1. Andrea with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the child’s history, the nurse considers which information to be most important?
a. A fever that started 3 days ago
b. Lack of interest in food
c. A recent episode of pharyngitis
d. Vomiting for 2 days
2. Nurse Liza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
a. Under age 3
b. Over age 3
c. Critically ill and under age 3
d. Critically ill and over age 3
3. When assessing a child’s cultural background, the nurse in charge should keep in mind that:
a. Cultural background usually has little bearing on a family’s health practices
b. Physical characteristics mark the child as part of a particular culture
c. Heritage dictates a group’s shared values
d. Behavioral patterns are passed from one generation to the next
4. While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
a. Notify the doctor
b. Look for other signs of abuse
c. Recognize this as a normal finding
d. Ask about a family history of Tay-Sachs disease
5. The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
a. Intense abdominal cramps
b. Profuse diarrhea
c. Anal fissures
d. Abdominal distention
6. When administering an I.M. injection to an infant, the nurse in charge should use which site?
d. Vastus lateralis
7. A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse in charge anticipates that the doctor will order which laboratory test?
a. Total iron-binding capacity
c. Total protein
d. Serum transferring
8. When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial needs. During adolescence, psychosocial development focuses on:
a. Becoming industrious
b. Establishing an identity
c. Achieving intimacy
d. Developing initiative
9. When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group are most likely to view illness as a punishment for misdeeds?
b. Preschool age
c. Scholl age
10. Nurse Taylor suspects that a child, age 4, is being neglected physically. To best assess the child’s nutritional status, the nurse should ask the parents which question?
a. “Has your child always been so thin?”
b. “Is your child a picky eater?”
c. “What did your child eat for breakfast?”
d. “Do you think your child eats enough?”
11. A female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first?
a. Heart rate, respiratory rate, and blood pressure
b. Recent exposure to communicable diseases
c. Number of immunizations received
d. Height and weight
12. A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse’s response?
a. The child forgets previously learned skills
b. The child experiences growth while regressing, regrouping, and then progressing
c. The parents may refer less mature behaviors
d. The child returns to a level of behavior that increases the sense of security.
13. A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child’s vision, the nurse should ask:
a. “Do you have any problems seeing different colors?”
b. “Do you have trouble seeing at night?”
c. “Do you have problems with glare?”
d. “How are you doing in school?”
14. During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?
b. Egg whites
c. Rice cereal
15. To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine (Anectine) is used with which of the following agents?
a. Epinephrine (Adrenalin)
b. Isoproterenol (Isuprel)
c. Atropine sulfate
d. Lidocaine hydrochloride (Xylocaine)
16. A 1 year and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital hip dislocation. When preparing the patient’s room, the nurse anticipates using which traction system?
a. Bryant’s traction
b. Buck’s extension traction
c. Overhead suspension traction
d. 90-90 traction
17. Mandy, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective?
a. Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model
b. Initiating a teenage parent support group with first – and – second-time mothers
c. Using audiovisual aids that show discussions of feelings and skills
d. Providing age-appropriate reading materials
18. When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with:
a. Otogenous tetanus
b. Tracheoesophageal fistula
c. Congenital heart defects
d. Renal anomalies
19. Nurse Raven should expect a 3-year-old child to be able to perform which action?
a. Ride a tricycle
b. Tie the shoelaces
d. Jump rope
20. Nurse Betina is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
a. Eustachian tubes
c. Tympanic membrane
d. External ear canal
21. The nurse is evaluating a female child with acute poststreptoccocal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
a. Increased urine output
b. Increased appetite
c. Increased energy level
d. Decreased diarrhea
22. Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
a. To increase blood pressure
b. To reduce inflammation
c. To decrease proteinuria
d. To prevent infection
23. Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other findings suggests a fluid volume deficit?
a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity
24. How should the nurse May prepare a suspension before administration?
a. By diluting it with normal saline solution
b. By diluting it with 5% dextrose solution
c. By shaking it so that all the drug particles are dispersed uniformly
d. By crushing remaining particles with a mortar and pestle
25. What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
a. 20 ml/kg
b. 10 ml/kg
c. 30 ml/kg
d. 15 ml/kg
26. Becky, age 5, with intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:
a. Within the lower range of normal intelligence
b. Mildly retarded but educable
c. Moderately retarded but trainable
d. Completely dependent on others for care
27. Maureen, age 12, is brought to the clinic for evaluation for a suspected eating disorder. To best assess the effects of role and relationship patterns on the child’s nutritional intake, the nurse should ask:
a. “What activities do you engage in during the day?”
b. “Do you have any allergies to foods?”
c. “Do you like yourself physically?”
d. “What kinds of food do you like to eat?”
28. Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?
a. At 1 to 2 years of age
b. At I week to 1 year of age, peaking at 2 to 4 months
c. At 6 months to 1 year of age, peaking at 10 months
d. At 6 to 8 weeks of age
29. When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk for suicide is:
b. Excessive sleepiness
c. A history of cocaine use
d. A preoccupation with death
30. A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:
a. Gross hematuria
c. Nausea and vomiting
d. An abdominal mass