Peds Exam I Practice Questions
A nurse is providing education about age-appropriate activities for the caregivers of a 6-year-old child. Which of the following activities should the nurse include in teaching? A. Jumping rope B. Playing card games C. Solving jigsaw puzzles D. Joining competitive sports
A
A nurse is caring for a preschooler who is in an acute care facility. Which of the following should the nurse identify as an expected behavior of a preschool-age child? A. Describing manifestations of illness B. Relating fears to magical thinking C. Understanding causes of illness D. Awareness of body functioning
B
A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia? A. Nonproductive cough B. Hypoventilation C. Tachypnea D. Nasal stiffness
C
A nurse is teaching a parent of a toddler about parallel play in children. Which of the following statements should the nurse include in the teaching? A. Children should sit and observe others playing B. Children exhibit organized play when in a gorup C. The child plays alone D. The child plays independently when in a group
D
A nurse is providing education about developmental milestones of a toddler to a new nurse. Sort these milestones between 12 and 24 months: A. Ability to run B. Kicks a ball C. Attempts to build a tower of two blocks D. Walks up a couple of stairs E. Eats with a spoon F. Drinks from a lidless cup G. Places a block in a container
12 months: C, F, G 24 months: A, B, D, E
A nurse is providing teaching about expected changes during puberty to a group of parents of adolescent females. Which of the following statements shows understanding of the teaching? A. "Females usually stop growing about two years after their first period" B. "Females are expected to gain about 65lb during puberty" C. "Females experience menstruation prior to breast development" D. "Females typically grow more than 10 inches during puberty"
A
A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having CF. Which of the following are CF identifiers? A. Sweat chloride of 85 mEq/mL B. Increased blood levels of fat-soluble vitamins C. 72hr stool analysis indicating hard, packed stools D. Chest x-ray negative for atelectasis
A
A nurse is performing an admission assessment of an child with CF. Which of the following findings should the nurse expect? SATA: A. Wheezing B. Clubbed fingers and toes C. Barrel chest D. Thin, watery mucus E. Rapid growth spurts
A, B, C
A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following risk factors should the nurse include in the teaching? SATA: A. Family hx of asthma B. Family hx of allergies C. Exposure to smoke D. Low birth weight E. Being underweight
A, B, C, D
A nurse is providing anticipatory guidance to the caregivers of a toddler. Which of the following should the nurse include? SATA: A. Develop food habits that will prevent dental caries B. A decrease in appetite is common among toddlers C. Expression of bedtime fears is common D. Expect behaviors associated with negativism and ritualism E. Annual screenings for PKU are important
A, B, C, D. Annual PKU screening is unnecessary and should only be done at birth
A nurse is conducting a well child visit on a five year old. Which immunizations should the nurse plan to administer? A. TDap B. Polio C. MMR D. Pneumococcal E. Haemophilus influenza B (Hib)
A, B, C. PCV and Hib are given in the first 15 months of life.
A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? SATA: A. Zero the meter before each use B. Record the average of the attempts C. Perform three attempts D. Deliver a long, slow breath into the meter E. Sit in a chair with feet on the floor
A, C
A nurse is admitting a child who has CF. Which of the following meds should the nurse include in the plan of care? SATA: A. Tobramycin B. Loperamide C. Vitamins A, D, E, K D. Albuterol E. Dornase alfa
A, C, D, E
A nurse is providing education about the order of sexual maturation to a group of parents of adolescent children. Place the following in order of male sexual maturation: A. Testicular enlargement B. Vocal changes C. Pubic hair growth D. Penile enlargement E. Growth of axillary hair
A, C, D, E, B
A nurse is conducting a well-child visit on a child scheduled to receive their vaccines for 11/12 year olds. Which of the following should be administered? A. Inactivated influenza (IIV) B. Pneumococcal (PCV) C. Meningococcal (MCV4) D. TDap E. Rotavirus
A, C, D.
A nurse is performing a developmental screening on a 9 month old. Which of the following fine motor skills should the nurse expect the infant to perform? SATA: A. Grasp the rattle by the handle B. Try building a two-block tower C. Use a crude pincer grasp D. Place objects into a container E. Sit unsupported
A, C, E. Block building and placing objects in a container comes after 12 months.
A nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include in the plan of care? SATA: A. Offer a pacifier B. Use guided imagery C. Use swaddling D. Initiate a behavioral contract E. Encourage kangaroo care
A, C, E. Guided imagery is for children, not infants. Behavioral contracts only work when children understand.
A nurse is assisting with providing anticipatory guidance to the parents of an adolescent. Which of the following screenings should the nurse recommend to the parents? SATA: A. BMI B. Blood lead level C. 24h dietary recall D. Weight E. Scoliosis
A, D, E
A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? SATA: A. Explain the procedure using the child's favorite toy B. Ask the parents to leave during the procedure C. Perform the procedure with the child in his bed D. Allow the child to make one choice regarding the procedure E. Apply lidocaine and prilocaine cream to three potential insertion sites
A, D, E. The parents should not leave the room. The bed is a safe space for the child and should not be violated by potentially traumatizing procedures. Have the child move to a neutral area.
A nurse is performing a neurologic assessment on an adolescent. Which of the following responses should the nurse expect the adolescent to exhibit when assessing the trigeminal nerve? SATA: A. Clenching teeth together tightly B. Recognizing sour tastes on the back of the tongue C. Identifying smells through each nostril D. Detecting facial touches with eyes closed E. Looking down and in with the eyes
A, D. When recognizing cues during the assessment of the trigeminal nerve, the nurse should expect the adolescent to clench the teeth together tightly and detect facial touches when the eyes are closed.
A nurse is providing teaching about growth and development characteristics with the guardian of a toddler who is two. Which of the following statements by the guardian indicates understanding of the teaching? A. My child should be able to kick a ball B. My child should be able to turn the pages in a book one at a time C. My child should be able to turn the doorknob D, My child should be able to speak about 100 words
A. B, C, and D are for 30 months
A community health nurse is preparing an injury prevention program for caregivers of toddlers in the community. Which of the following should the nurse include in the program? A. Hot water heater thermostats should be set below 120F B. Swimming lessons should begin at 5 years old C. Crib mattresses should be kept in the middle position D. Firearms do not need to be locked away as long as children cannot reach them
A. Begin swim lessons as young as 1y. Keep crib mattresses in lowest position. Lock up guns.
A nurse is completing a pain assessment on a 4-month-old infant. Which of the following pain scales should the nurse use? A. FACES B. FLACC C. Oucher D. Non-communicating children's pain checklist
A. FLACC is for children aged 2 months to 7 years. Oucher is 3-13; FACES is 3 and older; and non-communicating is for 3-18.
A nurse is providing education to the guardian of a three month old about care during the first year of life. Which of the following statements by the guardian indicates an understanding of the teaching? A. "My baby can have up to 6 oz of fruit juice a day after 6 months" B. "I should expect my baby to begin to show signs of separation anxiety around 10 months of age" C. "I should consider starting my baby on vitamin D when they are four months old" D. "My baby should be able to say 6 six to eight words by the time they are a year old"
A. Separation anxiety starts at 4-8mos. Vitamin D supplementation should begin in the first few days of life. Babies can say about three to five words during by their first birthday.
A nurse is performing a developmental screening on a three year old. Which is the child expected to be able to perform? A. Ride a tricycle B. Hop on one foot C. Jump rope D. Throw a ball overhead
A. The rest are for 4-5 year olds
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to prepare the child? A. Allow the child to role-play using miniature equipment. B. Use medical terminology to describe what will happen. C. Separate the child from the caregiver during the examination. D. Keep medical equipment visible to the child.
A. When generating solutions to prepare a preschool aged child for an assessment, the nurse should allow the child to role-play or manipulate actual or miniature equipment that will be used during the assessment. This action helps reduce anxiety and fear related to the examination.
