PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS, Exams of Nursing

Download PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS and more Exams Nursing in PDF only on Docsity! PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS Exam #1: 1. A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue, and transverse palmar creases. These findings are most suggestive of: A. Down syndrome 2. Physiologic measurements in children's pain assessment are: 3. The nurse observes some children in the playroom. Which play situation exhibits the characteristics parallel play? C. Brian playing with his truck next to Kristina playing with her truck 4. Which action is contraindicated when a child with Down syndrome is hospitalized? B. Encourage parents to leave the child alone for extended periods of time. 5. An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to: C. Encourage parents to room in. 6. In which developmental stage is the child first able to localize pain and describe both the amount the intensity of the pain felt? A. Preschool stage 7. When should children with cognitive impairment be referred for stimulation and educational programs? C. As young as possible 8. A nurse is gathering a history on a school-age child admitted for a migraine headache. The child states, "I have been getting à migraine every 2 or 3 months for the last year." The nurse documents this as which type of pain? C. recurrent 9. When caring for a newborn with Down syndrome, the nurse should be aware that the most common congenital anomaly associated with Down syndrome is: D. Congenital heart disease. 10. The nurse comes into the room of a child who was just diagnosed with a chronic disability. The child's parents begin to yell at the nurse about a variety of concerns. The nurse's best response is: D. “Being angry is only natural." PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 11. When assessing pain in any child, the nurse should consider that: 12. Latasha, age 8 years, is being admitted to the hospital from the emergency department with an injection from falling off her bicycle. What will help her most in her adjustment to the hospital? A. Explain hospital schedules such as mealtimes. 13. The nurse wore gloves during a dressing change. When the gloves are removed, the nurse short? D. Wash hands thoroughly. 14. Frequent developmental assessments are important for which reason? D. Critical periods of development occur during childhood. 15. The major consideration when selecting toys for a child who is cognitively impaired is: D. safety 16. A child is playing in the playroom. The nurse needs to take a blood pressure on the child. Which is the appropriate procedure for obtaining the blood pressure? C. Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom. 17. Mark, a 9-year-old with Down syndrome, is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs such as Cub Scouts that he might join. The nurse's recommendation should be based on knowing that: C. Children with Down syndrome have the same need for socialization as other children. 18. The head-to-tail direction of growth is referred to as: A. Cephalocaudal 19. A common parental reaction to a child with special needs is parental overprotection. Parental behavior suggestive of this includes: D. Giving inconsistent discipline. 20. Which "expected outcome" would be developmentally appropriate for a hospitalized 4- year-old child.? B. The child will independently ask for play materials or other personal needs. 21. Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability. After the shock phase, a period of adjustment usually follows. This is often characterized by: B. Guilt and anger. 22. A parent asks the nurse why a developmental assessment is being conducted for a child during a routine well-child visit. The nurse answers based on the knowledge that routine developmental assessments during well-child visits are: A. The best method for early detection of cognitive disorders. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 51. The nurse is monitoring a patient for side effects associated with opioid analgesics. Which side effect should the nurse expect to monitor for (Select all that apply)? a. Sweating b. Pruritus c. Respiratory depression 52. An appropriate tool to assess pain in a 3-year-old child is the (Select all that apply): d. Oucher tool e. Faces pain rating scale 53. Which dietary recommendations should a nurse make to an adolescent patient to manage constant related to opioid analgesic administration (Select all that apply)? a. vegetables b.bran cereal e. chesses Next exam: EXAM # 3 Pediatrics Chapter 18,19, 20, 21 Chapters 18, 19 for Pediatrics Exam:( LEIFER 2015) Chapter 26 The Child with a Cardiovascular Disorder 1. What does the nurse explain that a ventricular septal defect will allow? Blood to shunt left to right, causing increased pulmonary flow and no cyanosis 2. Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect? A loud, harsh murmur with a systolic thrill 3. What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta? Blood pressure lower in the legs than in the arm 4. A father asks why his child with tetralogy of Fallot seems to favor a squatting position. What is the nurses best response? Squatting increases the return of venous blood back to the heart PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 5. An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). What does the nurse understand regarding why dyspnea occurs? Blood is circulated through the lungs again, causing pulmonary circulatory congestion 6. Which is the most appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant? Withholding a dose if the apical heart rate is less than 100 beats/min 7. A child develops carditis from rheumatic fever. Which areas of the heart are affected by carditis? Heart muscle and the mitral valve 8. Which comment made by a parent of a 1-month-old would alert the nurse about the presence of a congenital heart defect? He tires out during feeding 9. The nurse is caring for a child with a diagnosis of Kawasaki disease. The child’s parent asks the nurse, how does Kawasaki disease affect my child’s heart and blood vessels? On what understanding is the nurse’s response based? Inflammation weakens blood vessels, leading to aneurysm 10. The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instruction? If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest 11. The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, why do my child’s fingertips look like that? On what understanding does the nurse base a response? Clubbing occurs as a result of chronic hypoxia 12. A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever? Painful, tender joints and carditis 13. An infant with congestive heart failure is receiving digoxin (Lanoxin). What does the nurse recognize as a sign of digoxin toxicity? vomiting 14. Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood? An atrial septal defect 15. A child with rheumatic fever begins involuntary, purposeless movements of her limbs. What does the nurse recognize that this indicates? Sydenham’s chorea PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 16. How long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G? 5 years 17. What is accurate about the characteristics of high-density lipoproteins (HDLs? They have little cholesterol 18. What should the school nurse recommend when encouraging a heart-healthy diet for a child with high cholesterol? A fat intake reduction of 25-35% of total calorie 19. The nurse is planning a hypertension-prevention program. What should be the main focus of the nurse when presenting information? Patient education 20. A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur. What diagnostic test does the nurse anticipate? Echocardiogram 21. How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child’s weakness and fatigue? (Select all that apply.) a. Feeding more frequently with smaller feedings b. Using a soft nipple with enlarged holes c. Holding and cuddling the child during feeding e. Offering high-caloric formula 22. What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.) a. Hypertrophied right ventricle b. Patent ductus arteriosus d. Narrowing of pulmonary artery e. Dextroposition of aorta 23. What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? (Select all that apply.) a. Spontaneous cyanosis b. Dyspnea c. Weakness e. syncope 24. Which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? (Select all that apply.) a. Atrial septal defects (ASDs) d. Patent ductus arteriosus e. Ventricular septal defects (VSDs PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 10. Which statement indicates that the child’s parents understand how to perform respiratory therapy? We give the aerosol followed by postural drainage before meal 11. What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients? Pancreatic enzyme 12.How would the nurse advise a mother to clear the nostrils when her infant has a cold? Remove nasal secretions with a bulb syringe 13.The nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the fluid loss through dyspnea. Which fluids are most appropriate? Room temperature water 14.The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely. What does the nurse recognize as the cause of these symptoms? Drug toxicity 15.The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include? Placing infants on their backs or sides for sleep 16.An infant is hospitalized with RSV bronchiolitis. What is the priority nursing diagnosis? Ineffective breathing pattern related to airway inflammation and increased secretion 17.The nurse is caring for a toddler with acute laryngotracheobronchitis. Which assessment finding would indicate the child is experiencing increased respiratory obstruction? Restlessness 18.The teaching plan for the use of a dry powder inhaler for the treatment of asthma should include the warning to rinse the mouth after inhaling the powder. What does this prevent? Candidiasis 19.The nurse is caring for a 3-year-old who suffered a smoke inhalation injury. How long is this patient at the highest risk for pulmonary edema after exposure? 