d d d d d d
ment Pediatrics 26th Edition questions and an
d d d d d d
swers 204 d
Thedschooldnursedisdeducatingdthedparentsdofdadchilddwithdinfectiousdconjunctivitis.dWhichdo
fdthedfollowingdstatementsdbydthednursedwoulddbedmostdhelpfuldfordthedparentsdrelateddtodpr
evention?
A. "Usedalldthedmedicationdasddirected."
B. "Don'tdusedanythingdthatdtouchesdherdface."
C. "Thisdcoulddhavedstarteddwithdadheaddcold."
D. "Placedthedointmentdinsidedthedlowerdeyelid."d-dB
Ad7-month-
olddisdscheduleddfordsurgicaldcorrectiondofdstrabismus.dThedchild'sdmotherdsaysdtodthednur
se,d"I'mdgladdmydchilddwilldneverdhavedtodweardthatdpatchdagain."dWhichdofdthesedresponse
sdwoulddbedmostdappropriatedfordthednursedtodmake?
A. "Yourdchilddwilldneverdneeddtodweardthedpatchdagain."
B. "Yourdchilddwilldneeddtodweardthedpatchdfordadfewddaysdtodkeepdhim/herdfromdrubbingdordp
uttingdpressuredondthedeye."
C. "Yourdchilddwilldneeddtodweardthedpatchdfordseveraldmonthsdtodkeepdthedeyedinda
lignment."
D. "Yourdchilddwilldhavedtodbedindrestraintsdfordadweekdtodkeepdhim/herdfromdrubbingdthede
ye."d-dB
Ad4-month-
olddinfantdisdseendatdthedambulatorydcaredclinicdandddiagnoseddwithdnasolacrimaldductdobst
ruction.dThedmotherdasksdwhatdcandbeddone.dWhatdinformationdshoulddbedincludeddindthedi
nformationdprovideddtodthedparent?
A. Oncedthedchilddisd6dtod9dmonthsdolddadspecialistdwilldbedabledtoddraindthedduct.
,B. Mostdofdthesedconditionsdwilldspontaneouslydresolve.
C. Antiviraldtherapydcandbedprescribeddtodmanagedthisdcondition.
D. Over-the-counterddropsdcandbeduseddsparingly.d-dB
Ad17-year-
olddgirldhasdbeenddiagnoseddwithdbulimiadnervosa.dWhichdcomplicationdshoulddthednursedc
arefullydassessdfordindthisdclient?
A. Severederosiondofdteeth
B. Hypertension
C. Diabetesdmellitus
D. Atherosclerosisd-dA
Thednursedisdperformingdadphysicaldexaminationdofdad5-year-
olddboy.dWhichddocumenteddfindingsdwoulddmostdstronglydindicatedmaltreatmentdofdthedchi
ld?dSelectdalldthatdapply.
A. Cutsdanddbruisesdondthedhands
B. Burnsdondtheddorsaldsurfacedofdthedhand
C. Adcurveddlacerationdondthedback
D. Lineardlesionsdacrossdthedchestdanddabdomen
E. Adbruisedondthedchild'sdknee
F. Adscabdondthedchild'sdelbowd-dA,dB,dC,dD
And11-year-
olddboydhasdrecentlydbeendprescribeddmethylphenidate.dThedmotherdcallsdthedpediatrician'
sdofficedtodspeakdwithdthedadvanceddpracticedpediatricdnursedpractitioner.
Thisdmotherdhasdbeendextremelydresistantdtodmedicationdanddinsistsdthatdthedmedicationdis
dnotdworking.dHowdshoulddthednursedrespond?
A. "Telldmedwhatdmakesdyoudthinkdthedmedicationdisdnotdworking"
B. "Dodyoudwantdtodtrydaddifferentdmedication?"
C. "Aredyoudsuredyoudaredadministeringditdproperly"
D. "Dodyoudwantdtodincreasedtheddosage?"d-dA
,Adnursedisdassessingdad5-year-
olddboydanddsuspectsdthatdthedchilddmaydhavedandautismdspectrumddisorder.dWhichdasses
smentsdwoulddhelpdsupportdthednurse'sdsuspicions?
Selectdalldthatdapply.