A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping such long hours. Which of the following should the nurse tell the parent requires additional sleep? A. Sleep terrors B. Rapid growth C. Elevated zinc levels D. Slowed metabolism
B
A nurse is providing discharge instructions for a CF patient. Which of the following instructions should the nurse provide? A. Low calorie, low protein diet B. Administer pancreatic enzymes with snacks C. Implement fluid restrictions during times of infection D. Restrict physical activity
B
A nurse is planning care for a child who has an exacerbation of asthma. Which of the following interventions should the nurse include in the plan of care? A. Perform chest percussion B. Place the child in an upright position C. Monitor oxygen saturation D. Administer bronchodilators E. Administer dornase alfa only
B, C, D
A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse make? SATA: A. Instruct the child that the treatment will last 30 minutes B. Obtain vital signs prior to the procedure C. Tell the child to take slow deep breaths D. Determine if the child should use a mask E. Attach the device to an air source
B, C, D, E
A nurse is caring for a toddler who is on a pediatric unit. Which of the following behaviors should the nurse identify as an effect of hospitalization? SATA: A. Believes the experience is a punishment B. Experiences separation anxiety C. Displays intense emotions D. Exhibits regressive behaviors E. Manifests disturbance in body image
B, C, D. Preschoolers believe hospitalization is a punishment. Body image disturbances are associated with adolescents.
A nurse is assessing an infant who has otitis media for pain. Which of the following are findings of pain in an infant? SATA: A. Pursed lips B. Loud cry C. Lowered eyebrows D. Rigid body E. Pushes away stimulus
B, C, D. Pursed lips do not mean pain. Pushing away a painful stimulus is not an indicator of pain.
A nurse is assessing a child who has an acute exacerbation of asthma. Which of the following findings should the nurse expect? SATA: A. Oxygen saturation of 96 B. Wheezing C. Retractions D. Bronchovesicular sounds E. Cough
B, C, E
A nurse is conducting a well-baby visit with a four month old. Which of the following immunizations should the nurse plan to administer? SATA: A. MMR B. Polio C. Pneumococcal D. Varicella E. Rotavirus
B, C, E. MMR and varicella come after 12 months.
A nurse is performing a developmental screening on an 18 month old. Which of the following skills should the nurse expect the toddler to be able to perform? SATA: A. Removes few articles of their clothing B. Attempts using a spoon C. Walks independently without holding onto furniture D. Jumps off ground using both feet E. Turns pages in a book one at a time
B, C. The rest are for 30 months.
A nurse is teaching a course about safety during the school age. Which of the following information should the nurse include in this course? SATA: A. Gating the stairs at top and bottom B. Wearing helmets when riding bikes/skateboarding C. Riding safely in pickup-truck beds D. Implementing firearm safety E. Wearing seatbelts
B, D, E
A nurse is teaching a guardian of an infant about administration of oral medications. Which of the following should the nurse include in the teaching? SATA: A. Use a universal dropper for medication administration B. Ask the pharmacy to add flavoring to the medication C. Add the medication to a formula bottle before feeding D. Use the nipple of a bottle to administer the medication E. Hold the infant in a semi-reclining position
B, D, E. Not A because medications come in different viscosities and cannot be measured all in the same way. Not C because the infant might not finish the bottle.
A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? SATA: A. Hoarseness and difficulty speaking B. Difficulty swallowing C. Low-grade fever D. Drooling E. Dry, barking cough F. Stridor
B, D, F
A nurse is preparing to administer a hepatitis B immunization to an infant who is 9 months old. Which site should the nurse use to administer the immunization? A. Deltoid B. Vastus lateralis C. Dorsogluteal D. Ventrogluteal
B.
A nurse is preparing an education program for a group of caregivers of preschool-age children about promoting optimum nutrition. Which of the following should she include? A. Total dietary fat intake should be 20% of caloric intake B. Average caloric intake should be 1400 kcal C. Two servings of fruits/vegetables per day D. Healthy diets should include 8g protein per day
B. 30% fat, 5 fruits/veg, 13-19g protein.
A nurse is providing teaching about dental care and teething to the caregiver of a 9-month-old infant. Which of the following statements by the caregiver indicates an understanding of the teaching? A. "I can give my baby a warm teething ring to relieve discomfort" B. "I should clean my baby's teeth with a cool, wet washcloth" C. "I can give ibuprofen for up to 5 days while my baby is teething" D. "I should place diluted juice in the bottle my baby drinks while falling asleep"