72 hours 20.Which is the most appropriate nursing action when planning care for a child with cystic fibrosis? Ensure high-protein, high-calorie diet 21.The first child of a couple is being treated for bronchopulmonary dysplasia (BPD). They ask how to prevent this from happening with the child they are currently expecting. What will the nurse explain as the best way to prevent BPD? Prevention of preterm birth PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 22.The nurse describes the allergic salute as a cluster of what signs related to chronic allergy? (Select all that apply.) a. Mouth breathing b.Transverse nasal crease c. Dark circles under the eyes e. Reddened conjunctiva 23.The nurse would suggest the parents of an asthmatic child to encourage participation in which sport(s)? (Select all that apply.) a. Swimming b. Gymnastics c. Baseball 24.The nurse reports which assessments that suggest a meconium ileus in a newborn? (Select all that apply.) a.Abdominal distention b. Vomiting e. Absence of stool 25.What would the nurse teaching an asthmatic child the technique of pursed- lip breathing include? (Select all that apply.) a. Inhale deeply through nose with mouth closed. b.Make exhalation twice as long as inhalation. d. Exhale through mouth as if whistling. 26.A toddler must maintain bed rest for the diagnosis of pneumonia. What actions will the nurse implement? (Select all that apply.) b.Consider age. c.Assess developmental level. d. Implement light play activities. 27.The school nurse suspects a first-grade student has sinusitis. Which symptoms might lead the nurse to this suspicion? (Select all that apply.) a. Child reports tooth pain. c. Child reports, I have had a cold for 2 weeks. d.Nurse observes periorbital swelling. e. Halitosis is present 28.The nurse is caring for a 4-year-old child diagnosed with H. influenzae type B. Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis? (Select all that apply.) b. Restlessness c. Edematous epiglottis e. Drooling PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 29.What will the nurse discourage when providing education to parents of a child with asthma? (Select all that apply.) a. Stuffed toys d. Basketball Chapter 42: Cardiovascular Dysfunction (Perry Edition) 1. The nurse is assessing a child postcardiac catheterization. Which complication might the nurse anticipated? Cardiac arrhythmia 2. Jos is a 4-year-old child scheduled for a cardiac catheterization. Preoperative teaching should? Adapted to his level of development so that he can understand 3. The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is too wet. The nurse finds the bandage and bed soaked with blood. The most appropriate initial nursing action is to: Apply direct pressure above the catheterization site 4. Which defect results in increased pulmonary blood flow? Atrial septal defect 5. Which structural defects constitute tetralogy of Fallot? Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy 6. What is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures? Congestive heart failure 7. A clinical manifestation of the systemic venous congestion that can occur with congestive heart failure? Peripheral edema 8. A beneficial effect of administering digoxin (Lanoxin) is that is? Decreases edema 9. Which drug is an angiotensin-converting enzyme (ACE) inhibitor? Captopril (Capoten) 10. The nurse is evaluating a child who is taking digoxin for her cardiac condition. The nurse is cognizant that a common sign of digoxin toxicity is? vomiting PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 35. Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure? Weigh the infant every day on the same scale at the same time 36. The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect? Patent ductus arteriosus 37. What is an expected assessment finding in a child with coarctation of the aorta? Disparity in blood pressure between the upper and lower extremities 38. A child with pulmonary atresia exhibits cyanosis with feeding. On reviewing this child’s laboratory values, the nurse is not surprised to notice which abnormality? Polycythemia 39. When assessing a child for possible congenital heart defects (CHDs), where should the nurse measure blood pressure? All four extremities 40. What is the nurses first action when planning to teach the parents of an infant with a congenital heart defect (CHD)? Assess the parents anxiety level and readiness to learn 41. For what reason might a newborn infant with a cardiac defect, such as coarctation of the aorta, that results in a right-to-left shunt receive prostaglandin E 1? To improve oxygenation 42. What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate, is sweating, and is not feeding well? Alert the physician 43. A nurse is teaching an adolescent about primary hypertension. The nurse knows that which of the following is correct? Primary hypertension may be treated with weight reduction 44. An adolescent being seen by the nurse practitioner for a sports physical is identified as having hypertension. On further testing, it is discovered the child has a cardiac abnormality. The initial treatment of secondary hypertension initially involve? Treating the underlying disease 45. The nurse is preparing an adolescent for discharge after a cardiac catheterization. Which statement by the adolescent would indicate a need for further teaching? I have to stay on strict bed rest for 3 day PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 46. Surgical closure of the ductus arteriosus would? Prevent the return of oxygenated blood to the lungs 47. A nurse is teaching nursing students the physiology of congenital heart defects. Which defect results in decreased pulmonary blood flow? Tetralogy of Fallot 48. The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct? You may need to increase the caloric density of your infants formula 49. The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement? Administering penicillin 50. Which action by the school nurse is important in the prevention of rheumatic fever? Refer children with sore throats for throat culture 51. A preschool child is scheduled for an echocardiogram. Parents ask the nurse whether they can hold the child during the procedure. The nurse should answer with which response? Your child must lie quietly; sometimes a mild sedative is administered before the procedure 52. The nurse is caring for an infant with congestive heart disease (CHD). The nurse should plan which intervention to decrease cardiac demands? Organize nursing activities to allow for uninterrupted sleep 53. Nursing interventions for the child after a cardiac catheterization include which of the following (Select all that apply) • Assess the affected extremity for temperature and color • Maintain a patent peripheral intravenous catheter until discharge 54. Which clinical manifestations would the nurse expect to see as shock progresses in a child and becomes decompensated shock (Select all that apply) ? • Cool extremities and decreased skin turgor • Confusion and somnolence • Tachypnea and poor capillary refill time PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 55. A child has a total cholesterol level of 180 mg/dL. What dietary recommendations should the nurse make to the child and the child’s parents (Select all that apply) ? ▪ Replace whole milk with 2% or 1% milk ▪ increase servings of fish ▪ Avoid excessive intake of fruit juice 56. A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if what conditions occur (Select all that apply) ? • Temperature above 37.7 C (100 F) • New, frequent coughing • Turning blue or bluer than normal 57. The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include (Select all that apply) ? • Decreased urinary output • Sweating (inappropriate) • Fatigue Chapter 40: Respiratory Dysfunction 1. Which statement best describes why children have fewer respiratory tract infections as they grow older? Repeated exposure to organisms causes increased immunity. 2. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes that these symptoms are characteristic of which respiratory condition? Sinusitis 3. Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include: Avoiding use for more than 3 days. 4. When caring for an infant with an upper respiratory tract infection and elevated temperature, an appropriate nursing intervention is to: Give small amounts of favorite fluids frequently to prevent dehydration PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 31. An appropriate nursing intervention when caring for a child with pneumonia is to? Encourage rest 32. The parent of a toddler calls the nurse, asking about croup. What is a distinguishing manifestation of spasmodic croup? It has a harsh, barky cough 33. Which intervention for treating croup at home should be taught to parents? Take the child outside 34. Which information should the nurse teach workers at a day care center about respiratory syncytial virus (RSV)? Frequent hand washing can decrease the spread of the virus 35. Which vitamin supplements are necessary for children with cystic fibrosis? Vitamins A, D, E, and K 36. Why do infants and young children quickly have respiratory distress in acute and chronic alterations of the respiratory system? Mucus and edema obstruct small airway 37. A nurse is charting that a hospitalized child has labored breathing. Which describes labored breathing? dyspnea 38. Parents have understood teaching about prevention of childhood otitis media if they make which statement? We will be sure to keep immunizations up to date 39. An 18-month-old child is seen in the clinic with AOM. Trimethoprim-sulfamethoxazole (Bactrim) is prescribed. Which statement made by the parent indicates a correct understanding of the instructions? I should administer all the prescribed medication 40. The nurse is assessing a child with acute epiglottitis. Examining the childs throat by using a tongue depressor might precipitate which symptom or condition? Complete obstruction 41. Which consideration is the most important in managing tuberculosis (TB) in children? Pharmacotherapy 42. A nurse is conducting an in-service on asthma. Which statement is the most descriptive of bronchial asthma? There is heightened airway reactivity 43. A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered? Before chest physiotherapy (CPT PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 44. A nurse is interpreting the results of a tuberculin skin test (TST) on an adolescent who is human immunodeficiency virus (HIV) positive. Which induration size indicates a positive result for this child 48 to 72 hours after the test? 5mm 45. An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which of the following? (Select all that apply) • Cluster care to conserve energy • Administration of antibiotics 46. The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which interventions should be included in the child’s care (Select all that apply) ? • Encourage infant to drink 8 ounces of formula every 4 hour • Institute cluster care to encourage adequate rest. • Place on noninvasive oxygen monitoring 47. Which information should the nurse teach families about reducing exposure to pollens and dust (Select all that apply) ? • Replace wall-to-wall carpeting with wood and tile floors. • Use an air conditioner. • Put dust-proof covers on pillows and mattresses Nursing Care of the Child with an Alteration in Bowel Elimination/Gastrointestinal Disorder. ****Chapter 41: Gastrointestinal Dysfunction (PERRY EDITION) 1. Nurses must be alert for increased fluid requirements when a child has? fever 2. Which type of dehydration results from water loss in excess of electrolyte loss? Hypertonic dehydration PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 3. An infant is brought to the emergency department with poor skin turgor, weight loss, lethargy, and tachycardia. This is suggestive of: Dehydration. 4. Acute diarrhea is often caused by? Antibiotic therapy 5. The viral pathogen that frequently causes acute diarrhea in young children is? Rotavirus 6. A parasite that causes acute diarrhea is? Giardia lamblia 7. A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells. This is most suggestive of which condition? Bacterial gastroenteritis 8. 8.Therapeutic management of the child with acute diarrhea and dehydration usually begins with? Oral rehydration solution (ORS) 9. A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child will begin with: Intravenous fluids 10. Constipation has recently become a problem for a school-age girl. She is healthy except for seasonal allergies, which are now being successfully treated with antihistamines. The nurse should suspect that the constipation is most likely caused by? Antihistamines. 11. A high-fiber food that the nurse could recommend for a child with chronic constipation is? Popcorn 12. Therapeutic management of most children with Hirschsprungs disease is primarily? Surgical removal of affected section of bowel 13. A 3-year-old child with Hirschsprungs disease is hospitalized for surgery. A temporary colostomy will be necessary. The nurse should recognize that preparing this child psychologically is: Necessary because it will be an adjustment PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 33. An important nursing consideration in the care of a child with celiac disease is to: Refer to a nutritionist for detailed dietary instructions and education 34. An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN) and gastrostomy feedings. Nursing care should include: Teaching the family signs of central venous catheter infection 35. For what clinical manifestation should a nurse be alert when suspecting a diagnosis of esophageal atresia? A nasogastric tube fails to pass at birth 36. What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux? Teach the parents how to do infant cardiopulmonary resuscitation (CPR) 37. What is the major focus of the therapeutic management for a child with lactose intolerance? Teaching dietary modifications 38. What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching? oatmeal 39. Which intervention should be included in the nurses plan of care for a 7-year-old child with encopresis who has cleared the initial impaction? Give the child a choice of beverage to mix with a laxative 40. Which description of a stool is characteristic of intussusception? Currant jelly stools 41. What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis? Coping with stress and avoiding triggers 42.Careful hand washing before and after contact can prevent the spread of which condition in day care and school settings? Hepatitis A PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 43.A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She has been giving him the antidiarrheal drug loperamide (Imodium A-D). The nurses response should be based on knowledge that this drug is: Not indicated. 44.Which vaccine is now recommended for the immunization of all newborns? Hepatitis B vaccine 45. During the first few days after surgery for cleft lip, which intervention should the nurse do? Remove restraints periodically to cuddle infant 46. An infant with pyloric stenosis experiences excessive vomiting that can result in? Metabolic alkalosis. 47.Which statements regarding hepatitis B are correct (Select all that apply) ? b.Hepatitis B can be prevented by hepatitis B virus vaccine. c. Hepatitis B can be transferred to an infant of a breastfeeding mother. d.The onset of hepatitis B is insidious. e. Immunity to hepatitis B occurs after one attack 48.Which interventions should a nurse implement when caring for a child with hepatitis (Select all that apply) ? a. Provide a well-balanced, low-fat diet. c. Teach parents not to administer any over-the-counter medications. e. Instruct parents on the importance of good hand washing 49.The nurse is preparing to care for an infant returning from pyloromyotomy surgery. Which prescribed orders should the nurse anticipate implementing (Select all that apply) ? b.Administration of analgesics for pain d. Intravenous (IV) fluids continued until tolerating fluids by mouth e. Clear liquids as the first feeding 50.A nurse is conducting dietary teaching on high-fiber foods for parents of a child with constipation. Which foods should the nurse include as being high in fiber (Select all that apply) ? c. Whole grain breads d.Bran pancakes e. Raw carrot PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 51.A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing interventions should include (Select all that apply) b. Encouraging and helping mother to breastfeed. d. Recommending use of a breast pump to maintain lactation until infant can suck Chapter 45: Genitourinary Dysfunction (PERRY EDITION TB) Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder 1. Which diagnostic test allows visualization of the renal parenchyma and renal pelvis without exposure to external beam radiation or radioactive isotopes? Renal ultrasound 2. Which diagnostic finding is present when a child has primary nephrotic syndrome? Proteinuria 3. Which factor predisposes a child to urinary tract infections? Short urethra in young girl 4. What should the nurse recommend to prevent urinary tract infections in young girls? Wearing cotton underpants 5. The nurse is assisting the pediatric provider with a newborn examination. The provider notes that the infant has hypospadias. The nurse understands that hypospadias refers to: Urethral opening along ventral surface of penis 6.The narrowing of the preputial opening of the foreskin is called? Phimosis. 7. An objective of care for the child with nephrosis is to: Reduce excretion of urinary protein PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 30.The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect? Fever with a positive blood culture 31. A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. The nurses best response should be that the? Urinary output will increase. 