Ricci maternity and pediatrics nursing
Exam with Complete Solutions
A 10-month-old is brought to the emergency department by her parents after they found
her face down in the bathtub. The mother said, "I just left the bathroom to answer the
phone. When I came back, I found her." Which of the following assessments would be
the priority? - ANSWER-Airway, breathing, and circulation
A 15-year-old adolescent is brought to the emergency department by his parents. The
adolescent is febrile with chills that started suddenly. He states, "I had a sinus infection
and sore throat a couple of days ago." The nurse suspects bacterial meningitis based
on which of the following? Select all answers that apply. - ANSWER-- complaints of stiff
neck
- photophobia
- vomiting
A 16-year-old boy complains to the school nurse of headaches and a stiff neck. Which
of the following signs and symptoms would alert the nurse that the child may have
bacterial meningitis? - ANSWER-Sunlight is "too bright"
A 4-year-old boy has a febrile seizure during a well-child visit. Which of the following
would be a priority? - ANSWER-Protecting the child from harm during the seizure
A 4-year-old boy has a history of seizures and has been started on a ketogenic diet.
Which of the following food selections would be most appropriate for his lunch? -
ANSWER-Fried eggs, bacon, and iced tea
A 7-year-old child with a family history of cardiovascular disease is being screened for
hyperlipidemia. When reviewing the child's laboratory test results, which total
cholesterol level would be of significant concern? - ANSWER-210 mg/dL
A 9-year-old child has undergone a cardiac catheterization and is being prepared for
discharge. The nurse is instructing the parents and child about postprocedure care.
Which statement by the parents indicates that the teaching was successful? -
ANSWER-"He should avoid taking a bath for about 3 days but he can shower."
A child is brought to the emergency department after sustaining a concussion. The child
is to be discharged home with his parents. Which of the following would the nurse
include in the child's discharge instructions? - ANSWER-"Wake him every 2 hours to
check his movement and responses."
A child is brought to the emergency department by his parents because he suddenly
developed a barking cough. Further assessment leads the nurse to suspect that the
,child is experiencing croup. Which of the following would the nurse have most likely
assessed? - ANSWER-Inspiratory stridor
A child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotic
therapy. The child's mother asks when he can return to school. Which response by the
nurse would be most appropriate? - ANSWER-"Once the drainage is gone, he can go
back to school."
A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder.
Which of the following would the nurse expect the physician to prescribe? Select all
answers that apply. - ANSWER-- Intravenous immunoglobulin
- Acetaminophen
- Aspirin
A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery
device would the nurse most likely expect to be used? - ANSWER-Simple mask
A child with a pneumothorax has a chest tube attached to a water seal system. When
assessing the child, the nurse notices that the chest tube has become disconnected
from the drainage system. Which of the following would the nurse do first? - ANSWER-
Clamp the chest tube
A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is
scheduled for an echocardiogram. When explaining this test to the child, which of the
following would the nurse most likely include? - ANSWER-"A special wand that picks up
sound is used to check your heart."
A child with heart failure is receiving supplemental oxygen. The nurse understands that
in addition to improving oxygen saturation, this intervention also helps to do which of the
following? - ANSWER-Cause vasodilation
A child with increased intracranial pressure is being treated with hyperventilation. The
nurse understands the need for this treatment is based on which of the following? -
ANSWER-PaCO2 levels decrease, causing vasoconstriction.
A child with persistent otitis media with effusion is to undergo insertion of pressure-
equalizing tubes via a myringotomy. The child is to be discharged later that day. After
teaching the parents about caring for their child after discharge, which statement
indicates that the teaching was successful? - ANSWER-"He should wear earplugs when
swimming in a pool or a lake."
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 of the following? - ANSWER-
Children develop hypoxemia more rapidly than adults do.
, A group of nursing students are reviewing information related to seizures that occur in
infants and children. The students demonstrate a need for additional review when they
identify which type as common in neonates? - ANSWER-Myoclonic
A group of nursing students are reviewing the different types of congenital heart disease
in infants. The students demonstrate a need for additional review when they identify
which of the following as an example of increased pulmonary blood flow (left-to-right
shunting)? - ANSWER-Tetralogy of Fallot
A group of nursing students are reviewing the medications used to treat asthma. The
students demonstrate understanding of the information when they identify which agent
as appropriate for an acute episode of bronchospasm? - ANSWER-Albuterol
A group of students are reviewing information about head injuries in children. The
students demonstrate understanding of this information when they identify which of the
following as the most common type of skull fracture in children? - ANSWER-Linear
A group of students are reviewing information about the anatomic differences in the
eyes and ears of a child in comparison to an adult. The students demonstrate a need for
additional study when they identify which of the following? - ANSWER-The ability to
discriminate colors is completed by birth.
