Test bank for MCQs in Pediatrics Review of
Nelson Textbook of Pediatrics 10th
Edition.pdf
A child is admitted with acute glomerularnephritis. The nurse would expect the UA
during this acute phase to show which of the following?
A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity - answers B
A two year old has had one bout of nephrosis (nephrotic syndrome) His mother
suspected a recurrence when she observed swelling around his eyes. The nurse helps
to confirrm the condition by recognizing what additional sympton?
A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections - answers B
A nurse is caring for a boy with probable intusseception. He had diarrhea before
admission but while waiting for administration of air pressure to reduce the
intusseception he produced a normal brown stool. Which nursing action is the most
appropriete.
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - answers A
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which
observation indicated successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - answers A
An abdnomial flat plate xray ordered for a child admitted with suspected intussecception
reveals no free air beneath the diaphram. What order should the nurse anticipate next
from the physcian?
A. Transport child to radiology and prepare him for a barium enema
B.Transport child to radiology and prepare him for an upper GI series
C. Transport child to radiology for an enema with air or water-soluable contrast
D. Transport child to the operating room and prepare him for abdominal surgery -
answers A
,The nurse has developed a plan of care of a 12 month old hospitalized with severe
dehydration as a result of rotovirus. Which intervention would the nurse include in the
plan of care?
A. Encourage consumption of fruit juice
B. Offering Kool-Aid or popsicles as tolerated
C. Encourage soft drinks, such as cola
D. Maintaining the IV fluid rate as ordered. - answers D
A nurse is caring for an infant who is suspected of having Wilm's tumor. Upon arriving in
the room the mother is seen massaging her child's abdomen stating that this often helps
her child to expel gas. Which response wouldbe the most appropriate for the nurse to
give?
A.Massaging your childs abdomen helps with peristalis and will give him relief from
excess gas
B. It is good to know what works best for your child. We will try that if you are not here
and the baby is fussy.
C. While the doctor is running tests to rule out a kidney problem It would be best not to
massage your child's abdomen as this could cause some complications
D. It would probably be better to apply a heating pad to your baby's abdomen than to
massage it. - answers C
When interviewing the parents of a 6 month old with atopic dermatitis (infantile eczema)
they describe the following care measures. Which one would lead the nurse to think
A. The patient gives the baby a bath using a mild soap to prevent irritation
B. The parent applies lotion to the skin after bathing to increase moisture
C. The parent applies hydrocortisone cream to the lesions to decrease
D. The parent applies alcohol to the lesions to decrease risk of infection - answers D
A new born has a hpospadius with chordee. A mother is upset about her sons
apperance and asks if he will ever be normal. What wiykd be the best response to the
mother?
A. "as the baby grows, this problem with eventually go away by itself.
B. When the baby gets older, surgery will probably be done to correct the problem.
C. Having the baby circumcised will make surgery later on less complicated.
D. Sometimes administration of prostaglandins may correct the problem. - answers B
A mother was called by the health department 2 weeks after giving birth to a full-term
newborn. They reported that the baby's lab tests came back abnormal, suggesting
congenital hypothyroidism. The mother states that she will let her family doctor know
about this when she takes the baby in for his 3 month check up. How should the health
department nurse respond?
A. Letting your doctor know at his next appointment will be fine as there is nothing that
can be done right now to treat this.
B. The baby will need to be seen by a physcian immedatley so that further lab tests may
be done to confirm the diagnosis and then start treatment asap.
,C. You will need to let the doctor know immedatley so that he can add ab iodibne
supplement to the baby's formula.
D. There is no hurry for treatment, as long as the baby continues to grow and develop
normally. - answers B
An 11 month old is admitted to the pedatric unit with a diagnosis of gastroenteritis and
dehydration. Admission weight is 30 pounds. The parents states that this is a 3 pound
weight loss since she checked his weight a week ago. Using weight as a guide, the
nurse determines the child has which degree of dehydration? (round to nearest whole
number)
A. Mild
B. Moderate
C. Severe
D. Life threatening. - answers B
When developing a teaching plan for the parents of a 12 month old infant with
hypospadius with chordee repair, which of the following should the nurse expect to
include as most important?
A. Assisting the child to become familiar with his dressings so he will leave them alone
B. Encouraging the child to ambulate as soon as possible by using a push toy
C. Ensuring his daily fluid requierments of 3000 ml/day are met by offering his favorite
juice
D. Avoiding tub baths after the catheter is removed to decrrease the risk of infection -
answers D
Before assessing an infant for cryptorchidism the nurse should:
A. Allow the child to deficate
B. Allow the child to void
C. palpate the inguinal canals
D. provide a warm enviroment - answers D
A child is brought to the emergency room due to nausea, vommiting, and diarrhea.
Primary observations of dehydration are present. The electrolyte profile revels Sodium
level of 129, Potassium of 3.1 and serum C02 of 16. Based on this result, what physcian
order should the nurse anticipate to recieve.
