PEDIATRIC NURSING EXAM #2 WITH VERIFIED QUESTIONS AND ANSWERS |LATEST
UPLOAD |GRADED A+
An infant arrives at the clinic with a persistent cough. Mother reports the infant has not
been feeding well for the past day. What nursing interventions would be appropriate?
A. Provide oxygen to the infant via cannula
B. Undress the infant to do a complete assessment
C. Suction the infant's nose with a bulb syringe
D. Start an IV - correct answer-C. Suction the infant's nose with a bulb syringe
Cough & hasn't been eating well = prodromal symptom
Think about 1st priority → C would be the answer b/c of airway
Bulb syringe before Mom puts baby to breast or bottle b/c if they can't breathe, they're not
going to be able to feed
Don't give O2 until we have a provider's order → considered a med
A nurse is assessing an infant who has manifestations of acute otitis media (AOM). Which
of the following assessment data should the nurse identify as risk factors for otitis media?
Select all that apply.
A. Breastfeeds without formula supplementation.
B. Attends day care 4 days per week.
C. Immunizations are up to date.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside. - correct answer-B. Attends day care 4 days per week.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.
When recognizing cues during the care of an infant who has manifestation of acute otitis
media, the nurse should identify that attending daycare, having a history of cleft palate
repair, and living with parents who smoke are risk factors for acute otitis media. Attending
daycare increases the risk due to exposure to multiple children. Children who have had a
cleft palate repair are more prone to AOM because micro-organisms can easily enter the
Eustachian tubes. Children who live with parents who smoke cigarettes, even outside, are
at a greater risk due to exposure to secondhand smoke. Breastfeeding helps to protect
against AOM because breast milk contains secretory immunoglobulin A. The
pneumococcal conjugate vaccine decreases the incidence of OM.
,A nurse is assessing an infant who has presented for a well-baby check-up. Which of the
following findings should the nurse identify as clinical manifestations of acute otitis media?
Select all that apply.
A. Decreased pain in the supine position
B. Rolling head side to side
C. Loss of appetite
D. Increased sensitivity to sound
E. Crying - correct answer-B. Rolling head side to side
C. Loss of appetite
E. Crying
When recognizing cues during the assessment of an infant, the nurse should recognize that
rolling the head side to side, loss of appetite, and crying are manifestations of acute otitis
media. Infants who have acute otitis media will have an increase in pain in the supine
position from the fluid and pressure in the ear. Infants who have acute otitis media have a
decreased sensitivity to sound from the fluid and pressure in the ear.
A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. Upon
assessment, it is noted that the tympanic membrane has an orange discoloration and
decreased movement. Which of the following statements should the nurse make to the
caregiver?
A. "Your child has an ear infection that requires antibiotics."
B. "Your child may have transient hearing loss."
C. "Your child will need a decongestant until this condition clears."
D. "Your child will need to have a myringotomy." - correct answer-B. "Your child may have
transient hearing loss."
When analyzing cues during the care of a toddler who has had rhinitis, cough, and diarrhea
for 2 days that is accompanied by a tympanic membrane with an orange discoloration and
decreased movement, the nurse should identify that the toddler has manifestations of
otitis media effusion (OME). Transient hearing loss is a complication of OME; therefore, the
nurse should inform the guardians that the child may have transient hearing loss.
Antibiotics are not recommended for OME. Decongestants are not recommended for OME.
Myringotomy is recommended for clients who have chronic OME. NCLEX Connection:
Physiological Adaptation, Unexpected Response to Therapies
A nurse is caring for a toddler who has acute otitis media. Which of the following is the
priority action for the nurse to take?
,A. Provide emotional support to the family.
B. Educate the family on care of the child.
C. Provide a diversional activity.
D. Administer analgesics. - correct answer-D. Administer analgesics
When using Maslow's hierarchy of needs to prioritize hypothesis during the care of a
toddler who has acute otitis media, the nurse should identify that the administration of
analgesics can meet the toddlers physiologic need for pain relief. Therefore, this is the
priority action to take. Providing emotional support to the family will promote psychological
well-being. However, it is not the priority action. Educating the family on the care of the
child will promote recovery from illness. However, it is not the priority action. Providing a
diversional activity for the toddler will help provide normalcy during care. However, it is not
the priority action. NCLEX Connection: Physiological Adaptation, Illness Management
A nurse is caring for a toddler who has had three ear infections in the past 5 months. The
nurse should identify that the toddler is at risk for developing which of the following long-
term complications?
