PEDIATRICS
1. Addition to the symptoms of pallor, loss of appetite, listlessness, and tiredness, the nurse
would expect an infant with acute nonlymphoid leukemia to demonstrate:
1. Oliguria
2. Difficulty swallowing
3. Few stem cells
4. Depressed bone marrow
b. The nurse is teaching the mother of a child diagnosed with type 1 diabetes. The mother
asks why her child must inject insulin and can’t take pills as her uncle does. Which reply
is most appropriate?
1. “Because a child’s pancreas is less developed than an adults, antidiabetic pills
aren’t recommended for children”
2. The only way to replace insulin is by injection”
3. “Your child may be able to take pills when he’s older”
4. Pills only affect fat and protein metabolism, not sugar”
b. A 7-year-old has recently been diagnosed with rheumatoid arthritis. The parents are
concerned about the lifelong effects of the disease. Their daughter is already having
difficulty going to school in the morning. The parents are investigating other therapies to
use with the medications. The nurse should recommend referral for:
1. Herbal supplements
2. Physical therapy
3. Nutritional therapy
4. Special education
b. The nurse is assessing a child who may have meningitis. For which of the following
assessment findings should the nurse watch?
1. Negative Kernig’s sign
2. Jaundice, drowsiness and refusal to eat
3. Flat fontanel
4. Irritability, fever and vomiting
b. When performing a physical assessment of a new born with down syndrome, the nurse
should carefully evaluate the infant’s:
1. Heart sounds
2. Lower extremities
3. Anterior fontanel
4. Pupillary reaction
b. The nurse is teaching the mother of a child with scoliosis. The nurse knows that teaching
has been successful when the mother makes which of the following statements?
1. “I’m afraid that my daughter will feel unattractive because she must wear a
brace.”
2. “I’m glad my daughter will only need to wear a brace for a short period of time.”
3. “I’m glad my daughter will outgrow this deformity.”
4. “I’ll make sure that my daughter doesn't do any stretching exercises that could
worsen her spine.”
b. A 2-year-old is admitted to the pediatric unit with a diagnosis of acute asthma. A blood
sample is obtained to measure the child’s arterial blood gases the nurse should expect:
, 1. A raised oxygen levels
2. An increased carbon dioxide level
3. A decreased bicarbonate levels
4. An elevated pH
b. A child with leukemia has a white blood cell of 10,000, a red blood cell count of 5 and
platelets of 20,000. The child is also fairly active, visiting the playroom twice a day.
When planning this child’s care, which risk should the nurse consider the most
significant?
1. Hemorrhage
2. Anemia
3. Infection
4. Pain
b. A 17-year-old high school student with a history of asthma is brought to the emergency
department. The nurse recognizes that the adolescent is experiencing an acute asthma
exacerbation when assessment reveals:
1. Tachycardia, anxiety, and wheezing
2. Lethargy, hypotension, and fever
3. Confusion, tachypnea, and crackles
4. Hypertension, bradycardia, and tremor
b. Which action best explains the main role of surfactant in the neonate?
1. Helps the lungs remain expanded after the initiation of breathing
2. Promotes clearing mucus from respiratory tract
3. Assists with ciliary body maturation in the upper airways
4. Helps maintain a rhythmic breathing pattern
b. When planning discharge teaching for the parents of a child with asthma, the nurse
should include telling the parents to increase the child’s fluid intake and to have the
child:
1. Stay in the house for at least 2 weeks
2. Avoid foods high in fat
3. Increase the usual calorie intake
4. Avoid exertion and exposure of cold
b. The nurse is caring for an infant with spina bifida. Which assessment findings suggest
hydrocephalus?
1. Motor and sensory dysfunction in the foot and leg
2. Depressed fontanels and suture lines
3. Deep-set eyes, which appear to look upward only
4. Rapid increase in head size and irritability
b. In addition to the symptoms of pallor, loss of appetite, listlessness, and tiredness, the
nurse would expect an infant with acute nonlymphoid leukemia to demonstrate:
1. Oliguria
2. Difficulty swallowing
3. Few stem cells
4. Depressed bone marrow
b. An 18-month-old is being admitted with a diagnosis of Wilm’s tumor. Which nursing
intervention takes priority?
