NURS5032: PEDIATRICS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
A nurse is preparing to complete an admission assessment on a 2-year-old child.
The child is sitting on the parent's lap. Which technique is best to provide
comfort while completing the physical exam?
Perform the exam while the child is on the parent's lap.
Which of the following are key differences in pediatric airways compared to adult
airways that create an increased risk for respiratory issues in infants and young
children?
Narrower and less rigid trachea
What represents a typical stressor of hospitalization for school-age (6-12 year of
age) children?
Fear of pain and bodily harm
A 7-year-old child newly diagosed with Type 1 Diabetes mellitus is using baby-
talk, whining, and wanting parents to do everything for him. What is the nurse's
best response to the parents about this behavior?
"Your child is showing a normal response to the stress of hospitalization."
All of the following statements are true about surfactant in newborns EXCEPT:
It starts to develop between 32-34 weeks gestation.
,A nurse is administering Vitamin K to an infant after birth. The parents ask why
their baby needs the injection. The nurse explains that vitamin K is lacking in the
newborn due to a sterile bowel and:
Necessary for the production of clotting factors.
Emma, age 3 years, is being admitted for a 1 week hospitalization. Her parents tell
the nurse that they are going to buy her "a new toy for each day she will be in the
hospital." The nurse's reply should be based on an understanding that:
At this age, children often need familiar toys and comfort objects from home.
Signs of a newborn becoming hypothermic commonly include:
Acrocyanosis
All of the following are risk factors for newborn hypoglycemia EXCEPT:
Paternal diabetes
Which of the following is the most common cause for hospitalization in infants?
Bronchiolitis
Placing a warm blanket or sheet on the scale prior to weighing a newborn
prevents which type of heat loss?
Conduction
Which assessment should the nurse perform last when examining a 5-year-old
child with an inflamed and painful throat?
Throat
Every child diagnosed with asthma should have which of the following?
An updated asthma action plan
,Based on the concepts of normal childhood growth and development, which child
would have the most difficulty with separation from family during hospitalization?
A 15-month-old toddler
Which is the most developmentally appropriate intervention when working with
the hospitalized adolescent?
Provide time for private discussions with the teen about care and treatment concerns
away from parents.
A nurse in the newborn nursery receives handoff report in the morning. Which
newborn should the nurse assess first?
Newborn with an axillary temperature 96.2F
Which of the following statements is true about Non-shivering Thermogenesis
(NST)?
It metabolizes brown fat present in newborns to produce heat.
Which of the following is true about health literacy?
Low health literacy results in increased morbity and mortality
First-time parents are concerned that their 3-day-old infant's skin looks "yellow."
In the nurse's explanation of physiologic jaundice, what fact should be included?
Physiologic jaundice is common and bilirubin levels peak between the second and
fourth days of life.
A child is having acute respiratory distress upon admission to a pediatric unit.
Which of the following should the nurse do first to improve oxygen saturation
levels for this child?
Increase the oxygen per orders
, Which of the following is the most common type of seizure disorder in children?
Tonic-Clonic
Which of the following is true about Cerebral Palsy?
It creates a risk for impaired mobility
It creates a risk for impaired mobility
Place the child in the knee-chest position
A pediatric patient with acquired hydrocephalus has an external ventricular drain
in place. At change of shift the patient is afebrile, but complains of photophobia,
nausea and vomiting. Which of the following do you most likely suspect?
Increased ICP
Which of the following is an early sign of Respiratory ditsress in children
Grunting
When assessing a child for pain, the pediatric nurse must take into consideration
that:
pain is a subjective, individualized experience
Which of the following is a primary goal of effective pain management?
Provide comfort and maximize patient function.
The nurse is caring for a 12-year-old patient with multiple fractures and trauma
due to a motor vehicle accident. The patient is experiencing severe pain at this
time. Which of the following is an important consideration in managing this
patient's pain?
Plan a schedule of opioid pain medication around the clock.
