PEDS Quiz Questions

A neonatal nurse teaches students how to recognize gastrointestinal disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease?

Hirschsprung disease

The nurse is providing education regarding age-appropriate activities for the caregivers of a 6 yr old child. What activities should the nurse include in the teaching?

Jumping rope

The nurse is administering an oral liquid medication to a 5-year-old child. What would be the most appropriate for the nurse to do when administering this medication?

Let the child hold the medication cup.

The nurse is caring for a neonate who has undergone an intestinal pull-through procedure for an imperforate anus. Which action would be most important for the nurse to do postoperatively?

Listening for bowel sounds

A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

Maintaining fluids through an intravenous line

The nurse is preparing to administer a medication to a 5-year-old who weighs 35 pounds. The prescribed single dose is 1 to 2 mg/kg/day. Which is the appropriate dose range for this child? Round to the whole number.

16 to 32 mg

Pt weight: 25lbs Order: Gentamycin 5mg/kg/day in two divided doses Concentration: 80mg/2ml How many mg will the RN administer per dose? Round to the nearest tenth.

28.5mg

The most accurate screening test for the presence of HIV antigen in young children is:

polymerase chain reaction (PCR).

A nurse is administering digoxin to a 3-year-old child. What would be a reason to hold the dose of digoxin?

Nausea and vomiting

The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?

Screening for infectious diseases

When conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess?

Strawberry tongue

During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?

"Acceptance by friends, especially of the same sex, is very important at this age."

The nurse has been caring for a 12-year-old boy during his 5-day hospitalization. The child's IV has infiltrated, and the care provider is getting ready to change the intravenous line site. Which statement made by the nurse would be appropriate in supporting the child?

"The client is left-handed and likes to draw; an IV site in his right arm would be best."

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 preparing to post a sign above the crib of an infant with a Wilms tumor. Which statement should the nurse post immediately?

"Do not palpate abdomen."

The nurse is taking a health history of a 6-week-old boy with a suspected cardiovascular disorder. Which response by the mother would lead the nurse to suspect that the child is experiencing heart failure?

"He gets sweaty when he eats."

The nurse manager is orienting a new nurse. Which statement by the new nurse would indicate that the nurse manager should intervene?

"I do not need to document the vaccine manufacturer's name in the child's permanent record."

A nurse is providing teaching about age-appropriate activities to a guardian of a 2yr old. Which of the following statements by the guardian indicates an understanding of the teaching?

"I will send my child's favorite stuffed animal when napping away from home will occur."

The nurse is caring for a 4-year-old with a suspected urinary tract infection. What would be most appropriate to say to the child when obtaining a urine specimen from him?

"Let your mom help you tinkle in this cup."

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

"Milk is a perfect food, and babies should be able to have all the milk they want."

A mother reports to the nurse that her 4-year-old does everything that she does. She says she is becoming somewhat frustrated with these actions. What would be the best response by the nurse to this mother?

"Preschoolers' imitating is a healthy behavior. It is part of their imagination and normal growth and development."

An adolescent client has just been diagnosed with systemic lupus erythematosus (SLE). Following client education about the disease, which statement by the client demonstrates understanding of SLE?

"SLE is an autoimmune disorder that I will always have, with times of flare- ups and times of minimal to no symptoms."

A 3½-year-old shouts, "Look out for Boo-ga-loo!" as the nurse enters the exam room. The father explains Boo-ga-loo is his daughter's imaginary friend. How should the nurse respond?

"Tell me about Boo-ga-loo."

The nurse is admitting a 12-month-old to the medical unit. During the admission process the parents tell the nurse that their child is very advanced because he says "ball" when he picks up a football. How should the nurse respond?

"That is great that he is recognizing objects and is able to name them. He is right on target for language skills."

Weight:15kg Order: gabapentin 15mg/kg/day in 3 divided doses Concentration: 250mg/5ml How many ml will the nurse give with each dose? Round to the nearest tenth place.

