Question 1

A 3-year-old boy with Hemophilia is going to stat infusion of recombinant form of Factor VIII prophylactically three times a week. The nurse should advise the parents to administer the infusion on the days designated:

Accepted Answer

A) after dinner 
B) in the morning 
C) before dinner 
D) after lunch

Question 2

A 6 year old child with sickle cell anemia is admitted to the pediatric unit with a pain episode. Splenomegaly was identified. The nurse is aware that Splenomegaly is usually:

Accepted Answer

A) difficult to palpate in pediatric client 
B) common during infancy 
C) initiated by a vaso-occlusive crisis 
D) most seen during late childhood

Question 3

While assessing a 3 week old infant, which finding should a nurse report immediately:

Accepted Answer

A) Abdominal respiration 
B) Irregular breathing pattern 
C) Increased cardiac rate when crying 
D) Inspiratory grunting

Question 4

Baby James weighs 6.2 lbs at birth, after 3 days he weighs 5% less than 6.2 lbs. The nurse is aware that the weight loss is a result of:

Accepted Answer

A) infection caused by virus or bacteria 
B) gastrointestinal obstruction 
C) a generalized muscle response to stimulation 
D) imbalance between intake and fluid loss

Question 5

A mother tells a nurse that her gorgeous most perfect six month-old baby turned into a cranky, drooling, fussy, and chews on everything in site monster. The nurse knows that the baby is experiencing teething. What advise could a nurse give to the mother?

Accepted Answer

A) Rash the baby to the ER once fever is 100 ºF 
B) Consult a doctor if the baby is gagging 
C) Use frozen bagel as a remedy 
D) Apply a topical antibiotics on his gums

Question 6

Which of the following maternal deficiencies is associated with the development of Neural Tube Defects?

Accepted Answer

A) Amino acid 
B) Ascorbic acid 
C) Folic acid 
D) Valproic acid

Question 7

The mother called the attention of the community nurse because her toddler develops high grade fever for 3 days and red rash almost on the child's entire body. The nurse found out that the fever already subsided. The child had a case of:

Accepted Answer

A) Hypersensitivity reactions 
B) Varicella 
C) Lyme disease 
D) Roseola

Question 8

Charlie, an 8-month-old infant, had a clubfoot. A boot cast was applied to correct the problem. Which of the following assessment could not be determined while the boot cast is in place:

Accepted Answer

A) blanching 
B) color 
C) warmth 
D) Pedal pulse

Question 9

What nursing action should be done in an infant who receives IVF via a scalp vein:

Accepted Answer

A) restrain the extremities when there's no one to see the child. 
B) assess for signs of infiltration behind the occiput 
C) assess the pupils every 1 hour for any untoward reaction. 
D) explain to the parents that they cant hold the client while the IV therapy is ongoing.

Question 10

A nurse is caring for a child who has Trisomy 13. During a morning rounds, the mother asks how her child acquired the syndrome. The nurse's response will be based from the fact that:

Accepted Answer

A) it is an inherited condition. 
B) it is caused by microorganism. 
C) it is a complication of previous exposure to streptococcus 
D) it is a chromosomal anomaly.

Question 11

A 15-year-old girl was recently diagnosed of idiopathic scoliosis. She is worried about being different form her friends and upset about the treatment regimen. How would the nurse help her to develop a positive self-image:

Accepted Answer

A) remind her that her back would be crooked if she doesn't adhere to the treatment 
B) be focus on her positive rather her negative attributes 
C) assist her in selecting clothes to improve her appearance 
D) refer her to a psychiatrist for consult.

Question 12

Charlie, a toddler, is going to take his Ferrous Fumarate. The order reads: 25 mg BID. The suspension conatins 40 mg/0.5 ml. The nurse should give:

Accepted Answer

A) 0.25 ml 
B) 0.30 ml 
C) 0.10 ml 
D) 0.5 ml

Question 13

After teaching the parents of an 18-month-old child who has undergone cleft palate repair how to use elbow restraints, which of the following statements by the parents indicates effective teaching:

Accepted Answer

A) "We'll keep the restraints in place continuously until the doctor says it's okay to remove them." 
B) "We can take off the restraints while our child is playing but we'll make sure to put them back on at night." 
C) "The restraints should be taped directly to our child's arms so that they will stay in one place." 
D) "We'll remove the restraints temporarily at least three times a day to check his skin then put them right back on."

Question 14

A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. The nurse expects to note which clinical manifestation of the acute stage of the disease:

Accepted Answer

A) cracked lips 
B) conjunctival hyperemia 
C) desquamation of the skin 
D) swollen joints

Question 15

The nurse is aware that the reason why vaso-occlusive pain occurs among patient with sickle cell anemia is:

Accepted Answer

A) decreased RBC production by the bone marrow 
B) pooling of blood in the spleen 
C) blockage of small blood vessels with dumped RBC's 
D) depression I the circulating platelets

Question 16

Jayson, a 4 years old, is sitting in the pediatric clinic with Daniel, another patient. He suddenly realized that he has wet his pants and runs to the nurse, crying. The most appropriate initial response by the nurse is:

Accepted Answer

A) "Why Jayson? What happened? Why did you wet your pants?" 
B) "You know better than this, Jayson. Next time you'll get a good spanking" 
C) "Let's take off those wet pants, Jayson, and put on something dry so you'll be more comfortable". 
D) "Wait until I tell Daniel what you did. Aren't you ashamed of yourself?"

Question 17

A 2 year old boy was scheduled for an emergency surgery. It as noted that the mother is 16 year old and the father is 17 year old. The child's father and paternal grandfather, who care for the baby, are at the bedside. Informed consent should be signed by:

Accepted Answer

A) the 17 year old father 
B) the 16 year old mother 
C) Paternal grandfather 
D) Surgeon and attending physician

Exam 3: Pediatrics