A. Start 02@ 2l per nasal cannula and repeate the electrolyte profile in 4 hours.
B. Give a bolus of 0.9% NS and admit to the pedatric unit for rehydration
C. Call respitory therapy to do a 2 hour continuous aerosol epinephrine treatment
D. Discharge the child with instructions to the parent regarding oral rehydration therapy.
- answers B
A child is being admitted to rule out acute glomerular nephritis. Parents report that the
child had a sore through two weeks ago. Upon admission an Antistreptolysin O (ASO)
titer test was done and revealed a result of 12 units. The upper limits of the normal ASO
titer is 250 units. The titer level indicated that
A. The child is currently suffering from an over-whelming steptoccoal infections
, B. The child has recovered from a streptococcal infection in the recent past
C. The child had long ago developed immunicty against all strains of streptocci
D. The child's throat infection probably was caused by an organism other than
streptoccus. - answers B
A 2 year old is being treated for congenital hypothyroidism. The parents are seeking
medical attention today due to the child's change in behavior. They have noticed a
decrease in appetite and difficulty sleeping over the past several weeks. The nurse
expects the physcian to check the throid levels and then:
A. Increase the amount of thyroid hormone as these are signs of insufficent
replacement therapy.
B. Decrease the amount of thyroid horomone as these are signs of too much
replacement therapy.
C. Maintain the current dose of thyroid horomone as these are normal behaviors in a 2
year old child
D. Prescribe vitamin C to be given with the replacement therapy to enhance absorption.
- answers B
A 3 month old is admitted to the hospital with gastroenteritits and moderate dehydration.
His electrolyte panel is as follows: NA 124 and K 3.4. Based on this lab work, which
type of dehydration does the infant have?
A. Isotonic
B. Hypotonic
C. Hypertonic
D. Metabolic - answers B
an infant with congenital hypothroidism has been revieving thyroxin for the past 3
months. which diagnostic test does the nurse expect to be ordered to monitor the
effectivness of this drug?
A. Electroylte profile
B. ultrasound of the thyoid
C. Serum iodine level
D. Serum T3, T4, TSH - answers D
A primary care provider has ordered a clear liquid diet for a child who is postoperative
surgical removal of a Wilm's tumor. Which of the following assessment findings requires
that the nurse clarify this order?
A. Abdominal firth 1 cm larger than yesterday
B. report of pain at the operative site
C. abscence of bowel sounds on second postoperative day
D. passing flatus every 30 minutes - answers C
1. From a worldwide perspective, infant mortality in the United States:
a. Is the highest of the other developed nations.
b. Lags behind five other developed nations.
c. Is the lowest infant death rate of developed nations.
Nelson Textbook of Pediatrics 10th
Edition.pdf
A child is admitted with acute glomerularnephritis. The nurse would expect the UA
during this acute phase to show which of the following?
A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity - answers B
A two year old has had one bout of nephrosis (nephrotic syndrome) His mother
suspected a recurrence when she observed swelling around his eyes. The nurse helps
to confirrm the condition by recognizing what additional sympton?
A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections - answers B
A nurse is caring for a boy with probable intusseception. He had diarrhea before
admission but while waiting for administration of air pressure to reduce the
intusseception he produced a normal brown stool. Which nursing action is the most
appropriete.
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - answers A
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which
observation indicated successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - answers A
An abdnomial flat plate xray ordered for a child admitted with suspected intussecception
reveals no free air beneath the diaphram. What order should the nurse anticipate next
from the physcian?
A. Transport child to radiology and prepare him for a barium enema
B.Transport child to radiology and prepare him for an upper GI series
C. Transport child to radiology for an enema with air or water-soluable contrast
D. Transport child to the operating room and prepare him for abdominal surgery -
answers A
,The nurse has developed a plan of care of a 12 month old hospitalized with severe
dehydration as a result of rotovirus. Which intervention would the nurse include in the
plan of care?
A. Encourage consumption of fruit juice
B. Offering Kool-Aid or popsicles as tolerated
C. Encourage soft drinks, such as cola
D. Maintaining the IV fluid rate as ordered. - answers D
A nurse is caring for an infant who is suspected of having Wilm's tumor. Upon arriving in
the room the mother is seen massaging her child's abdomen stating that this often helps
her child to expel gas. Which response wouldbe the most appropriate for the nurse to
give?
A.Massaging your childs abdomen helps with peristalis and will give him relief from
excess gas
B. It is good to know what works best for your child. We will try that if you are not here
and the baby is fussy.
C. While the doctor is running tests to rule out a kidney problem It would be best not to
massage your child's abdomen as this could cause some complications
D. It would probably be better to apply a heating pad to your baby's abdomen than to
massage it. - answers C
When interviewing the parents of a 6 month old with atopic dermatitis (infantile eczema)
they describe the following care measures. Which one would lead the nurse to think
A. The patient gives the baby a bath using a mild soap to prevent irritation
B. The parent applies lotion to the skin after bathing to increase moisture
C. The parent applies hydrocortisone cream to the lesions to decrease
D. The parent applies alcohol to the lesions to decrease risk of infection - answers D
A new born has a hpospadius with chordee. A mother is upset about her sons
apperance and asks if he will ever be normal. What wiykd be the best response to the
mother?