32. The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching? You will need to avoid adding salt to your child’s food 33. A preschool child is being admitted to the hospital with dehydration and a urinary tract infection (UTI). Which urinalysis result should the nurse expect with these conditions? WBC >2; specific gravity 1.030 34. The nurse is conducting teaching for an adolescent being discharged to home after a renal transplantation. The adolescent needs further teaching if which statement is made? I am glad I only have to take the immunosuppressant medication for two weeks 35. The nurse is teaching parents of a child with chronic renal failure (CRF) about the use of recombinant human erythropoietin (rHuEPO) subcutaneous injections. Which statement indicates the parents have understood the teaching? The red blood cell count should begin to improve with these injection 36. A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer? Sodium polystyrene sulfonate (Kayexalate) 37. The nurse is caring for an infant with a suspected urinary tract infection. Which clinical manifestations would be observed (Select all that apply) ? a. Vomiting c. Failure to gain weight f. Persistent diaper rash 38. A child with secondary enuresis who complains of dysuria or urgency should be evaluated for what condition (Select all that PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS apply) PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS d.Urinary tract infection (UTI) e. Diabetes mellitus 39. A school-age child is admitted to the hospital with acute glomerulonephritis and oliguria. Which dietary menu items should be allowed for this child (Select all that apply) ? a.Apples d.Carrot sticks e. Strawberries 40. A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess (Select all that apply) ? b. Facial edema d. Fatigue e. Frothy-appearing urine Chapter 20: Nursing Care of the Child With an Alteration in Bowel Elimination/Gastrointestinal Disorder **** Chapter 28: The Child with a Gastrointestinal Condition (Leifer Edition) 1.Which finding in a newborn is suggestive of tracheoesophageal fistula? Choking on the first feeding 2. A child is brought to the pediatric clinic because he has been vomiting for the past 2 days. What acid-base imbalance would the nurse expect to occur from this persistent vomiting? Alkalosis 3.On the second day of hospitalization for a 3-month-old brought in for treatment for gastroenteritis, the nurse makes all of the assessments listed below. Which assessment finding indicates ineffectiveness of treatment? Weight loss of 4 ounces 4.Why are rapid respirations a possible cause of dehydration? They cause evaporation of fluid on the mucous membranes. 5.Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux? Position the infant in the crib on his or her abdomen, with the head elevated PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 32.Which assessment would the nurse report to the physician immediately? a. 2-month-old with a urine output of 150 mL in 24 hours 33.What interventions will the nurse perform when feeding a child with pyloric stenosis? (Select all that apply.) b.Burp the infant before and during feeding. c. Give the feeding slowly. d.Refeed if the infant vomits. 34.What assessment(s) would lead a nurse to suspect Hirschsprungs disease in a 1- month-old infant? (Select all that apply.) a. Ribbon-like stools b. Fever c. Failure to thrive d. Vomiting e. Diminished peristalsis 35.What sign(s) indicate(s) moderate dehydration? (Select all that apply.) a. 10% weight loss b.Dry mucous membranes c. Normal anterior fontanel 36.A child is brought into the ED with suspected appendicitis. What signs and symptoms does the nurse expect to assess? (Select all that apply.) b. Guarding c. Rebound tenderness e. Pain on lifting thigh when supine 37.Parents have adopted a child with the diagnosis of kwashiorkor. What is most likely to be observed when b.White streak in hair c. Edematous abdomen d.Slowed growth chapter 21 Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS ****ON TB- Chapter 29: The Child with a Genitourinary Condition (Leifer Edition) 1. The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching? It is acceptable to take frequent bubble baths. 2.When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition? Surgical repair of the hypospadias is done before 18 months of age 3.What is an initial sign of nephrosis that the nurse might note in a child? Periorbital edema 4.What is it important to assess in a child receiving prednisone to treat nephrotic syndrome? infection 5.During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. What action should the nurse implement? Notify the charge nurse 6.A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child? Providing activities for the child on restricted activity 7.Which urinary diversion procedure is the least damaging to the body image of the adolescent? Ileal conduit 8.The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone? d. Should be delayed 11. Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis? Cyclophosphamide (Cytoxan), an anti- suppressant 12. What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia? Banana 13. Which physical assessment technique will the nurse omit when caring for a 2- year-old diagnosed with Wilms tumor? Palpating the abdomen PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 14. Parents are speaking with the urologist about their sons undescended testicle. Which statement by the child’s father causes the nurse to determine he PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 23. An adolescent male is admitted to the ED with severe acute scrotal pain. When documenting medical history the nurse notes cryptorchidism at birth. What diagnosis does the nurse expect? c. Torsion 24. A 7-year-old child has a BUN of 25 mg/dL. What is the nurse aware this lab value might indicate? (Select all that apply.) a. Dehydration b. renal disease c. Need for steroid therapy 25. What will the nurse caring for a newborn with exstrophy of the bladder include in the care? (Select all that apply.) b.Protect skin around bladder. c. Position infant on back. d.Prepare for surgical closure. e. Cover exposed bladder with shield 26. The nurse caring for a child with nephrotic syndrome is alert to which classic symptoms of this disorder? (Select all that apply.) a. Proteinuria b.Grossly bloody urine d. Fatigue e. Generalized edema 27. The nurse is aware that genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress? (Select all that apply.) a.They may perceive the treatment as punishment. b.They are especially prone to separation anxiety. c. They are sexually curious and developmentally fixated on their genitals. d.They have a fear of castration. 28. What special considerations are related to long-term prednisone therapy in preschoolers? (Select all that apply.) a. Delayed immunization e. Increased risk for infection PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS Pediatrics Exam # 4 Chapters 22-28 Perry Edition: Chapter 22***Nursing Care of the Child With an Alteration in Mobility/Neuromuscular or Musculoskeletal Disorder Chapter 49: Neuromuscular or Muscular Dysfunction TB 1.Spastic cerebral palsy is characterized by: Hypertonicity and poor control of posture, balance, and coordinated motion. 2.The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child’s spasticity. The nurse’s response should be based on knowing that: Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available. 3.The most common problem of children born with a myelomeningocele is: Neurogenic bladder. 4. Which problem is most often associated with myelomeningocele? Hydrocephalus 5. A current recommendation to prevent neural tube defects is the supplementation of: Folic acid for all women of childbearing age. 6. How much folic acid is recommended for women of childbearing age? 0.4 mg 7. The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. The most appropriate way to position and feed this neonate is to place him: Prone, turn head to side, and nipple feed. 8. The nurse is talking to a parent with a child who has a latex allergy. Which statement by the parent would indicate a correct understanding of the teaching? My child should not eat bananas or kiwis. 9. Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include: Avoiding using any latex product. 10. Which finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy? Sudden jerking movement caused by stimuli 11. A young boy has just been diagnosed with pseudohypertrophic (Duchennes) muscular dystrophy. The management plan should include: Recommending genetic counseling. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 12. Therapeutic management of a child with tetanus includes the administration of: Antibiotics to control bacterial proliferation at the site of injury. 13. What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition? There may be no definitive cause identified. 14.The nurse is preparing to admit a newborn with myelomeningocele to the neonatal intensive care nursery. Which describes this newborns defect? Visible defect with an external saclike protrusion containing meninges, spinal fluid, and nerves 15. The nurse is admitting a child with Werdnig-Hoffmann disease (spinal muscular atrophy type 1). Which signs and symptoms are associated with this disease? Progressive weakness and wasting of skeletal muscle 16.The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning. Which interventions should the nurse plan for the care of the myelomeningocele sac? Covered with a sterile, moist, nonadherent dressing 17. The nurse is admitting a school-age child with suspected Guillain-Barr syndrome (GBS). Which nursing intervention is a priority in the care for this child? Assessing respiratory efforts 18. The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit. Which health care provider prescriptions should the nurse clarify with the health care provider before implementing? Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours. 19.A home care nurse is caring for an adolescent with a T1 spinal cord injury. The adolescent suddenly becomes flushed, hypertensive, and diaphoretic. Which intervention should the nurse perform first? Implement a standing prescription to empty the bladder with a sterile in-and-out Foley catheter. 20. A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. Which nursing care interventions are needed for this child (Select all that apply) ? a. Monitoring and maintaining systemic blood pressure. b.Administering corticosteroids. e. Monitoring for respiratory complications. 21. Which assessment findings should the nurse note in a school-age child with Duchennes muscular dystrophy (DMD) (Select all that apply) ? a. Lordosis b.Gowers sign e. Waddling gait 22. The nurse is conducting discharge teaching with parents of a preschool child PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 8. The nurse uses the palms of the hands when handling a wet cast to: Avoid indenting the cast. 9. What would cause a nurse to suspect that an infection has developed under a cast? Hot spots felt on cast surface 10. A child is upset because, when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. What should the nurse suggest to remove this material? Soak in a bathtub. 11. Which type of traction uses skin traction on the lower leg and a padded sling under the knee? Russell 12. Four-year-old David is placed in Bucks extension traction for Legg-Calv-Perthes disease. He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. What should the nurse do first? Notify the practitioner of the changes noted. 13. An appropriate nursing intervention when caring for a child in traction is to: Assess for tightness, weakness, or contractures in uninvolved joints and muscles. 14. The nurse is teaching a family how to care for their infant in a Pavlik harness to treat developmental dysplasia of the hip. What should be included? Return to the clinic every 1 to 2 weeks. 15. A neonate is born with mild clubfeet. When the parents ask the nurse how this will be corrected, the nurse should explain that: Frequent, serial casting is tried first. 16. Which term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine? Kyphosis 17. When does idiopathic scoliosis become most noticeable? During preadolescent growth spurt 18. The primary method of treating osteomyelitis is: Intravenous antibiotic therapy. 19. Osteosarcoma is the most common bone cancer in children. Where are most of the primary tumor sites? Femur PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 20. What is most descriptive of the therapeutic management of osteosarcoma? Treatment usually consists of surgery and chemotherapy. 21. An adolescent is scheduled for a leg amputation in 2 days for treatment of osteosarcoma. The nurses approach should include: Answering questions with straightforward honesty. 22. Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)? Nonsteroidal anti-inflammatory drugs (NSAIDs) 23. An important nursing consideration when caring for a child with juvenile idiopathic arthritis (JIA) is to: Teach child and family the correct administration of medications. 24. Which statement is accurate concerning a childs musculoskeletal system and how it may be different from an adults? Because soft tissues are resilient in children, dislocations and sprains are less common than in adults. 25. When infants are seen for fractures, which nursing intervention is a priority? Assess for child abuse. Fractures in infants are often nonaccidental. 26. Which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm? The skin color, temperature, movement, sensation, and capillary refill of the extremity. 27. Which interaction is part of the discharge plan for a school-age child with osteomyelitis who is receiving home antibiotic therapy? Arrangements for tutoring and schoolwork 28. Discharge planning for the child with juvenile arthritis includes the need for: Routine ophthalmologic examinations to assess for visual problems. 29. When assessing the child with osteogenesis imperfecta, the nurse should expect to observe: Discolored teeth. 30. Kristin, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a tree. When discussing this injury with her parents, the nurse should consider which statement? Growth can be affected by this type of fracture. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 31. A 4-year-old child is newly diagnosed with Legg-Calv-Perthes disease. Nursing considerations should include which action? Teaching the family the care and management of the corrective appliance 32. The nurse is preparing an adolescent with scoliosis for a Luque-rod segmental spinal instrumentation procedure. Which consideration should the nurse include? Nasogastric intubation and urinary catheter may be required. 33. A nurse is conducting discharge teaching for parents of an infant with osteogenesis imperfecta (OI). Further teaching is indicated if the parents make which statement? Were glad there is a cure for this disorder. 34. The nurse is caring for an infant with developmental dysplasia of the hip. Which clinical manifestations should the nurse expect to observe (Select all that apply) ? a. Positive Ortolani sign b. Unequal gluteal folds 35. A clinic nurse is conducting a staff in-service for other clinic staff regarding the signs and symptoms of a rhabdomyosarcoma tumor. Which should be included in the teaching session (Select all that apply) ? b. Abdominal mass c. Sore throat and ear pain e. Ecchymosis of conjunctiva 36. A school-age child is diagnosed with systemic lupus erythematosus (SLE). The nurse should plan to implement which interventions for this child (Select all that apply) ? a. Instructions to avoid exposure to sunlight b. Teaching about body changes associated with SLE 37. The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment findings indicate possible compartment syndrome (Select all that apply) ? c. Severe pain not relieved by analgesics d. Tingling of extremity e. Inability to move extremity Nursing Care of the Child With an Alteration in Mobility/Neuromuscular or Musculoskeletal Disorder PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 22.On entering the room of a child in Bucks traction, the nurse makes all of the following observations. Which observation requires a nursing intervention? Childs heels are placed firmly against the foot of the bed. 23.Approximately how old does the nurse assess a large green bruise on the thigh of a 4-year-old to be? 6 days 24.A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse? Spiral fracture 25.Which nursing diagnosis would be a priority when preparing a plan of care for a child in a leg cast? Risk for altered peripheral tissue perfusion 26.A child is sent to the school nurse for assessment because she comes to school every day disheveled, unbathed, and hungry. The assessment does not indicate any bruises or marks on the body. What do these finding indicate? Physical neglect 27.Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary? Pupils 28.What factor(s) may trigger abuse in a parent? (Select all that apply.) a. Being abused as a child c. Substance abuse d.Overwhelming responsibility e. Knowledge deficit relative to child care 29.The nurse demonstrates which similarities among all traction devices? (Select all that apply.) a. Pull the limb into extension b.Decrease muscle spasm d.Align two bone fragments e. Immobilize the limb 30.The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select all that apply.) c. Limb is cool to the touch. d. Capillary refill is 5 seconds. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS LEIFER Edition- Chapter 23: The Child with a Sensory or Neurological Condition 1. A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media? The eustachian tube is short, straight, and wide. 2. What statement by a patients mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media? I will administer prescribed doses until all the medication is used. 3. Which situation would cause the nurse to suspect a hearing impairment? 24-month- old toddler who communicates by pointing 4. What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment? Face the child and speak clearly in short sentences. 5. What would the nurse include when planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes? Avoiding getting water in the ears 6. What assessment made by the school nurse would lead to the suspicion of strabismus? Child covers one eye to read the chalkboard 7. What might the nurse explain as a common treatment for amblyopia? Patching the good eye to force the brain to use the affected eye 8. What assessment does the school nurse recognize as the cardinal sign of a hyphema? A dark- red spot in front of the iris 9. The nurse is planning to teach parents about prevention of Reyes syndrome. What information would the nurse include in this teaching? Avoid giving salicylate- containing medications to a child who has viral symptoms. 10. What symptom leads the nurse caring for a 5-month-old with viral influenza to suspect the development of Reyes syndrome? Sudden vomiting without effort PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 11. What does the nurse explains to parents of a child with febrile seizures? They occur when the temperature rises quickly. 12. A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic? Absence 13. An adolescent has just had a generalized seizure and collapsed in the school nurses office. When should the nurse should call 911? The seizure lasts more than 5 minutes. 