EAQ peds
A child is admitted to the pediatric unit with a The meningococcal organism is rendered inactive after 24 to 72 hours of
diagnosis of meningococcal meningitis. What does antibiotic therapy; isolation is not required after this time. Meningitis is not
the nurse conclude about isolation? evident during the incubation period. The presence of a fever is not the
1 influencing factor indicating the need for isolation. After the diagnosis of
It is unnecessary during the incubation period. meningitis is confirmed, isolation is required for 24 to 72 hours after the
2 institution of antibiotic therapy.
It is required for 7 to 10 days until the fever subsides.
3
It will be unnecessary after the diagnosis is confirmed.
4
It will be necessary for 24 to 72 hours after the
initiation of antibiotic therapy.
Page 1 of 60
,EAQ peds
A nurse in the pediatric clinic is assessing an 8-year- Audible wheezing that is heard without a stethoscope is an indication that
old child who has had asthma since infancy. What the airways are significantly compromised, and this requires immediate
clinical finding requires immediate intervention? medical intervention. Barrel chest is a sign of chronic asthma. Repeated
1 attacks result in a fixed hyperaerated thoracic cavity; this clinical finding
Barrel chest does not require intervention. A heart rate of 105 beats/min is expected in an
2 8-year-old child, as is a respiratory rate of 30 breaths/min.
Audible wheezing
3 Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by
Heart rate of 105 beats/min studying often, not long. Spend at least 15 minutes every day reviewing the
4 "old" material. This action alone will greatly reduce anxiety. The more time
Respiratory rate of 30 breaths/min you devote to reviewing past material, the more confident you will feel
about your knowledge of the topics. Start this review process on the first day
of the semester. Don't wait until the middle to end of the semester to try to
cram information.
Page 2 of 60
,EAQ peds
A 5-year-old child is admitted to the pediatric unit for The first option is a direct question that should elicit the desired information.
an appendectomy. What question should the nurse The other questions can be answered with a yes-or-no response and do not
ask to determine what the child thinks is the reason elicit what the child knows or feels about the situation.
for hospitalization?
STUDY TIP: When forming a study group, carefully select members for your
1 group. Choose students who have abilities and motivation similar to your
"What are you doing at the hospital?" own. Look for students who have a different learning style than you.
2 Exchange names, email addresses, and phone numbers. Plan a schedule for
"Have you brought any toys with you?" when and how often you will meet. Plan an agenda for each meeting. You
Incorrect 3 may exchange lecture notes and discuss content for clarity or quiz one
"Did your parents tell you why you're here?" another on the material. You could also create your own practice tests or
4 make flash cards that review key vocabulary terms.
"Did you know that you're going to have an
operation?"
Page 3 of 60
, EAQ peds
A 6-year-old child with acute spasmodic bronchitis Interrupting the bath and providing humidified air will reduce energy
who is receiving humidified air removes the mask, and requirements, allow the child to rest, and lessen the demand for oxygen.
while bathing the child the nurse notes increasing Although postural drainage loosens secretions in the lungs, it should not be
respiratory distress. What is the most appropriate used when the child is in distress. The orthopneic position will not reduce
nursing intervention? energy and oxygen demands; the healthcare provider should be called if
Correct 1 appropriate nursing measures do not relieve the dyspnea. Suctioning is not
Stopping the bath and replacing the mask performed unless respiratory distress is severe; it increases restlessness and
2 energy demands.
Performing postural drainage and clapping the chest
3 Test-Taking Tip: Prepare for exams when and where you are most alert and
Placing the child in the orthopneic position and able to concentrate. If you are most alert at night, study at night. If you are
calling the practitioner most alert at 2 am, study in the early morning hours. Study where you can
4 focus your attention and avoid distractions. This may be in the library or in a
Suctioning the child's nasal passages and waiting for quiet corner of your home. The key point is to keep on doing what is working
the dyspnea to subside for you. If you are distracted or falling asleep, you may want to change when
and where you are studying.
