NUR 418 Exam 2 PEDS Questions With Complete Solutions
A 10-month-old-child is in the pediatric clinic for his eighth ear
infection. Which assessment is most important for the nurse to
perform on this child?
A. Ask the parent about possible allergy testing.
B. Assess the child's mouth for oral thrush.
C. Graph height and weight on the growth chart.
D. Inquire about the health of the entire family. Correct Answers
C
A 10-year-old child has had a sunken chest since birth but has
recently been noted to have activity intolerance when playing.
Which diagnostic testing does the nurse teach the child and
parents about? Select all that apply.
A! "Chest x-ray."
B! "Chromosome analysis."
C! "ECG and echocardiogram."
D! "Pulmonary function studies."
E! "Ultrasound of the chest." Correct Answers a b c d
A 10-year-old child is in the emergency department with a type
IV femur fracture. Which intervention takes priority?
a. assessing the child for signs of maltreatment
b. Ensuring that signed consent for surgery is on the chart
c. explaining the process of closed reduction with sedation
d. Preparing the child for prolonged immobility in traction
Correct Answers b
A 10-year-old child is in the emergency department with burns
on her buttocks, the backs of her thighs, and the soles of her feet.
,The nurse calculates this child's total body surface area (TBSA)
burned as (blank). Record your answer as a whole number
Correct Answers 18
A 17-year-old patient presents to the Urgent Care clinic with a
superficial burn injury. Which diagnostic tool should the nurse
use to assess the burn injury?A. Lund and Browder chart
B. Calculation of body surface area
C. Rule of 9s
D. Pain Assessment scale Correct Answers c
A 2-year-old child's hemoglobin is 8.2 g/dL. What action by the
nurse is best?
a. Ask the parents about activity level.
b. Document findings in the chart.
c. Notify the provider immediately.
D. Schedule a redraw of blood in 6 months. Correct Answers a
A 2-year-old has been diagnosed with Type 1 diabetes. Which
information should the nurse include in the plan of care to better
assist the patient and family?
A. Allow the child to make food selections based on preferences
B. Maintain carbohydrate consistency
C. Increase fluids to prevent dehydration
D. Monitor blood sugar levels every 6 hours Correct Answers B
A 20-lb. (9-kg) child is having a severe allergic reaction. The
school nurse has an EpiPen Jr. auto-injector containing 0.3 mg.
Which action by the nurse is the most appropriate?
A. Administer the injection.
B. Begin CPR.
,C. Call 911 immediately.
D. Give half the injection. Correct Answers c
A 3-year-old child is brought to the emergency department with
sudden onset of hoarseness, wheezing, and cough. The child has
a history of asthma, but the parent is worried about an aspirated
toy part. Which action by the nurse would quickly differentiate
between the two?
A. Administer an inhaled bronchodilator.
B. Auscultate lungs for unilateral wheezing.
C. Obtain a stat portable chest x-ray.
D. Quickly obtain an oxygen saturation. Correct Answers B
A 4-year-old child is recovering from a modified Nuss
procedure. Which is the priority intervention by the nurse?
a. Ambulating the child as soon as allowed
b. Encouraging food and fluids postoperatively
C. Monitoring vital signs and wound drainage
D. Playing with the child using pinwheels or bubbles Correct
Answers d
A 4-year-old girl is brought to the emergency department. She
has a "frog-like" croaking sound on inspiration, is agitated, and
is drooling. She insists on sitting upright. Which nursing action
is the priority for this patient?
A. Maintain the airway.
B. Obtain a throat culture.
C. Start an intravenous line.
D. Transport for a chest x-ray. Correct Answers A
, A baby has just been delivered, and the neonatal nurse observes
the presence of cataracts. What priority assessment data should
the nurse obtain?
a. Maternal age
b. Gravida and parity history
c. Current prenatal history
d. Maternal medical history Correct Answers c
A burned patient had an escharotomy on the right anterior thigh.
Which assessment finding indicates that this procedure has been
effective?
a. Absence of infection in the burn
b. Compartment pressure of 42 mm Hg
c. Decreased pain in the right leg
d. Pedalpulses3+/4+bilaterally Correct Answers d
A child had a tonsillectomy this morning. What action by the
nurse is most important for the child's safety?
A. Avoid giving them red popsicles.
B. Limit activity the first night.
C. Offer ice cream when awake.
D. Position the child on their side. Correct Answers D
A child has been admitted with bacterial meningitis. Which
action by the nurse takes priority?
a. Administering broad-spectrum antibiotics
b. Assessing and treating pain aggressively
c. Facilitating blood cultures and lumbar puncture
d. Maintaining a quiet environment Correct Answers c
A 10-month-old-child is in the pediatric clinic for his eighth ear
infection. Which assessment is most important for the nurse to
perform on this child?