A. Balance difficulties
B. Rash
C. Speech delays
D. Mastoiditis - correct answer-C. Speech delays
When analyzing cues during the care of a toddler who has had three ear infections in the
past five months, the nurse should identify that the toddler is at risk for speech delays as a
complication of recurrent otitis media. Balance difficulties can be present with otitis
media. However, it is not a long-term complication. Although rash can indicate antibiotic
sensitivity, it is not a long-term complication of otitis media. Mastoiditis can be a result of
otitis media. However, it is not a long-term complication. NCLEX Connection: Physiological
Adaptation, Pathophysiology
A nurse is assessing a child who has a rotavirus infection. Which of the following findings
should the nurse expect?
Select all that apply.
A. Fever
B. Vomiting
C. Watery stools
D. Bloody stools
E. Confusion - correct answer-A. Fever
, B. Vomiting
C. Watery stools
A nurse is teaching a group of parents about Salmonella. Which of the following
information should the nurse include in the teaching?
Select all that apply.
A. Incubation period is nonspecific.
B. It is a bacterial infection.
C. Bloody diarrhea is common.
D. Transmission can be from house pets.
E. Antibiotics are used for treatment. - correct answer-B. It is a bacterial infection.
C. Bloody diarrhea is common.
D. Transmission can be from house pets.
A nurse is teaching a group of caregivers about E. coli. Which of the following information
should the nurse include in the teaching?
Select all that apply.
A. Severe abdominal cramping occurs.
B. Watery diarrhea is present for more than 5 days.
C. It can lead to hemolytic uremic syndrome.
D. It is a foodborne pathogen.
E. Antibiotics are given for treatment. - correct answer-A. Severe abdominal cramping
occurs.
C. It can lead to hemolytic uremic syndrome.
D. It is a foodborne pathogen.
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the
following actions should the nurse take?
A. Perform a tape test.
B. Collect stool specimen for culture.
C. Test the stool for occult blood.
D. Initiate IV fluids - correct answer-A. Perform a tape test.
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the
following actions should the nurse take?
A. Offer chicken broth.
B. Initiate oral rehydration therapy.
C. Start hypertonic IV solution.
UPLOAD |GRADED A+
An infant arrives at the clinic with a persistent cough. Mother reports the infant has not
been feeding well for the past day. What nursing interventions would be appropriate?
A. Provide oxygen to the infant via cannula
B. Undress the infant to do a complete assessment
C. Suction the infant's nose with a bulb syringe
D. Start an IV - correct answer-C. Suction the infant's nose with a bulb syringe
Cough & hasn't been eating well = prodromal symptom
Think about 1st priority → C would be the answer b/c of airway
Bulb syringe before Mom puts baby to breast or bottle b/c if they can't breathe, they're not
going to be able to feed
Don't give O2 until we have a provider's order → considered a med
A nurse is assessing an infant who has manifestations of acute otitis media (AOM). Which
of the following assessment data should the nurse identify as risk factors for otitis media?
Select all that apply.
A. Breastfeeds without formula supplementation.
B. Attends day care 4 days per week.
C. Immunizations are up to date.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside. - correct answer-B. Attends day care 4 days per week.
D. History of a cleft palate repair.
E. Parents smoke cigarettes outside.
When recognizing cues during the care of an infant who has manifestation of acute otitis
media, the nurse should identify that attending daycare, having a history of cleft palate
repair, and living with parents who smoke are risk factors for acute otitis media. Attending
daycare increases the risk due to exposure to multiple children. Children who have had a
cleft palate repair are more prone to AOM because micro-organisms can easily enter the
Eustachian tubes. Children who live with parents who smoke cigarettes, even outside, are
at a greater risk due to exposure to secondhand smoke. Breastfeeding helps to protect
against AOM because breast milk contains secretory immunoglobulin A. The
pneumococcal conjugate vaccine decreases the incidence of OM.
,A nurse is assessing an infant who has presented for a well-baby check-up. Which of the
following findings should the nurse identify as clinical manifestations of acute otitis media?
Select all that apply.
A. Decreased pain in the supine position
B. Rolling head side to side
C. Loss of appetite
D. Increased sensitivity to sound
E. Crying - correct answer-B. Rolling head side to side
C. Loss of appetite
E. Crying
When recognizing cues during the assessment of an infant, the nurse should recognize that
rolling the head side to side, loss of appetite, and crying are manifestations of acute otitis
media. Infants who have acute otitis media will have an increase in pain in the supine
position from the fluid and pressure in the ear. Infants who have acute otitis media have a
decreased sensitivity to sound from the fluid and pressure in the ear.
