Pediatrics Final EXAM QUESTIONS AND
ANSWERS
The nurse is discussing treatments for a 16-year-old with acne. Which of the
following statements is correct about acne treatments? - ANSWER>>"Avoid
using sunscreen while taking acne medication."
A nurse participates in a staff conference where discussion was focused on an
infant diagnosed with Non-organic Failure to Thrive (NFTT). Which of the
following outcomes indicate to the health care team that the teachings and
interventions given to the family was successful? - ANSWER>>the family
demonstrates nurturing behaviors towards the infant
A nurse is reading the health record of her client with Hodgkin's disease. Which
of the following symptoms would the nurse expect to see in the record
considering the diagnosis? - ANSWER>>Nontender, soft tumors in the
abdominal area
In a pediatric clinic the mother of a 3-month-old child tells the nurse the child
doesn't gain weight, has constant ear infections, fever, mouth infection (oral
candidiasis), and diarrhea. On examination, the physician confirms that the child
also has hepatosplenomegaly. The nurse suspects the child has a diagnosis of: -
ANSWER>>Chronic otitis media
The mother of an 8-year-old girl is concerned because her daughter is
developing pubic hair and enlarged breast tissue. The nurse's best response
would be: - ANSWER>>"At what age did you begin puberty?"
A school-age child is being discharged home after being treated for respiratory
distress from an asthma attack. Which of the following outcomes indicate that
,the nursing care instructions provided to the family is successful? -
ANSWER>>the family demonstrates the ability to provide home care
An infant was born with developmental dysplasia of the hip. His father states, "I
am glad we will only have to triple his diaper for a few days. They look so
uncomfortable." The nurse should reply: - ANSWER>>"Tell me what you
understand about the infant's hip problem"
The mother of a child with a diagnosis of transposition of the great arteries asks
what kind of medication the nurse is giving the child. The nurse tells the mother
that the child is receiving prostaglandin E. The mother asks why this medication
is necessary. The nurse replies that the medication: - ANSWER>>Maintains
adequate cardiac output and oxygen saturation
The nurse is caring for a child with a diagnosis of coarctation of the aorta. Who
has congestive heart failure. Which of the following symptoms is also related to
this diagnosis? - ANSWER>>Strong, bounding pulse in both arms, thready and
weak pulses in the legs
A nurse is caring for an infant with a diagnosis of tetralogy of Fallot (TOF). The
nurse knows that there are four defects associated with TOF. They are: -
ANSWER>>Right ventricular hypertrophy, pulmonary stenosis, ventricular septal
defect, and overriding aorta
The nurse is caring for a child with Kawasaki's syndrome. The child is in the
subacute phase of the disease. Which manifestations would the nurse expect to
observe? SATA - ANSWER>>- Swollen hands and feet
- Sloughing of the skin of the lips, hands, and feet
- Conjunctival hyperemia Pain in the joints
The nurse is reviewing the physician's orders for a child with hemophilia.
Indicate the orders that the nurse might expect to see written in the child's
chart. SATA - ANSWER>>- Avoid carbonated beverages
, - Avoid salicylates
- Avoid unnecessary invasive procedures
The nurse is caring for a pediatric client after a kidney transplant. The nurse
knows this client has the potential for organ rejection and monitors the
following closely: - ANSWER>>Urinary function, fluid and electrolyte balance
Children are generally more physically active during the summer months. In
caring for the child with type I diabetes mellitus, what changes in the plan of
care should be expected? - ANSWER>>Increase food intake
The nurse instructor asks a nursing student in the class to describe acute
lymphoblastic leukemia (ALL). The instructor realizes the nursing student does
not need further instruction in the disease when the student states: -
ANSWER>>"ALL is the overproduction of immature lymphocytes"
The nurse would consider which of the following as a positive outcome in
evaluating an infant with failure to thrive? - ANSWER>>The family demonstrates
nurturing behaviors toward the infant
A child with lupus has been placed on corticosteroids for an indefinite period of
time. Which of the following are cushingoid symptoms associated with
corticosteroid administration to children? - ANSWER>>Weight gain and delayed
puberty
A mother brings her 8-year-old daughter with Cystic Fibrosis to the emergency
department. Which of the following signs and symptoms would the nurse
expect her to demonstrate on admission? SATA - ANSWER>>- Abnormally salty
tears, sweat and saliva
- Abdominal distention, undernutrition and failure to gain weight
- Large, bulky, frothy and foul-smelling stools
- Dyspnea, wheezing and respiratory distress with hypoxia
ANSWERS
The nurse is discussing treatments for a 16-year-old with acne. Which of the
following statements is correct about acne treatments? - ANSWER>>"Avoid
using sunscreen while taking acne medication."
