Peds Exam 3 Review Questions And Answers 2022- 2023 Latest Update

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Peds Exam 3 Review Questions And Answers 2022- 2023 Latest Update A nurse is reviewing data for four children. Which of the following children should the nurse assess first? A. A 10-year-old chil... d who has sickle cell anemia who reports severe chest pain. B. A 7-year-old child who has a diabetes insipidus and a urine specific gravity of 1.016 C. A 1 year old toddler who has roseola and a temperature of 39 C (102.2 F) D. A 4-year-old who has asthma a PCO2 of 37 mm Hg - Correct Answer- A. A 10- year-old child who has sickle cell anemia who reports severe chest pain. A nurse is teaching a client who starting to take methotrexate to treat rheumatoid arthritis. Which of the following instructions should the nurse include in the teaching? A. Avoid eating foods high in vitamin K B. Use an alcohol-based mouthwash after each meal C. Take the medication daily D. Drink at least 2 liters of water daily - Correct Answer- D. Drink at least 2 liters of water daily A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? A. Extremities that turned blue when exposed to cold B. Tingling feeling in the extremities C. Jerking movements of the extremities D. Spasms of the extremities - Correct Answer- B. Tingling feeling in the extremities A nurse is caring for a 17 year old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following actions should the nurse take? A. Initiative the IV per the patient's request B. Notify the provider of the situation C. Administer a sedative to calm the client D. Offer the client an antiemetic - Correct Answer- B. Notify the provider of the situation A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority? A. Place a pillow under the child's head B. Position the child side-lying C. Loosen restrictive clothing D. Clear the area of hazards - Correct Answer- B. Position the child side-lying A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen? A. Take the medication with an aspirin to increase effectiveness B. Take the medication with food C. Taking the maximum dose will offer stroke prevention D. Sustained-release forms may be crushed for easier administration - Correct Answer- B. Take the medication with food A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching? A. Eating a high fiber will reduce my risk for developing skin cancer B. I should check my skin monthly for any changes C. I should avoid the use of tanning booths D. I should use suncreen even on cloudy days - Correct Answer- A. Eating a high fiber will reduce my risk for developing skin cancer A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care? A. Keep the head of the bed at a 30 degree angle B. Reposition the client by log rolling every 4 hr C. Place the client in protective isolation D. Initiative the use of PCA pump for pain control - Correct Answer- D. Initiative the use of PCA pump for pain control A nurse working on a medical unit is caring for client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client's plan of care? A. Obtain IV access B. Keep the lights on when the client is sleeping C. Place the client's bed in the high position D. Keep a padded tongue blade available at the client's bedside - Correct Answer- A. Obtain IV access A nurse is a provider's office is assessing a client who has a rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition? A. Anorexia B. Knuckle deformity C. Low-grade fever D. Weight loss - Correct Answer- B. Knuckle deformity A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is a priority action for the nurse to take? A. Perform a neurovascular assessment B. Explain the discharge instructions to the client and parents C. Provide reassurance to the client and parents D. Apply an ice pack to the casted leg - Correct Answer- A. Perform a neurovascular assessment A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of the following actions should the nurse take? A. Log roll the client every 2 hr B. Assist the client to sit upright in a chair for 4 hr at a time C. Expect clear drainage on the spinal dressing D. Elevate the client's legs when he is sitting in a chair - Correct Answer- A. Log roll the client every 2 hr A nurse is caring for a client who has autism spectrum disorder. Which of the following findings should the nurse expect? A. Expressive affect B. Associative looseness C. Echolalia D. Ambivalence - Correct Answer- C. Echolalia A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of the following actions should the nurse take? A. Log roll the client every 2 hr B. Assist the client to sit upright in a chair for 4 hr at a time C. Expect clear drainage on the spinal dressing D. Elevate the client's legs when he is sitting in a chair - Correct Answer- A. Log roll the client every 2 hr A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take? A. Wrap the arm of the child's doll or toy prior to the procedure B. Tell the child, This will make your arm feel better C. Place a heated fan at the bedside to facilitate drying D. Support the casted arm with a firm grasp - Correct Answer- A. Wrap the arm of the child's doll or toy prior to the procedure A child is admitted with a suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed? A. Do not palpate abdomen B. No venipuncture or blood pressure in left arm C. Contact precautions D. Collect all urine - Correct Answer- A. Do not palpate abdomen A nurse is caring for a client who is postoperative and in skeletal traction. When assessing the client, the nurse should expect