Pediatrics Final (99/100 Questions)

1. A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding

episode. Which of the following statements by the parent indicates a need for further

teaching?

 “I will have my child rest.”

 “I will compress the site.”

 “I will apply heat.”

 “I will elevate the affected part.”

2. A nurse in an emergency department is caring for an infant who has a 2-day history of

vomiting and an elevated temperature. Which of the following should the nurse recognize

as the most reliable indicator of fluid loss?

 Body weight

 Skin integrity

 Blood pressure

 Respiratory rate

3. Which of the following children should the nurse identify as a potential action of abuse?

 A child who has frequent visitors

 A child who uses the call light frequently

 A child who has a BMI indicating obesity

 A child whose parents answer questions for the child

4. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription

for pancreatic enzymes three times per day. Which of the following statements indicates

that the mother understands the teaching?

 “My child will take the enzymes to improve her metabolism.”

 “My child will take the enzymes 2 hours before meals.”

 “My child will take the enzymes following meals.”

 “My child will take the enzymes to help digest the fat in foods.”

5. A nurse is assessing a 3 month old. Which of the following findings should he report to

the provider?

 Unable to pick up an object with his fingers

 Unable to sit without support

 Unable to raise head when in prone position

 Unable to bring an object to mouth

6. A nurse is admitting a 6 month old infant who has dehydration. Which of the following

amounts of urinary output should indicate to the nurse that the treatment has confirmed

the fluid imbalance?

 2 mL/kg/hr.

 0.5 mL/kg/hr.

 7.5 mL/kg/hr.

 15 mL/kg/hr.

7. A nurse is planning care for an infant who has spina bifida and is to undergo surgical ?

Which of the following interventions should the nurse include in the plan of care?

 Maintain the infant in the supine position

 Provide a latex free environment

 Limit visitors to immediate family members

 Initiate contact precautions

8. A nurse is caring for a child who has just died. The parents ask to be left alone so that

they ? The nurse should:

 Discourage this because it will only prolong their grief

 Grant their request

 Kindly explain that they need to say good bye to their child now and leave

 Assess why they feel that this is necessary

9. A nurse is educating new parents on risk factors for sudden infant death syndrome

(SIDS). Which of the following statements by a parent would indicate a need for

additional teaching?

 “I will give my baby a pacifier during naps and at bedtime.”

 “Our baby will sleep in my bed because I am breastfeeding.”

 “My baby will be placed on her back when sleeping.”

 “We will remove blankets and toys from the crib.”

10. A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist

down. Which of the following statements by the client would indicate to the nurse a need

for further teaching?

 “I only need to catheterize myself twice every day.”

 “I only use a suppository every night to have a bowel movement.”

 “I do wheelchair exercises while watching TV.”

 “I carry a water bottle with me because I drink a lot of water.”

11. A parent tells a nurse that her toddler drink a quart of milk a day and has a poor appetite

for solid foods. The nurse should explain that the toddler is at risk for which of the

following disorders?

 Rickets

 Iron deficiency anemia

 Obesity