RN Pediatrics

1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following

actions should the nurse plan first?

• Use a tumbling E chart for the assessment

• Position the child 4.6 meters (15 feet) from the chart

• Assess both eyes together first, then each eye separately

• Test the child without glasses before testing with glasses

2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic

arthritis and a new prescription of prednisone/etarnecept. Which of the following

statement should the nurse include in the teaching?

• “Discontinue this medication if gastrointestinal upset occurs.”

• “Expect that this medication will stimulate a growth spurt.”

• “Limit your child’s intake of potassium-rich foods.”

• “Monitor your child for indications of infection.”

3. A nurse on a pediatric unit is caring for four children. The nurse should use droplet

precautions for which of the following children?

• An adolescent who has hepatitis A

• A toddler who has seasonal influenza

• A preschool-age child who has pediculosis capitis

• A school-age child who has viral conjunctivitis

4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the

following statements should the nurse include in the teaching?

• “Apply a warm, moist compress three times per day.”

• “Apply scented baby powder to absorb residual moisture.”

• “Wear a feminine deodorant pad for vaginal drainage.”

• “Wear nylon underwear at night.”

5. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome.

Which of the following interventions should the nurse include? (Select all that apply)

• Provide a low-sodium diet

• Encourage increased fluid intake

• Assess for protein in the urine

• Initiate contact precautions

• Obtain a daily weight

6. A nurse in a pediatric unit is caring for a school-age child following a cardiac

catheterization. Which of the following interventions would the nurse take?

• Maintain NPO status for 24 hrs. following the procedure

• Administer meperidine for pain every 4 hrs.

• Perform a sterile dressing change 8 hrs. after the procedure

• Keep the affected extremity straight for 6 hrs.

7. A nurse is teaching a parent of a toddler about administering digoxin. Which of the

following statements by the parent indicates understanding of the teaching?

• “I should mix the medication with 4 ounces of my child’s favorite juice.”

• “I should give my child water after giving the medication.”

• “I should give my child another dose if he vomits right after taking the

medication.”

• “I should give the medication with foods that are high in fiber.”

8. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso.

Which of the following actions should the nurse take first?

• Administer a tetanus vaccine

• Give pain medication

• Begin enteral feedings

• Initiate a crystalloid IV bolus

9. A nurse is planning care for a toddler who has developed oral ulcers in response to

chemotherapy. Which of the following should the nurse include in the plan of care?

• Schedule routine oral care every 8 hrs.

• Administer oral viscous lidocaine

• Moisten the mucous with lemon glycerin swabs

• Cleanse the gums with saline soaked gauze

10. A nurse in a community health clinic is assessing the needs of a single parent who has

three young children and works full time. Which of the following resources should the

nurse recommend?

• 12-step support group

• Respite child care

• Child home health care

• Counseling for depression

11. A nurse is caring for a child who has a prescription for fluticasone and has developed

white patches and sores in his mouth. Which of the following is an appropriate action for

the nurse to take?

• Encourage the use of a spacer

• Withhold the medication until the lesions heal

• Obtain a prescription for oral prednisone

• Collect a culture from the lesions

12. A nurse is providing teaching to the parents of a child who has impetigo. Which of the

following instructions should the nurse include in the teaching?

• Seal soft toys in a plastic bag for 14 days

• Apply bactericidal ointment to lesions

• Administer acyclovir PO two times per day

• Soak hairbrushes in boiling water for 10 min.

13. A nurse in an emergency department is caring for a child who has epiglottis. Which of the

following actions should the nurse take?

• Provide nebulizer aerosol therapy

• Administer IV antibiotics

• Inspect the tonsils using a tongue depressor

• Collect a throat culture

14. A nurse is planning care for a child who is placed in skin traction. Which of the following

is the priority action for the nurse to take?

• Increase fluid intake

• Maintain proper body alignment

• Use an alternate pressure mattress

• Monitor pedal pulses

15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving

chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL solution. How

many mL should the nurse administer? (Round the answer to the nearest tenth. Use a

leading zero if it applies. Do not use a trailing zero)

• Answer: 2.2 mL

16. A nurse is performing a physical assessment of a school-age child who has acute

glomerulonephritis. Which of the following findings should the nurse expect?

• Hypotension

• Increased urinary output

• Flushed skin

• Facial edema

17. A nurse in an emergency department is assessing an adolescent who reports inhalation of

gasoline. Which of the following findings should the nurse expect?

• Hypothermia

• Pinpoint pupils

• Hyperactive reflexes

• Ataxia