A nurse participates in a staff conference where discussion was focused on an
infant diagnosed with Non-organic Failure to Thrive (NFTT). Which of the
following outcomes indicate to the health care team that the teachings and
interventions given to the family was successful? - ANSWER>>the family
demonstrates nurturing behaviors towards the infant
A nurse is reading the health record of her client with Hodgkin's disease. Which
of the following symptoms would the nurse expect to see in the record
considering the diagnosis? - ANSWER>>Nontender, soft tumors in the
abdominal area
In a pediatric clinic the mother of a 3-month-old child tells the nurse the child
doesn't gain weight, has constant ear infections, fever, mouth infection (oral
candidiasis), and diarrhea. On examination, the physician confirms that the child
also has hepatosplenomegaly. The nurse suspects the child has a diagnosis of: -
ANSWER>>Chronic otitis media
The mother of an 8-year-old girl is concerned because her daughter is
developing pubic hair and enlarged breast tissue. The nurse's best response
would be: - ANSWER>>"At what age did you begin puberty?"
A school-age child is being discharged home after being treated for respiratory
distress from an asthma attack. Which of the following outcomes indicate that
,the nursing care instructions provided to the family is successful? -
ANSWER>>the family demonstrates the ability to provide home care
An infant was born with developmental dysplasia of the hip. His father states, "I
am glad we will only have to triple his diaper for a few days. They look so
uncomfortable." The nurse should reply: - ANSWER>>"Tell me what you
understand about the infant's hip problem"
The mother of a child with a diagnosis of transposition of the great arteries asks
what kind of medication the nurse is giving the child. The nurse tells the mother
that the child is receiving prostaglandin E. The mother asks why this medication
is necessary. The nurse replies that the medication: - ANSWER>>Maintains
adequate cardiac output and oxygen saturation
The nurse is caring for a child with a diagnosis of coarctation of the aorta. Who
has congestive heart failure. Which of the following symptoms is also related to
this diagnosis? - ANSWER>>Strong, bounding pulse in both arms, thready and
weak pulses in the legs
A nurse is caring for an infant with a diagnosis of tetralogy of Fallot (TOF). The
nurse knows that there are four defects associated with TOF. They are: -
ANSWER>>Right ventricular hypertrophy, pulmonary stenosis, ventricular septal
defect, and overriding aorta
The nurse is caring for a child with Kawasaki's syndrome. The child is in the
subacute phase of the disease. Which manifestations would the nurse expect to
observe? SATA - ANSWER>>- Swollen hands and feet
- Sloughing of the skin of the lips, hands, and feet
- Conjunctival hyperemia Pain in the joints
The nurse is reviewing the physician's orders for a child with hemophilia.
Indicate the orders that the nurse might expect to see written in the child's
chart. SATA - ANSWER>>- Avoid carbonated beverages
, - Avoid salicylates
- Avoid unnecessary invasive procedures
The nurse is caring for a pediatric client after a kidney transplant. The nurse
knows this client has the potential for organ rejection and monitors the
following closely: - ANSWER>>Urinary function, fluid and electrolyte balance
Children are generally more physically active during the summer months. In
caring for the child with type I diabetes mellitus, what changes in the plan of
care should be expected? - ANSWER>>Increase food intake
The nurse instructor asks a nursing student in the class to describe acute
lymphoblastic leukemia (ALL). The instructor realizes the nursing student does
not need further instruction in the disease when the student states: -
ANSWER>>"ALL is the overproduction of immature lymphocytes"
The nurse would consider which of the following as a positive outcome in
evaluating an infant with failure to thrive? - ANSWER>>The family demonstrates
nurturing behaviors toward the infant
A child with lupus has been placed on corticosteroids for an indefinite period of
time. Which of the following are cushingoid symptoms associated with
corticosteroid administration to children? - ANSWER>>Weight gain and delayed
puberty
A mother brings her 8-year-old daughter with Cystic Fibrosis to the emergency
department. Which of the following signs and symptoms would the nurse
expect her to demonstrate on admission? SATA - ANSWER>>- Abnormally salty
tears, sweat and saliva
- Abdominal distention, undernutrition and failure to gain weight
- Large, bulky, frothy and foul-smelling stools
- Dyspnea, wheezing and respiratory distress with hypoxia