14. What is an appropriate nursing action when a child is experiencing a generalized tonic- clonic seizure? Move objects out of the child’s immediate area. 15. A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. What would the nurse expect to assess after a generalized tonic-clonic seizure? Sleepiness 16. What would the nurse include when creating a teaching plan that includes the long- term administration of phenytoin (Dilantin)? Gums should be massaged regularly to prevent hyperplasia. 17. The nurse observes that the legs of a child with cerebral palsy cross involuntarily, and the child exhibits jerky movements with his arms as he tries to eat. The nurse recognizes that he has which type of cerebral palsy? Spastic 18. Which assessment finding in a child with meningitis should be reported immediately? Irregular respirations 19. The nurse observes a childs position is supine with his arms and legs rigidly extended and the hands pronated. How does the nurse identify this posture? Decerebrate 20. What will the nurse teach parents when giving instructions for acute conjunctivitis? Clear drainage from the inner to the outer aspect of the eye. 21. A child is brought to the emergency department after he fell and hit his head on the ground. Which nursing assessment suggests the child has a concussion? Cannot remember what happened to him 22. A child is admitted to the hospital because she had a seizure. Her parents report that for the past few weeks she has had headaches, with vomiting, that are worse in the morning. What does the nurse suspect? Brain tumor PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 2. What risk is increased with children who have been diagnosed with infantile eczema? Asthma 3. What is the appropriate technique for the application of a topical treatment for a child with eczema? Apply prescribed ointments with a gloved hand. 4. A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action? Report it immediately because it may be a staphylococcus infection. 5. The home health nurse discovers a family infected with pediculosis. What information can the nurse provide to the mother to start eradication of the lice? Comb through the hair with a vinegar-water solution. 6. A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution them to avoid? Alcohol consumption 7. What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne? Get a prescription for oral contraceptives. 8. A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How does the nurse classify this burn when documenting? Second-degree superficial 9. A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take? Immerse the burned area in cold water. 10. Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns? Sulfa 11. What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery? Increase calories and protein to compensate for the healing process. 12. Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition? I apply the medication after I give my child a bath. 13. On the first day following a severe burn, the bodys fluid reserves have left the circulating volume and entered the interstitial space, causing massive edema. What should the nurse monitor for very closely in the burn victim? Reduced urine output 14. At a 2-month well-child visit, parents ask the nurse about the red area on the infants neck. They tell the nurse that the mark appeared a few weeks after birth. What does the nurse recognize this skin lesion as? A strawberry nevus PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 15. A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infants neck and axilla. What does the nurse explain as the most likely cause of this rash? Heat and moisture 16. What is the correct nursing response to a mother who asks, How can I get rid of the babys cradle cap? Rub baby oil on the infants head at night and shampoo the hair the next morning. 17. Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema? Wool is the best fabric for the infants clothing. 18. What will the nurse include when teaching about general skin care measures that could help prevent acne? Eating a balanced diet and getting sufficient rest 19. The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet. What is the most appropriate nursing action? Medicate for pain. 20. A child is brought to the emergency department with burns on the face and chest. What is the nurses first priority? Assess respiratory status. 21. An adolescent girl with acne is being treated with an antibiotic in addition to topical applications. What side effect does the nurse caution the girl to expect? Vaginitis 22. The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks. Which complication does the nurse document and report? Curling’s ulcer 23. A child is brought to the emergency department with severe frostbite. Which body parts should be warmed first? Head and torso 24. An adolescent is at the pediatricians office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. With what is this symptom associated? Scabies 25. What should the nurse stress to the mother of a child with impetigo? Small cuts and bites should be treated promptly. 26. The nurse is caring for a 3-year-old with severe burns. What is the nurse aware is the minimum adequate hourly urine output? 20 mL/hr PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 27. An adolescent patient at a pediatric clinic presents with a butterfly rash. What diagnosis does the nurse suspect? Systemic lupus erythematosus 28. The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid- filled blister? Vesicle 29. What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury? Contact with peers should be maintained. 30. Parents of a child show the nurse that their child has a flat strawberry nevus. What information can the nurse provide in educating the parents regarding strawberry nevus? (Select all that apply.) b. It is harmless. c. It gradually becomes raised. d. Laser treatment is available. 31. What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.) a. Use ointments. c. Use disposable diapers. d. Avoid plastic bloomers or pants. e. Change diaper frequently. 32. The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? (Select all that apply.) a. Steroids b. Phenytoin c. Phenobarbital 33. What intervention(s) would the nurse preparing a teaching plan for the care of a child with infantile eczema include? (Select all that apply.) b. Use oatmeal and baking soda as bath additives. c. Add bath oil to bath water after the child has soaked. 34. Which factor(s) activate the herpes simplex virus type I? (Select all that apply.) a. Stress b. Sun c. Menses d. Fever PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS nontender lymph nodes. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 27.Which condition is caused by a virus that primarily infects a specific subset of T lymphocytes, the CD4 + T- cells? Acquired immunodeficiency syndrome (AIDS) 28.A young child with human immunodeficiency virus is receiving several antiretroviral drugs. The purpose of these drugs is to: Delay disease progression. 29.Which immunization should be given with caution to children infected with human immunodeficiency virus? Varicella 30.The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. The priority nursing goal is to: Prevent infection. 31.An inherited immunodeficiency disorder characterized by absence of both humoral and cell- mediated immunity is: Severe combined immunodeficiency syndrome (SCIDS). 32.Several complications can occur when a child receives a blood transfusion. An immediate sign or symptom of an air embolus is: Sudden difficulty in breathing. 33.An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of: Circulatory overload. 34.The parents of a child with cancer tell the nurse that a bone marrow transplant (BMT) may be necessary. What should the nurse recognize as important when discussing this with the family? Finding a suitable donor involves matching antigens from the human leukocyte antigen (HLA) system. 35.What is the priority nursing intervention for a child hospitalized with hemarthrosis resulting from hemophilia? Immobilization and elevation of the affected joint 36.What is the most common mode of transmission of human immunodeficiency virus (HIV) in the pediatric population? Perinatal transmission 37.Children receiving long-term systemic corticosteroid therapy are most at risk for: Growth delays. 38.Which child should the nurse document as being anemic? 14-year-old child with a hemoglobin of 10 g/dL 39.The nurse is planning activity for a 4-year-old child with anemia. Which activity should the nurse plan for this child? Puppet play in the childs room 40.Which immunization should not be given to a child receiving chemotherapy for cancer? Measles, rubella, mumps PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 41.The nurse is administering an intravenous chemotherapeutic agent to a child with leukemia. The child suddenly begins to wheeze and have severe urticaria. Which is the most appropriate nursing action? a. Stop drug infusion immediately. 42.A young child with leukemia has anorexia and severe stomatitis. The nurse should suggest that the parents try which intervention? a. Relax any eating pressures. 43.The school nurse is informed that a child with human immunodeficiency virus (HIV) will be attending school soon. Which is an important nursing intervention? a. Carefully follow universal precautions. 