A. Inabilitydtodmakedeyedcontact
B. Hypersensitivitydtodtouch
C. Lackdofdfacialdexpression
D. Distinctdinterestdindothersdarounddhim
E. Easilyddistracteddfromdplayingd-dB,dC
Andextremelydthindpreadolescentdisdbeingdassesseddbydthednurse.dWhichdclientdstatementds
houlddthednursedidentifydasdbeingdconsistentdwithdthatdofdadpersondwithdanorexiadnervosa?
A. "I'ddlikedtodgrowdupdtodbedadmodel."
B. "I'ddlikedtodgaindweightdbutdjustdcan't."
C. "IdfeeldchubbydnodmatterdwhatdIdwear."
D. "I'mdafraiddthatdsomeonedisdpoisoningdmydfood."d-dC
Andotherwisedhealthyd18-month-olddchilddwithdadhistorydofdfebriledseizuresdisdindthedwell-
dchilddclinic.dWhichdstatementdbydthedfatherdwoulddindicatedtodthednursedthatdadditionaldtea
chingdshoulddbeddone?
A. "Idhavedibuprofendavailabledindcasedit'sdneeded."
B. "Mydchilddwilldlikelydoutgrowdthesedseizuresdbydaged5."
C. "Idalwaysdkeepdphenobarbitaldwithdmedindcasedofdadfever."
D. "Thedmostdlikelydtimedfordadseizuredisdwhendthedfeverdisdrising."d-dC
Ad6-month-
olddinfantdisdadmitteddwithdaddiagnosisdofdbacterialdmeningitis.dThednursedwoulddplacedthedi
nfantdindwhichdroom?
A. Adroomdwithdad12-month-olddinfantdwithdadurinarydtractdinfection
B. Adroomdwithdand8-month-olddinfantdwithdfailuredtodthrive
C. Adprivatedroomdneardthednurses'dstation
, D. Adtwo-beddroomdindthedmiddledofdthedhalld-dC
Thedparentsdofdadchilddwithdadhistorydofdseizuresdwhodhasdbeendtakingdphenytoind(Dilantin)d
askdthednursedwhydit'sddifficultdtodmaintaindtherapeuticdplasmadlevelsdofdthisdmedication.dW
hichdstatementdbydthednursedwoulddbedmostdaccurate?
A. "Addropdindthedplasmaddrugdleveldwilldleaddtodadtoxicdstate."
B. "Thedcapacitydtodmetabolizedtheddrugdbecomesdoverwhelmeddoverdtime."
C. "Smalldincrementsdinddosagedleaddtodsharpdincreasesdindplasmaddrugdlevels."
D. "Largedincrementsdinddosagedleaddtodadmoredrapiddstabilizingdtherapeuticdeffect."d-dC
Adpanickeddmotherdcallsdthedhealthdcaredprovider'sdofficedanddreportsdthatdherd5-year-
olddhasdadhighdfeverdanddjustdhaddadseizure.dThedmotherdasksdthednursedwhatdshedshoulddd
o.dWhichdisdthednurse'sdbestdresponse?
A. Reportdtodthedemergencydroomdfordmedicaldevaluation
B. Immersedthedchilddindadbathtubdofdtepiddwater
C. Administerdoraldacetaminophendperdpackageddirections
D. Removedanydheavydclothingdanddcoverdwithdadthindsheetd-dA
Thednursedisdassessingdad7-year-
olddwithdadhearingdaid.dHisdmotherdsaysdhedisdlosingdhisdhearingdagain.dWhichdfindingdwoul
ddthednursedidentifydasdcontributingdtodthisdcurrentdcomplaint?
A. Overproductiondofdcerumen
B. Sorenessdofdthedouterdear
C. Historydofdadnormaldtermdbirth
D. Thedeardrumdrespondsdtodadpuffdofdaird-dA
Thednursedisdtakingdadhealthdhistorydfordad9-year-
olddwithdconjunctivitis.dWhichdstatementdbydthedparentsdleadsdthednursedtodsuspectdthatdth
edchilddisdexperiencingdallergicdconjunctivitis?
A. "Hedrecentlydhelpeddcleandthedbasement.
B. "Hedwasdexposeddtodseveraldfamilydmembersdwithdandinfection.