NGN PEDS PROCTORED NEWEST 2024 EXAM WITH STUDY
GUIDE TEST BANK 50+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
PASSED
1. A nurse is assessing the vital signs of a 10 year old child following a burn
injury. The nurse should identify that which of the following findings is an
indication of early septic shock?: temperature 39.1 C
The nurse should identify that a temperature of 39.1° C (102.4° F) is above the
expected reference range of 37° to 37.5° C (98.6° to 99.5° F) for a 10-year-old child.
The nurse should expect a child who has early septic shock to have a fever and
chills.
2. A nurse is assessing a school age child immediately following a
perforated appendix repair. Which of the following findings should the nurse
expect?: Absence of peristalsis
The nurse should expect absence of peristalsis immediately following a perforated
appendix repair, until the bowel resumes functioning.
3. A nurse is caring for a school-age child who is receiving chemotherapy
and is severely immunocompromised. Which of the following actions should
the nurse take?: Screen the child's visitors for indications of infection.
A child who is severely immunocompromised is unable to adequately respond to
infectious organisms, resulting in the potential for overwhelming infection.
Therefore, the nurse should screen the child's visitors for indications of infection.
4. A school nurse is preparing to administer atomextine 1.2 mg/kg/day PO to
a school-age child who weighs 75 Ib. Available is atomoxetine 40 mg.capsule.
How many capsules should the nurse administer per day?: 1 capsule
5. A nurse is reviewing the laboratory report of a 7 year old child who is
receiving chemotherapy. Which of the following laboratory values should
the nurse report to the provider?: Hgb 8.5 g/dL
A child receiving chemotherapy is at risk for anemia due to the chemotherapy
effects on the blood-forming cells of the bone marrow. The development of
, anemia is diagnosed through laboratory testing of hemoglobin and hematocrit
levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL is below
the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and should
be reported to the provider.
6. A nurse is caring for a 15 year old client who is married and is
scheduled for a surgical procedure. The client asks, "who should sign my
surgical consent?" Which of the following responses should the nurse
make?: "You can sign the consent form because you are married."
The nurse should inform the adolescent that marriage gives adolescents the legal
right to consent to surgical procedures and sign other legal documents that they
would not otherwise be able to sign due to their age.
7. A nurse is teaching the parents of a school age child who has a new
diagnosis of osteomyelitis of the tibia. Which of the following statements by
a parent indicates an understanding of the teaching?: My child will receive
antibiotics for several weeks
The nurse should instruct the parent that the child will receive antibiotic therapy for
at least 4 weeks. Surgery might be indicated if the antibiotics are not successful.
8. A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. Which of the following statements by the child indicates
an understanding of the teaching?: I will give myself a shot of regular insulin 30
minutes before I eat breakfast.
The child should administer regular insulin 30 min before meals so that the onset
coincides with food intake.
9. A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the skin
and angioedema. After discontinuing the medication infusion, which of the
following medications should the nurse administer first?: Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin.
According to evidence-based practice, the nurse should first administer epinephrine
to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates
the heart, causes vasoconstriction of blood vessels in the skin and mucous
membranes, and triggers bronchodilation in the lungs.
GUIDE TEST BANK 50+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
PASSED
1. A nurse is assessing the vital signs of a 10 year old child following a burn
injury. The nurse should identify that which of the following findings is an
indication of early septic shock?: temperature 39.1 C
The nurse should identify that a temperature of 39.1° C (102.4° F) is above the
expected reference range of 37° to 37.5° C (98.6° to 99.5° F) for a 10-year-old child.
The nurse should expect a child who has early septic shock to have a fever and
chills.
2. A nurse is assessing a school age child immediately following a
perforated appendix repair. Which of the following findings should the nurse
expect?: Absence of peristalsis
The nurse should expect absence of peristalsis immediately following a perforated
appendix repair, until the bowel resumes functioning.
3. A nurse is caring for a school-age child who is receiving chemotherapy
and is severely immunocompromised. Which of the following actions should
the nurse take?: Screen the child's visitors for indications of infection.
A child who is severely immunocompromised is unable to adequately respond to
infectious organisms, resulting in the potential for overwhelming infection.
Therefore, the nurse should screen the child's visitors for indications of infection.
4. A school nurse is preparing to administer atomextine 1.2 mg/kg/day PO to
a school-age child who weighs 75 Ib. Available is atomoxetine 40 mg.capsule.
How many capsules should the nurse administer per day?: 1 capsule
5. A nurse is reviewing the laboratory report of a 7 year old child who is
receiving chemotherapy. Which of the following laboratory values should
the nurse report to the provider?: Hgb 8.5 g/dL
A child receiving chemotherapy is at risk for anemia due to the chemotherapy
effects on the blood-forming cells of the bone marrow. The development of
, anemia is diagnosed through laboratory testing of hemoglobin and hematocrit
levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL is below
the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and should
be reported to the provider.
6. A nurse is caring for a 15 year old client who is married and is
scheduled for a surgical procedure. The client asks, "who should sign my
surgical consent?" Which of the following responses should the nurse
make?: "You can sign the consent form because you are married."
The nurse should inform the adolescent that marriage gives adolescents the legal
right to consent to surgical procedures and sign other legal documents that they
would not otherwise be able to sign due to their age.
7. A nurse is teaching the parents of a school age child who has a new
diagnosis of osteomyelitis of the tibia. Which of the following statements by
a parent indicates an understanding of the teaching?: My child will receive
antibiotics for several weeks
The nurse should instruct the parent that the child will receive antibiotic therapy for
at least 4 weeks. Surgery might be indicated if the antibiotics are not successful.
8. A nurse is teaching a school-age child who has a new diagnosis of type 1
diabetes mellitus. Which of the following statements by the child indicates
an understanding of the teaching?: I will give myself a shot of regular insulin 30
minutes before I eat breakfast.
The child should administer regular insulin 30 min before meals so that the onset
coincides with food intake.
9. A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the skin
and angioedema. After discontinuing the medication infusion, which of the
following medications should the nurse administer first?: Epinephrine
This child is most likely experiencing an anaphylactic reaction to the cefazolin.
According to evidence-based practice, the nurse should first administer epinephrine
to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates
the heart, causes vasoconstriction of blood vessels in the skin and mucous
membranes, and triggers bronchodilation in the lungs.
