NURS 420: Pediatrics
Exam 2 Questions
1. A school aged child is seen in the oncology clinic for possible Hodgkins
Disease. During the course of the nursing assessment findings would be
expected? SELLECT ALL THAT APPLY
a. Poor appetite
b. Fever
c. Painful cervical nodes
d. Complaints of night sweats
e. Painless cervical nodes
2. Med calculation: Ordered: Claforan IV q8h. Claforan safe dose: 100
mg/kg/day q8h. Patient weight: 8 kg. What is a safe single dose of Claforan?
(Round mg down to nearest hundredth)
100mg/1kg * 8kg/3dose = 266.66 mg/dose
3. While the nurse is taking routine vitals, she notices that the infant is having
hypercyanotic episodes or TET spell. What should the nurse do first?
a. Continue getting vital signs for a baseline comparison
b. Calm the infant and place the infant in a knee-chest position
c. Get a pulse oximetry reading and suction the infant
d. Give morphine sulfate and call the physician
4. Med calculation: Tetracycline safe dose: 8mg/kg/day in 4 divided doses. Patient
weight: 50 lb. What is a safe single dose of Tetracycline? (round weight
immediately to hundredths. Round mg down to nearest hundredth)
50/2.2= 22.73 kg
8mg/1kg*22.73kg/4doses = 45.46 mg/dose
, 5. The nurse assesses that the father of a chronically ill child is experiencing
recurrent feelings of loss and fear related to the child’s condition. The nurses’
interpretation that the father is experiencing which of the following?
a. Chronic grief
b. Chronic sorrow
c. Pathological grieving
d. Compassion fatigue
Rationale: The stated recurrent feelings define chronic sorrow, which is
considered a normal process involving grief that may never be resolved.
6. Which of the following statements concerning idiopathic structural scoliosis is
true?
a. Scoliosis is more common in males
b. Scoliosis is fully correctable with an orthoplast jacket or brace
c. Characteristic signs include shoulder, prominent hip, exaggerated
rib hump ?
d. Scoliosis is an abnormally exaggerated concave lumbar curvature
7. Med calculation: Quinidine safe dose: 25 mg/kg/day q6h. Patient weight: 110
lb. What is a safe single dose of Quinidine?
110/2.2 = 50 kg
25mg/1kg*50 kg/4 =1250/4
312.5 mg/dose
8. Delegation/ Prioritization- You have just received a change of shift report
about the following pediatrics patients. Which patient will you assess first?
a. A 5-year-old Hemophilia who was admitted because of decreased
responsiveness
b. A 3-year-old with Von Willebrand disease who has a dose of DDAVP
scheduled
Exam 2 Questions
1. A school aged child is seen in the oncology clinic for possible Hodgkins
Disease. During the course of the nursing assessment findings would be
expected? SELLECT ALL THAT APPLY
a. Poor appetite
b. Fever
c. Painful cervical nodes
d. Complaints of night sweats
e. Painless cervical nodes
2. Med calculation: Ordered: Claforan IV q8h. Claforan safe dose: 100
mg/kg/day q8h. Patient weight: 8 kg. What is a safe single dose of Claforan?
(Round mg down to nearest hundredth)
100mg/1kg * 8kg/3dose = 266.66 mg/dose
3. While the nurse is taking routine vitals, she notices that the infant is having
hypercyanotic episodes or TET spell. What should the nurse do first?
a. Continue getting vital signs for a baseline comparison
b. Calm the infant and place the infant in a knee-chest position
c. Get a pulse oximetry reading and suction the infant
d. Give morphine sulfate and call the physician
4. Med calculation: Tetracycline safe dose: 8mg/kg/day in 4 divided doses. Patient
weight: 50 lb. What is a safe single dose of Tetracycline? (round weight
immediately to hundredths. Round mg down to nearest hundredth)
50/2.2= 22.73 kg
8mg/1kg*22.73kg/4doses = 45.46 mg/dose
, 5. The nurse assesses that the father of a chronically ill child is experiencing
recurrent feelings of loss and fear related to the child’s condition. The nurses’
interpretation that the father is experiencing which of the following?
a. Chronic grief
b. Chronic sorrow
c. Pathological grieving
d. Compassion fatigue
Rationale: The stated recurrent feelings define chronic sorrow, which is
considered a normal process involving grief that may never be resolved.
6. Which of the following statements concerning idiopathic structural scoliosis is
true?
a. Scoliosis is more common in males
b. Scoliosis is fully correctable with an orthoplast jacket or brace
c. Characteristic signs include shoulder, prominent hip, exaggerated
rib hump ?
d. Scoliosis is an abnormally exaggerated concave lumbar curvature
7. Med calculation: Quinidine safe dose: 25 mg/kg/day q6h. Patient weight: 110
lb. What is a safe single dose of Quinidine?
110/2.2 = 50 kg
25mg/1kg*50 kg/4 =1250/4
312.5 mg/dose
8. Delegation/ Prioritization- You have just received a change of shift report
about the following pediatrics patients. Which patient will you assess first?
a. A 5-year-old Hemophilia who was admitted because of decreased
responsiveness
b. A 3-year-old with Von Willebrand disease who has a dose of DDAVP
scheduled
