PEDS! EXAM 2 !! WITH COMPLETE SOLUTIONS
GUARANTEED PASS
Nursing care of a 9 month old who has recently
undergone cleft palate lip repair can be expected to
include feeding with a(n):
a. Plastic spoon
b. Open cup
c. Pigeon bottle
d. Special needs feeder - ANSWER ->B.
A 3 month old infant is seen in the clinic with the
following symptoms: irritability, crying, refusal to nurse
for more than 2-3min, rhinitis, and a rectal temperature
of 101.8F (38.8). The labor, delivery and postpartum
history for this term infant is unremarkable. The nurse
anticipates a diagnosis of:
a. Acute Otitis Media
b. Otitis Media with effusion (OME)
c. Otitis externa
d. Respiratory syncitial virus (RSV) - ANSWER ->a.
A child with Croup is placed in a cool mist tent. The
mother becomes concerned because the child is
frightened, consistently crying and trying to climb out of
the tent. Which is the most appropriate nursing action?
,1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more
comfortable
3. Call the health care provider and obtain a prescription
for a mild sedative
4. Let the mother gold the child and direct the cool mist
over the child's face - ANSWER ->4.
The mother of a hospitalized 2 year old child with Croup
asks the nurse why the health care provider did not
prescribe antibiotics. Which response should the nurse
make?
1. The child may be allergic to antibiotics
2. The child is too young to receive antibiotics
3. Antibiotics are not indicated unless a bacterial
infection is present
4. The child still has the maternal antibodies from birth
and does not need antibiotics. - ANSWER ->3.
An infant has just returned to the nursing unit after
surgical repair of a cleft lip on the right side. The nurse
should place the infant in which best position at this
time?
1. Prone position
2. On the stomach
3. Left lateral position
,4. Right lateral position - ANSWER ->3.
Which of the following statements about the inheritance
of CF is most accurate?
1. CF is an autosomal-dominant trait that is passed on
from the child's mother.
2. CF is an autosomal-dominant trait that is passed on
from the child's father.
3. The child of parents who are both carriers of the gene
for CF has a 50% chance of acquiring CF.
4. The child of a mother who has CF and a father who is a
carrier of the gene for CF has a 50% chance of acquiring
CF - ANSWER ->4. If the child is born to a mother with CF
and a father who is a carrier, the child has a 50% chance
of acquiring the disease and a 50% chance of being a
carrier of the disease.
The parent of a 4-month-old with CF asks the nurse what
time to begin the child's first CPT each day. Which is the
nurse's best response?
1. "You should do the first CPT 30 minutes before feeding
the child breakfast."
2. "You should do the first CPT after deep-suctioning the
child each morning."
3. "You should do the first CPT 30 minutes after feeding
the child breakfast."
, 4. "You should do the first CPT only when the child has
congestion or coughing." - ANSWER ->1. CPT should be
done in the morning prior to feeding to avoid the risk of
the child vomiting
The parent of a 10-month-old with CF asks the nurse how
to meet the child's increased nutritional needs. Which is
the nurse's best suggestion?
1. "You may need to increase the number of fresh fruits
and vegetables you give your child each day."
2. "You may need to advance your child's diet to whole
cow's milk because it is higher in fat than formula."
3. "You may need to change your child to a higher-calorie
formula."
4. "You may need to increase your child's carbohydrate
intake each day." - ANSWER ->3. Often infants with CF
need to have a higher-calorie formula to meet their
nutritional needs. Infants may also be placed on
hydrolysate formulas that contain added medium-chain
triglycerides.
The parent of an 18-year-old with CF is excited about the
possibility of the child receiving a double lung transplant.
What should the parent understand?
1. The transplant will cure the child of CF and allow the
child to lead a long and healthy life.
GUARANTEED PASS
Nursing care of a 9 month old who has recently
undergone cleft palate lip repair can be expected to
include feeding with a(n):
a. Plastic spoon
b. Open cup
c. Pigeon bottle
d. Special needs feeder - ANSWER ->B.
A 3 month old infant is seen in the clinic with the
following symptoms: irritability, crying, refusal to nurse
for more than 2-3min, rhinitis, and a rectal temperature
of 101.8F (38.8). The labor, delivery and postpartum
history for this term infant is unremarkable. The nurse
anticipates a diagnosis of:
a. Acute Otitis Media
b. Otitis Media with effusion (OME)
c. Otitis externa
d. Respiratory syncitial virus (RSV) - ANSWER ->a.
A child with Croup is placed in a cool mist tent. The
mother becomes concerned because the child is
frightened, consistently crying and trying to climb out of
the tent. Which is the most appropriate nursing action?
,1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more
comfortable
3. Call the health care provider and obtain a prescription
for a mild sedative
4. Let the mother gold the child and direct the cool mist
over the child's face - ANSWER ->4.
The mother of a hospitalized 2 year old child with Croup
asks the nurse why the health care provider did not
prescribe antibiotics. Which response should the nurse
make?
1. The child may be allergic to antibiotics
2. The child is too young to receive antibiotics
3. Antibiotics are not indicated unless a bacterial
infection is present
4. The child still has the maternal antibodies from birth
and does not need antibiotics. - ANSWER ->3.
An infant has just returned to the nursing unit after
surgical repair of a cleft lip on the right side. The nurse
should place the infant in which best position at this
time?
1. Prone position
2. On the stomach
3. Left lateral position
,4. Right lateral position - ANSWER ->3.
Which of the following statements about the inheritance
of CF is most accurate?
1. CF is an autosomal-dominant trait that is passed on
from the child's mother.
2. CF is an autosomal-dominant trait that is passed on
from the child's father.
3. The child of parents who are both carriers of the gene
for CF has a 50% chance of acquiring CF.
4. The child of a mother who has CF and a father who is a
carrier of the gene for CF has a 50% chance of acquiring
CF - ANSWER ->4. If the child is born to a mother with CF
and a father who is a carrier, the child has a 50% chance
of acquiring the disease and a 50% chance of being a
carrier of the disease.
The parent of a 4-month-old with CF asks the nurse what
time to begin the child's first CPT each day. Which is the
nurse's best response?
1. "You should do the first CPT 30 minutes before feeding
the child breakfast."
2. "You should do the first CPT after deep-suctioning the
child each morning."
3. "You should do the first CPT 30 minutes after feeding
the child breakfast."
, 4. "You should do the first CPT only when the child has
congestion or coughing." - ANSWER ->1. CPT should be
done in the morning prior to feeding to avoid the risk of
the child vomiting
The parent of a 10-month-old with CF asks the nurse how
to meet the child's increased nutritional needs. Which is
the nurse's best suggestion?
1. "You may need to increase the number of fresh fruits
and vegetables you give your child each day."
2. "You may need to advance your child's diet to whole
cow's milk because it is higher in fat than formula."
3. "You may need to change your child to a higher-calorie
formula."
4. "You may need to increase your child's carbohydrate
intake each day." - ANSWER ->3. Often infants with CF
need to have a higher-calorie formula to meet their
nutritional needs. Infants may also be placed on
hydrolysate formulas that contain added medium-chain
triglycerides.
The parent of an 18-year-old with CF is excited about the
possibility of the child receiving a double lung transplant.
What should the parent understand?
1. The transplant will cure the child of CF and allow the
child to lead a long and healthy life.