Page 4 of 60
A child is admitted to the pediatric unit with a The meningococcal organism is rendered inactive after 24 to 72 hours of
diagnosis of meningococcal meningitis. What does antibiotic therapy; isolation is not required after this time. Meningitis is not
the nurse conclude about isolation? evident during the incubation period. The presence of a fever is not the
1 influencing factor indicating the need for isolation. After the diagnosis of
It is unnecessary during the incubation period. meningitis is confirmed, isolation is required for 24 to 72 hours after the
2 institution of antibiotic therapy.
It is required for 7 to 10 days until the fever subsides.
3
It will be unnecessary after the diagnosis is confirmed.
4
It will be necessary for 24 to 72 hours after the
initiation of antibiotic therapy.
Page 1 of 60
,EAQ peds
A nurse in the pediatric clinic is assessing an 8-year- Audible wheezing that is heard without a stethoscope is an indication that
old child who has had asthma since infancy. What the airways are significantly compromised, and this requires immediate
clinical finding requires immediate intervention? medical intervention. Barrel chest is a sign of chronic asthma. Repeated
1 attacks result in a fixed hyperaerated thoracic cavity; this clinical finding
Barrel chest does not require intervention. A heart rate of 105 beats/min is expected in an
2 8-year-old child, as is a respiratory rate of 30 breaths/min.
Audible wheezing
3 Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by
Heart rate of 105 beats/min studying often, not long. Spend at least 15 minutes every day reviewing the
4 "old" material. This action alone will greatly reduce anxiety. The more time
Respiratory rate of 30 breaths/min you devote to reviewing past material, the more confident you will feel
about your knowledge of the topics. Start this review process on the first day
of the semester. Don't wait until the middle to end of the semester to try to
cram information.
Page 2 of 60
,EAQ peds
A 5-year-old child is admitted to the pediatric unit for The first option is a direct question that should elicit the desired information.
an appendectomy. What question should the nurse The other questions can be answered with a yes-or-no response and do not
ask to determine what the child thinks is the reason elicit what the child knows or feels about the situation.
for hospitalization?
STUDY TIP: When forming a study group, carefully select members for your
1 group. Choose students who have abilities and motivation similar to your
"What are you doing at the hospital?" own. Look for students who have a different learning style than you.
2 Exchange names, email addresses, and phone numbers. Plan a schedule for
"Have you brought any toys with you?" when and how often you will meet. Plan an agenda for each meeting. You
Incorrect 3 may exchange lecture notes and discuss content for clarity or quiz one
"Did your parents tell you why you're here?" another on the material. You could also create your own practice tests or
4 make flash cards that review key vocabulary terms.
"Did you know that you're going to have an
operation?"
Page 3 of 60
, EAQ peds
A 6-year-old child with acute spasmodic bronchitis Interrupting the bath and providing humidified air will reduce energy
who is receiving humidified air removes the mask, and requirements, allow the child to rest, and lessen the demand for oxygen.
while bathing the child the nurse notes increasing Although postural drainage loosens secretions in the lungs, it should not be
respiratory distress. What is the most appropriate used when the child is in distress. The orthopneic position will not reduce
nursing intervention? energy and oxygen demands; the healthcare provider should be called if
Correct 1 appropriate nursing measures do not relieve the dyspnea. Suctioning is not
Stopping the bath and replacing the mask performed unless respiratory distress is severe; it increases restlessness and
2 energy demands.
Performing postural drainage and clapping the chest
3 Test-Taking Tip: Prepare for exams when and where you are most alert and
Placing the child in the orthopneic position and able to concentrate. If you are most alert at night, study at night. If you are
calling the practitioner most alert at 2 am, study in the early morning hours. Study where you can
4 focus your attention and avoid distractions. This may be in the library or in a
Suctioning the child's nasal passages and waiting for quiet corner of your home. The key point is to keep on doing what is working
the dyspnea to subside for you. If you are distracted or falling asleep, you may want to change when
and where you are studying.
Page 4 of 60
