NUR 2633
Pediatrics
Pediatrics CMS - Review Questions
1. 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
2. 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
3. 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 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
4. 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)
5. 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
6. 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
7. 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
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
8. 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 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
9. 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
10. 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
11. 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)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations
12. A charge nurse is planning care for an infant who has failure to thrive. Which of the
following actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
, NUR 2633
Pediatrics
c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
13. A nurse is providing teaching about home care to the parent of a child who has scabies. Which
of the following instruction should the nurse include in the teaching?
a. Wash your clients hair with shampoo containing Ketoconazole
b. soak Combs and brushes in boiling water for 10 minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child
14. A nurse is caring for a preschooler who refuses to take a start dose of oral
diphenhydramine. Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction ( too much
“Adult” terminology/jargon for preschooler to understand)
d. sometimes, when a child has to take medication, they feel sad.
15. A nurse is teaching the parents of a school-age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seated on the bicycle
c. you should try to keep the bicycle at least three feet from the curb while riding in
the street
d. your child should ride the bicycle against the flow of traffic
16. A nurse is caring for a school-age child following the application of a cast to a Fractured
right tibia. Which of the following actions should the nurse take first?
a. Teach the child about cast care
b. Pad the edges of the cast
c. administer pain
medication d. Elevate the
child's leg
17. A nurse is preparing a school-age child for an invasive procedure. Which of the following
actions should the nurse plan to take?
a. plan for 30 minute teaching session about the procedure
b. use vague language to describe the procedure
c. explain the procedure to the child when they are in the playroom
d. demonstrate deep breathing and Counting exercises
18. A nurse is preparing to collect a urine specimen from a female infant using a urine
collection bag. Which of the following actions should the nurse take?
a. -Apply lidocaine gel to the perineum before attaching the bag
b. -Position the opening of the bag over the urethra and the anus
c. -Stretch the perineum taught when applying the bag
d. -Place a snuff fitting diaper over the drainage bag
19. A nurse is planning care for a toddler who has developed oral ulcers in response to
Pediatrics
Pediatrics CMS - Review Questions
1. 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
2. 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
3. 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 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
4. 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)
5. 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
6. 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
7. 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
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
8. 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 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
9. 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
10. 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
11. 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)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations
12. A charge nurse is planning care for an infant who has failure to thrive. Which of the
following actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
, NUR 2633
Pediatrics
c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
13. A nurse is providing teaching about home care to the parent of a child who has scabies. Which
of the following instruction should the nurse include in the teaching?
a. Wash your clients hair with shampoo containing Ketoconazole
b. soak Combs and brushes in boiling water for 10 minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child
14. A nurse is caring for a preschooler who refuses to take a start dose of oral
diphenhydramine. Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction ( too much
“Adult” terminology/jargon for preschooler to understand)
d. sometimes, when a child has to take medication, they feel sad.
15. A nurse is teaching the parents of a school-age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seated on the bicycle
c. you should try to keep the bicycle at least three feet from the curb while riding in
the street
d. your child should ride the bicycle against the flow of traffic
16. A nurse is caring for a school-age child following the application of a cast to a Fractured
right tibia. Which of the following actions should the nurse take first?
a. Teach the child about cast care
b. Pad the edges of the cast
c. administer pain
medication d. Elevate the
child's leg
17. A nurse is preparing a school-age child for an invasive procedure. Which of the following
actions should the nurse plan to take?
a. plan for 30 minute teaching session about the procedure
b. use vague language to describe the procedure
c. explain the procedure to the child when they are in the playroom
d. demonstrate deep breathing and Counting exercises
18. A nurse is preparing to collect a urine specimen from a female infant using a urine
collection bag. Which of the following actions should the nurse take?
a. -Apply lidocaine gel to the perineum before attaching the bag
b. -Position the opening of the bag over the urethra and the anus
c. -Stretch the perineum taught when applying the bag
d. -Place a snuff fitting diaper over the drainage bag
19. A nurse is planning care for a toddler who has developed oral ulcers in response to