A. "as the baby grows, this problem with eventually go away by itself.
B. When the baby gets older, surgery will probably be done to correct the problem.
C. Having the baby circumcised will make surgery later on less complicated.
D. Sometimes administration of prostaglandins may correct the problem. - answers B
A mother was called by the health department 2 weeks after giving birth to a full-term
newborn. They reported that the baby's lab tests came back abnormal, suggesting
congenital hypothyroidism. The mother states that she will let her family doctor know
about this when she takes the baby in for his 3 month check up. How should the health
department nurse respond?
A. Letting your doctor know at his next appointment will be fine as there is nothing that
can be done right now to treat this.
B. The baby will need to be seen by a physcian immedatley so that further lab tests may
be done to confirm the diagnosis and then start treatment asap.
,C. You will need to let the doctor know immedatley so that he can add ab iodibne
supplement to the baby's formula.
D. There is no hurry for treatment, as long as the baby continues to grow and develop
normally. - answers B
An 11 month old is admitted to the pedatric unit with a diagnosis of gastroenteritis and
dehydration. Admission weight is 30 pounds. The parents states that this is a 3 pound
weight loss since she checked his weight a week ago. Using weight as a guide, the
nurse determines the child has which degree of dehydration? (round to nearest whole
number)
A. Mild
B. Moderate
C. Severe
D. Life threatening. - answers B
When developing a teaching plan for the parents of a 12 month old infant with
hypospadius with chordee repair, which of the following should the nurse expect to
include as most important?
A. Assisting the child to become familiar with his dressings so he will leave them alone
B. Encouraging the child to ambulate as soon as possible by using a push toy
C. Ensuring his daily fluid requierments of 3000 ml/day are met by offering his favorite
juice
D. Avoiding tub baths after the catheter is removed to decrrease the risk of infection -
answers D
Before assessing an infant for cryptorchidism the nurse should:
A. Allow the child to deficate
B. Allow the child to void
C. palpate the inguinal canals
D. provide a warm enviroment - answers D
A child is brought to the emergency room due to nausea, vommiting, and diarrhea.
Primary observations of dehydration are present. The electrolyte profile revels Sodium
level of 129, Potassium of 3.1 and serum C02 of 16. Based on this result, what physcian
order should the nurse anticipate to recieve.
A. Start 02@ 2l per nasal cannula and repeate the electrolyte profile in 4 hours.
B. Give a bolus of 0.9% NS and admit to the pedatric unit for rehydration
C. Call respitory therapy to do a 2 hour continuous aerosol epinephrine treatment
D. Discharge the child with instructions to the parent regarding oral rehydration therapy.
- answers B
A child is being admitted to rule out acute glomerular nephritis. Parents report that the
child had a sore through two weeks ago. Upon admission an Antistreptolysin O (ASO)
titer test was done and revealed a result of 12 units. The upper limits of the normal ASO
titer is 250 units. The titer level indicated that
A. The child is currently suffering from an over-whelming steptoccoal infections
, B. The child has recovered from a streptococcal infection in the recent past
C. The child had long ago developed immunicty against all strains of streptocci
D. The child's throat infection probably was caused by an organism other than
streptoccus. - answers B
A 2 year old is being treated for congenital hypothyroidism. The parents are seeking
medical attention today due to the child's change in behavior. They have noticed a
decrease in appetite and difficulty sleeping over the past several weeks. The nurse
expects the physcian to check the throid levels and then:
A. Increase the amount of thyroid hormone as these are signs of insufficent
replacement therapy.
B. Decrease the amount of thyroid horomone as these are signs of too much
replacement therapy.
C. Maintain the current dose of thyroid horomone as these are normal behaviors in a 2
year old child
D. Prescribe vitamin C to be given with the replacement therapy to enhance absorption.
- answers B
A 3 month old is admitted to the hospital with gastroenteritits and moderate dehydration.
His electrolyte panel is as follows: NA 124 and K 3.4. Based on this lab work, which
type of dehydration does the infant have?
A. Isotonic
B. Hypotonic
C. Hypertonic
D. Metabolic - answers B
an infant with congenital hypothroidism has been revieving thyroxin for the past 3
months. which diagnostic test does the nurse expect to be ordered to monitor the
effectivness of this drug?
A. Electroylte profile
B. ultrasound of the thyoid
C. Serum iodine level
D. Serum T3, T4, TSH - answers D
A primary care provider has ordered a clear liquid diet for a child who is postoperative
surgical removal of a Wilm's tumor. Which of the following assessment findings requires
that the nurse clarify this order?
A. Abdominal firth 1 cm larger than yesterday
B. report of pain at the operative site
C. abscence of bowel sounds on second postoperative day
D. passing flatus every 30 minutes - answers C
1. From a worldwide perspective, infant mortality in the United States:
a. Is the highest of the other developed nations.
b. Lags behind five other developed nations.
c. Is the lowest infant death rate of developed nations.