1. Placing a sign over the bed which says “Do Not Palpate the Abdomen.”
2. Raising the head of the bed to ease the breathing
1. Addition to the symptoms of pallor, loss of appetite, listlessness, and tiredness, the nurse
would expect an infant with acute nonlymphoid leukemia to demonstrate:
1. Oliguria
2. Difficulty swallowing
3. Few stem cells
4. Depressed bone marrow
b. The nurse is teaching the mother of a child diagnosed with type 1 diabetes. The mother
asks why her child must inject insulin and can’t take pills as her uncle does. Which reply
is most appropriate?
1. “Because a child’s pancreas is less developed than an adults, antidiabetic pills
aren’t recommended for children”
2. The only way to replace insulin is by injection”
3. “Your child may be able to take pills when he’s older”
4. Pills only affect fat and protein metabolism, not sugar”
b. A 7-year-old has recently been diagnosed with rheumatoid arthritis. The parents are
concerned about the lifelong effects of the disease. Their daughter is already having
difficulty going to school in the morning. The parents are investigating other therapies to
use with the medications. The nurse should recommend referral for:
1. Herbal supplements
2. Physical therapy
3. Nutritional therapy
4. Special education
b. The nurse is assessing a child who may have meningitis. For which of the following
assessment findings should the nurse watch?
1. Negative Kernig’s sign
2. Jaundice, drowsiness and refusal to eat
3. Flat fontanel
4. Irritability, fever and vomiting
b. When performing a physical assessment of a new born with down syndrome, the nurse
should carefully evaluate the infant’s:
1. Heart sounds
2. Lower extremities
3. Anterior fontanel
4. Pupillary reaction
b. The nurse is teaching the mother of a child with scoliosis. The nurse knows that teaching
has been successful when the mother makes which of the following statements?
1. “I’m afraid that my daughter will feel unattractive because she must wear a
brace.”
2. “I’m glad my daughter will only need to wear a brace for a short period of time.”
3. “I’m glad my daughter will outgrow this deformity.”
4. “I’ll make sure that my daughter doesn't do any stretching exercises that could
worsen her spine.”
b. A 2-year-old is admitted to the pediatric unit with a diagnosis of acute asthma. A blood
sample is obtained to measure the child’s arterial blood gases the nurse should expect:
, 1. A raised oxygen levels
2. An increased carbon dioxide level
3. A decreased bicarbonate levels
4. An elevated pH
b. A child with leukemia has a white blood cell of 10,000, a red blood cell count of 5 and
platelets of 20,000. The child is also fairly active, visiting the playroom twice a day.
When planning this child’s care, which risk should the nurse consider the most
significant?
1. Hemorrhage
2. Anemia
3. Infection
4. Pain
b. A 17-year-old high school student with a history of asthma is brought to the emergency
department. The nurse recognizes that the adolescent is experiencing an acute asthma
exacerbation when assessment reveals:
1. Tachycardia, anxiety, and wheezing
2. Lethargy, hypotension, and fever
3. Confusion, tachypnea, and crackles
4. Hypertension, bradycardia, and tremor
b. Which action best explains the main role of surfactant in the neonate?
1. Helps the lungs remain expanded after the initiation of breathing
2. Promotes clearing mucus from respiratory tract
3. Assists with ciliary body maturation in the upper airways
4. Helps maintain a rhythmic breathing pattern
b. When planning discharge teaching for the parents of a child with asthma, the nurse
should include telling the parents to increase the child’s fluid intake and to have the
child:
1. Stay in the house for at least 2 weeks
2. Avoid foods high in fat
3. Increase the usual calorie intake
4. Avoid exertion and exposure of cold
b. The nurse is caring for an infant with spina bifida. Which assessment findings suggest
hydrocephalus?
1. Motor and sensory dysfunction in the foot and leg
2. Depressed fontanels and suture lines
3. Deep-set eyes, which appear to look upward only
4. Rapid increase in head size and irritability
b. In addition to the symptoms of pallor, loss of appetite, listlessness, and tiredness, the
nurse would expect an infant with acute nonlymphoid leukemia to demonstrate:
1. Oliguria
2. Difficulty swallowing
3. Few stem cells
4. Depressed bone marrow
b. An 18-month-old is being admitted with a diagnosis of Wilm’s tumor. Which nursing
intervention takes priority?
1. Placing a sign over the bed which says “Do Not Palpate the Abdomen.”
2. Raising the head of the bed to ease the breathing