B. Ibuprofen should be given for no more than three days. Teething ring should be cold. No juice because of tooth decay.
A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take? A. Hold the infant in an upright position. B. Pull the pinna downward and straight back C. Hyperextend the infant's neck D. Ensure that the medication is cool
B. Infant should be supine or prone. Nurse should not hyperextend the neck. Medication should be room temperature.
A nurse is assessing a 2.5 year old at a well child visit. Which of the following findings should the nurse report to the provider? A. Height increased by 7.5cm in the past year. B. Head circumference exceeds chest circumference C. Anterior and posterior fontanels are closed D. Current weight equals 4x birth weight
B. Ratio should be equal
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic neck
B. When recognizing cues during the assessment of a 6 month old, the nurse should recognize that the plantar grasp is exhibited by infants from birth to the age of 8 months; therefore, a 6 month old should still be exhibiting the plantar grasp reflex.
A nurse is preparing to apply a pulse oximeter to a child who is having an acute asthma attack. In which of the following areas can the nurse correctly place the pulse oximeter? SATA: A. Forearm B. Earlobe C. Cheek D. Foot E. Fingertip F. Toe
BDEF
A nurse is caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that reads 89%. Which of the following actions should the nurse take first? A. Increase oxygen flow rate B. Encourage the child to take deep breaths C. Ensure proper placement of the sensor probe D. Place the child in Fowler's position
C
A nurse is discussing prepubescence and preadolescence with a group of guardians of school-aged children. Which of the following information should the nurse include in the discussion? A. Initial physiologic changes appear during early childhood. B. Changes in height and weight occur slowly during this period C. Growth differences between boys and girls become evident D. Sexual maturation becomes highly visible in boys
C
A nurse is caring for a child who has bronchiolitis. Which of the following actions should the nurse take? SATA: A. Initiate airborne precautions B. Initiate chest percussion and postural drainage C. Administer humidified oxygen D. Suction nasopharynx as needed E. Administer oral penicillin
C, D
A nurse is preparing to administer medication to a preschool-aged child. Which of the following actions should the nurse plan to take? SATA: A. Ask the caregiver to state the child's name B. Allow the caregiver to administer the medication C. Calculate the safe dosage for the medication D. Let the child pick out a toy to hold during administration of the medication E. Offer juice after the medication is administered
C, D, E. The child should state his or her own name, and the caregiver's willingness to administer the medication should be assessed before allowing them to do so.
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. Closed anterior fontanel B. Eruption of six teeth C. Birth weight doubled D. Birth length increased by 50%
C. Birth weight should triple in the first 12 months.
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following findings should the nurse report to the provider? A. Temperature of 37.2 C (99.0 F) B. Heart rate of 106 BPM C. Respirations 30/min D. BP 88/54 mmHg
C. When analyzing cues while checking the vital signs of a 3-year-old child during a well child visit, the nurse should recognize that respirations of 30/min are above the expected range for a 3 year old and should be reported to the provider.
A nurse is providing teaching to the caregiver of a preschool-age child about methods to promote sleep. Which statement indicates understanding of teaching? A. I will sleep in bed with my child if they wake up in the night B. I will let my child stay up an additional two hours on the weekend C. I will let my child watch TV for 30 minutes before bed D. I will keep a dim lamp on in my child's room during the night
D
A nurse is teaching a group of caregivers about influenza. Which of the following information should the nurse include in the teaching? A. Amantadine will prevent the illness B. Children 3mos or older should receive the vaccine C. Zanamivir can be given to children 1yo and older D. Oseltamivir should be given within 48 hours of onset of manifestations
D
A nurse is teaching a group of caregivers about separation anxiety. Which of the following information should the nurse include in the teaching? A. It is often observed in the school-age child B. Detachment is the stage exhibited in the hospital C. It results in prolonged issues of adaptability D. Kicking a stranger is an example
D
A nurse is teaching an adolescent about the correct use of their asthma medications. Which of the following medications should the nurse instruct the adolescent to use before exercise? A. Fluticasone/salmeterol B. Montelukast C. Prednisone D. Albuterol
D
A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? A. Administer subcutaneously in the abdomen B. Use a 20-gauge needle C. Divide the medication into two injections D. Place the child in a supine position
D. Child should be supine for access and safety of the child. Med is given IM. Use a 22-25 gauge needle. Total volume is 0.5 mL and should be given administered in the vastus lateralis.