A nurse is caring for a toddler who has had rhinitis, cough, and diarrhea for 2 days. Upon
assessment, it is noted that the tympanic membrane has an orange discoloration and
decreased movement. Which of the following statements should the nurse make to the
caregiver?
A. "Your child has an ear infection that requires antibiotics."
B. "Your child may have transient hearing loss."
C. "Your child will need a decongestant until this condition clears."
D. "Your child will need to have a myringotomy." - correct answer-B. "Your child may have
transient hearing loss."
When analyzing cues during the care of a toddler who has had rhinitis, cough, and diarrhea
for 2 days that is accompanied by a tympanic membrane with an orange discoloration and
decreased movement, the nurse should identify that the toddler has manifestations of
otitis media effusion (OME). Transient hearing loss is a complication of OME; therefore, the
nurse should inform the guardians that the child may have transient hearing loss.
Antibiotics are not recommended for OME. Decongestants are not recommended for OME.
Myringotomy is recommended for clients who have chronic OME. NCLEX Connection:
Physiological Adaptation, Unexpected Response to Therapies
A nurse is caring for a toddler who has acute otitis media. Which of the following is the
priority action for the nurse to take?
,A. Provide emotional support to the family.
B. Educate the family on care of the child.
C. Provide a diversional activity.
D. Administer analgesics. - correct answer-D. Administer analgesics
When using Maslow's hierarchy of needs to prioritize hypothesis during the care of a
toddler who has acute otitis media, the nurse should identify that the administration of
analgesics can meet the toddlers physiologic need for pain relief. Therefore, this is the
priority action to take. Providing emotional support to the family will promote psychological
well-being. However, it is not the priority action. Educating the family on the care of the
child will promote recovery from illness. However, it is not the priority action. Providing a
diversional activity for the toddler will help provide normalcy during care. However, it is not
the priority action. NCLEX Connection: Physiological Adaptation, Illness Management
A nurse is caring for a toddler who has had three ear infections in the past 5 months. The
nurse should identify that the toddler is at risk for developing which of the following long-
term complications?
A. Balance difficulties
B. Rash
C. Speech delays
D. Mastoiditis - correct answer-C. Speech delays
When analyzing cues during the care of a toddler who has had three ear infections in the
past five months, the nurse should identify that the toddler is at risk for speech delays as a
complication of recurrent otitis media. Balance difficulties can be present with otitis
media. However, it is not a long-term complication. Although rash can indicate antibiotic
sensitivity, it is not a long-term complication of otitis media. Mastoiditis can be a result of
otitis media. However, it is not a long-term complication. NCLEX Connection: Physiological
Adaptation, Pathophysiology
A nurse is assessing a child who has a rotavirus infection. Which of the following findings
should the nurse expect?
Select all that apply.
A. Fever
B. Vomiting
C. Watery stools
D. Bloody stools
E. Confusion - correct answer-A. Fever
, B. Vomiting
C. Watery stools
A nurse is teaching a group of parents about Salmonella. Which of the following
information should the nurse include in the teaching?
Select all that apply.
A. Incubation period is nonspecific.
B. It is a bacterial infection.
C. Bloody diarrhea is common.
D. Transmission can be from house pets.
E. Antibiotics are used for treatment. - correct answer-B. It is a bacterial infection.
C. Bloody diarrhea is common.
D. Transmission can be from house pets.
A nurse is teaching a group of caregivers about E. coli. Which of the following information
should the nurse include in the teaching?
Select all that apply.
A. Severe abdominal cramping occurs.
B. Watery diarrhea is present for more than 5 days.
C. It can lead to hemolytic uremic syndrome.
D. It is a foodborne pathogen.
E. Antibiotics are given for treatment. - correct answer-A. Severe abdominal cramping
occurs.
C. It can lead to hemolytic uremic syndrome.
D. It is a foodborne pathogen.
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the
following actions should the nurse take?
A. Perform a tape test.
B. Collect stool specimen for culture.
C. Test the stool for occult blood.
D. Initiate IV fluids - correct answer-A. Perform a tape test.
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the
following actions should the nurse take?
A. Offer chicken broth.
B. Initiate oral rehydration therapy.
C. Start hypertonic IV solution.
