Peds exam#2||LATEST EXAM
UPDATE||GRADED A+||
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?
a. "I will puncture the pad of my finger when I am testing my blood glucose."
b. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
c. "I will eat a snack of 5 grams of carbohydrates if my blood glucose is low."
d. "I will decrease the amount of fluids I drink when I am sick." -CORRECT ANSWER b
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?
a. use surgical asepsis when providing routine care for the child
b. administer the measles, mumps, and rubella (MMR) vaccine to the child
c. screen the child's visitors for indications of infection
d. infuse packed RBCs -CORRECT ANSWER c
A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse see first?
a. a school age child who has sickle cell anemia and reports decreased vision in the left
eye
b. a school age child who has cystic fibrosis and a frequent nonproductive cough
c. a preschooler who has asthma and a peak flow meter reading in the green zone
d. an adolescent who has meningitis and reports a sensitivity to lights and noise -
CORRECT ANSWER a
A nurse is reviewing the lumbar puncture results of a school-age child who is suspected
of having bacterial meningitis. Which of the following findings should the nurse identify
as an indication of bacterial meningitis?
a. decreased cerebrospinal fluid pressure
b. decreased WBC count
c. increased protein concentration
d. increased glucose level -CORRECT ANSWER c
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of
the following manifestations should alert the nurse to a possible hemolytic transfusion
reaction?
a. laryngeal edema
b. flank pain
c. distended neck veins
d. muscular weakness -CORRECT ANSWER b
, A nurse is caring for a school-age child who has experienced a tonic-clonic seizure.
Which of the following actions should the nurse take during the immediate postictal
period?
a. place the child in a side-laying position
b. delay documentation until the child is fully alert
c. give the child a high-carb snack
d. administer an oral sedative to the child -CORRECT ANSWER a
A nurse is caring for a 15 year old client following a head injury. Which of the following
should the nurse identify as an indication that the child is developing syndrome of
inappropriate antidiuretic hormone secretion (SIADH)?
a. sodium 148 mEq/L
b. urine specific gravity 1.020
c. mental confusion
d. weak peripheral pulses -CORRECT ANSWER c
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?
a. hgb 8.5g/dL
b. WBC 9500/mm^3
c. prealbumin 18mg/dL
d. platelets 300000/mm^3 -CORRECT ANSWER a
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking
about moving out of the house. Which of the following statements should the nurse
make?
a. "it is important that you provide emotional support for your family at this time."
b. "You have to do what you feel is best. Everything will turn out fine."
c. "I know how you feel. This is an extremely stressful time for your family."
d. "Let's talk about some of the ways you have handled previous stressors in your life." -
CORRECT ANSWER d
A nurse is creating a plan of care for an infant who has an epidural hematoma form a
head injury. Which of the following interventions should the nurse include in the plan?
a. position the infant side-lying with their head at a )-5 degree angle
b. perform a neurological assessment Q4hrs
c. suction the infant's nares to remove secretions
d. implement seizure precautions for the infant -CORRECT ANSWER d
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider?
a. reports a headache as 6 on a 0-10 pain scale
b. petechiae on the lower extremities
c. nuchal rigidity
UPDATE||GRADED A+||
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?
a. "I will puncture the pad of my finger when I am testing my blood glucose."
b. "I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
c. "I will eat a snack of 5 grams of carbohydrates if my blood glucose is low."
d. "I will decrease the amount of fluids I drink when I am sick." -CORRECT ANSWER b
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?
a. use surgical asepsis when providing routine care for the child
b. administer the measles, mumps, and rubella (MMR) vaccine to the child
c. screen the child's visitors for indications of infection
d. infuse packed RBCs -CORRECT ANSWER c
A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse see first?
a. a school age child who has sickle cell anemia and reports decreased vision in the left
eye
b. a school age child who has cystic fibrosis and a frequent nonproductive cough
c. a preschooler who has asthma and a peak flow meter reading in the green zone
d. an adolescent who has meningitis and reports a sensitivity to lights and noise -
CORRECT ANSWER a
A nurse is reviewing the lumbar puncture results of a school-age child who is suspected
of having bacterial meningitis. Which of the following findings should the nurse identify
as an indication of bacterial meningitis?
a. decreased cerebrospinal fluid pressure
b. decreased WBC count
c. increased protein concentration
d. increased glucose level -CORRECT ANSWER c
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of
the following manifestations should alert the nurse to a possible hemolytic transfusion
reaction?
a. laryngeal edema
b. flank pain
c. distended neck veins
d. muscular weakness -CORRECT ANSWER b
, A nurse is caring for a school-age child who has experienced a tonic-clonic seizure.
Which of the following actions should the nurse take during the immediate postictal
period?
a. place the child in a side-laying position
b. delay documentation until the child is fully alert
c. give the child a high-carb snack
d. administer an oral sedative to the child -CORRECT ANSWER a
A nurse is caring for a 15 year old client following a head injury. Which of the following
should the nurse identify as an indication that the child is developing syndrome of
inappropriate antidiuretic hormone secretion (SIADH)?
a. sodium 148 mEq/L
b. urine specific gravity 1.020
c. mental confusion
d. weak peripheral pulses -CORRECT ANSWER c
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?
a. hgb 8.5g/dL
b. WBC 9500/mm^3
c. prealbumin 18mg/dL
d. platelets 300000/mm^3 -CORRECT ANSWER a
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking
about moving out of the house. Which of the following statements should the nurse
make?
a. "it is important that you provide emotional support for your family at this time."
b. "You have to do what you feel is best. Everything will turn out fine."
c. "I know how you feel. This is an extremely stressful time for your family."
d. "Let's talk about some of the ways you have handled previous stressors in your life." -
CORRECT ANSWER d
A nurse is creating a plan of care for an infant who has an epidural hematoma form a
head injury. Which of the following interventions should the nurse include in the plan?
a. position the infant side-lying with their head at a )-5 degree angle
b. perform a neurological assessment Q4hrs
c. suction the infant's nares to remove secretions
d. implement seizure precautions for the infant -CORRECT ANSWER d
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider?
a. reports a headache as 6 on a 0-10 pain scale
b. petechiae on the lower extremities
c. nuchal rigidity