A. Ask the parent about possible allergy testing.
B. Assess the child's mouth for oral thrush.
C. Graph height and weight on the growth chart.
D. Inquire about the health of the entire family. Correct Answers
C
A 10-year-old child has had a sunken chest since birth but has
recently been noted to have activity intolerance when playing.
Which diagnostic testing does the nurse teach the child and
parents about? Select all that apply.
A! "Chest x-ray."
B! "Chromosome analysis."
C! "ECG and echocardiogram."
D! "Pulmonary function studies."
E! "Ultrasound of the chest." Correct Answers a b c d
A 10-year-old child is in the emergency department with a type
IV femur fracture. Which intervention takes priority?
a. assessing the child for signs of maltreatment
b. Ensuring that signed consent for surgery is on the chart
c. explaining the process of closed reduction with sedation
d. Preparing the child for prolonged immobility in traction
Correct Answers b
A 10-year-old child is in the emergency department with burns
on her buttocks, the backs of her thighs, and the soles of her feet.
,The nurse calculates this child's total body surface area (TBSA)
burned as (blank). Record your answer as a whole number
Correct Answers 18
A 17-year-old patient presents to the Urgent Care clinic with a
superficial burn injury. Which diagnostic tool should the nurse
use to assess the burn injury?A. Lund and Browder chart
B. Calculation of body surface area
C. Rule of 9s
D. Pain Assessment scale Correct Answers c
A 2-year-old child's hemoglobin is 8.2 g/dL. What action by the
nurse is best?
a. Ask the parents about activity level.
b. Document findings in the chart.
c. Notify the provider immediately.
D. Schedule a redraw of blood in 6 months. Correct Answers a
A 2-year-old has been diagnosed with Type 1 diabetes. Which
information should the nurse include in the plan of care to better
assist the patient and family?
A. Allow the child to make food selections based on preferences
B. Maintain carbohydrate consistency
C. Increase fluids to prevent dehydration
D. Monitor blood sugar levels every 6 hours Correct Answers B
A 20-lb. (9-kg) child is having a severe allergic reaction. The
school nurse has an EpiPen Jr. auto-injector containing 0.3 mg.
Which action by the nurse is the most appropriate?
A. Administer the injection.
B. Begin CPR.
,C. Call 911 immediately.
D. Give half the injection. Correct Answers c
A 3-year-old child is brought to the emergency department with
sudden onset of hoarseness, wheezing, and cough. The child has
a history of asthma, but the parent is worried about an aspirated
toy part. Which action by the nurse would quickly differentiate
between the two?
A. Administer an inhaled bronchodilator.
B. Auscultate lungs for unilateral wheezing.
C. Obtain a stat portable chest x-ray.
D. Quickly obtain an oxygen saturation. Correct Answers B
A 4-year-old child is recovering from a modified Nuss
procedure. Which is the priority intervention by the nurse?
a. Ambulating the child as soon as allowed
b. Encouraging food and fluids postoperatively
C. Monitoring vital signs and wound drainage
D. Playing with the child using pinwheels or bubbles Correct
Answers d
A 4-year-old girl is brought to the emergency department. She
has a "frog-like" croaking sound on inspiration, is agitated, and
is drooling. She insists on sitting upright. Which nursing action
is the priority for this patient?
A. Maintain the airway.
B. Obtain a throat culture.
C. Start an intravenous line.
D. Transport for a chest x-ray. Correct Answers A
, A baby has just been delivered, and the neonatal nurse observes
the presence of cataracts. What priority assessment data should
the nurse obtain?
a. Maternal age
b. Gravida and parity history
c. Current prenatal history
d. Maternal medical history Correct Answers c
A burned patient had an escharotomy on the right anterior thigh.
Which assessment finding indicates that this procedure has been
effective?
a. Absence of infection in the burn
b. Compartment pressure of 42 mm Hg
c. Decreased pain in the right leg
d. Pedalpulses3+/4+bilaterally Correct Answers d
A child had a tonsillectomy this morning. What action by the
nurse is most important for the child's safety?
A. Avoid giving them red popsicles.
B. Limit activity the first night.
C. Offer ice cream when awake.
D. Position the child on their side. Correct Answers D
A child has been admitted with bacterial meningitis. Which
action by the nurse takes priority?
a. Administering broad-spectrum antibiotics
b. Assessing and treating pain aggressively
c. Facilitating blood cultures and lumbar puncture
d. Maintaining a quiet environment Correct Answers c
