Peds Exam 2 Practice Questions
The nurse is discussing skin disorders with a group of caregivers. Which caregivers statement indicates an understanding of tinea capitis?
"I always tell my daughter to use her own hairbrush"
The parents of a 5-year-old child with a cardiovascular disorder tell the nurse they don't understand why their child isn't gaining weight, "We make sure our child has 3 very nutritious meals every day." How should the nurse respond?
"It's great you are providing nutritious meals, but small, freqent meals will tire your child less and promote weight gain."
The parent of a 1 week old infant is concerned with white scales that have begun to flake off the infant's scalp. The parent asks the nurse what to do to treat this. How should the nurse best respond?
"Your child most likely has cradle cap (seborrhea). You can care for it by cleansing the hair and scalp daily with baby shampoo and applying baby oil."
The nurse is proving a parental anticipatory guidance to promote healthy emotional development in a 12 month old boy. Which statement best accomplishes this?
A regular routine and rituals will provide stability and security.
The nurse is assessing a toddler's fine motor skills. Which finding by the nurse could be a safety concern?
Ability to turn door knobs
A nurse is planning care for an infant who has diaper dermatitis. Which of the following actions should the nurse include in the plan of care?
Allow the buttocks to air dry Apply zinc oxide ointment to the affected area
Which is the best way for parents to aid a toddler in achieving the developmental task?
Allow the toddler to make simple decisions
The nurse is promoting language and cognitive development to the parents of a 3 year old boy. Which guidance about reading with their child will be most helpful?
Ask the child questions as your read
The nurse is caring for a child with urticaria. What is the priority action ?
Assessing the child's airway and breathing and noting any wheezing or stridor
The nurse is caring an 18-month-old child. The nurse is aware that the child is which stage according to Erikson?
Autonomy vs Shame and doubt
The nurse is discussing dermatitis with the parents of an affected child. When addressing nonpharm options for managing the condition what info can be included.
Avoid irritating fabrics such as wool Wearing breathable fabrics such as cotton is recommended Apply moisturizers throughout the day Avoid use of perfumes
The nurse is caring for a child admitted with a second-degree burn. What is most characteristic of this type of burn?
Blisters appear
What will the nurse include in the feeding plan for a breastfed infant with congenital heart disease?
Breastfeed with small, frequent feeds
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever?
Children who have this diagnosis may have had strep throat
The nurse is assessing a child who has had an open wound for the last 2 weeks with no signs of healing. The parents report they have been using over-the-counter antibiotic ointment with no signs of improvement. The child is active in football in the fall and the swim team. What disorder would the nurse suspect?
Community acquired MRSA
The parents of a child diagnosed with atopic dermatitis asks the nurse, "My child has a skin disorder. I don't understand why a CBC was ordered?" What is the best response
Eosinophils are a type of WBC that are often elevated with atopic dermatitis. These are part of the CBC and helps in making the diagnosis.
The nurse is caring for a 1 year old in a pediatric clinic. The child was brought into the clinic with symptoms of dry, itchy red patches of skin on the arms and legs. A diagnosis of atopic dermatitis (eczema) is made. What is a key element regimen for this diagnosis?
Frequently rehydrating the skin
A pt tells the nuse that no matter what is asked of the toddler, the toddler says "no". What suggestion might the nurse make to help the parent handle this situation?
Give the toddler secondary, not primary choices
The nurse in a pediatric cardiovascular clinic is talking with the father of a 5 year-old child who underwent cardiac surgery for a heart defect at the age of 3. The father reports that the child has been having increased SOB, tires easily after playing, and has been gaining weight. The nurse is aware that the child is most likely demonstrating symptoms of which acquired cardio disease?
Heart failure
Suspected findings for Increased pulmonary blood flow heart defect
High RR High HR Murmur Diaphoresis Crackles in the lung (heart failure)
A mother brings her 2-year old son to the clinic with a bumpy rash. Which statement by the mother would lead the nurse to suspect that the child may have atopic dermatitis?
I feel so bad for him because he has asthma and now he get this rash
What nursing diagnosis are top priority for a child admitted 3 days ago after being bitten by a dog on the lower posterior arm?
Impaired skin integrity Risk for infection
A nurse is assessing a child who was brought into the clinic. The nurse notes honey-crusting on the toddler's face, as seen in the figure. The nurse recognized this to be what type of infection?
Impetigo
A nurse is reviewing blood work for a child with a cyanotic heart defect. What result would most likely be seen in a client experiencing polycytehmia?
Increased RBC
A 6 year-old girl is diagnosed with aortic stenosis. The mother asks the nurse what the likely treatment for this condition will involve. What should the nurse tell the mother?
Insertion of a catheter with an uninflated balloon tip into the affected area follow by inflation of the balloon to open the narowing.
The mother of an 18-month-old girl voices concerns about her child's social skills. She reports that the child does not play well with others and seems to ignore other children who are playing at the same time. What response by the nurse is indicated?
It is normal for children to engage in play alongside other children at this age
A mother is concerned because her 14 month old son, who had a big appetite when breastfeeding a few months ago, seems uninterested in eating solid food. She still breastfeeds him daily but is thinking of weaning him soon. How should the nurse respond?
It is normal for toddlers to lose their appetites; try starting him with just a few spoonfuls of food on his plate.
The nurse is educating a parent regarding child safety for the 14 month old toddler. What should the nurse include in the educational plan?
Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach
Once a temper tantrum has started, which intervention is appropriate?
Move ob jects out of the way or move the toddler to prevent injury
An infant is seen in the ED with several raised red welts over the abdomen and lower extremities. The parent states that the symptoms developed suddenly over the past few hours. The infant is fussy and has a low grade temp. What assessment is most important for the nurse to perform?
