PEDS ACTUAL EXAM 3 REVIEW
COMPLETE QNS&ANS LATEST 2024
A nurse is reviewing data for four children. Which of the following children should the
nurse assess first?
A. A 10-year-old child who has sickle cell anemia who reports severe chest pain.
B. A 7-year-old child who has a diabetes insipidus and a urine specific gravity of 1.016
C. A 1 year old toddler who has roseola and a temperature of 39 C (102.2 F)
D. A 4-year-old who has asthma a PCO2 of 37 mm Hg - ANSWER A. A 10-year-old
child who has sickle cell anemia who reports severe chest pain.
A nurse is teaching a client who starting to take methotrexate to treat rheumatoid
arthritis. Which of the following instructions should the nurse include in the teaching?
A. Avoid eating foods high in vitamin K
B. Use an alcohol-based mouthwash after each meal
C. Take the medication daily
D. Drink at least 2 liters of water daily - ANSWER D. Drink at least 2 liters of water daily
A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy.
The nurse should expect the client to report having experienced which of the following
symptoms?
A. Extremities that turned blue when exposed to cold
B. Tingling feeling in the extremities
C. Jerking movements of the extremities
D. Spasms of the extremities - ANSWER B. Tingling feeling in the extremities
A nurse is caring for a 17 year old client who is experiencing a relapse of leukemia and
is refusing treatment. The client's mother insists that the client receive treatment. Which
of the following actions should the nurse take?
A. Initiative the IV per the patient's request
B. Notify the provider of the situation
C. Administer a sedative to calm the client
D. Offer the client an antiemetic - ANSWER B. Notify the provider of the situation
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of
the following actions is the nurse's priority?
,A. Place a pillow under the child's head
B. Position the child side-lying
C. Loosen restrictive clothing
D. Clear the area of hazards - ANSWER B. Position the child side-lying
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of
the following information should the nurse provide about ibuprofen?
A. Take the medication with an aspirin to increase effectiveness
B. Take the medication with food
C. Taking the maximum dose will offer stroke prevention
D. Sustained-release forms may be crushed for easier administration - ANSWER B.
Take the medication with food
A nurse is providing teaching to a client about preventing skin cancer. Which of the
following client statements indicates a need for further teaching?
A. Eating a high fiber will reduce my risk for developing skin cancer
B. I should check my skin monthly for any changes
C. I should avoid the use of tanning booths
D. I should use suncreen even on cloudy days - ANSWER A. Eating a high fiber will
reduce my risk for developing skin cancer
A nurse is planning care for an adolescent who is postoperative following scoliosis
repair with Harrington rod instrumentation. Which of the following interventions should
the nurse include in the plan of care?
A. Keep the head of the bed at a 30 degree angle
B. Reposition the client by log rolling every 4 hr
C. Place the client in protective isolation
D. Initiative the use of PCA pump for pain control - ANSWER D. Initiative the use of
PCA pump for pain control
A nurse working on a medical unit is caring for client who is prescribed seizure
precautions. Which of the following interventions should the nurse include in the client's
plan of care?
A. Obtain IV access
B. Keep the lights on when the client is sleeping
C. Place the client's bed in the high position
D. Keep a padded tongue blade available at the client's bedside - ANSWER A. Obtain
IV access
, A nurse is a provider's office is assessing a client who has a rheumatoid arthritis (RA).
Which of the following findings is a late manifestation of this condition?
A. Anorexia
B. Knuckle deformity
C. Low-grade fever
D. Weight loss - ANSWER B. Knuckle deformity
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a
fractured tibia. Which of the following is a priority action for the nurse to take?
A. Perform a neurovascular assessment
B. Explain the discharge instructions to the client and parents
C. Provide reassurance to the client and parents
D. Apply an ice pack to the casted leg - ANSWER A. Perform a neurovascular
assessment
A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of
the following actions should the nurse take?
A. Log roll the client every 2 hr
B. Assist the client to sit upright in a chair for 4 hr at a time
C. Expect clear drainage on the spinal dressing
D. Elevate the client's legs when he is sitting in a chair - ANSWER A. Log roll the client
every 2 hr
A nurse is caring for a client who has autism spectrum disorder. Which of the following
findings should the nurse expect?
A. Expressive affect
B. Associative looseness
C. Echolalia
D. Ambivalence - ANSWER C. Echolalia
A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of
the following actions should the nurse take?
A. Log roll the client every 2 hr
B. Assist the client to sit upright in a chair for 4 hr at a time
C. Expect clear drainage on the spinal dressing
D. Elevate the client's legs when he is sitting in a chair - ANSWER A. Log roll the client
every 2 hr
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the
following actions should the nurse take?