1.5ml

The nurse is documenting the relationship between a postpartum mother and her infant. Which observation would demonstrate attachment?

"The mom is talking to the infant while breastfeeding the infant."

The nurse is interviewing parents of a child who has been diagnosed with severe combined immune deficiency (SCID). Which statement by the parents best indicates an understanding of their child's condition?

"We will need to prepare our child and ourselves for a bone marrow transplant."

Your patient has been ordered ketorolac 0.5 mg/kg/dose every 6 hours. The patient weighs 18.3kg. The available concentration is 15 mg/mL. How many ml will the patient receive with each dose? Round to the nearest tenth.

0.6ml

An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Which condition should the nurse suspect?

Acute glomerulonephritis

A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the nurse is priority?

Assess the client's airway and breathing rate

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?

The toddler's anterior fontanel (fontanelle) is not fully closed.

The nurse is performing a physical examination for a 7-year-old girl who was bitten by a tick. What would alert the nurse to the possibility of early localized Lyme disease?

Bull's-eye rash around the bite

A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions?

Candidiasis

A toddler requires 1.5 ml of an antibiotic given intramuscularly (IM). How will the nurse administer this medication?

Divide the dose. Administer 0.75 ml IM in each vastus lateralis.

The nurse is caring for a child admitted with gastroesophageal reflux (GER). Which clinical manifestation would likely be seen in this child?

Effortless vomiting just after the child has eaten

A nurse is preparing a presentation for a local parent group about urinary tract infections (UTIs) in children. Which organism would the nurse incorporate into the presentation as the most common cause?

Escherichia coli

A 1-year-old with tetralogy of Fallot turns blue during a temper tantrum. What will the nurse do first?

Place child in the knee-to-chest position.

A nursing instructor is teaching students about the chain of infection. What does the instructor tell students is responsible for allowing the pathogen to enter?

Portal of entry

A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping such long hours. Which of the following conditions should the nurse inform the guardian as requiring additional sleep during adolescence?

Rapid growth

The nurse is preparing to administer an intramuscular immunization to a 1-month-old infant. What action will the nurse take?

Request the parent to remove the infant's pants so the vastus lateralis muscle is accessible.

The nurse is caring for a 6-month-old infant who was admitted to the emergency department 24 hours ago with signs of severe diarrhea. The infant's rectal temperature is 104°F (40°C), with weak and rapid pulse and respirations. The skin is pale and cool. The child is on IV rehydration therapy, but the diarrhea is persisting. The infant has not voided since being admitted. Which is the priority nursing intervention?

Take a stool culture

The community nurse is preparing an educational session on how to provide anticipatory guidance to clients for other nurses. Which example will the nurse include in the teaching?

Teaching handwashing at an elementary school.

The nurse is administering a chickenpox vaccination to a 12-month-old girl. Which concern is unique to varicella?

This disease can reactivate years later and cause shingles.

A child is having the urine checked for a routine well visit. When analyzing the results, what would positive leukocytes indicate?

This may indicate a urinary tract infection.

A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described?

Vomiting immediately after feeding

The nurse is working to gain a preschooler's cooperation to swallow an oral medication. What would be the nurse's best approach?

ask if the child would like to take the medicine in a cup or through an oral syringe

A pediatric nurse will state that the priority reason to have a thorough grasp of the growth and development of children is to:

identify developmental risks or delays promptly.

A child with cancer has developed neutropenia and is in isolation with neutropenic precautions. What nursing assessment takes priority for this child?

infection symptoms

The nurse is caring for a child who has a depressed immune system due to chemotherapy treatments. The child is due for scheduled immunizations according to CDC recommendations. The nurse must ensure that the child does not receive which type of immunization?

live vaccine

The nurse is teaching safety to a group of adolescents. Which common cause of death among adolescents will the nurse include in the teaching?

unintentional injuries