the nurses identify as an indication of hemorrhage?
A. Continuous swallowing
B. Heart rate 54
C. Flushing of the face
D. Blood pressure 95/56
,A. Continuous swallowing
A nurse is providing teaching to the guardian of a two-year-old child about typical toddler behavior.
Which behavior should the nurse include?
A. Increased dependency
B. Less emotionally
C. Resistance to routines
D. Frequent negative responses
D. Frequent negative responses
(NGN) Nurse is caring for a six-week-old infant. Infant was full-term at birth weight was 3.5 kg (7.7
pounds). The infant is not gaining weight as expected. One week ago, at an outpatient visit, weight
was 3.6 kg (7.9 pounds). The Parent Reports that for the past two days, the infant has been breathing
faster during feedings and does not finish feedings. The parent also reports decreased appetite and
puffiness around the infant's eyes. The parent states that the last diaper was about 10 hours ago. The
infant was admitted for diagnostic evaluation failure to thrive and nutritional fluid support.
Admission: Vital Signs: Temperature 37.7C (99.9 F) Heart rate 174/min while sleeping Respiratory rate
72/min while sleeping. Respirations: Tachypneic with moderate retractions and nasal flaring. Upon
auscultation, crackles were heard in all lung fields. No nasal drainage noted. Dry cough noted
periodically. Skin: Pallor, scalp
C. Congestive heart failure
Actions to Take:
1. Administer prescribed medications: Medications such as diuretics and ACE inhibitors may be
prescribed to help the heart work more efficiently and reduce fluid buildup.
2. Provide nutritional/fluid support: The infant may need additional nutritional support due to poor
feeding. This could include supplemental feedings or a special formula.
Monitor the following parameters:
1. Input and output.
2. Presence of periorbital edema/or respiratory status
A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers.
Which of the following safety measures Should the nurse include in the teaching?
A. Turn pot handles to the front of the stove.
B. Encourage outdoor activities between the hours of 1100 and 1300.
C. Electrical wires hidden from view.
D. Set the water heater to 140°F
C. Electrical wires hidden from view.
A nurse is planning care for a child with varicella. Which intervention should the nurse plan to
include?
A. Assess oral activity for kolpik spots.
, B. Provide a child with a worm blanket.
C. Initiate airborne precautions.
D. Administer aspirin for fever.
C. Initiate airborne precautions.
A nurse is assessing a preschool child who is in the immediate postoperative period following a
tonsillectomy, which assessment finding is a priority?
A. Throat pain increases.
B. Child refuses clear liquids
C. Child cries often
D. Child swallows frequently
D. Child swallows frequently
Five-year-old male. 39.7 pounds. Admitted following a motor vehicle crash. Surgical procedure done: L
open reduction and fixation. L arm closed reduction and fixation. A nurse is caring for a child who is
two hours post- op which action should the nurse take first?
A. Recheck the child's temperature.
B. Determine the child's sedation level.
C. Compare child's pedal pulses.
D. Assess the child's pain level.
C. Compare child's pedal pulses.
A nurse is preparing to perform a venipuncture on a four-year-old child which action should the nurse
take to ensure atraumatic care.
A. Ask the child's parents to leave the room during the procedure.
B. Perform the procedure in the unit's playroom.
C. Apply topical anesthetic cream, one hour prior to the procedure.
D. Explain the procedure in detail to three hours prior to the procedure.
C. Apply topical anesthetic cream, one hour prior to the procedure.
A Nurse is preparing to assess of four-year-old visual acuity. Which action should the nurse plant to
take?
A. Assess both eyes together first then each separately.
B. Test the child without glasses before testing with glasses.
C. Use a tumbling E chart for the assessment.
D. Position 15 feet from the chart
C. Use a tumbling E chart for the assessment.
A nurse caring for a child was receiving conditioning therapy for enuresis. Which of the following
Statements by the child's parents indicates that treatment is effective?