44.An adolescent will receive a bone marrow transplant (BMT). The nurse should explain that the bone marrow will be administered by which route? Intravenous infusion 45.The nurse is caring for a child with aplastic anemia. Which nursing diagnoses are appropriate (Select all that apply) ? b.Risk for Infection related to inadequate secondary defenses or immunosuppression c. Ineffective Protection related to thrombocytopenia d. Ineffective Tissue Perfusion related to anemia 46.Which home care instructions should the nurse provide to the parents of a child with acquired immunodeficiency syndrome (AIDS) (Select all that apply) ? a. Give supplemental vitamins as prescribed. c.Administer trimethoprim-sulfamethoxazole (Bactrim) as prescribed. d.Notify the physician if the child develops a cough or congestion. 47.The nurse is planning care for a school-age child admitted to the hospital with hemophilia. Which interventions should the nurse plan to implement for this child (Select all that apply) ? a. Fingerstick for blood work instead of venipunctures b.Avoidance of intramuscular (IM) injections c.Acetaminophen (Tylenol) for mild pain control d.Soft toothbrush for dental hygiene 48.Parents of a school-age child with hemophilia ask the nurse, Which sports are recommended for children with hemophilia? Which sports should the nurse recommend (Select all that apply) ? b. Swimming d. Golf e. Bowling 49.Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with sickle cell disease (Select all that apply) ? PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 17. The nurse is teaching the parents of a child with diabetes insipidus about water intoxication. The nurse would tell the parents to be alert for what symptom For? Lethargy 18. The parents of a child newly diagnosed with diabetes mellitus tell the nurse, Our sons body is resistant to insulin. With what does the nurse recognize this description is consistent? Type 2, noninsulin-dependent diabetes mellitus 19. What does the nurse instruct a 12-year-old to do when teaching how to administer insulin? Inject the needle at a 90-degree angle. 20. The nurse discussed treatment of hypoglycemia with an adolescent. Which statement by the adolescent leads the nurse to determine the patient understood the instructions? When my blood glucose is low or if I begin to feel hungry and weak, I will eat six LifeSavers. 21. Why does the nurse instruct an 11-year-old diabetic child to use the side of the finger for blood testing? It has fewer nerve endings. 22. What is the function of an insulin pump? Provides continuous infusion of insulin 23. The nurse is preparing to administer a long-acting insulin. Which insulin is considered long acting? Glargine 24. When discussing possible causes of diabetes in children, the nurse mentions chromosomal defects. Which chromosomes are associated with diabetes? (Select all that apply.) a. 6 b. 7 c. 12 d. 20 25. Which food sources are high in soluble fiber? (Select all that apply.) a. Raw fruits c. Beans e. Bran cereal 26. What does the nurse remind the adolescent with diabetes that soluble fiber in the diet can reduce? (Select all that apply.) a. Blood glucose b. Serum cholesterol d. Absorption of sugar e. Insulin requirements 27. Which process(es) does the nurse explain the endocrine system is primarily responsible for controlling? (Select all that apply.) PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS a. Maturation b. Reproduction c. Stress response e. Growth 28. The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid). Which symptoms does the nurse recognize as signs of overdose? (Select all that apply.) a. Tachycardia b. Irritability e. Diaphoresis 29. What makes keeping diabetes in control in an adolescent difficult? (Select all that apply.) a. Hormonal changes b. Developmental conflicts c. Preference for fast food d. Growth spurts 30. A child with diabetes mellitus is observed to have cold symptoms. What signs and symptoms will alert parents of the possibility of ketoacidosis? (Select all that apply.) c. Fruity breath e. Nausea 31. The nurse is discussing insulin shock with parents of a child recently diagnosed with diabetes mellitus. What will the nurse respond when the parents ask why children are more prone to insulin reactions? (Select all that apply.) a. The condition is more unstable in children. c. The activities are irregular. d. They are still growing. Chapter 26- Nursing Care of the Child With an Alteration in Metabolism/Endocrine Disorder ON TB Perry edition- Chapter 47: Endocrine Dysfunction 1. Which statement best describes hypopituitarism? c. Skeletal proportions are normal for age. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 2. A child with growth hormone (GH) deficiency is receiving GH therapy. The best time for the GH to be administered is: At bedtime. 3. What is the priority nursing goal for a 14-year-old with Graves disease? Verbalizing the importance of adherence to the medication regimen 4. At what age is sexual development in boys and girls considered to be precocious? Boys, 12 years; girls, 10 years 5. A child will start treatment for precocious puberty. This involves injections of synthetic: Luteinizing hormonereleasing hormone. 6. Diabetes insipidus is a disorder of the: Posterior pituitary. 7. The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestation would she or he expect to observe? Polyuria and polydipsia 8. A common clinical manifestation of juvenile hypothyroidism is: Dry skin. 9. A goiter is an enlargement or hypertrophy of which gland? Thyroid 10. Exophthalmos (protruding eyeballs) may occur in children with: Hyperthyroidism. 11. The nurse is teaching the parents of a child who is receiving propylthiouracil for the treatment of hyperthyroidism (Graves disease). Which statement made by the parent indicates a correct understanding of the teaching? If my child develops a sore throat and fever, I should contact the physician immediately. 12. A child with hypoparathyroidism is receiving vitamin D therapy. The parents should be advised to watch for which sign of vitamin D toxicity? Weakness and lassitude 13. Glucocorticoids, mineralocorticoids, and sex steroids are secreted by the: Adrenal cortex. 14. Chronic adrenocortical insufficiency is also referred to as: Addison’s disease. 15. A neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia. Therapeutic management includes administration of: Cortisone. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 38. A child is diagnosed with hypothyroidism. The nurse should expect to assess which symptoms associated with hypothyroidism (Select all that apply) ? b. Fatigue d. Dry, thick skin e. Cold intolerance 39. The nurse should expect to assess which clinical manifestations in an adolescent with Cushings syndrome (Select all that apply) ? a. Hyperglycemia d. Cushingoid features e. Susceptibility to infections 40. A nurse is planning care for a school-age child with type 1 diabetes. Which insulin preparations are rapid and short acting (Select all that apply) ? c. NovoLog d. Novolin R 41. The nurse is caring for a school-age child with hyperthyroidism (Graves disease). Which clinical manifestations should the nurse monitor that may indicate a thyroid storm (Select all that apply) ? c. Hyperthermia d. Tachycardia e. Vomiting PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS Chapter 26- Nursing Care of the Child With an Alteration in Metabolism/Endocrine Disorder ON TB Leifer Edition is the same chapter 31: the child with a Metabolic Condition Chapter 27- Nursing Care of the Child With an Alteration in Genetics ON TB is Perry Edition ****Chapter 28: Developmental and Genetic Influences on Child Health Promotion 1. The head-to-tail direction of growth is referred to as: Cephalocaudal. 2. Which term refers to those times in an individual’s life when he or she is more susceptible to positive or negative influences? Sensitive period 3. An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year? 21 4. By what age does birth length usually double? 4 years 5. How does the onset of the pubertal growth spurt compare in girls and boys? It occurs earlier in girls. 6. A 13-year-old girl asks the nurse how much taller she will become. She has been growing about 2 inches per year but grew 4 inches this past year. Menarche recently occurred. The nurse should base her response on knowing that: Approximately 95% of mature height is achieved when menarche occurs. 7. A Childs skeletal age is best determined by: Radiographs of the hand and wrist. 8. Trauma to which site can result in a growth problem for children’s long bones? Epiphyseal cartilage plate PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 9. Lymphoid tissues such as lymph nodes are: Twice their adult size by age 10 to 12 years. 10. Which statement is true about the basal metabolic rate (BMR) in children? It is slightly higher in boys than in girls at all ages. 11. A mother reports that her 6-year-old child is highly active and irritable and that she has irregular habits and adapts slowly to new routines, people, or situations. According to Chess and Thomas, which category of temperament best describes this child? Difficult child 12. By the time children reach their twelfth birthday, they should have learned to trust others and should have developed a sense of: Industry. 13. The predominant characteristic of the intellectual development of the child ages 2 to 7 years is egocentricity. What best describes this concept? Inability to put self in another’s place 14. The nurse is observing parents playing with their 10-month-old daughter. What should the nurse recognize as evidence that the child is developing object permanence? She looks for the toy the parents hide under the blanket. 15. What is characteristic of the preoperational stage of cognitive development? Thinking is concrete. 