Peds Practice Quiz
The mother of a child who underwent a myringotomy with insertion of pressure equalizing tubes (PE Tubes) calls a nurse and reports that the child is complaining of discomfort. Which of the following is the most appropriate response? A) "Give the child acetaminophen (Tylenol) for the discomfort." B) "Give the child children's aspirin for the discomfort." C) "You need to speak to the physician because the child should not be having any discomfort." D) "I will speak to the physician so that a narcotic can be prescribed."
A) "Give the child acetaminophen (Tylenol) for the discomfort."
A 2-year old child is treated in the emergency room for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents prior to discharge. Which statement, if made by the parents, indicates an understanding of the measures to provide safety in the home? A) "We will be sure not to leave hot liquids unattended." B) "We will install a safety gate as soon as we get home so the children can't get into the kitchen." C) "We will be sure that the children stay in their rooms when we work in the kitchen." D) "I guess my children need to understand what the word 'hot' means."
A) "We will be sure not to leave hot liquids unattended."
To bring about effective communication with any child, the nurse must first take into consideration the child's: A) Developmental level B) Fear of authoritarian figure C) Ability of self-expression D) State of health
A) Developmental level
A nurse assesses the vital signs of a 12-month old infant with a respiratory infection. The respiratory rate is 35 breaths per minute. On the basis of this finding, which action is most appropriate? A) Document the findings B) Administer oxygen C) Notify the physician D) Reassess the respiratory rate in 15 minutes
A) Document the findings
The social development of a 9-month old infant is best promoted by having the infant: A) Play peek-a-boo and bye-bye B) Play with a large ball with a bell C) Pound on a pegboard D) Manipulate soft clay
A) Play peek-a-boo and bye-bye
Before giving a 2-month old child the first DTaP immunization, the nurse discusses with the mother the possible reactions that may occur because these reactions are: A) Quite common and may be either local or systemic B) Often serious and may require hospitalization C) Sometimes responsible for deep ulceration at the site of injection D) Often responsible for permanent neurologic damage
A) Quite common and may be either local or systemic
A student nurse is caring for a 2-year old child diagnosed with croup. A nursing instructor asks the student about the clinical manifestations associated with croup. Which statement by the student indicates a need for further research? A) "Symptoms usually worsen at night and are better during the day." B) "Symptoms usually worsen during the day and are relieved during sleep." C) "Inspiratory stridor and a low-grade fever may be present." D) "The cough is harsh and brassy."
B) "Symptoms usually worsen during the day and are relieved during sleep."
A young baby has an open repair of a fractured sternum and has a chest tube. The nurse explains to the baby's mother that the chest tube: A) Drains the extra air in the baby's chest that accumulated following the punctured lung B) Is left in to drain the air from the chest cavity that entered during surgery C) Will be removed once the baby is feeding well and is afebrile D) Does not cause discomfort and is put in place for emergency use
B) Is left in to drain the air from the chest cavity that entered during surgery
When teaching parents to instill eardrops in an 18-month-old child, the nurse shows them how to: A) Cleanse the ear canal by pulling the pinna up and down B) Straighten the auditory canal by pulling the pinna down and back C) Apply medicated ear wicks tightly before instilling the ear drops D) Straighten the auditory canal by pulling the ear lobe up and back
B) Straighten the auditory canal by pulling the pinna down and back
A nurse is assigned to care for an 8-year old child with a diagnosis of a basilar skull fracture. The nurse reviews the physician's orders and contacts the physician to question which order? A) Maintain a patent IV line B) Suction prn C) Daily weight D) Clear liquid intake only
B) Suction prn
A child who was found face down in a water-filled ditch is brought to the emergency room. The child, who has a pulse of 50 beats per minute but no spontaneous respirations, is intubated and bagged with 100% oxygen. The most important nursing measure at this time is to: A) Call the pediatric ICU to inform them of the child's admission B) Suction the endotracheal tube, mouth, and nasal passages C) Assist the physician in delivering intracardiac medications D) Start an intravenous line to provide fluid and electrolytes
B) Suction the endotracheal tube, mouth, and nasal passages
The abnormal finding that a nurse would expect to observe during an assessment of a 1-month old infant admitted to the hospital with hydrocephalus would be that: A) The infant's head circumference is larger than the chest circumference B) The infant's anterior fontanel is tense on palpation C) The infant demonstrates poor eye muscle coordination D) The infant is unable to support the head and shoulders while prone
B) The infant's anterior fontanel is tense on palpation
A mother of a 16-year old tells a nurse that she is concerned because the child sleeps about 8 hours every night and until noontime every weekend. The most appropriate nursing response is which of the following? A) "If the child eats properly, that shouldn't be happening." B) "The child probably is anemic and should eat more foods containing iron." C) "Adolescents need that amount of sleep every night." D) "The child shouldn't be staying up so late at night."
