EAQ PEDIATRICS EXAM COMPLETE
QUESTIONS WITH 100% VERIFIED
ANSWERS
\.A child is admitted to the pediatric unit with a diagnosis of meningococcal meningitis. What
does the nurse conclude about isolation?
1
It is unnecessary during the incubation period.
2
It is required for 7 to 10 days until the fever subsides.
3
It will be unnecessary after the diagnosis is confirmed.
4
It will be necessary for 24 to 72 hours after the initiation of antibiotic therapy. - Answer-✔The
meningococcal organism is rendered inactive after 24 to 72 hours of antibiotic therapy; isolation
is not required after this time. Meningitis is not evident during the incubation period. The
presence of a fever is not the influencing factor indicating the need for isolation. After the
diagnosis of meningitis is confirmed, isolation is required for 24 to 72 hours after the institution
of antibiotic therapy.
\.A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since
infancy. What clinical finding requires immediate intervention?
1
Barrel chest
2
,Audible wheezing
3
Heart rate of 105 beats/min
4
Respiratory rate of 30 breaths/min - Answer-✔Audible wheezing that is heard without a
stethoscope is an indication that the airways are significantly compromised, and this requires
immediate medical intervention. Barrel chest is a sign of chronic asthma. Repeated attacks
result in a fixed hyperaerated thoracic cavity; this clinical finding does not require intervention.
A heart rate of 105 beats/min is expected in an 8-year-old child, as is a respiratory rate of 30
breaths/min.
Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by studying often, not
long. Spend at least 15 minutes every day reviewing the "old" material. This action alone will
greatly reduce anxiety. The more time you devote to reviewing past material, the more
confident you will feel about your knowledge of the topics. Start this review process on the first
day of the semester. Don't wait until the middle to end of the semester to try to cram
information.
\.A 5-year-old child is admitted to the pediatric unit for an appendectomy. What question
should the nurse ask to determine what the child thinks is the reason for hospitalization?
1
"What are you doing at the hospital?"
2
"Have you brought any toys with you?"
Incorrect 3
"Did your parents tell you why you're here?"
4
,"Did you know that you're going to have an operation?" - Answer-✔The first option is a direct
question that should elicit the desired information. The other questions can be answered with a
yes-or-no response and do not elicit what the child knows or feels about the situation.
STUDY TIP: When forming a study group, carefully select members for your group. Choose
students who have abilities and motivation similar to your own. Look for students who have a
different learning style than you. Exchange names, email addresses, and phone numbers. Plan a
schedule for when and how often you will meet. Plan an agenda for each meeting. You may
exchange lecture notes and discuss content for clarity or quiz one another on the material. You
could also create your own practice tests or make flash cards that review key vocabulary terms.
\.A 6-year-old child with acute spasmodic bronchitis who is receiving humidified air removes the
mask, and while bathing the child the nurse notes increasing respiratory distress. What is the
most appropriate nursing intervention?
Correct 1
Stopping the bath and replacing the mask
2
Performing postural drainage and clapping the chest
3
Placing the child in the orthopneic position and calling the practitioner
4
Suctioning the child's nasal passages and waiting for the dyspnea to subside - Answer-
✔Interrupting the bath and providing humidified air will reduce energy requirements, allow the
child to rest, and lessen the demand for oxygen. Although postural drainage loosens secretions
in the lungs, it should not be used when the child is in distress. The orthopneic position will not
reduce energy and oxygen demands; the healthcare provider should be called if appropriate
nursing measures do not relieve the dyspnea. Suctioning is not performed unless respiratory
distress is severe; it increases restlessness and energy demands.
Test-Taking Tip: Prepare for exams when and where you are most alert and able to concentrate.
If you are most alert at night, study at night. If you are most alert at 2 am, study in the early
, morning hours. Study where you can focus your attention and avoid distractions. This may be in
the library or in a quiet corner of your home. The key point is to keep on doing what is working
for you. If you are distracted or falling asleep, you may want to change when and where you are
studying.
\.A nurse is teaching a school-aged child with juvenile idiopathic arthritis (JIA) activities to
prevent the loss of joint function. What should the nurse caution the child to avoid?
1
Bicycle riding
2
Walking to school
3
Isometric exercises
4
Sedentary activities - Answer-✔Prolonged sitting in one position can lead to stiffness and flexion
contractures and should be avoided. Riding a bicycle helps maintain joint mobility, which is
advantageous. Walking promotes functional movement and is beneficial. Isometric exercises are
beneficial because they help maintain muscle tone.
Test-Taking Tip: The presence of absolute words and phrases can also help you determine the
correct answer to a multiple-choice item. If answer choices contain an absolute (e.g., none,
never, must, cannot), be very cautious. Remember that there are not many things in the world
that are absolute, and in an area as complex as nursing, an absolute may be a reason to
eliminate it from consideration as the best choice. This is only a guideline and should not be
taken to be true 100% of the time; however, it can help you reduce the number of choices.
\.The nurse assesses a 5-year-old child after a shunt procedure is performed to correct increased
intracranial pressure. Which finding is of most concern?