16. Which behavior is most characteristic of the concrete operations stage of cognitive development? Increasingly logical and coherent thought processes 17. According to Kohlberg, children develop moral reasoning as they mature. What is most characteristic of a preschooler’s stage of moral development? Actions are determined as good or bad in terms of their consequences. 18. At what age do children tend to imitate the religious gestures and behaviors of others without understanding their significance? Toddlerhood 19. A toddler playing with sand and water would be participating in play. Sense-pleasure 20. In what type of play are children engaged in similar or identical activity without organization, division of labor, or mutual goal? Associative PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS Pediatrics midterm: 4/27/2022 1. When assessing pain in any child, the nurse should consider that C- The child's behavioral, physiologic, and verbal responses are valuable when assessing pain 2. The mother of a 1-month-old infant tells the nurse that she worries that her baby will get meningitis like her oldest son did when he was an infant. The nurse should base her response on knowing that: (D) Vaccination to prevent Haemophilus influenzae type b meningitis has decreased the frequency of this disease in children 3. A venipuncture will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. The nurse should recognize that this: (B) May help the child relax. 4. Using knowledge of child development, the best approach when preparing a toddler for a procedure is to: a. Avoid asking the child to make choices. 5. The pediatric nurse understands that nonpharmacologic strategies for pain management: (A) May reduce pain perception 6. The nurse has received report on four children. Which child should the nurse assess first? (B) A preschool child with a head injury and decreasing level of consciousness 7. Which assessment indicates to a nurse that a 2-year-old child is in need of pain medication? a. The child is lying rigidly in bed and not moving. 8. A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that he is sick because he was "bad." The nurse's best interpretation of this comment is that it is (b) common at this age 9. A parent of an 18-month-old boys tells the nurse that he says “no” to everything and has rapid mood swings. If he is scoled, he shows anger and then immediately wants to be held. The nurse’s best interpretation of his behavior is included in which statement? A- This is normal behavior for his age PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 10. The nurse is teaching parents of toddlers about animal safety. Which should be included in the teaching session? D- Teach your toddler not to disturb an animal that is eating 11. When liquid medication is given to a crying 10-month-old infant, which approach minimizes the possibility of aspiration? A. administer the medication with a syringe (without needle) placed along the side of the infant's tongue 12. A child is receiving total parenteral nutrition (TPN; hyperalimentation). At the end of 8 hours, the nurse observes the solution and notes that 200 mL/8 hr is being infused rather than the ordered amount of 300 mL/8 hr. The nurse should adjust the rate so that how much will infuse during the next 8 hours? b. 300 mL 13. A toddler fell out of a second-story window. She had brief loss of consciousness and vomited four times. Since admission, she has been alert and oriented. Her mother asks why a computed tomography (CT) scan is required when she "seems fine." The nurse should explain that the toddler: (A) may have a brain injury 14. The nurse approaches a group of school-age patients to administer medication to Sam Hart. To identify the correct child, the nurse should: d. Check the patient's identification name band. 15. What nursing action is appropriate for specimen collection? c. Use Standard Precautions when handling body fluids. 16. What is critical information for the nurse to incorporate into her care when using restraints on a child? a. Use the least restrictive type of restraint. 17. The nurse is preparing a school-age child for a computed tomography (CT) scan to assess cerebral function. When preparing the child for the scan, which statement should the nurse include? (B) The scan will not hurt." 18. A lumbar puncture is needed on a school-age child. The most appropriate action to provide analgesia during this procedure is to apply: C- Eutectic mixture of local anesthetics (EMLA) 1 hour before the procedure. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 19. The nurse is doing a prehospitalization orientation for a 7-year-old child who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that she will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is: d. An appropriate part of the child's preparation. 20. The nurse must do a hell stick on an ill neonate to obtain a blood sample. Which procedure is recommended to facilitate this? D- wrap foot in a warm washcloth 21. The nurse caring for the child in pain understands that distraction: D: Must be developmentally appropriate to refocus attention 22. The Glasgow coma scale consists of an refocus attention: b. Eye opening and verbal and motor responses. 23. A 3 year old child is hospitalized after a near drowning accident. The child mother complained to the nurse. This seems unnecessary when he is perfectly fine “the nurse best reply is: C- the reason for this is that complications could still occur 24. The nurse has collected blood by venipuncture in the antecubital fossa. Which should the nurse do next? b. Keep arm extended and apply pressure to the site for a few minutes. 25. The emergency department nurse is cleaning multiple abrasion on a 9 year old Mike. His mother is present. He is crying and screaming loudly. The nurse should: c. Tell him it is okay to cry and scream 26. The nurse is caring for an unconscious child. Skin care should include: c. Using draw sheet to move child in bed to reduce friction and shearing injuries. 27. The nurse wore gloves during a dressing change When the gloves are removed, the nurse should (A) Wash hands thoroughly. 28. Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on her foot. Her mother, puts the hospital gown on her, but Katie is crying because she wants to leave on her underpants. The most appropriate nursing action is to: (A)Allow her to wear underpants PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 49. The nurse is planning how to best prepare a 4 year old child for some diagnostic procedures guidelines for preparing his preschool should include: b. Telling the child that procedures are never a form of punishment. 50. An important nursing intervention when caring for a child who is experiencing a seizure is to: (A) Describe and record the seizure activity observed. 51. Kimberly, age 3 years, has a fever associated with viral illness. reporting a fever of 102° F even though Kimberly had acetaminophen 2 hours ago. The nurse's action should be based on knowing that: a. Fevers such as this are common with viral illnesses. 52. What is the most important appropriate statement for the nurse to make to a 5 year old child who is under a venipuncture? (B) this will hurt like a pinch, I’ll get someone to help hold your arm still so it will be over fast and hurt less. 53. The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse that she wants her mother with her "like before." The most appropriate nursing action is to: a. Grant her request. 54. Which myth may interfere with the treatment of pain in infants and children? b. Children and infants are more susceptible to respiratory depression from narcotics. 55. When pain is assessed in an infant, it is inappropriate for the nurse to assess for: (b) localization of pain 56. The nurse gives an injection in a patient's room. What should the nurse do with the needle for disposal? (A) dispose of the syringe and needle in a rigid, puncture- resistant container in the patients room 57. When taking the history of a child hospitalized with Reye's syndrome, the nurse should not be surprised that a week ago the child had recovered from: b. Varicella. 58. The nurse should recommend medical attention if a child with a slight head injury experiences: (D) Confusion or abnormal behavior. 59. A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. nurse should advise the father to: c. take child to emergency department. PEDIATRICS NURSING FINAL EXAM 2023 QUESTIONS WITH CORRECT ANSWERS A+ ASSUARED SUCCESS 60. What is the descriptive of the preschoolers understanding of time? b. Associates time with events 61. The nurse is preparing for the admission of an infant who will have several procedures performed. In which situation is informed consent required (select all that apply) (D) (Lumbar puncture E- Computed tomography (CT) scan with contrast) 62. A nurse is caring for a child in droplet precautions. Which instructions should the nurse give to the unlicensed assisted personnel caring for this child ( select all that apply) A, B, E (Wear gloves when entering the room. Wear an isolation gown when entering the room. Wash your hands upon exiting the room.) 63. An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Which interventions should be included in the child's postoperative care (Select all that apply)? (A) Observe closely for signs of infection. (E) Maintain an accurate record of intake and output. (F) Monitor for abdominal distention. Which dietary recommendations should a nurse make to an adolescent patient to manage cord related to opioid anlage