RN PEDS EXAM V1 Solutions
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had
diarrhea for last 3
days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry - ANS-C. Measure the infant's pulse
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning,
the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the nurse
implement? - ANS-Inspect the posterior oropharynx
parents of a 3-year old boy who has Duchenne muscular dystrophy ask, "How can our
son have this
disease? We are wondering if we should have any more children." What information
should the nurse
provide to parents? - ANS-This is an inherited X-linked recessive disorder, which
primarily affects male children in the
family
2-weck-old female infant is hospitalized for the surgical repair of an umbilical hernia.
After retuming to the postoperative neonatal unit, her R and HR have increased during
the last hour. Which intervention should the nurse implement? - ANS-Administer a PRN
analgesic prescription
2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse
observes that the child
is drinking sweetened soda from her bottle, what information should the nurse discuss
with this mother? - ANS--Dental caries is associated with drinking soda -Toddlers
should be drinking from a cup by age 2
mother brings her 3-month-old infant to the clinic because the baby does not sleep
through the night.
Which finding is most significant in planning care for this family?
, a.The mother is a single parent and lives with her parents
b.The mother states the baby is irritable during feedings
C the infant's formula has been changed twice
D.The diaper area shows severe skin breakdown - ANS-D.The diaper area shows
severe skin breakdown
The nurse determines that an infant admitted for surgical repair of an inguinal hernia
voids a urinary stream from the ventral surface of the penis. What action should the
nurse take? - ANS-Document the finding
16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an
implanted
medication port at the out-patient oncology clinic. What action should the nurse
implement when the
infusion is complete? - ANS-Flush mediport w/ saline and heparin solution
mother brings her 3-week old infant to the clinic because the baby vomits after eating
and always seems
hungry. Further assessment indicates that the infant's vomiting is projectile, and the
child seems listless.
Which additional assessment finding indicates the possibility of a life-threatening
complication? - ANS-Irregular palpable pulse
nurse is performing a routine assessment of a &-year old at a sommunity health center.
Which behavior
by the child should alert she nurse to request a
follow up for a posaible autism spectrum disorder? - ANS-Perform odd repetitive
behaviors
Following admission for cardiac catheterization, the nurse is providing discharge
teaching to the parents of a 2-year-old toddler with tetralogy of Fallot. What instruction
should the nurse give the parents if their
child becomes pale, cool, lethargic? - ANS-Contact their HCP immediately
mother brings her 2-year-old son to the clinic because he has been crying and pulling
on his earlobe for
the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should the
nurse implement? - ANS-Ask the mother if the child has had a runny nose
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had
diarrhea for last 3
days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry - ANS-C. Measure the infant's pulse
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning,
the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the nurse
implement? - ANS-Inspect the posterior oropharynx
parents of a 3-year old boy who has Duchenne muscular dystrophy ask, "How can our
son have this
disease? We are wondering if we should have any more children." What information
should the nurse
provide to parents? - ANS-This is an inherited X-linked recessive disorder, which
primarily affects male children in the
family
2-weck-old female infant is hospitalized for the surgical repair of an umbilical hernia.
After retuming to the postoperative neonatal unit, her R and HR have increased during
the last hour. Which intervention should the nurse implement? - ANS-Administer a PRN
analgesic prescription
2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse
observes that the child
is drinking sweetened soda from her bottle, what information should the nurse discuss
with this mother? - ANS--Dental caries is associated with drinking soda -Toddlers
should be drinking from a cup by age 2
mother brings her 3-month-old infant to the clinic because the baby does not sleep
through the night.
Which finding is most significant in planning care for this family?
, a.The mother is a single parent and lives with her parents
b.The mother states the baby is irritable during feedings
C the infant's formula has been changed twice
D.The diaper area shows severe skin breakdown - ANS-D.The diaper area shows
severe skin breakdown
The nurse determines that an infant admitted for surgical repair of an inguinal hernia
voids a urinary stream from the ventral surface of the penis. What action should the
nurse take? - ANS-Document the finding
16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an
implanted
medication port at the out-patient oncology clinic. What action should the nurse
implement when the
infusion is complete? - ANS-Flush mediport w/ saline and heparin solution
mother brings her 3-week old infant to the clinic because the baby vomits after eating
and always seems
hungry. Further assessment indicates that the infant's vomiting is projectile, and the
child seems listless.
Which additional assessment finding indicates the possibility of a life-threatening
complication? - ANS-Irregular palpable pulse
nurse is performing a routine assessment of a &-year old at a sommunity health center.
Which behavior
by the child should alert she nurse to request a
follow up for a posaible autism spectrum disorder? - ANS-Perform odd repetitive
behaviors
Following admission for cardiac catheterization, the nurse is providing discharge
teaching to the parents of a 2-year-old toddler with tetralogy of Fallot. What instruction
should the nurse give the parents if their
child becomes pale, cool, lethargic? - ANS-Contact their HCP immediately
mother brings her 2-year-old son to the clinic because he has been crying and pulling
on his earlobe for
the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should the
nurse implement? - ANS-Ask the mother if the child has had a runny nose