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
A nurse is preparing to complete an admission assessment on a 2-year-old child.
The child is sitting on the parent's lap. Which technique is best to provide
comfort while completing the physical exam?
Perform the exam while the child is on the parent's lap.
Which of the following are key differences in pediatric airways compared to adult
airways that create an increased risk for respiratory issues in infants and young
children?
Narrower and less rigid trachea
What represents a typical stressor of hospitalization for school-age (6-12 year of
age) children?
Fear of pain and bodily harm
A 7-year-old child newly diagosed with Type 1 Diabetes mellitus is using baby-
talk, whining, and wanting parents to do everything for him. What is the nurse's
best response to the parents about this behavior?
"Your child is showing a normal response to the stress of hospitalization."
All of the following statements are true about surfactant in newborns EXCEPT:
It starts to develop between 32-34 weeks gestation.
,A nurse is administering Vitamin K to an infant after birth. The parents ask why
their baby needs the injection. The nurse explains that vitamin K is lacking in the
newborn due to a sterile bowel and:
Necessary for the production of clotting factors.
Emma, age 3 years, is being admitted for a 1 week hospitalization. Her parents tell
the nurse that they are going to buy her "a new toy for each day she will be in the
hospital." The nurse's reply should be based on an understanding that:
At this age, children often need familiar toys and comfort objects from home.
Signs of a newborn becoming hypothermic commonly include:
Acrocyanosis
All of the following are risk factors for newborn hypoglycemia EXCEPT:
Paternal diabetes
Which of the following is the most common cause for hospitalization in infants?
Bronchiolitis
Placing a warm blanket or sheet on the scale prior to weighing a newborn
prevents which type of heat loss?
Conduction
Which assessment should the nurse perform last when examining a 5-year-old
child with an inflamed and painful throat?
Throat
Every child diagnosed with asthma should have which of the following?
An updated asthma action plan
,Based on the concepts of normal childhood growth and development, which child
would have the most difficulty with separation from family during hospitalization?
A 15-month-old toddler
Which is the most developmentally appropriate intervention when working with
the hospitalized adolescent?
Provide time for private discussions with the teen about care and treatment concerns
away from parents.
A nurse in the newborn nursery receives handoff report in the morning. Which
newborn should the nurse assess first?
Newborn with an axillary temperature 96.2F
Which of the following statements is true about Non-shivering Thermogenesis
(NST)?
It metabolizes brown fat present in newborns to produce heat.
Which of the following is true about health literacy?
Low health literacy results in increased morbity and mortality
First-time parents are concerned that their 3-day-old infant's skin looks "yellow."
In the nurse's explanation of physiologic jaundice, what fact should be included?
Physiologic jaundice is common and bilirubin levels peak between the second and
fourth days of life.
A child is having acute respiratory distress upon admission to a pediatric unit.
Which of the following should the nurse do first to improve oxygen saturation
levels for this child?
Increase the oxygen per orders
, Which of the following is the most common type of seizure disorder in children?
Tonic-Clonic
Which of the following is true about Cerebral Palsy?
It creates a risk for impaired mobility
It creates a risk for impaired mobility
Place the child in the knee-chest position
A pediatric patient with acquired hydrocephalus has an external ventricular drain
in place. At change of shift the patient is afebrile, but complains of photophobia,
nausea and vomiting. Which of the following do you most likely suspect?
Increased ICP
Which of the following is an early sign of Respiratory ditsress in children
Grunting
When assessing a child for pain, the pediatric nurse must take into consideration
that:
pain is a subjective, individualized experience
Which of the following is a primary goal of effective pain management?
Provide comfort and maximize patient function.
The nurse is caring for a 12-year-old patient with multiple fractures and trauma
due to a motor vehicle accident. The patient is experiencing severe pain at this
time. Which of the following is an important consideration in managing this
patient's pain?
Plan a schedule of opioid pain medication around the clock.