which of the following findings? (Select all that apply) A. Slight pain at the insertion site B. Serous drainage on the dressing C. Movement of the pin at the insertion site D. Elastic bandages secure around the traction ropes E. Minimal edema around the pin - Correct Answer- A. Slight pain at the insertion site B. Serous drainage on the dressing E. Minimal edema around the pin A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply) A. The preschooler stutters when speaking B. The preschooler mispronounces words C. The preschooler speaks in three word sentences D. The preschooler talks to himself when reading E. The preschooler speaks in a nasally tone - Correct Answer- B. The preschooler mispronounces words E. The preschooler speaks in a nasally tone A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this disease? A. Cardiovascular B. Gastrintestinal C. Integumentary D. Respiratory - Correct Answer- A. Cardiovascular A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which of the following instructions should the nurse include? A. Encourage the child to take a 45 min nap daily B. Allow the child to stay at home on days when her joints are painful C. Apply cool compresses for 20 min every hour D. Administer prednisone on an alternate-day schedule - Correct Answer- D. Administer prednisone on an alternate-day schedule A nurse is caring for a 2-year-old child who has seizure and is receiving phenytoin in suspension form. Which of the following actions should the nurse take before administering each dose? A. Shake the container vigorously B. Be sure the child has not eaten within the hour C. Perform mouth care D. Check the child's blood pressure - Correct Answer- A. Shake the container vigorously A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take? A. Reposition the child every 2 hr B. Remove the traction boot during baths C. Apply antiobiotic ointment to pin sites daily D. Reduce fluid intake - Correct Answer- A. Reposition the child every 2 hr A home health nurse is developing a place of care for a child who has hemiplegic cerebral palsy. Which of the following foals is the priority for the nurse to include in the plan of care? A. Provide respite services for the parents B. Improve the client's communication skills C. Foster self-care activities D. Modify the environment - Correct Answer- D. Modify the environment A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication? A. Report of recent migraine headaches B. History of gastric ulcers C. Current diagnosis of glaucoma D. Prior reports of amenorrhea - Correct Answer- B. History of gastric ulcers A nurse is planning care for a newborn who has spinal bifida. Which of the following actions should be included in the plan of care? A. Obtain rectal temperatures B. Place the newborn in the prone position C. Cover the lesion with a dry dressing D. Apply snug, clean diapers - Correct Answer- B. Place the newborn in the prone position A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take? A. Insert a tongue blade in the client's mouth B. Place the client on his side C. Hold the client's arms and legs from moving D. Place the client back in bed - Correct Answer- B. Place the client on his side A nurse is caring for a client who has increased intracranial pressure (ICP) following a close-head injury. Which of the following actions should the nurse take? A. Instruct the client to cough and deep breathe B. Place the client in a supine position C. Place a warming blanket on the client D. Use log rolling to reposition the client - Correct Answer- A. Instruct the client to cough and deep breathe A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take? A. Place the wheelchair at a 90 degree angle to the bed B. Lock the wheels of the bed and the wheelchair C. Acquire the help of several people to life the client D. Elevate the bed to a position of comfort for the nurse - Correct Answer- B. Lock the wheels of the bed and the wheelchair A nurse is caring for an 8 year old who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? A. Auscultating the rate and the characteristics of the child's heart sounds B. Using a pain rating tool to determine the severity of the joint pain C. Identifying the degree of parental anxiety related to the diagnosis D. Assessing the client's erythematous rash - Correct Answer- A. Auscultating the rate and the characteristics of the child's heart sounds A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? A. A grey-colored, non-purpuric papular rash B. A dry, red rash across the bridge of the nose and on the cheeks C. Pitting edema of the hands and fingers D. Subcutaneous nodules on the ulnar side of the arm - Correct Answer- B. A dry, red rash across the bridge of the nose and on the cheeks A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Which of the following interventions should the nurse include in the plan? A. Instruct the client to flex and extend the ankle twice daily B. Monitor the client's pedal pulses every hour C. Remove the weights every four hours D. Evaluate pressure points daily - Correct Answer- B. Monitor the client's pedal pulses every hour A nurse is teaching a parent of an infant who has heart failure about meeting the infant's nutritional needs. Which of the following statements by the parents indicates an understanding of the teaching? A. I will feed my baby on a schedule every 4 hours B. I will add Polycose to each of my baby's bottles C. I will allow my baby to take as much time as needed to finish the bottle D. I will limit my babies crying to 15 prior to each feedings - Correct Answer- B. I will add Polycose to each of my baby's bottles A nurse is reviewing laboratory values for a client who has systemic lupus erythematous (SLE). Which of the following values should give the nurse the best indication of the client's renal function? A. Serum creatinine B. Blood urea nitrogen (BUN) C. Serum sodium D. Urine-specific gravity - Correct Answer- A. Serum creatinine 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 should indicate to the nurse a need for further teaching? A. I only need to catheterize myself twice every day B. I carry a water bottle with me because I drink a lot of water C. I use a suppository every night to have a bowel movement D. I do wheelchair exercises while watching TV - Correct Answer- A. I only need to catheterize myself twice every day A nurse is assessing a client who has spinal cord injury. Which of the following actions should the nurse take to monitor C4 function? A. Apply downward pressure while the client shrugs his shoulders upward B. Apply resistance while the client lifts his legs from the bed C. Ask the client to grasp an object and form a first D. Apply resistance while the client flexes his arms - Correct Answer- A. Apply downward pressure while the client shrugs his shoulders upward A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk? A. Electrical cords are placed along the walls B. Scatter rugs are present in the kitchen C. Handrails are present in the bathroom D. Uses a microwave for cooking - Correct Answer- B. Scatter rugs are present in the kitchen A nurse is caring for a client 4 hr following evacuation of a subdural hematoma. Which of the following assessments is the nurse's priority? A. Intracranial pressure B. Serum electrolytes C. Temperature D. Respiratory status - Correct Answer- D. Respiratory status A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestations of RA? A. Morning stiffness B. Fatigue C. Temporomandibular joint pain C. Baker's cysts - Correct Answer- B. Fatigue A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development? A. The colorful latex balloons to the side of the crib B. Provide a small electronic toy C. Change the infant's diaper as as soiling occurs D. Allow the infant to stand in the crib - Correct Answer- D. Allow the infant to stand in the crib A nurse is caring for a client who has an ankle sprain. Which of the following actions should the nurse take? (Select all that apply) A. Encourage rest B. Perform passive range-of-motion exercises to the ankle C. Apply heat to the ankle D. Place a compression bandage on the ankle E. Elevate the ankle - Correct Answer- A. Encourage rest D. Place a compression bandage on the ankle E. Elevate the ankle A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect? A. Weight loss B. Increased urine output C. Bradycardia D. Orthopnea - Correct Answer- D. Orthopnea A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take? A. Inform the client that privileges are related to participation in therapy B. Limit visiting hours until the client begins to participate in therapy C. Allow the client to control the timing and frequency of the therapy D. Establish a plan of care with client that sets attainable goals - Correct Answer- D. Establish a plan of care with client that sets attainable goals A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication? A. Constipation B. Bleeding C. Blurred vision D. Insomnia - Correct Answer- B. Bleeding A nurse is caring for a client who is recovering from a cerebrovascular accident (CVA). Which of the following information should the nurse include when teaching family members about repositioning the client? (Select all that apply) A. Remove pillows prior to repositioning B. Elevate the bed to waist height C. Position the client towards the edge of the bed on the side the client will face after turning D. Stand with feet wide apart E. Face the direction of movement when positioning the client - Correct Answer- A. Remove pillows prior to repositioning B. Elevate the bed to waist height D. Stand with feet wide apart E. Face the direction of movement when positioning the client A nurse is teaching a class about providing emergency care for clients who has a sports-related injury. Which of the following information should the nurse include? A. Apply heat to the injury during the first 12 hr B. Maintain the affected extremity in a dependent position C. Perform passive range of motion (ROM) to an injured join D. Compress the injury for 24 hr - Correct Answer- D. Compress the injury for 24 hr A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make? A. The blood supply to the bone is disrupted B. Normal bone growth can be affected C. Bone marrow can be lost through the fracture D. The younger the child the longer the healing process will take - Correct AnswerB. Normal bone growth can be affected A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III? A. Testing visual acuity B. Observing for facial symmetry C. Eliciting the gag reflex D. Checking the pupillary response to light - Correct Answer- D. Checking the pupillary response to light A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make? A. The test will indicate if your child has rheumatic fever B. The test will confirm if your child had a recent streptococcal infection C. The test will indicate if your child has a therapeutic blood level of an aminoglycoside D. This test will confirm if your child has immunity to streptococcal bacteria - Correct Answer- B. The test will confirm if your child had a recent streptococcal infection