Question 1

The nurse instructs the mother of a 2-year-old child who is taking iron supplements for anemia that some foods reduce the absorption of iron.What would be the best example provided by the nurse?

Accepted Answer

A)  Red meat 
B)  Green,leafy vegetables 
C)  Acidic fruit juices 
D)  Egg yolks

Question 2

The pediatric nurse completes an assessment on all patients assigned during evening shift at the hospital.Which patient assessment requires immediate intervention?

Accepted Answer

A)  Toddler with an axillary temperature of 99° F 
B)  School-age child with widening pulse pressure 
C)  Infant pulse rate of 100 beats/minute 
D)  Adolescent with a respiratory rate of 28 breaths/minute

Question 3

Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?

Accepted Answer

A)  The blanket is not tucked into the mattress. 
B)  Diapers and wipes are stacked at the foot of the crib. 
C)  The crib side is locked in the up position. 
D)  Pillows are stacked on the bedside table.

Question 4

The prescription for a 4-month-old is penicillin G 150,000 units intramuscularly bid.The drug is supplied as a unit dose of 600,000 units in a 5-mL vial.How many milliliters (mL)should the nurse provide?

Accepted Answer

A)  1.25 
B)  1.4 
C)  1.6 
D)  1.8

Question 5

What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?

Accepted Answer

A)  Brachial 
B)  Apical 
C)  Radial 
D)  Femoral

Question 6

Where is the best site for giving an IM injection to a 15-month-old child?

Accepted Answer

A)  Ventrogluteal muscle 
B)  Dorsogluteal muscle 
C)  Deltoid muscle 
D)  Vastus lateralis muscle

Question 7

What factor does the nurse explain affects the infant's physiological response to medications?

Accepted Answer

A)  Faster metabolism in the liver 
B)  Slower intestinal transit 
C)  Immature kidney function 
D)  Increased secretion of hydrochloric acid

Question 8

The nurse is caring for a 4-year-old child.What will the nurse expect the child's daily urinary output to be?

Accepted Answer

A)  400 to 500 mL 
B)  500 to 600 mL 
C)  600 to 700 mL 
D)  700 to 1000 mL

Question 9

What emergency action should be implemented for airway obstruction in the infant?

Accepted Answer

A)  Six to 10 midsternal thrusts 
B)  Five back blows followed by five chest thrusts 
C)  Five chest thrusts followed by five back blows 
D)  Abdominal thrusts until the object is expelled

Question 10

Which intervention will the nurse implement when suctioning a tracheostomy?

Accepted Answer

A)  Suction for two to three breaths. 
B)  Clear the catheter with water after suctioning for reuse. 
C)  Apply suction for no more than 15 seconds. 
D)  Establish a regular schedule for suctioning.

Exam 22: Health Care Adaptations for the Child and Family