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Pediatrics CMS - Review
Questions
1. A nurse is reviewing the medical record of a 15 month old child who is scheduled
to receive measles, mumps, rubella1. Which of the following findings Should the
nurse identify as a contradiction for receiving the vaccine?
a. Allergy to neomycin
b. upper respiratory infection 2 days ago
c. temperature of 37.2 (99 Fahrenheit)
d. family history of seizures
2. A nurse is assessing a school-age child who has heart failure and is taking furosemide.
Which of the following findings should the nurse identify as an indication that the
medication is effective?
a. An increase in venous
pressure b. a decrease in
peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
3. A nurse is assessing an infant who has acute otitis media. Which of the following
findings should the nurse expect (select all that apply).
a. Increased appetite
b. enlarged subclavian lymph
node c. Crying
d. Restlessness
e. Fever
4. a nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following
,NUR 2633 Pediatrics QUESTIONS & ANSWERS ALL 100%
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statements should the nurse include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hour
period b. The test will measure the amount of water in your baby’s sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test
5. A nurse in an urgent care clinic is prioritizing care for children. Which of the following
children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb)
6. A nurse is providing teaching to the parents of a toddler who is to undergo a sweat
chloride test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is cold
d. your child sweat will be collected over 24 hours
7. A nurse in the emergency department is caring for an adolescent who is requesting
testing for STI. Which of the following action is appropriate for the nurse to take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are
present d. obtain written consent from the client
8. A nurse in the emergency department is assessing the toddler who has
hyperpyrexia severe dyspnea and drooling which of the following actions should
the nurse take first?
,NUR 2633 Pediatrics QUESTIONS & ANSWERS ALL 100%
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a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
9. A nurse is preparing to administer a prescribed medication to a toddler whose parent
is nearby. Which of the following actions should the nurse take to identify the toddler?
a. check the toddler's room number against their ID
band b. check the toddler's ID band against the
medical record
c. ask the parent to confirm the toddler's identity
d. ask another nurse to confirm to toddlers identity
10. A nurse is teaching home care to the parents of a preschool-age child who has
heart failure. Which of the following information should the nurse include in the
teaching?
a. Weight the child once each month month
b. withhold digoxin of the child's pulse is greater than 100 /
minutes c. provide for periods of rest
d. increase the child's oxygen flow rate until the child no longer has cyanosis
11. A nurse in the PACU is caring for a school-age child immediately following a
tonsillectomy. Which of the following actions should the nurse take?
a. Place the child in a side-lying position
b. offer the child ice cream when alert
c. instruct a child to drink fluids through a straw
d. encourage the child to deep breathe and cough
12. A nurse is providing teaching to a 10 year old child with scheduled for an arterial
cardiac catheterization. Which of the following information should the nurse include
, NUR 2633 Pediatrics QUESTIONS & ANSWERS ALL 100%
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in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure
13. A nurse is caring for a preschooler who is post-operative following a tonsillectomy.
The child is now ready to resume oral intake which of the following dietary choices
should the nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
14. A nurse is caring for an infant who has Patent ductus arteriosus. The nurse should
identify that the defect is a switch of the following locations of the heart. ( you will find
hot spots to select in the artwork below. Select only the hot spot that corresponds to
your answer)
Answer: B
15. A nurse is caring for a 10 month old child was brought to the emergency
department by his parents following a head injury. Which of the following actions
should the nurse take first?
a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe
trauma = urgent, after respiratory status is confirmed)