A group of students are reviewing information about the effects of substances on the
newborn. The students demonstrate understanding of the information when they identify
which drug as not being associated with teratogenic effects on the fetus? - ANSWER-
Marijuana
A mother brings her child to the health care clinic because she thinks that the child has
conjunctivitis. Which assessment finding would lead the nurse to suspect bacterial
conjunctivitis? Select all answers that apply. - ANSWER-- Inflamed conjunctiva
- mild pain
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? -
ANSWER-Beginning resuscitative measures
A newborn has been diagnosed with a Group B streptococcal infection shortly after
birth. The nurse understands that the newborn most likely acquired this infection from
which of the following? - ANSWER-Mother's birth canal
A newborn is diagnosed with meconium aspiration syndrome. When assessing this
newborn, which of the following would the nurse expect to find? (Select all that apply.) -
ANSWER-- prolonged tachypnea
- intercostal retractions
- coarse crackles on auscultation
Exam with Complete Solutions
A 10-month-old is brought to the emergency department by her parents after they found
her face down in the bathtub. The mother said, "I just left the bathroom to answer the
phone. When I came back, I found her." Which of the following assessments would be
the priority? - ANSWER-Airway, breathing, and circulation
A 15-year-old adolescent is brought to the emergency department by his parents. The
adolescent is febrile with chills that started suddenly. He states, "I had a sinus infection
and sore throat a couple of days ago." The nurse suspects bacterial meningitis based
on which of the following? Select all answers that apply. - ANSWER-- complaints of stiff
neck
- photophobia
- vomiting
A 16-year-old boy complains to the school nurse of headaches and a stiff neck. Which
of the following signs and symptoms would alert the nurse that the child may have
bacterial meningitis? - ANSWER-Sunlight is "too bright"
A 4-year-old boy has a febrile seizure during a well-child visit. Which of the following
would be a priority? - ANSWER-Protecting the child from harm during the seizure
A 4-year-old boy has a history of seizures and has been started on a ketogenic diet.
Which of the following food selections would be most appropriate for his lunch? -
ANSWER-Fried eggs, bacon, and iced tea
A 7-year-old child with a family history of cardiovascular disease is being screened for
hyperlipidemia. When reviewing the child's laboratory test results, which total
cholesterol level would be of significant concern? - ANSWER-210 mg/dL
A 9-year-old child has undergone a cardiac catheterization and is being prepared for
discharge. The nurse is instructing the parents and child about postprocedure care.
Which statement by the parents indicates that the teaching was successful? -
ANSWER-"He should avoid taking a bath for about 3 days but he can shower."
A child is brought to the emergency department after sustaining a concussion. The child
is to be discharged home with his parents. Which of the following would the nurse
include in the child's discharge instructions? - ANSWER-"Wake him every 2 hours to
check his movement and responses."
A child is brought to the emergency department by his parents because he suddenly
developed a barking cough. Further assessment leads the nurse to suspect that the
,child is experiencing croup. Which of the following would the nurse have most likely
assessed? - ANSWER-Inspiratory stridor
A child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotic
therapy. The child's mother asks when he can return to school. Which response by the
nurse would be most appropriate? - ANSWER-"Once the drainage is gone, he can go
back to school."
A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder.
Which of the following would the nurse expect the physician to prescribe? Select all
answers that apply. - ANSWER-- Intravenous immunoglobulin
- Acetaminophen
- Aspirin
A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery
device would the nurse most likely expect to be used? - ANSWER-Simple mask
A child with a pneumothorax has a chest tube attached to a water seal system. When
assessing the child, the nurse notices that the chest tube has become disconnected
from the drainage system. Which of the following would the nurse do first? - ANSWER-
Clamp the chest tube
A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is
scheduled for an echocardiogram. When explaining this test to the child, which of the
following would the nurse most likely include? - ANSWER-"A special wand that picks up
sound is used to check your heart."
A child with heart failure is receiving supplemental oxygen. The nurse understands that
in addition to improving oxygen saturation, this intervention also helps to do which of the
following? - ANSWER-Cause vasodilation
A child with increased intracranial pressure is being treated with hyperventilation. The
nurse understands the need for this treatment is based on which of the following? -
ANSWER-PaCO2 levels decrease, causing vasoconstriction.
A child with persistent otitis media with effusion is to undergo insertion of pressure-
equalizing tubes via a myringotomy. The child is to be discharged later that day. After
teaching the parents about caring for their child after discharge, which statement
indicates that the teaching was successful? - ANSWER-"He should wear earplugs when
swimming in a pool or a lake."
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 of the following? - ANSWER-
Children develop hypoxemia more rapidly than adults do.
, A group of nursing students are reviewing information related to seizures that occur in
infants and children. The students demonstrate a need for additional review when they
identify which type as common in neonates? - ANSWER-Myoclonic
A group of nursing students are reviewing the different types of congenital heart disease
in infants. The students demonstrate a need for additional review when they identify
which of the following as an example of increased pulmonary blood flow (left-to-right
shunting)? - ANSWER-Tetralogy of Fallot
A group of nursing students are reviewing the medications used to treat asthma. The
students demonstrate understanding of the information when they identify which agent
as appropriate for an acute episode of bronchospasm? - ANSWER-Albuterol
A group of students are reviewing information about head injuries in children. The
students demonstrate understanding of this information when they identify which of the
following as the most common type of skull fracture in children? - ANSWER-Linear
A group of students are reviewing information about the anatomic differences in the
eyes and ears of a child in comparison to an adult. The students demonstrate a need for
additional study when they identify which of the following? - ANSWER-The ability to
discriminate colors is completed by birth.
A group of students are reviewing information about the effects of substances on the
newborn. The students demonstrate understanding of the information when they identify
which drug as not being associated with teratogenic effects on the fetus? - ANSWER-
Marijuana
A mother brings her child to the health care clinic because she thinks that the child has
conjunctivitis. Which assessment finding would lead the nurse to suspect bacterial
conjunctivitis? Select all answers that apply. - ANSWER-- Inflamed conjunctiva
- mild pain
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? -
ANSWER-Beginning resuscitative measures
A newborn has been diagnosed with a Group B streptococcal infection shortly after
birth. The nurse understands that the newborn most likely acquired this infection from
which of the following? - ANSWER-Mother's birth canal
A newborn is diagnosed with meconium aspiration syndrome. When assessing this
newborn, which of the following would the nurse expect to find? (Select all that apply.) -
ANSWER-- prolonged tachypnea
- intercostal retractions
- coarse crackles on auscultation
