Question 1

Immunization is very important to prevent certain disease. Daniel, a 5 and a half month-old infant should already receive:

Accepted Answer

A) booster of IPV 
B) first booster of DTaP vaccine 
C) two doses of DTaP vaccine 
D) measles, mumps and rubella vaccine

Question 2

A clinical manifestation that a nurse would expect to observe during an assessment of a 4-week-old infant admitted to the unit with hydrocephalus is:

Accepted Answer

A) anterior fontanel is tense upon palpation. 
B) head circumference is larger than that of his chest. 
C) Poor muscle and or eye coordination 
D) unable to support his head while in a prone position.

Question 3

During a discussion with a group of mother, the nurse informs that scoliosis is most notable when a child reaches the age of:

Accepted Answer

A) 3-6 years 
B) 7-9 years 
C) 10-12 years 
D) 15-18 years

Question 4

A pediatric client is evaluated for a surgery in order to correct Strabismus. During history taking, the nurse learns that the parents had their child examined when they first noticed:

Accepted Answer

A) frequent squinting 
B) excessive tears 
C) unusual blinking 
D) bloodshot eyes

Question 5

A student nurse is caring for a 4-year old child diagnosed with croup and the clinical instructor asks the student about the clinical manifestations associated with the illness. Which statement by the student indicates a need for further research:

Accepted Answer

A) cough is harsh and brassy 
B) inspiratory stridor and a low-grad fever may be present 
C) symptoms usually worsen at night and are better during the day 
D) symptoms usually worsen during the day and are relieved during sleep

Question 6

Daniel's mother called the clinic and said to the nurse on duty that her baby started crying and started to turn blue on his lips and face. After crying her baby passes out and took a deep breath. The nurse also learned that Daniel is already 18 month-old. What response should the nurse give?

Accepted Answer

A) "You should bring Daniel here for further evaluation" 
B) "Give your baby a bottle of warm milk when it happens again" 
C) "You don't need to do anything to stop the spells" 
D) "You have to consult a cardiologist"

Question 7

A nurse is caring for a child with diarrhea due to salmonella infection. What order should be questioned by the nurse:

Accepted Answer

A) ORS I tab dissolve in 150 ml water 
B) kaopectate, 1 tsp every bowel movement 
C) Paracetamol, 5ml for temperature = 37.8°C 
D) Ciprofloxacin 250 mg tab BID for 5 days

Question 8

A nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the mother to:

Accepted Answer

A) keep the baby away from other children while rashes are present. 
B) wrap the baby's hands in mittens or socks to prevent scratching 
C) clean the affected areas with tepid water and detergent 
D) dress the child warmly to avoid chilling

Question 9

What would be the most important discharge teaching for a mother of a child who has just completed a series of Chemotherapy?

Accepted Answer

A) Buying a wig 
B) Providing adequate rest 
C) Giving enough fluids 
D) Consider proper handwashing

Question 10

A nurse is caring for a Daniel, a 7 year-old client, who receives chest physiotherapy (CPT). Which of the following action by the nurse would be appropriate?

Accepted Answer

A) percuss on to the rib cage area 
B) Place the child in a prone position for the therapy 
C) Teach the child not to cough during the treatment 
D) Schedule the therapy thirty minutes after meals

Question 11

While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following:

Accepted Answer

A) Phimosis 
B) Hydrocele 
C) Epispadias 
D) Hypospadias

Question 12

A mother brought her child to the clinic with nose bleeding. The nurse showed the mother the most appropriate position for the child which is:

Accepted Answer

A) low back rest 
B) moderate back rest 
C) Lying semi flat 
D) Sitting up

Question 13

Olga is a 4 year old girl who was diagnosed with Trisomy 21. During the clinical check-up the nurse would expect to find:

Accepted Answer

A) gigantism 
B) hydrocephalus 
C) multiple-creased hand 
D) protruding tongue

Question 14

What medication instruction would a nurse give to a parent whose child will receive prednisone as a home medication for Asthma:

Accepted Answer

A) it causes moon-shaped face 
B) avoid halting the medication abruptly 
C) it can cause early growth spurt 
D) it protects the child against infection

Question 15

Erick, a school age child, was rushed at the emergency room due to lead poisoning. The nurse is aware that if Erick has high levels of lead in his blood, he could suffer from:

Accepted Answer

A) marked anemia 
B) malnutrition 
C) decreased urination 
D) liver failure

Question 16

Included in the plan of care of a 7 year old client with diabetes is glucose monitoring. As a nurse, we must be aware that the most accurate way to evaluate the effectiveness of client and insulin therapy over time is the test that measures:

Accepted Answer

A) Serum protein levels 
B) Urine ketones 
C) Serum glucose level 
D) Glycosylated Hemoglobin

Question 17

Nurse Tammy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What's the smallest amount of glucose that's considered safe and not caustic to small veins, while also providing adequate TPN?

Accepted Answer

A) 10% 
B) 13% 
C) 15% 
D) 20%

Question 18

A toddler admitted to the hospital has malabsorption syndrome and later develops signs and symptoms of tetany. The nurse is aware that this is due to insufficient absorption of:

Accepted Answer

A) Zinc 
B) Potassium 
C) Calcium 
D) Sodium

Question 19

A 4-year old child with cerebral palsy is admitted for a surgery. At the time of admission, the nurse should have told the mother that:

Accepted Answer

A) there's a limit in visiting hours the child 
B) the child needs to be in a private room. 
C) the hospital will provide her a pureed diet. 
D) the therapy used at home will be utilized in the hospital.

Question 20

At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out "who they are," and discussion often focuses on which directions they want to take in school and life, as well as in the peer relationships. According to Erikson, this stage is known as:

Accepted Answer

A) identity vs. role confusion. 
B) adolescent rebellion. 
C) autonomy 
D) relationship testing

Exam 3: Pediatrics