Peds Exam One Review Questions
A nurse is teaching parents of a 2-year-old child about discipline and limit setting. When describing the use of time out, the nurse would inform the parents that the maximum duration of time out should be how many minutes per year of age?
1 minute
A 13-year-old girl has grown rapidly in height over the past 2 years and is taller than most of the boys in her class. She wonders when she will stop growing. What should the nurse tell her as a general guideline for the ages at which most girls stop growing?
16 to 17 years olf
When assessing the oral cavity of a 2 1/2-year-old toddler, which finding is expected?
20 deciduous teeth
A nurse is working with the local community on promoting physical fitness for children. The nurse encourages the community to develop programs that meet the needs of the school-aged child for physical activity, based on the understanding that this age group requires how much physical activity daily?
60 minutes
Which piece of equipment is most helpful in determining airway obstruction in the client with asthma?
A peak flow meter
A nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first?
A school-age child with dysphagia, drooling, and hoarse voice
An infant is brought to the emergency department with acetaminophen poisoning. Which medication should the nurse expect to administer to this child?
Acetylcysteine
A 13-year-old boy has had a near-drowning experience. The nurse notices he has labored breathing and a cough. Which of the following would be priority?
Administering 100% oxygen by mask
The nurse is caring for a 24-month-old child with a fever of 101. The child also exhibits a toxic appearance. Which of the following would the nurse expect to implement?
Administering antibiotics as ordered
What would be most effective in helping promote initiative and nutritional health for a preschooler?
Allowing the child to spread soft cheese on crackers
When assessing a child and his parents during a well-child visit, the nurse determines that the child is experiencing night terrors. Which oof the following would the nurse be most likely to suggest to assist the parents in dealing with this issue?
Allowing the episode to take its course
A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like to play with dolls. How should this behavior be interpreted?
Appropriate social development
A child is brought into the emergency department. After assessing a child's airway, breathing, and circulation. Which of the following would the nurse do next?
Assess level of consciousness
The nurse is called into a toddler's room. The child's mother says "he's having trouble breathing." What should the nurse do first?
Assess patency of the child's airway
A child presents to the emergency department via ambulance in critical condition following a traumatic motor vehicle crash. What would the first action of the nurse be?
Assess the child's airway and manage airway patency
A child is exhibiting symptomatic bradycardia that has been unresponsive to ventilation and oxygenation. Which of the following would the nurse expect to be administered?
Atropine
A home health care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning?
Avoid unattended baths for the toddler
The nurse is assessing a 6-week-old infant in the clinic. Which characteristic represents normal language development for this age?
Babbling
The nurse is performing a well-child assessment on a 2-week-old infant. The nurse asks why her baby only breathes out of his nose and does not seem to mouth breathe. What information can the nurse provide to the mother?
Babies are nose breathers for about the first 4 weeks of life
A nurse is working withe a preceptor in a well-baby clinic that deals with children aged birth to 12 years old. During the routine physical assessment of a 2-year-old, the nurse identifies which finding as being abnormal for this age group?
Blood pressure of 116/80 mm Hg
A nurse is conducting a presentation for a community parent group about respiratory conditions in children. The nurse determines that the teaching was successful when the group identifies which of the following as one of the most common conditions seen during early childhood?
Croup
An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an injection?" This girls question is evidence that she has developed which cognitive skill?
Decentering
A school health nurse is supporting a 15-year-old young woman with acne. What is a common myth related to acne in adolescent populations?
Diet plays a significant role in acne production
A nurse is carrying on a conversation with a 7-year-old girl during an office visit. Which of the following is an example of the level of language development the nurse should expect in this child?
Difficulty understanding the concept of "half past" in reference to time
The parents of an 8-month-old boy voice concern to the nurse that their child is not developing motor skills as he should. What question would be appropriate for the nurse to ask in determining if their fears are warranted?
Does he move a toy back and forth from one hand to another when you give it to him?
Which type of play would the nurse use to prepare a preschooler for upcoming surgery to reduce the stress of the event?
Dramatic play
The nurse is caring for a chronically ill adolescent client. What can the nurse do to maintain stimulation and support the client's sense of identity while hospitalized?
Encourage communicating with friends through social media
A 15-year-old male complains of persistent scrotal pain, edema, and nausea since being hit in the groin by a baseball 3 hours ago. Which is the priority action by the nurse?
Ensuring that the teen is assessed by the physician immediately
An unconscious client is brought into the emergency department after ingesting too much prescribed medication. What is the highest priority nursing intervention?
Establish a patent airway
A 12-year-old boy has broken his arm and is showing signs and symptoms of shock. Which of the following should the nurse do first?
Establish a suitable IV site
The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?
Falls when bending over to tough toes
A young child arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The parent informs the nurse that the rash started a day before on the exterior surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The health care provider diagnoses the child with erythema infectiosum. The nurse tells the parent that this is also known as:
Fifth disease
A toddler's mother reports that her child will only eat peanut butter and jelly sandwiches for several days in a row. The child will then refuse to eat them for several weeks. Which term would the nurse use to document this behavior?
Food jag
The mother of a toddler is frustrated because no matter what she asks of the child, the response is "no." What can the nurse suggest to the mother to assist with this problem?
Give the child secondary, not primary, choices
A 12-year-old child tells the school nurse, "I do not understand why my parents will not allow me to go to concerts without chaperones like some of my friends parents. I feel like a baby compared to my friends."