A nurse is assessing a child's ears. Which of the following findings should the nurse expect? A. Light reflex is located at the 2 o'clock position. B. Tympanic membrane is red in color. C. Bony landmarks are not visible. D. Cerumen is present bilaterally.
D. The presence of cerumen (earwax) bilaterally is an expected finding.
A nurse is planning care for a 12-year-old child following a surgical procedure. Which of the following actions should the nurse include in the plan of care? A. Administer NSAIDs for pain >7 B. Administer intranasal analgesics PRN C. Administer IM analgesics for pain D. Administer IV analgesics on a schedule
D. Use a schedule. Pain of 7 is too severe for an NSAID. Intranasal is for adult patients. IM analgesics are not recommended for children.
A nurse is planning to teach a client who has a new prescription for a metered-dose inhaler. Place the following instructions for using a metered-dose inhaler in the correct order. A. Attach spacer B. Hold breath for approximately 5-10 seconds C. Hold inhaler with mouthpiece at bottom D. Instruct child on placement technique (open/closed mouth) E. Remove cap from inhaler F. Shake inhaler five to six times G. Take deep breath and exhale H. Take the inhaler out of the mouth and exhale slowly through the nose I. Tilt head back slightly and press inhaler. While pressing, start breathing slowly and deeply, taking 3-5 seconds per inhalation.
E, F, A, C, D, G I, B, H
A nurse is performing a physical assessment on a 16-month-old toddler. Sort the following findings into the following categories: expected or unexpected. A. Concave soft palate B. HR 70 BPM C. Open anterior fontanel D. Positive Babinski reflex E. Scaphoid abdomen F. Variations in skin color
Expected: A, B, F; Unexpected: C, D, E
A nurse is performing a developmental screening on a preschooler. Sort the following findings by gross and fine motor skills: A. Jumps off bottom step B. Catches ball reliably C. Uses scissors to cut out a picture D. Copies a circle E. Walks backwards with heel to toe F. Rides a tricycle G. Laces shoes H. Prints first name
Gross: A, B, E, F Fine: C, D, G, H
A nurse is visiting the home of a 9 month old for home health. The nurse is conducting a safety inspection of the home. Sort the following by hazards and non-hazards. A. Cabinet with lock B. Fire in the fireplace with fireplace cover C. Infant on the floor with dog, no adult present D. Jacks on the floor E. Plate with fork on the coffee table F. Pool with locked gate G. Potted plant sitting on floor H. Smoke alarm on wall I. Stairs with safety gate at top but not bottom J. Steaming cup of coffee by the plate K. Uncovered electrical outlets
Hazards: C, D, E, G, I, J, K Non-hazards: A, B, F, H
Sort the following postoperative nursing actions for the child who has had a tonsillectomy into the indicated or contraindicated category. A. Administer codeine as prescribed B. Administer pain medications on a regular schedule C. Elevate HOB D. Encourage turning, coughing, and deep breathing E. Monitor for frequent swallowing F. Provide ice chips G. Provide straws for liquids
Indicated: B, C, E, F; Contraindicated: A, D, G (codeine could cause respiratory depression)
A nurse is assessing the psychosocial development of a group of children who are school-aged. Sort the statements made by the children into the correct developmental category: Moral, Self-Concept, or Social. A. "Crossing the street without looking is wrong because my mom said so" B. "I had to start wearing make-up to hang out with the popular kids" C. "It is very important to me what my friends think about me" D. "I joined the chess club because my best friend did" E. "Others will be nice to you if you are nice to them" F. "I feel good about myself when I make a good grade on a test"
Moral: A, E. Self-Concept: C, F. Social: B, D
Match each intervention/medication with the body system it treats: GI, pulmonary, or endocrine: A. Chest physiotherapy B. Pancreatic enzymes C. Insulin D. Positive expiratory therapy E. Vitamins A, D, E, K F. Increase fluids G. Monitor blood glucose H. Albuterol
Pulmonary: A, D, H; GI: E, F, B; Endocrine: C, G
