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NURSING MISCPEDS FINAL - C

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NURSING MISCPEDS FINAL - C


Pediatrics Final (99/100 Questions)


1. A nurse is teaching a parent of a child with hemophilia how to control a minor
bleeding episode. Which of the following statements by the parent indicates a need for
further teaching?
• “I will have my child rest.”
• “I will compress the site.”
• “I will apply heat.”
• “I will elevate the affected part.”

2. A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse
recognize as the most reliable indicator of fluid loss?
• Body weight
• Skin integrity
• Blood pressure
• Respiratory rate

3. Which of the following children should the nurse identify as a potential action of abuse?
• A child who has frequent visitors
• A child who uses the call light frequently
• A child who has a BMI indicating obesity
• A child whose parents answer questions for the child

4. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription
for pancreatic enzymes three times per day. Which of the following statements
indicates that the mother understands the teaching?
• “My child will take the enzymes to improve her metabolism.”
• “My child will take the enzymes 2 hours before meals.”
• “My child will take the enzymes following meals.”
• “My child will take the enzymes to help digest the fat in foods.”

5. A nurse is assessing a 3 month old. Which of the following findings should he report
to the provider?
• Unable to pick up an object with his fingers
• Unable to sit without support
• Unable to raise head when in prone position
• Unable to bring an object to mouth

6. A nurse is admitting a 6 month old infant who has dehydration. Which of the
following amounts of urinary output should indicate to the nurse that the treatment has
confirmed the fluid imbalance?

,NURSING MISCPEDS FINAL - C


• 2 mL/kg/hr.
• 0.5 mL/kg/hr.
• 7.5 mL/kg/hr.
• 15 mL/kg/hr.

7. A nurse is planning care for an infant who has spina bifida and is to undergo surgical ?
Which of the following interventions should the nurse include in the plan of care?
• Maintain the infant in the supine position
• Provide a latex free environment
• Limit visitors to immediate family members
• Initiate contact precautions

8. A nurse is caring for a child who has just died. The parents ask to be left alone so
that they ? The nurse should:
• Discourage this because it will only prolong their grief
• Grant their request
• Kindly explain that they need to say good bye to their child now and leave
• Assess why they feel that this is necessary

9. A nurse is educating new parents on risk factors for sudden infant death syndrome
(SIDS). Which of the following statements by a parent would indicate a need for
additional teaching?
• “I will give my baby a pacifier during naps and at bedtime.”
• “Our baby will sleep in my bed because I am breastfeeding.”
• “My baby will be placed on her back when sleeping.”
• “We will remove blankets and toys from the crib.”

10. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist
down. Which of the following statements by the client would indicate to the nurse a
need for further teaching?
• “I only need to catheterize myself twice every day.”
• “I only use a suppository every night to have a bowel movement.”
• “I do wheelchair exercises while watching TV.”
• “I carry a water bottle with me because I drink a lot of water.”



11. A parent tells a nurse that her toddler drink a quart of milk a day and has a poor
appetite for solid foods. The nurse should explain that the toddler is at risk for which of
the following disorders?
• Rickets
• Iron deficiency anemia
• Obesity

, NURSING MISCPEDS FINAL - C


• Diabetes mellitus

12. A toddler weighs 77 pounds. What is the appropriate maintenance IV fluid rate?
• 75 mL/hr.
• 45 mL/hr.
• 33 mL/hr.
• 52 mL/hr.

13. A nurse is caring for a toddler admitted to a pediatric unit. Which of the
following statements should the nurse use when preparing to check the child’s
vital signs?
• “Can you stand still while I feel how warm you are?”
• “I am going to take your blood pressure now.”
• “I am going to listen to your heart.”
• “Can I listen to your lungs?”

14. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse
should include which of the following food choices for this child?
• Rye
• Wheat
• Barley
• Rice

15. A nurse is caring for a toddler. Which of the following statements should the nurse use
when preparing to obtain the child’s vital signs?
• “I am going to take you blood pressure now.”
• “Can you stand very still while I feel how warm you are?”
• “I am going to listen to your heart.”
• “Can I listen to your lungs?”




16. A nurse is panning care for a 5 month old infant who is scheduled for a lumbar puncture
to rule out meningitis. Which of the following actions should the nurse include in the
plan of care?
• Keep the infant NPO for 6 hr. prior the procedure
• Place the infant in an infant seat for 2 hr. following the procedure
• Hold the infant’s chin to his chest and knees to his abdomen during the
procedure
• Apply a eutectic mixture of lidocaine and prilocaine cream topically 15 min. prior
to the procedure

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