1
Marked irritability
QUESTIONS WITH 100% VERIFIED
ANSWERS
\.A child is admitted to the pediatric unit with a diagnosis of meningococcal meningitis. What
does the nurse conclude about isolation?
1
It is unnecessary during the incubation period.
2
It is required for 7 to 10 days until the fever subsides.
3
It will be unnecessary after the diagnosis is confirmed.
4
It will be necessary for 24 to 72 hours after the initiation of antibiotic therapy. - Answer-✔The
meningococcal organism is rendered inactive after 24 to 72 hours of antibiotic therapy; isolation
is not required after this time. Meningitis is not evident during the incubation period. The
presence of a fever is not the influencing factor indicating the need for isolation. After the
diagnosis of meningitis is confirmed, isolation is required for 24 to 72 hours after the institution
of antibiotic therapy.
\.A nurse in the pediatric clinic is assessing an 8-year-old child who has had asthma since
infancy. What clinical finding requires immediate intervention?
1
Barrel chest
2
,Audible wheezing
3
Heart rate of 105 beats/min
4
Respiratory rate of 30 breaths/min - Answer-✔Audible wheezing that is heard without a
stethoscope is an indication that the airways are significantly compromised, and this requires
immediate medical intervention. Barrel chest is a sign of chronic asthma. Repeated attacks
result in a fixed hyperaerated thoracic cavity; this clinical finding does not require intervention.
A heart rate of 105 beats/min is expected in an 8-year-old child, as is a respiratory rate of 30
breaths/min.
Test-Taking Tip: Anxiety leading to an exam is normal. Reduce your stress by studying often, not
long. Spend at least 15 minutes every day reviewing the "old" material. This action alone will
greatly reduce anxiety. The more time you devote to reviewing past material, the more
confident you will feel about your knowledge of the topics. Start this review process on the first
day of the semester. Don't wait until the middle to end of the semester to try to cram
information.
\.A 5-year-old child is admitted to the pediatric unit for an appendectomy. What question
should the nurse ask to determine what the child thinks is the reason for hospitalization?
1
"What are you doing at the hospital?"
2
"Have you brought any toys with you?"
Incorrect 3
"Did your parents tell you why you're here?"
4
,"Did you know that you're going to have an operation?" - Answer-✔The first option is a direct
question that should elicit the desired information. The other questions can be answered with a
yes-or-no response and do not elicit what the child knows or feels about the situation.
STUDY TIP: When forming a study group, carefully select members for your group. Choose
students who have abilities and motivation similar to your own. Look for students who have a
different learning style than you. Exchange names, email addresses, and phone numbers. Plan a
schedule for when and how often you will meet. Plan an agenda for each meeting. You may
exchange lecture notes and discuss content for clarity or quiz one another on the material. You
could also create your own practice tests or make flash cards that review key vocabulary terms.
\.A 6-year-old child with acute spasmodic bronchitis who is receiving humidified air removes the
mask, and while bathing the child the nurse notes increasing respiratory distress. What is the
most appropriate nursing intervention?
Correct 1
Stopping the bath and replacing the mask
2
Performing postural drainage and clapping the chest
3
Placing the child in the orthopneic position and calling the practitioner
4
Suctioning the child's nasal passages and waiting for the dyspnea to subside - Answer-
✔Interrupting the bath and providing humidified air will reduce energy requirements, allow the
child to rest, and lessen the demand for oxygen. Although postural drainage loosens secretions
in the lungs, it should not be used when the child is in distress. The orthopneic position will not
reduce energy and oxygen demands; the healthcare provider should be called if appropriate
nursing measures do not relieve the dyspnea. Suctioning is not performed unless respiratory
distress is severe; it increases restlessness and energy demands.
Test-Taking Tip: Prepare for exams when and where you are most alert and able to concentrate.
If you are most alert at night, study at night. If you are most alert at 2 am, study in the early
, morning hours. Study where you can focus your attention and avoid distractions. This may be in
the library or in a quiet corner of your home. The key point is to keep on doing what is working
for you. If you are distracted or falling asleep, you may want to change when and where you are
studying.
\.A nurse is teaching a school-aged child with juvenile idiopathic arthritis (JIA) activities to
prevent the loss of joint function. What should the nurse caution the child to avoid?
1
Bicycle riding
2
Walking to school
3
Isometric exercises
4
Sedentary activities - Answer-✔Prolonged sitting in one position can lead to stiffness and flexion
contractures and should be avoided. Riding a bicycle helps maintain joint mobility, which is
advantageous. Walking promotes functional movement and is beneficial. Isometric exercises are
beneficial because they help maintain muscle tone.
Test-Taking Tip: The presence of absolute words and phrases can also help you determine the
correct answer to a multiple-choice item. If answer choices contain an absolute (e.g., none,
never, must, cannot), be very cautious. Remember that there are not many things in the world
that are absolute, and in an area as complex as nursing, an absolute may be a reason to
eliminate it from consideration as the best choice. This is only a guideline and should not be
taken to be true 100% of the time; however, it can help you reduce the number of choices.
\.The nurse assesses a 5-year-old child after a shunt procedure is performed to correct increased
intracranial pressure. Which finding is of most concern?
1
Marked irritability
