PEDS 330 PEDIATRIC IV EXAM QUESTIONS WITH ANSWERS 2022/2023 UPDATE SUCCESS
GURANTEED
A nurse is collecting data from a school age child who is undergoing a neurological assessment following a head injury. The nurse should document gross incoordination
when walking as which of the following findings?
A. Tremors
B. Ataxia
C. Dystonia
D. Rigidity
Rationale: The client will demonstrate ataxia when he shows gross incoordination movements, which might get worse when he closes his eyes.
A mother expresses concern about her preschool-age daughter to a nurse. The mother states, "She was talking to an imaginary person yesterday." Which of the following
questions should the nurse ask in response to the mother’s statement?
A. "Have you noticed any other unusual behaviors?"
B. "How well does your child play with others?"
C. "Does your child have temper tantrums?"
D. "Did the imaginary person have a name?"
Rationale: Play is important to the preschool-age child. Pretending becomes reality for children at this age. Imaginary friends often come into being when the child is 2 ½
to 3 years of age. Imaginary friends typically disappear by the time the child goes to school. The nurse should reassure the parent that this is an expected, healthy
, PEDS 330 PEDIATRIC IV EXAM QUESTIONS WITH ANSWERS 2022/2023 UPDATE SUCCESS
GURANTEED
behavior.
Parents should be encouraged to acknowledge the imaginary friend, call the friend by name, and even participate in play.
A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the adolescent’s parent is the
priority for the nurse to address?
A. "He only sleeps about 5 hours each night."
B. "He takes his medication between meals with water."
C. "He seems to be getting a lot more bumps and bruises lately."
D. "He has not been eating as much lately."
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is increased bruising. Although adolescent clients
have increased rates of intentional and unintentional injury, carbamazepine can cause bone marrow suppression. The nurse should collect further data to determine
whether the client could have thrombocytopenia and intervene to prevent bleeding.
A nurse is reinforcing teaching about methylphenidate with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?
A. "You should not give your child the medication on weekends."
B. "You should give your child's last daily dose of the medication before 6 o'clock in the evening."
C. "You will need to give your child the medication after meals."
, PEDS 330 PEDIATRIC IV EXAM QUESTIONS WITH ANSWERS 2022/2023 UPDATE SUCCESS
GURANTEED
D. "You will need to have your child's blood glucose level checked monthly."
Rationale: Taking methylphenidate earlier in the day helps to alleviate the medication's adverse effect of insomnia.
A nurse is reinforcing teaching about nutritional considerations with a parent of a toddler. Which of the following statements by the parent indicates understanding of
the teaching?
A. "My child should receive one-fourth of an adult portion serving size."
B. "My child's average daily intake should be 2,000 calories."
C. "I should limit my child's apple juice intake to 20 ounces a day."
D. "I should allow my child 10 minutes to eat each meal."
Rationale: A child should receive ¼ of an adult serving size of food. Another guideline parents can follow to determine a child's serving size is to provide 1 tbsp of solid
food per year of age.
A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of
abuse?
A. A toddler who has multiple bruises on the shins of both legs and his parents report that he is clumsy
B. A preschooler who has a BMI indicating obesity
C. A school-age child who cries when the nurse is giving him an injection
GURANTEED
A nurse is collecting data from a school age child who is undergoing a neurological assessment following a head injury. The nurse should document gross incoordination
when walking as which of the following findings?
A. Tremors
B. Ataxia
C. Dystonia
D. Rigidity
Rationale: The client will demonstrate ataxia when he shows gross incoordination movements, which might get worse when he closes his eyes.
A mother expresses concern about her preschool-age daughter to a nurse. The mother states, "She was talking to an imaginary person yesterday." Which of the following
questions should the nurse ask in response to the mother’s statement?
A. "Have you noticed any other unusual behaviors?"
B. "How well does your child play with others?"
C. "Does your child have temper tantrums?"
D. "Did the imaginary person have a name?"
Rationale: Play is important to the preschool-age child. Pretending becomes reality for children at this age. Imaginary friends often come into being when the child is 2 ½
to 3 years of age. Imaginary friends typically disappear by the time the child goes to school. The nurse should reassure the parent that this is an expected, healthy
, PEDS 330 PEDIATRIC IV EXAM QUESTIONS WITH ANSWERS 2022/2023 UPDATE SUCCESS
GURANTEED
behavior.
Parents should be encouraged to acknowledge the imaginary friend, call the friend by name, and even participate in play.
A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the adolescent’s parent is the
priority for the nurse to address?
A. "He only sleeps about 5 hours each night."
B. "He takes his medication between meals with water."
C. "He seems to be getting a lot more bumps and bruises lately."
D. "He has not been eating as much lately."
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse determines that the priority finding is increased bruising. Although adolescent clients
have increased rates of intentional and unintentional injury, carbamazepine can cause bone marrow suppression. The nurse should collect further data to determine
whether the client could have thrombocytopenia and intervene to prevent bleeding.
A nurse is reinforcing teaching about methylphenidate with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?
A. "You should not give your child the medication on weekends."
B. "You should give your child's last daily dose of the medication before 6 o'clock in the evening."
C. "You will need to give your child the medication after meals."
, PEDS 330 PEDIATRIC IV EXAM QUESTIONS WITH ANSWERS 2022/2023 UPDATE SUCCESS
GURANTEED
D. "You will need to have your child's blood glucose level checked monthly."
Rationale: Taking methylphenidate earlier in the day helps to alleviate the medication's adverse effect of insomnia.
A nurse is reinforcing teaching about nutritional considerations with a parent of a toddler. Which of the following statements by the parent indicates understanding of
the teaching?
A. "My child should receive one-fourth of an adult portion serving size."
B. "My child's average daily intake should be 2,000 calories."
C. "I should limit my child's apple juice intake to 20 ounces a day."
D. "I should allow my child 10 minutes to eat each meal."
Rationale: A child should receive ¼ of an adult serving size of food. Another guideline parents can follow to determine a child's serving size is to provide 1 tbsp of solid
food per year of age.
A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of
abuse?
A. A toddler who has multiple bruises on the shins of both legs and his parents report that he is clumsy
B. A preschooler who has a BMI indicating obesity
C. A school-age child who cries when the nurse is giving him an injection
