Pediatric Practice Exam 2| 20 Questions with Verified Answers,100% CORRECT

Pediatric Practice Exam 2| 20 Questions with Verified Answers A nurse obtains a history from a breastfeeding mother with a small 3-month-old infant who has been vomiting. Which would give the nurse an indication that ...

Pediatric Practice Exam 2| 20 Questions with Verified Answers A nurse obtains a history from a breastfeeding mother with a small 3-month-old infant who has been vomiting. Which would give the nurse an indication that this infant has severe dehydration? A. The infant is having a seizure B. The pulse rate is slightly elevated C. Skin turgor is normal D. Mucous membranes are dry - CORRECT ANSWER A The nurse is caring for a child who has been diagnosed with extracellular fluid volume excess related to congestive heart failure. The child's parents ask the nurse what can be done to treat the condition. What is a correct response from the nurse? (Select all that apply) A. "Your child may be placed on medication to strengthen the heart." B. "Your child may be given a diuretic." C. "You child will be started on an IV drip of lactated ringers" D. "Your child will be given an oral rehydration so - CORRECT ANSWER A and B An 11-month-old child presents with a sodium level of 150 mmol/L. The nurse would expect which finding? A. Adequate fluid intake B. Child neglect or abuse C. Developmental delay D. Poor fluid intake - CORRECT ANSWER D The nurse is assessing an 11-year-old child admitted for status asthmaticus. The child's respiratory rate is 56 and the pulse is 112. Which can the nurse expect to find in the child's lab results? A. A CBC with white blood cell count of 19.8 B. A potassium of 4.2 on the chemistry C. An ABG with a pH of 7.2, an HCO3 of 35, and CO2 of 50 D. A blood urea nitrogen of 15 mg/dL - CORRECT ANSWER C The nurse is caring for a child with vision impairment. Which is a priority nursing intervention for this child? A. Encourage the child to use all five senses B. Teach the parents to read body language C. Teach the parents special safety measures D. Perform screening at every checkup - CORRECT ANSWER A After a discussion with the nurse about common ear and hearing disorders diet children, which statement by the parent indicates that correct learning has taken place? A. "Prevention is the key" B. "Antibiotics are needed immediately for otitis media" C. "Herbal eardrops should not be given to children" D. "Loud music cannot cause hearing loss" - CORRECT ANSWER A The nurse is caring for a child with a hearing impairment. Which action is the focus of care for this child? A. Facilitating communication B. Preparing for cochlear implant C. Referring the parents to community services D. Preparing the individualized education plan (IEP) - CORRECT ANSWER A The parents of a child who had a tonsillectomy 3 days ago call about concerns with symptoms they are seeing. Which symptom would alert the nurse that the child may be having a postoperative problem? A. The child has white crusts on the back of the throat B. The child is having increased swallowing C. The will only eat popsicles D. The child complains of throat pain - CORRECT ANSWER B The nurse is caring for an infant who was admitted to the hospital for the treatment of RSV bronchiolitis. What assessment item would the nurse report immediately to the healthcare provider? A. Increased temperature B. Increased heart rate C. Decreased pulse oximeter saturations D. Decreased bowel sounds - CORRECT ANSWER C The neonatal nurse is giving discharge instructions to parents of infant diagnosed with bronchopulmonary dysplasia (BPD). Teaching was ineffective if which statement is made by one of the parents? A. "I can expect my baby to require diuretic therapy" B. "I can expect my baby to be on oxygen therapy for the rest of his life." C. "I can expect my baby to receive respiratory treatments at least once daily." D. "I can expect to come to the office monthly during winter months for at least 1 year." - CORRECT ANSWER B An 8 year old child is diagnosed with viral pneumonia and sent home from the clinic without an antibiotic prescription. The symptoms worsen, and child returns to the clinic a week later with signs of a higher fever, listlessness, and a harsh, productive cough. The child's mother states "i knew a prescription for antibiotics was needed." Which indicates the nurses most appropriate response? A. "It is better to wait to make sure so we dont use antibiotics unnecessarily. This approach also saves h - CORRECT ANSWER D The nurse is caring for a pediatric patient who may be experiencing obstructive sleep apnea syndrome. What questions are appropriate to include in the history assessment for this child? (Select all that apply) A. "Does your child sleep on his/her back" B. "Does your child complain of evening headaches?" C. "Does your child have any signs of hyperaactivity?" D. "Does your child have difficulty with schoolwork?" E. "Does your child wet the bed?" - CORRECT ANSWER C, D, E At which developmental stage might a child begin to be capable of assisting an adult with ostomy care? A. Preschool age B. School age C. Toddlerhood D. Adolescence - CORRECT ANSWER A The nurse is providing care for a 4-month old infant who has had reconstructive surgery for an imperforate anus. Which of the following should be included in this child's postoperative care? Select all that apply. A. Pain management B. Accurate assessment of intake and output C. Rectal temperature measurement every 4 hours D. Observation of the surgical site for signs of infection E. Assessment of cardiac and respiratory status - CORRECT ANSWER A, B, D, E What home care instructions are appropriate for a child who is being discharged following hospitalization for severe diarrhea? (Select all that apply) A. "Have your child drink skim milk instead of 2% milk." B. "Call the health care provider if your child is unable to keep liquids down" C. "Perform hand hygiene frequently, especially after changing diapers." D. "Provide small amounts of your child's regular diet." E. "Use baby wipes to clean stool and urine at every diaper change." - CORRECT ANSWER B, C, D The nurse is performing a home care visit for an infant who was discharged home the previous day following cleft lip repair. The nurse cautions the parents that when the infant cries, they should not attempt to calm her with which item? A. A pacifier B. Soft music C. A mobile D. A mirror - CORRECT ANSWER 1 A nurse is providing discharge teaching to the parents of a child who has a urinary tract infection (UTI). Which statement would demonstrate to the nurse that the parents need more extensive teaching? A. "Urinary tract infections always cause renal scarring." B. "Urine can cause bacterial growth when the bladder is not emptied completely." C. "A fever could be sign of UTI." D. "Our child may need to be on prophylactic antibiotics" - CORRECT ANSWER A The nurse is helping a 10-years-old child with chronic renal failure select menu items for lunch. Which menu is the best choice? A. Pasta with tomato sauce, lettuce salad, and vanilla ice cream B. Peanut butter and jelly sandwich, chocolate pudding, and a fresh pear C. Hot dog on a bun with ketchup, french fries, and blueberry yogurt D. Broiled chicken, broccoli, and noodles with low-salt butter - CORRECT ANSWER D When planning care for a child dialysis due to renal failure, which of the following nursing diagnoses is priority? A. Caregiver role strain B. Disturbed body image C. Risk for infection D. Imbalanced nutrition - CORRECT ANSWER C A 3 year old female with nephrotic syndrome is being admitted to the general pediatric floor. Who is the most appropriate roommate for this child? A. A 2 year old female recovering from varicella B. A 4 year old female with a fractured femur C. A 6 year old male postoperative appendectomy D. A 3 year old female with cystic fibrosis - CORRECT ANSWER B