RN PEDIATRIC EXAM WITH CORRECT ANSWERS 2023/2024. ACTUAL EXAM 100%GRADED
A+ (ANSWERS AT THE END)
1. A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the
right femur. Which intervention will be included in the plan of care?
a. Immobilization of the right leg
b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
c. Frequent weight-bearing exercise
d. Support of the right leg in a flexed position
The correct answer is: Immobilization of the right leg
Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures.
Weight-bearing exercise increases the risk for pathologic fractures. NSAIDs are frequently prescribed to
treat pain. Flexion of the affected limb is avoided to prevent contractures.
2. Discharge teaching for the patient with oesophageal reflux disease includes instructing the patient
to:
a. Decrease protein intake
b. Elevate the foot of the bed with 6-inch blocks
c. Eat a high-carbohydrate snack before bed
d. Reduce caffeine intake and smoking
The correct answer is: Reduce caffeine intake and smoking
3. Once healing has occurred, persons with a hip prosthesis are encouraged
to participate in: a. High-impact exercises such as swimming
b. Low-impact exercises such as jogging
c. High-impact exercises such as bowling
d. Low-impact exercises such as walking
,The correct answer is: Low-impact exercises such as walking
4. A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse
that the eyedrops cause eye burning and visual blurriness for a short time after administration. The best
response to the patient's statement is
a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the
eyedrops."
b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain
your vision."
c. "These are normal side effects of the drug, which should become less noticeable with time."
d. "If you occlude the puncta after you administer the drops, it will help relieve these side effects."
The correct answer is: "The drops are uncomfortable, but it is very important for you to use them as
prescribed to retain your vision."
Patients should be instructed that eye discomfort and visual blurring are expected side effects of the
ophthalmic drops but that the drops must be used to prevent further visual-field loss. The temporary
burning and visual blurriness might not lessen with ongoing use, are not relieved by avoiding systemic
absorption, and are not symptoms of glaucoma.
5. Patients should be taught that Zollinger-Ellison syndrome is:
a. An ulcerative syndrome caused by a gastrinoma
b. An infectious syndrome caused by Helicobacter pylori
c. Related to the indiscriminate use of nonsteroidal anti-inflammatory drugs (NSAIDs) d. A type of peptic
ulcer related to stress
The correct answer is: An ulcerative syndrome caused by a gastrinoma
6. After a patient has a short-arm plaster cast applied in the emergency department, which statement by
the patient indicates a good understanding of the nurse's discharge teaching?
a. "I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."
b. "I should avoid moving my fingers and elbow until the cast is removed."
c. "I can get the cast wet as long as I dry it right away with a hair dryer."
d. "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
, The correct answer is: "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
Ice application for the first 24 hours after a fracture will help reduce swelling and can be placed over the
cast. Plaster casts should not get wet. The patient should be encouraged to move the joints above and
below the cast. Patients should not insert objects inside the cast.
7. The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumours
d. Retinal detachment
The correct answer is: Macular degeneration
8. Which describes a fracture located at a 45-degree angle to the
long axis of bone?
a. Oblique fracture
b. Impacted fracture
c. Avulsion fracture
d. Compound fracture
The correct answer is: Oblique
fracture
9. Dumping syndrome after
gastric surgery:
a. Can be controlled by increasing fluid ingestion
b. Produces a sudden decrease in blood glucose, initiating gastric emptying
c. Is caused by rapid emptying of hypertonic chyme into the jejunum
d. Is treated most effectively with a high-cholesterol, low-fat diet and fluid restriction
The correct answer is: Is caused by rapid emptying of hypertonic chyme into the jejunum
10. When performing an eye examination, the nurse will assess for accommodation by
A+ (ANSWERS AT THE END)
1. A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of the
right femur. Which intervention will be included in the plan of care?
a. Immobilization of the right leg
b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
c. Frequent weight-bearing exercise
d. Support of the right leg in a flexed position
The correct answer is: Immobilization of the right leg
Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures.
Weight-bearing exercise increases the risk for pathologic fractures. NSAIDs are frequently prescribed to
treat pain. Flexion of the affected limb is avoided to prevent contractures.
2. Discharge teaching for the patient with oesophageal reflux disease includes instructing the patient
to:
a. Decrease protein intake
b. Elevate the foot of the bed with 6-inch blocks
c. Eat a high-carbohydrate snack before bed
d. Reduce caffeine intake and smoking
The correct answer is: Reduce caffeine intake and smoking
3. Once healing has occurred, persons with a hip prosthesis are encouraged
to participate in: a. High-impact exercises such as swimming
b. Low-impact exercises such as jogging
c. High-impact exercises such as bowling
d. Low-impact exercises such as walking
,The correct answer is: Low-impact exercises such as walking
4. A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse
that the eyedrops cause eye burning and visual blurriness for a short time after administration. The best
response to the patient's statement is
a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage of the
eyedrops."
b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to retain
your vision."
c. "These are normal side effects of the drug, which should become less noticeable with time."
d. "If you occlude the puncta after you administer the drops, it will help relieve these side effects."
The correct answer is: "The drops are uncomfortable, but it is very important for you to use them as
prescribed to retain your vision."
Patients should be instructed that eye discomfort and visual blurring are expected side effects of the
ophthalmic drops but that the drops must be used to prevent further visual-field loss. The temporary
burning and visual blurriness might not lessen with ongoing use, are not relieved by avoiding systemic
absorption, and are not symptoms of glaucoma.
5. Patients should be taught that Zollinger-Ellison syndrome is:
a. An ulcerative syndrome caused by a gastrinoma
b. An infectious syndrome caused by Helicobacter pylori
c. Related to the indiscriminate use of nonsteroidal anti-inflammatory drugs (NSAIDs) d. A type of peptic
ulcer related to stress
The correct answer is: An ulcerative syndrome caused by a gastrinoma
6. After a patient has a short-arm plaster cast applied in the emergency department, which statement by
the patient indicates a good understanding of the nurse's discharge teaching?
a. "I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."
b. "I should avoid moving my fingers and elbow until the cast is removed."
c. "I can get the cast wet as long as I dry it right away with a hair dryer."
d. "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
, The correct answer is: "I will apply an ice pack to the cast over the fracture site for the next 24 hours."
Ice application for the first 24 hours after a fracture will help reduce swelling and can be placed over the
cast. Plaster casts should not get wet. The patient should be encouraged to move the joints above and
below the cast. Patients should not insert objects inside the cast.
7. The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumours
d. Retinal detachment
The correct answer is: Macular degeneration
8. Which describes a fracture located at a 45-degree angle to the
long axis of bone?
a. Oblique fracture
b. Impacted fracture
c. Avulsion fracture
d. Compound fracture
The correct answer is: Oblique
fracture
9. Dumping syndrome after
gastric surgery:
a. Can be controlled by increasing fluid ingestion
b. Produces a sudden decrease in blood glucose, initiating gastric emptying
c. Is caused by rapid emptying of hypertonic chyme into the jejunum
d. Is treated most effectively with a high-cholesterol, low-fat diet and fluid restriction
The correct answer is: Is caused by rapid emptying of hypertonic chyme into the jejunum
10. When performing an eye examination, the nurse will assess for accommodation by
