Question 1

Which of the following immunizations would the nurse expect to administer to a child who is HIV (+) and severely immunocompromised:

Accepted Answer

A) DTaP 
B) Rotavirus 
C) MMR 
D) IPV

Question 2

Dustin, a 3-year-old boy, was admitted to the hospital with nephritic syndrome. The nurse should assign a roommate who is:

Accepted Answer

A) a 3-year-old boy with pneumonia 
B) a 3-year-old girl with conjunctivitis 
C) a 3-year-old boy with impetigo 
D) a 3-year-old girl with thalassemia

Question 3

Proper documentation is one role of a nurse. How would a nurse document a clonic episode in a pediatric client with seizure disorder:

Accepted Answer

A) is spasmodic jerking of the entire body. 
B) a loss of consciousness 
C) a generalized rigidity 
D) tremors of the extremities.

Question 4

A mother asks the school nurse as her school age child has Encopresis. The nurse advised the mother to:

Accepted Answer

A) Have the child wear buttoned pants 
B) Give as much attention as you can to the bowel habits 
C) Have her child clean his soiled pants 
D) Not let a child wear clothes with elastic bandages

Question 5

When developing a plan of care that includes interventions aimed at preventing complications of a low platelet count in a child with leukemia, which of the following is most appropriate:

Accepted Answer

A) placing the child in protective isolation 
B) consulting doctor about the use of a stool softener 
C) eliminating raw vegetables and fruits from the child's diet 
D) using heparin instead of saline to flush an intermittent IV access device

Question 6

Measles vaccine should be given among infant between:

Accepted Answer

A) 1 and 3 months 
B) 6 and 9 months 
C) 9 and 11 months 
D) 12 and 15 months

Question 7

A 7-year-old girl tells the nurse that several of her classmates teased her. The school nurse should responds correctly if she tells:

Accepted Answer

A) "tell me more about what happened" 
B) "has this happened before" 
C) "Were they boys or girls" 
D) "This things happens to everyone"

Question 8

When determining the effectiveness of teaching a child's mother about sickle cell disease, which of the following statements by the mother indicates the need for additional teaching:

Accepted Answer

A) "I've started to give him some extra fluids with and between meals." 
B) "I'm concerned about how the hospital staff will manage his pain." 
C) "He's going to be playing on a soccer team when he's feeling better." 
D) "I've told the child's father that both he and I are carriers of the disease."

Question 9

An anxious father consults a nurse for guidance on how to answer the question, of his child Daniel who is only 5 years old. The father said that Daniel asked "Where do babies come from?" What is the nurse's best response to the father?

Accepted Answer

A) "You have to give a simple answer" 
B) "Children usually ask for many questions but they do not look for an answer 
C) "That question indicates that Daniel is interested in sex" 
D) "You should give full and detailed answers to all questions that Daniel may ask"

Question 10

A 2 year old was brought to the pediatric clinic for a routine check up. When assessing the child's relationship with other children, the nurse would expect to observe.

Accepted Answer

A) cooperative play 
B) team play 
C) parallel play 
D) initiative play

Question 11

When managing an abused child, the nurse should be aware that this child is most likely to do which of the following:

Accepted Answer

A) Compensate by doing well in school. 
B) Develop aggressive behavior toward other children. 
C) Develop overly strong peer attachments. 
D) Seek assistance from teachers.

Question 12

Nurse Cathy is assigned for a 2 and half year-old who is being treated with Chelation Therapy, calcium disodium edetate, due to poisoning. Cathy should be alerted for which of the following side effect?

Accepted Answer

A) Neurotoxicity 
B) Hepatomegaly 
C) Nephrotoxicity 
D) Ototoxicity

Question 13

How would a nurse soothe an infant who was hospitalized and appears to be in pain:

Accepted Answer

A) through feeding 
B) playing a relaxing music 
C) eliminating noise 
D) holding the infant

Question 14

Upon assessing a child, the nurse notes white patches on the child's tongue and determines that it may be an indicative of candidiasis (oral thrush). The nurse understands that the white patches of oral thrush:

Accepted Answer

A) sticks on the tongue even when scraped 
B) causes tongue to bleed 
C) produces red circle at the center of white lesion 
D) only appears on the tongue

Question 15

A mother of a toddler who recently diagnosed with diabetes type 1 asks the nurse why her child can't be given oral antidiabetics instead of insulin. The nurse would explain that oral medication would not work for the baby because they:

Accepted Answer

A) enhance the release of glycogen from the liver. 
B) enhance the transport of glucose into the cell. 
C) stimulate the release of glucagons from the pancreas to produce insulin. 
D) stimulate the beta cells of the pancreas to produce insulin.

Question 16

Jessica, a 29-year-old mother, tells the nurse that her youngest son who is just 7-months-old can already sit without any support. The nurse should tell the mother that this:

Accepted Answer

A) could be a developmental delay which needs further evaluation. 
B) is an activity that shows the upper 10% of physical development. 
C) is a developmental milestone that is just expected at his age. 
D) is a behavior which indicates that he is going to walk in the next 3 months.

Question 17

Poisoning among toddlers is common because of the ingestion of different things like medicines that looks like candies. What would be the priority plan of care for a toddler who has ingested aspirin:

Accepted Answer

A) monitor BP 
B) monitor Cardiac rate 
C) monitor body temperature 
D) monitor serum glucose level.

Question 18

During a home visit, a mother asks the nurse about the communicability of chicken pox. The nurse responds correctly by stating that it is:

Accepted Answer

A) communicable until the vesicles were dried. 
B) communicable even when dry scabs remain. 
C) not communicable once fever subsided. 
D) not communicable while vesicles are reddish in color.

Question 19

Which of the following behavior of a preschooler indicates that the child is in the stage of initiative?

Accepted Answer

A) the child wants to finish his game of Candyland before his dressing is changed 
B) the child cries and has a temper tantrum when he is sent to bed to go to sleep 
C) the child ignores his parents and continues to watch television with other child 
D) the child talks to his friends on the telephone and arranges for them to visit

Question 20

A school age girl with rubella should be isolated from an unimmunized:

Accepted Answer

A) 18 year old sister who has recently married. 
B) 4 year old child who lives next door. 
C) 14 year old brother who had rubella as a child. 
D) 21 year old brother living at home.

Exam 3: Pediatrics