Observe the infant's respiratory effort
A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see?
Peeling hands and feet, fever
A nurse is assessing an infant who has scabies. Which of the following findings should the nurse suspect?
Pencil-like marks on hands Blisters on the soles of the feet Pimples on the trunk
A nurse is giving discharge instructions to the parent of a newborn with a congenital disorder. What should the nurse instruct the parents to do in the event that the child becomes cyanotic?
Place him in knee-chest position
An infant with TOF becomes cyanotic. What is the priority nursing intervention?
Place the infant in the knee-chest position
The nurse is supervising a play group of children on the unit. The nurse expects the toddlers will most likely be involved in which activit?
Playing with the plastic vacuum cleaner and pushing it around the room
What order would the nurse suspect after the dermatologist prescribes a 16 year old girl isotretinoin for severe acne?
Pregnancy test
A parent brings an infant in for poor feeding and listlessness. Which assessment data would most likely indicate a coarction of the aorta?
Pulses weaker in lower extremities compared to upper
A nurse is caring for a child who is suspected of having rheumatic fever. What would the nurse expect?
Rash Elevated C-reactive protein
A nurse is caring for a child with tinea pedia. Which assessment finding should the nurse expec?
Red scaling rash on soles and between the toes
The pediatric nurse is planning quiet activities for a hospitalized 18 month old. What would be an appropriate activity for this age group?
Stacking blocks
A newborn has been diagnosed with a congenital heart disease. Which congenital heart disease is associated with cyanosis?
TOF
At 3 years of age, a child has a cardiac catheterization. After the procedure, what would be most important?
Take pedal pulses for the first 4 hours
During a wellness care visit, the parents of a 2-year-old toddler report that they are struggling to deal with their toddler's daily and increasing number of tantrums. What information should be provided to the parents? Select all that apply.
Tantrums are a common occurrence for a toddler of this age Maintaining a consistent daily routine can help to reduce tantrums Ignoring the behavior is often helpful in reducing the duration of the tantrum
The nurse is caring for a 17 month old child admitted to the acute care facility. the child is fretful and becomes calmer when given a tattered blanket from home. What inference can be made about the child's behavior in response to receiving the blanket?
The ability of the child to soothe herself is a positive sign of development.
The 18-month old toddler has most likely attained which gross motor skill?
The ability to walk independently
A nurse is providing education to a family about cardiac catheterization. What information would be included in the education?
The catheter will be placed in the femoral artery
The nurse is examining a 3-year old girl during a regular visit. Which finding would disclose a developmental delay in this child?
The child demonstrates separation anxiety
The nurse is assessing a healthy 2 year old client. Which assessment finding most concerns the nurse?
The child speaks in one-word sentences
A school nurse finds a 10 yr old's BP is over the 95%. The nurse advises the parent to seek medical attention for the child. What outcome would the nurse expect?
The child will need the BP checked 2 more times
The parent's of a 2-year-old toddler newly diagnosed with tricuspid atresia ask the nurse, "I do not understand why our toddler's fingertips are spread out and rounder than normal fingertip?" What is the best response?
The low blood oxygen levels from the heart defect causes the lack of oxygen to the fingers, causing these changes
Parents are told their infant has HLHS. How would the nurse explain this condition to the family?
This is a problem where the left side of the heart did not develop properly.
A mother is asking for more information about her infant's patent ductus arteriosus. What would be included in the education?
This is caused by an opening that usually closes by 1 week of age
A mother asks why her infant with a cyanotic heart defect turns blue. What is the nurse's best explanation?
This is due to a decreased amount of oxygen to the peripheral tissue.
A parent is concerned because the toddler refuses to share. What is the nurses's best response to the parent regarding this concern?
This is normal toddler behavior; sharing is learned later
The nurse is caring for a 10 year old male in a pediatric clinc with presenting symptoms of small circular patches of hair loss on the scalp. Which skin condition does the child most likely have?
Tinea capitis
A nurse is teaching a parent of a child who has pediculosis capitis. What instruction should the nurse include?
Use an over the counter medication containing 1% permethrin.
The nurse is caring for a 13-year-old who asks about acne prevention. Which would be the most appropriate for the nurse to suggest?
Wash the face twice a day with mild soap and then pat dry
A nurse is assessing an infant who has coarctation of the aorta. What findings would the nurse suspect?
Weak femoral pulses Cool skin of lower extremities Low BP
The nurse is caring for a pediatric client diagnosed with TOF. After speaking with the physician, the parents state to the nurse, "The doctor said something about our child having too many RBC. We don't understand how this could happen?' What is the best response?
Your child's body is trying to compensate for the low blood oxygen levels from the heart defect by making more RBC, but this makes the heart work harder
While observing a 13 month old and her parents in the playroom of the hospital unit, the nurse notes that the toddler is using her index finger to point towards a toy. What should the nurse say to the parents?
Your daughter is demonstrating fine motor skills appropriate to her age by pointing with her index finger
Suspected findings for decreased blood flow
cyanosis poor weight gain hypercyanotic episodes polycythemia
After assessing in a child, the nurse suspects coarctation of the aorta based on a finding of:
femoral pulse weaker than brachial pulse
The nurse is assessing a 3 year old. The nurse notes the child is able to understand that objects hidden from sight still exist. The nurse correctly documents that the child is displaying
object permanence
The nurse caring for a child with a skin allergy recognizes that the highest priority in the treatment for skin allergies is aimed at
reducing swelling and relieving itching
The integumentary system is the largest organ of the body that helps
regulate body temperature
A child enters the acute care setting following a burn injury. The nurse should check for which immunization booster?
tetanus