NURSING 3260
CAREOF CHILDREN
EXAM Q & A
2024
1. A 5-year-old child is admitted to the pediatric unit with a
diagnosis of acute otitis media. The nurse's assessment
reveals a fever, ear pain, and difficulty hearing. Which
intervention should the nurse prioritize?
a) Administering oral antibiotics as prescribed
b) Providing the child with acetaminophen for pain relief
c) Placing warm compresses on the affected ear
d) Educating the parents on home management of acute otitis
media
Answer: a) Administering oral antibiotics as prescribed
Rationale: Antibiotics are the mainstay of treatment for acute
otitis media, as they help reduce pain, fever, and prevent
complications. Administering antibiotics as prescribed is the
priority nursing intervention in managing this condition.
2. A 4-year-old child diagnosed with a ventricular septal defect
(VSD) is scheduled for cardiac catheterization. What nursing
action is most essential prior to this procedure?
, a) Obtaining informed consent from the parents
b) Ensuring the child is NPO (nothing by mouth) for at least 6
hours
c) Educating the child and parents on post-procedure care
d) Assessing the child's vital signs and cardiovascular status
Answer: b) Ensuring the child is NPO (nothing by mouth) for at
least 6 hours
Rationale: Prior to cardiac catheterization, it is essential to
ensure the child is NPO to prevent aspiration. This
intervention reduces the risk of complications during the
procedure and is the priority.
3. The nurse is caring for a 2-year-old child admitted with cystic
fibrosis. Which dietary modification should the nurse
recommend to optimize this child's nutritional status?
a) Increasing intake of high-fat foods
b) Limiting sodium intake
c) Encouraging a high-protein diet
d) Restricting calcium-rich foods
Answer: c) Encouraging a high-protein diet
Rationale: Children with cystic fibrosis often have increased
nutritional needs due to malabsorption and increased energy
expenditure from respiratory work. Encouraging a high-
protein diet helps meet those increased needs and aids in
growth and maintenance of lean body mass.
CAREOF CHILDREN
EXAM Q & A
2024
1. A 5-year-old child is admitted to the pediatric unit with a
diagnosis of acute otitis media. The nurse's assessment
reveals a fever, ear pain, and difficulty hearing. Which
intervention should the nurse prioritize?
a) Administering oral antibiotics as prescribed
b) Providing the child with acetaminophen for pain relief
c) Placing warm compresses on the affected ear
d) Educating the parents on home management of acute otitis
media
Answer: a) Administering oral antibiotics as prescribed
Rationale: Antibiotics are the mainstay of treatment for acute
otitis media, as they help reduce pain, fever, and prevent
complications. Administering antibiotics as prescribed is the
priority nursing intervention in managing this condition.
2. A 4-year-old child diagnosed with a ventricular septal defect
(VSD) is scheduled for cardiac catheterization. What nursing
action is most essential prior to this procedure?
, a) Obtaining informed consent from the parents
b) Ensuring the child is NPO (nothing by mouth) for at least 6
hours
c) Educating the child and parents on post-procedure care
d) Assessing the child's vital signs and cardiovascular status
Answer: b) Ensuring the child is NPO (nothing by mouth) for at
least 6 hours
Rationale: Prior to cardiac catheterization, it is essential to
ensure the child is NPO to prevent aspiration. This
intervention reduces the risk of complications during the
procedure and is the priority.
3. The nurse is caring for a 2-year-old child admitted with cystic
fibrosis. Which dietary modification should the nurse
recommend to optimize this child's nutritional status?
a) Increasing intake of high-fat foods
b) Limiting sodium intake
c) Encouraging a high-protein diet
d) Restricting calcium-rich foods
Answer: c) Encouraging a high-protein diet
Rationale: Children with cystic fibrosis often have increased
nutritional needs due to malabsorption and increased energy
expenditure from respiratory work. Encouraging a high-
protein diet helps meet those increased needs and aids in
growth and maintenance of lean body mass.