C) "Adolescents need that amount of sleep every night."
A child is scheduled for a tonsillectomy in a day-stay surgical unit. On the day following surgery, the mother calls the surgical unit and expresses concern because the child has a very bad mouth odor. Which of the following responses is most appropriate? A) "The child probably has an infection." B) "Have the child gargle with mouthwash every 4 hours." C) "Bad mouth odor is normal and may be relieved by drinking more liquids." D) "You need to contact the physician immediately."
C) "Bad mouth odor is normal and may be relieved by drinking more liquids."
A physician has prescribed phenobarbital sodium, 25 mg po BID, for a child with febrile seizures. The medication label reads: phenobarbital sodium, 20 mg per 5 mL. A nurse has determined that the dosage prescribed is a safe dose for the child. The nurse prepares to administer how many milliliters per dose to the child? A) 2 mL B) 4.5 mL C) 6.25 mL D) 7.0 mL
C) 6.25 mL
The nurse recognizes that behaviors typical of an 9-month old include: A) Smiling spontaneously, clasping hands, and keeping the head steady when sitting B) Removing some clothing, building a tower of two cubes, and stooping to pick up toys C) Being shy with strangers, playing peek-a-boo, and standing holding on to furniture D) Drinking from a cup, using the words "mama" and "dada," and standing alone
C) Being shy with strangers, playing peek-a-boo, and standing holding on to furniture
A 15 months old come into the clinic for a well-child check-up. The child was last seen at 9 months and was up to date for his immunizations at his 9 month check-up. What immunization should the 15 month old recieve today (if we only give one shot)? A) Diphtheria, tetanus, and pertussis vaccine B) Tetanus toxoid C) Measles, mumps, rubella vaccine D) Polio vaccine
C) Measles, mumps, rubella vaccine
A clinic nurse prepares to administer an MMR (measles, mumps, rubella) vaccine to a 5-year old child. The nurse administers the vaccine: A) Subcutaneously in the gluteal muscle B) Intramuscularly in the anterolateral aspect of the thigh C) Subcutaneously in the outer aspect of the upper arm D) Intramuscularly in the deltoid muscle
C) Subcutaneously in the outer aspect of the upper arm
Penicillin V, 250 mg po every 8 hours, is prescribed for a child with a respiratory infection. The child's weight is 45 pounds. The safe pediatric dosage is 25 ot 50 mg/kg/day. The nurse determines that: A) The dose is too low B) The dose is too high C) The dose is within the safe dosage range D) There is not enough information to determine the safe dose
C) The dose is within the safe dosage range
A nurse is performing an assessment of a 7-year old child who is suspected of having episodes of absence seizures. Which of the following assessment questions to the mother will assist in providing information that will identify the symptoms associated with this type of seizure? A) "Does the muscle twitching occur on one side of the body?" B) "Does the muscle twitching occur on both sides of the body?" C) "Does twitching occur in the face and neck?" D) "Does the child have a blank expression during these episodes?"
D) "Does the child have a blank expression during these episodes?"
