PEDS Exam 4 Practice Questions

The nurse is speaking with the parents of a child who has a cast. The parents state that the child reports itching in the area of the cast. What is the best response by the nurse?

"Blowing cool air with a fan or hair dryer may relieve the itching"

A nurse is providing instructions for home cast care. Which response by the parent indicates need for further teaching?

"pale and cool skin is to be expected"

A group of students is reviewing info about bone healing in children. The students demonstrate understanding of this info when they state:

A child's bones heal more quickly than those of an adult?

A nurse is caring for an 8 month old infant in traction for DDH and is monitoring for complication. What assessment finding most concerns the nurse

A weak pedal pulse

humoral immunity

Acquired immunity involving B Cells. Create antibodies that kill the pathogens.

A 12 year old female client has been diagnosed with scoliosis with a curvature of 30 degrees. What type of treatment would the nurse anticipate?

Bracing

A pregnant client who is HIV positive asks the nurse if she will be able to breastfeed the newborn. Which response is most appropriate?

Breastfeeding will increase your newborn's risk of contracting HIV

The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be

Complete

A nurse is caring for an infant with meningocele. Which finding alerts the nurse that the lesion is increasing in size?

Constipation and bladder dysfunction

The nurse is prepping to admin IVIG who has never received the med before. What med should the nurse expect to admin prior to the infusion?

Diphenhydramine

The nurse is caring for a 6 month old infant with WAS. Which teaching should the nurse provide the parent?

Do not insert anything in the rectum

The nurse is caring for a child who fractured the arm in an accident. A cast has been applied to the child's arm. Which actions should the nurse implement?

Document any signs of pain Check cap refill time in both arms Monitor the color of the nail beds in the right hand

The nurse is helping the parents of a toddler identify foods that are causing allergic symptoms in the child. Which strategy should the nurse encourage?

Elimination diet

A 7 year old with a spiral fracture of the humerus, which the caregiver reports as having been caused when the child was hit by a bat swung by a little league team. What would the nurse expect?

Explore the possibility of child abuse

A nurse is preparing a presentation for a health fair focusing on prevention of congenital neuromuscular disorders. What would the nurse emphasize as the most important in preventing neural tube defects?

Folic acid supplementation

The nurse is conducting a physical examination of a 10-year old boy with a suspected neuromuscular disorder. Which finding is a sign of Duchenne muscular dystrophy?

Gowers sign

The nurse is administering the prescribed intravenous immunoglobulin to a 10 year old boy. What step would be the most important for the nurse to do?

Have epinephrine available

A 3-month old is seen in the pediatric clinic. The infant's parent expresses concern that child has cerebral palsy. Which assessment indicates to the nurse that the parent's concern is valid?

Hypertonia in the upper extremities

The nurse is assessing a child and notes S-shaped curvature of the spine. What terminology would the nurse use when documenting the assessment finding?

Idiopathic scoliosis

The nurse will teach parents of children with myelomeningocele to maintain an environment free of what element?

Latex

The nurse is caring for a child with rickets. Which diagnostic test result would the nurse expect to find in the child's medical record?

Low serum calcium levels

What will be the nurse's next action after noting dimpling and a tuft of hair located in the lumbrosacral area of the preschool child during examination?

Record and refer the finding for follow-up to the prediatrician

What would you tell an adolescent who's just been diagnosed with SLE?

SLE is an autoimmune disorder that will have times of flare ups and time of minimal to no symptoms

The nurse is assessing a young boy who has been brought to the health care provider for mobility and balance issues by his parents. Which findings are positively associated with the presence of Mucular dystrophy?

Serum creatine kinase levels are elevated A muscle biopsy shows an absence of dystrophin The child is unable to rise easily into a standing position when placed on the floor

The pediatric NP records "positive Gower's sign" after finishing the assessment of a young boy. How will the student nurse interpret this?

The boy rises from the floor by walking his hands up his legs.

The nurse is preparing a care plan for a 4 year old client newly diagnosed with SCID. What is the priority goal for this client?

The client will remain free from infection

The nurse is caring for a child diagnosed with Legg-Calve-Perthes disease. What is the most important nursing intervention for the nurse to include in working with this child and his caregivers?

The nurse should help the caregivers to understand and help the child to effectively use the corrective devices

A 14-year old adolescent is suspected of having scoliosis. When doing scoliosis screening, what observation would be important for the nurse to note?

The posterior spine when bending forward

Breast milk, birthing and pregnancy are all examples of what kind of HIV transmission?

Vertical

The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory?

a sense of competence, mastery and worth

What should be included in completing a neurovascular assessment?

color sensation pulse capillary refill

The nurse is preparing to admin an intravenous immunoglobulin infusion. While reconsituting the product, the nurse knows to to take which step to prop prepare?

gently roll the vial to mix the medication

A child is in traction and is at risk for impaired skin integrity. Which intervention is most effective?

inspect the skin for rashes, redness, irritation or pressure injuries

The nurse is caring for a child with a broken wrist that has just been placed in a cast. The nurse would elevate the arm to

prevent edema

Which nursing diagnosis is most relevant in the first 12 hours of life for a neonate born with a myelomeningocele?

risk for infection

Horizontal transmission of HIV refers to transmission of the disease during

sexual contact

The nurse is discussing types of treatment used when working with children who has orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, adn either one or both legs while leaving the feet open?

spica cast