Pediatric Nursing Practice questions part 2
1. A 3-year-old client being treated for sepsis has begun bleeding from multiple sites. The nurse's
assessment reveals widespread petechiae and bleeding from the nose, mouth, and rectum.
Laboratory results reveal a prolonged prothrombin time (PT), elevated d-dimer, and low
platelet count. Which disorder should the nurse suspect?
a. Von Willebrand disease.
b. Disseminated intravascular coagulation.
c. Hemophilia type A.
d. Hypoplastic anemia.
b. Disseminated intravascular coagulation.
2. Which treatment regimen reduces the risk of pneumococcal infection in a pediatric client with
sickle cell anemia?
a. Annual flu shot.
b. Penicillin prophylaxis.
,c. Vitamin E supplementation.
d. Tdap vaccination series.
b. Penicillin prophylaxis.
3. A teenager is admitted to the hospital diagnosed with anorexia nervosa. Which condition
should the nurse evaluate the client for?
a. Osteoarthritis.
b. Cardiac arrhythmia.
c. Asthma.
d. Bowel ischemia.
b. Cardiac arrhythmia.
4. A 12-year-old client presents suddenly with signs of shock; weak and rapid pulse;
bronchoconstriction and laryngeal edema. What should the nurse suspect is the cause of this
presentation?
a. Bronchial asthma.
b. Anaphylaxis.
,c. Bronchiolitis.
d. Respiratory distress syndrome.
b. Anaphylaxis.
5. The nurse is assessing a four year old victim who was an improperly restrained passenger of a
high speed impact motor vehicle collision. The victim presents with a falling blood pressure,
poor capillary refill, low central venous pressure, tachycardia and bruising noted upper left
quadrant of the abdomen. Which condition should the nurse suspect?
a. Neurogenic shock.
b. Cardiogenic shock.
c. Hypovolemic shock.
d. Distributive shock.
c. Hypovolemic shock.
6. A pediatric client is admitted with sepsis and a high-grade fever following an episode of
gastritis. The nurse's assessment reveals cool skin; normal pulse and blood pressure;
decreased urinary output; and a diminished mental state. Which term describes this stage of
septic shock?
a. Hyperdynamic.
, b. Normodynamic.
c. Macrodynamic.
d. Hypodynamic.
b . Normodynamic.
7. The nurse is counseling the parents of a child with adrenocortical insufficiency. The nurse
should educate the parents about the signs and symptoms of which condition that can occur
as a result of prolonged hydrocortisone therapy?
a. Gastric ulcers.
b. Weight loss.
c. Drowsiness.
d. Decreased blood pressure.
a. Gastric ulcers.
8. Which action should the nurse take when caring for a child with epiglottitis?
a. Examine the throat with tongue depressor.
1. A 3-year-old client being treated for sepsis has begun bleeding from multiple sites. The nurse's
assessment reveals widespread petechiae and bleeding from the nose, mouth, and rectum.
Laboratory results reveal a prolonged prothrombin time (PT), elevated d-dimer, and low
platelet count. Which disorder should the nurse suspect?
a. Von Willebrand disease.
b. Disseminated intravascular coagulation.
c. Hemophilia type A.
d. Hypoplastic anemia.
b. Disseminated intravascular coagulation.
2. Which treatment regimen reduces the risk of pneumococcal infection in a pediatric client with
sickle cell anemia?
a. Annual flu shot.
b. Penicillin prophylaxis.
,c. Vitamin E supplementation.
d. Tdap vaccination series.
b. Penicillin prophylaxis.
3. A teenager is admitted to the hospital diagnosed with anorexia nervosa. Which condition
should the nurse evaluate the client for?
a. Osteoarthritis.
b. Cardiac arrhythmia.
c. Asthma.
d. Bowel ischemia.
b. Cardiac arrhythmia.
4. A 12-year-old client presents suddenly with signs of shock; weak and rapid pulse;
bronchoconstriction and laryngeal edema. What should the nurse suspect is the cause of this
presentation?
a. Bronchial asthma.
b. Anaphylaxis.
,c. Bronchiolitis.
d. Respiratory distress syndrome.
b. Anaphylaxis.
5. The nurse is assessing a four year old victim who was an improperly restrained passenger of a
high speed impact motor vehicle collision. The victim presents with a falling blood pressure,
poor capillary refill, low central venous pressure, tachycardia and bruising noted upper left
quadrant of the abdomen. Which condition should the nurse suspect?
a. Neurogenic shock.
b. Cardiogenic shock.
c. Hypovolemic shock.
d. Distributive shock.
c. Hypovolemic shock.
6. A pediatric client is admitted with sepsis and a high-grade fever following an episode of
gastritis. The nurse's assessment reveals cool skin; normal pulse and blood pressure;
decreased urinary output; and a diminished mental state. Which term describes this stage of
septic shock?
a. Hyperdynamic.
, b. Normodynamic.
c. Macrodynamic.
d. Hypodynamic.
b . Normodynamic.
7. The nurse is counseling the parents of a child with adrenocortical insufficiency. The nurse
should educate the parents about the signs and symptoms of which condition that can occur
as a result of prolonged hydrocortisone therapy?
a. Gastric ulcers.
b. Weight loss.
c. Drowsiness.
d. Decreased blood pressure.
a. Gastric ulcers.
8. Which action should the nurse take when caring for a child with epiglottitis?
a. Examine the throat with tongue depressor.