A 15-year old girl is grounded for 2 weeks by her parents for smoking in school. The adolescent tells the school nurse, "It's not fair that I get punished when my friends get away with doing the same thing." The nurse's most appropriate response would be: A) "The others will pay someday for lying to school authorities." B) "It is difficult enough to get teenagers to tell the truth. When parent don't act, it reinforces deceptive behavior." C) "I intend to report your friends to the principal so they can also be punished." D) "When errors in judgment are made, people must be prepared to take the consequences of their actions."
D) "When errors in judgment are made, people must be prepared to take the consequences of their actions."
An 8-year old has a tonsillectomy. During the immediate postoperative period it is most important for the nurse to ensure that the child maintains: A) Consciousness by encouraging the mother to interact with the child B) Aeration by assisting with coughing and deep breathing C) Hydration by providing cool liquids frequently D) Airway patency by placing the child in a side-lying position
D) Airway patency by placing the child in a side-lying position
A mother brings her 4-month old infant to a well baby clinic for immunizations. A nurse would prepare to administer which of the following immunizations to this infant? A) DTaP (diphtheria, tetanus, acellular pertussis), MMR (measles, mumps, rubella), IPV (inactivated poliovirus vaccine) B) Varicella and hepatitis B vaccines C) MMR, Hib (Haemophilius influenzae type b), DTaP D) DTaP, Hib, IPV
D) DTaP, Hib, IPV
A 10-year old child with asthma is treated for acute exacerbation in the emergency room. A nurse reports which of the following, knowing that it is not an indication that the condition is improving? A) Warm, dry skin B) Increased wheezing C) A pulse rate of 90 beats per minute D) Decreased wheezing
D) Decreased wheezing
The mother of an 8-year old child being treated for right lower lobe pneumonia at home calls the clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and that the acetaminophen (Tylenol) is not very effective. The nurse most appropriately tells the mother to: A) Increase the frequency of acetaminophen B) Encourage the child to lie on the left side C) Increase the dose of acetaminophen D) Encourage the child to lie on the right side
D) Encourage the child to lie on the right side
A 4-year old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention would be most appropriate to alleviate the child's fears? A) Advise the family to visit only during the scheduled visiting hours B) Provide a private room, allowing the child to bring the favorite toys from home C) Encourage play with other children of the same age D) Encouraging the child's parents to stay with the child
D) Encouraging the child's parents to stay with the child
An appropriate toy for a 3-month old infant would be a: A) Stuffed animal B) Push-pull toy C) Large plastic ball D) Metallic mirror
D) Metallic mirror
A 3-month old infant has a ventriculoperitoneal shunt inserted. The nurse plans to: A) Observe for signs of leakage of cerebrospinal fluid B) Apply sterile moist dressings to the incision C) Keep the infant in the prone position D) Teach the parents the signs of increased intracranial pressure
D) Teach the parents the signs of increased intracranial pressure
An emergency room nurse is caring for a child diagnosed with epliglottitis. Assessing the child, the nurse monitors for which indication that the child may be experiencing airway obstruction? A) Nasal flaring and bradycardia B) A low-grade fever and complaints of a sore throat C) The child is leaning backward, supporting himself with the hands and arms D) The child is leaning forward with the chin thrust out
D) The child is leaning forward with the chin thrust out
A mother brings her 6-year old child to the clinic because the child has developed a rash on the trunk and on the scalp. The mother reports that the child has had a low-grade temperature, has not felt like eating, and has been generally tired. The child is diagnosed with chickenpox. The mother inquires about the communicable period associated with chikdenpox. A nurse plans to base the response on which of the following? A) The communicable period ranges from 2 weeks or less to several months B) The communicable period is 10 days before the onset of symptoms to 15 days after the rash appears C) The communicable period is unknown D) The communicable period is 1 to 2 days before the onset of the rash to 6 days after the first crop of vesicles, when the crusts have formed
D) The communicable period is 1 to 2 days before the onset of the rash to 6 days after the first crop of vesicles, when the crusts have formed
The parents of a 2-year old arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child does not readily approach the parents. The nurse interprets this behavior as indicating that: A) The child is withdrawn B) The child is self-centered C) The child has adjusted to the hospitalized setting D) This is a normal pattern
D) This is a normal pattern