COMPLETE QNS&ANS LATEST 2024
A nurse is reviewing data for four children. Which of the following children should the
nurse assess first?
A. A 10-year-old child who has sickle cell anemia who reports severe chest pain.
B. A 7-year-old child who has a diabetes insipidus and a urine specific gravity of 1.016
C. A 1 year old toddler who has roseola and a temperature of 39 C (102.2 F)
D. A 4-year-old who has asthma a PCO2 of 37 mm Hg - ANSWER A. A 10-year-old
child who has sickle cell anemia who reports severe chest pain.
A nurse is teaching a client who starting to take methotrexate to treat rheumatoid
arthritis. Which of the following instructions should the nurse include in the teaching?
A. Avoid eating foods high in vitamin K
B. Use an alcohol-based mouthwash after each meal
C. Take the medication daily
D. Drink at least 2 liters of water daily - ANSWER D. Drink at least 2 liters of water daily
A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy.
The nurse should expect the client to report having experienced which of the following
symptoms?
A. Extremities that turned blue when exposed to cold
B. Tingling feeling in the extremities
C. Jerking movements of the extremities
D. Spasms of the extremities - ANSWER B. Tingling feeling in the extremities
A nurse is caring for a 17 year old client who is experiencing a relapse of leukemia and
is refusing treatment. The client's mother insists that the client receive treatment. Which
of the following actions should the nurse take?
A. Initiative the IV per the patient's request
B. Notify the provider of the situation
C. Administer a sedative to calm the client
D. Offer the client an antiemetic - ANSWER B. Notify the provider of the situation
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of
the following actions is the nurse's priority?
,A. Place a pillow under the child's head
B. Position the child side-lying
C. Loosen restrictive clothing
D. Clear the area of hazards - ANSWER B. Position the child side-lying
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of
the following information should the nurse provide about ibuprofen?
A. Take the medication with an aspirin to increase effectiveness
B. Take the medication with food
C. Taking the maximum dose will offer stroke prevention
D. Sustained-release forms may be crushed for easier administration - ANSWER B.
Take the medication with food
A nurse is providing teaching to a client about preventing skin cancer. Which of the
following client statements indicates a need for further teaching?
A. Eating a high fiber will reduce my risk for developing skin cancer
B. I should check my skin monthly for any changes
C. I should avoid the use of tanning booths
D. I should use suncreen even on cloudy days - ANSWER A. Eating a high fiber will
reduce my risk for developing skin cancer
A nurse is planning care for an adolescent who is postoperative following scoliosis
repair with Harrington rod instrumentation. Which of the following interventions should
the nurse include in the plan of care?
A. Keep the head of the bed at a 30 degree angle
B. Reposition the client by log rolling every 4 hr
C. Place the client in protective isolation
D. Initiative the use of PCA pump for pain control - ANSWER D. Initiative the use of
PCA pump for pain control
A nurse working on a medical unit is caring for client who is prescribed seizure
precautions. Which of the following interventions should the nurse include in the client's
plan of care?
A. Obtain IV access
B. Keep the lights on when the client is sleeping
C. Place the client's bed in the high position
D. Keep a padded tongue blade available at the client's bedside - ANSWER A. Obtain
IV access
, A nurse is a provider's office is assessing a client who has a rheumatoid arthritis (RA).
Which of the following findings is a late manifestation of this condition?
A. Anorexia
B. Knuckle deformity
C. Low-grade fever
D. Weight loss - ANSWER B. Knuckle deformity
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a
fractured tibia. Which of the following is a priority action for the nurse to take?
A. Perform a neurovascular assessment
B. Explain the discharge instructions to the client and parents
C. Provide reassurance to the client and parents
D. Apply an ice pack to the casted leg - ANSWER A. Perform a neurovascular
assessment
A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of
the following actions should the nurse take?
A. Log roll the client every 2 hr
B. Assist the client to sit upright in a chair for 4 hr at a time
C. Expect clear drainage on the spinal dressing
D. Elevate the client's legs when he is sitting in a chair - ANSWER A. Log roll the client
every 2 hr
A nurse is caring for a client who has autism spectrum disorder. Which of the following
findings should the nurse expect?
A. Expressive affect
B. Associative looseness
C. Echolalia
D. Ambivalence - ANSWER C. Echolalia
A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of
the following actions should the nurse take?
A. Log roll the client every 2 hr
B. Assist the client to sit upright in a chair for 4 hr at a time
C. Expect clear drainage on the spinal dressing
D. Elevate the client's legs when he is sitting in a chair - ANSWER A. Log roll the client
every 2 hr
A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the
following actions should the nurse take?