Have you given any though to why they don't let you go without a chaperone? Let's talk about some of the reasons they feel this way
A child who is experiencing an exacerbation of asthma is brought to the emergency department by his parents. When reviewing the child's laboratory and diagnostic test results, which is consistent with the diagnosis
Hyperinflation of lungs on chest radiograph
The nurse is caring for the family of a pediatric client during resuscitative efforts of their child following an accident. Which response by the nurse would be best?
I am here to answer your questions and will be with you during this difficult time
A child with a suspected airway obstruction is brought to the emergency room. He produces a harsh, strident sound on inspiration. Where is the obstruction likely to be located, based on this information?
In the larynx
The nurse is assessing a 5-year-old child. Which assessment finding would be documented as abnormal?
Inability to state address
The nurse has just completed an assessment on a child who voices an interest in how things are made and who needs support when they are not successful. The child reports he is involved in clubs and sports outside the home. The nurse is aware that this child is in which of Erikson's states of development?
Industry versus inferiority
The nurse is performing CPR on a child who is a victim of near-drowning experience. How should the nurse open the child's airway to provide breaths?
Jaw-thrust maneuver
After teaching a group of nursing students about developmental milestones for children, between the ages of 1 to 4 years, the instructor determines that the teaching was successful when the students identify which of the following as a gross motor developmental milestone that occurs between 2 to 3 years of age?
Jumping in place
When educating parents of preschoolers what is most important to include in your presentation?
Keep chemicals in a locked cabinet
A nurse is caring for a stable toddler diagnoses with accidental poisoning due to the ingestion of cleaning solution. What must be included in teaching parents about how to protect a toddler from accidental poisoning?
Keep cleaning solutions locked up
Patty calls the hospital nursing hotline and asks, "My 8-week-old daughter cries 8 hours a day, and she is hard to console, is that normal?" What should the nurse's response be to this mother?
Let me ask you more questions to see if there are symptoms of colic
A nurse is conducting a secondary assessment of a child who has experienced multiple traumas. When inspecting the child's back, which of the following would be most appropriate to do?
Log roll the child to the side
The nurse is caring for a 2-year-old diagnosed with bacterial pneumonia. The child has been placed in a mist tent. In caring for the child, it is important for the nurse to:
Monitor the child regularly for signs of cyanosis
The mother of a 3-month-old baby is concerned because the child is not able to sit independently. How should the nurse respond to this mother's concern?
Most babies do not sit steadily until 8 months
A nurse is reading a journal article about adolescents and major causes of injuries in this age group. The nurse demonstrates understanding of this information by identifying which situation as the major cause of adolescent injuries?
Motor vehicle crashes
The nurse is caring for a 5-year-old child. The child's parent reports that the parent and child are constantly fighting about the child's choice of clothing. The child insists on selecting ones own clothes. The parent is tired of the power struggle and is embarrassed by the child's mismatched apparel. The parent asks for guidance. How should the nurse respond?
Offer two or three coordinated outfits and let the child choose
A father and his 4-year-old son are waiting in an exam room when the nurse enters and greets them. Which activity that the nurse observes the boy doing would best demonstrate the primary developmental task of the preschool-age child, according to Erikson?
Opening drawers in the room, pulling out supplies, and examining them
The parents of a 10-year-old boy report they are having problems with their son. The child's mother reports her son is not a talented athlete but her husband continues to encourage him to play and excel. The child's father reports sports will help his son build character. What response by the nurse is most appropriate?
Perhaps another pursuit would be better suited for your son
A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time?
Preparation for an emergency endoscopy to remove the batteries
The nurse is caring for a child who has been admitted with a possible diagnosis of tuberculosis. Which laboratory/diagnostic tools would most likely be used to help diagnose this child?
Purified protein derivative test
The nurse is teaching the preschooler's parents injury prevention. Which method would the nurse advise for the parents as the best way to enforce injury prevention?
Repetition and reinforcement
A 10-year-old boy has just arrived by ambulance at the emergency room following a motor vehicle accident, and a nurse is assessing him. Which three body systems should the nurse evaluate first?
Respiratory, cardiovascular, and neurologic
A parent brings the 4-year-old child for a check-up. Which finding would concern the nurse?
Resting pulse rate of 120
When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which of the following?
Rules
Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?
Sitting independently
The nurse is assessing a 4-year-old. Which assessment would the nurse identify as being of the highest concern?
Stands on one foot for about 3 seconds
A 5-year-old girl who was already admitted to the hospital for an unrelated condition suddenly becomes irritable, restless, and anxious. These may be early signs of respiratory distress in a child if accompanied by:
Tachypnea
A 5-month-old infant being assessed was born at 32 weeks. The nurse doing the well-child check-up should compare the baby to what norms?
The development of a 3-month-old
When caring for children with respiratory issues in relationship to the anatomy and physiology of the child's respiratory system, it is important to recognize which of the following?
The diameter of the child's trachea is about the size of the child's little finger
A father brings his 2-year-old son in for a well visit. The nurse assesses his growth since the last appointment. Which finding should concern the nurse?
Total weight gain of 15lb in the past year
An adolescent comes into the emergency department with a foot wound. Upon assessment, the nurse learns that the patient is a runaway and has been living on the streets. Which is the most appropriate care for the nurse to provide to the client at this time?
Treat the wound and provide wound care supplies
When assessing a child for the probable cause of acute bronchiolitis, the nurse focuses on which factor?
Viral infections
The nurse is reinforcing teaching with the family caregivers of a child diagnosed with tuberculosis who is being treated with the drug rifampin. Which statement made by the caregivers indicates an understanding of this medication?
While taking this medication, I won't worry if her tears look orange