A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion? A. Photophobia B. Nuchal rigidity C. Positive Kernig's sign D. Restlessness - Correct Answer- D. Restlessness A nurse is caring for a client whose right leg is in Buck's traction. Which of the following interventions should the nurse implement to promote the client's mobility? A. Log rolling every 2 hr B. Isometric exercises of both legs C. Active range of motion exercises of the left leg D. Passive range of motion to the right leg - Correct Answer- C. Active range of motion exercises of the left leg A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching? A. Drying time is prolonged with a synthetic cast B. A synthetic cast is weighs less C. A plaster cast requires expensive equipment for application D. A synthetic case immobilizes bone fractures more effectively - Correct Answer- B. A synthetic cast is weighs less A nurse is caring for a client who has a fractured right femur and is in balanced suspension traction. The client is reporting pain from muscle spasms. Which of the following actions should the nurse take first? A. Administered an opioid analgesic B. Obtain a prescription to adjust the weight amount C. Offer a muscle relaxant to the client D> Realign the client's position - Correct Answer- B. Obtain a prescription to adjust the weight amount A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following? A. Skin straps maintain the leg in an extended position B. Weights are attached to a pin that is inserted into the femur C. A padded sling is under the knee of the affected leg D. The buttocks is elevated slightly off of the bed - Correct Answer- D. The buttocks is elevated slightly off of the bed A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask? A. Has your son had a sore throat recent? B. Was your son born with this cardiac defect? C. Has your child had any injuries recently? D. Have you given your child aspirin in the past 2 weeks? - Correct Answer- A. Has your son had a sore throat recent? A nurse is caring for a child who has a fracture of the forearm. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following statements should the nurse make? A. The bone is broken on one side and bent on the other side. B. Fragments of bone have splintered into the surrounding tissue. C. The bone ends have been forced toward each other. D. The sharp edge of the bone has broken through the skin. - Correct Answer- A. The bone is broken on one side and bent on the other side. A nurse is instructing the caregiver of a toddler who has bacterial conjuctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide? A. Apply the ointment in a thin line into the conjunctival sac B. Ask the child to look down before applying the ointment C. Always wipe from the outer to the inner canthus when wiping away secretions D. Use a sterile glove and applicator to apply the antibiotic ointment - Correct Answer- A. Apply the ointment in a thin line into the conjunctival sac A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first? A. Turn the client's head to the side B. Check the client's motor strength C. Loosen the clothing around the client's waist D. Document the time the seizure began - Correct Answer- A. Turn the client's head to the side A nurse is assessing a client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should identify which of the following as a cutaneous manifestation of SLE? A. Facial pallor B. Muscle atrophy C. Foot ulcers D. Butterfly rash on face - Correct Answer- D. Butterfly rash on face A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take? A. Attempt to stop the seizure B. Restrain the child's arms C. Use a padded tongue blade D. Position the child laterally - Correct Answer- D. Position the child laterally A nurse is caring for a client who is cognitively impaired. Which of the following rooms will provide a therapeutic environment for this client? A. A room adjacent to the nursing station B. A room without a window C. A room with dim lighting D. A room containing personal belongings - Correct Answer- D. A room containing personal belongings A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medications? A. White blood cell (WBC) count B. Rheumatoid factor (RF) C. Antinuclear antibody (ANA) D. Erythrocyte sedimentation rate (ESR) - Correct Answer- D. Erythrocyte sedimentation rate (ESR) A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client? A. Short peripheral catheter B. Implanted infusion port C. Peripherally inserted central catheter D. Arteriovenous fistula - Correct Answer- C. Peripherally inserted central catheter A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex - Correct Answer- A. Hypotension D. Absence of bowel sounds E. Weakened gag reflex A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider? A. Client report of feelings of depression B. Dry, raised rash of the face C. Presence of peripheral edema D. Joint pain in hands and knees - Correct Answer- C. Presence of peripheral edema A nurse is planning care for a 6 year old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care? A. Place the client in a semi-Fowler's position B. Admit the client to a private room C. Measure head circumference every shift D. Implement seizure precautions - Correct Answer- C. Measure head circumference every shift A nurse is caring for a client who has myasthenia gravis. The nurse should recognize that is disease is caused by which of the following types of hypersensitivities? A. Immediate B. Cytotoxic C. Immune complex-mediated D. Delayed - Correct Answer- B. Cytotoxic A nurse is teaching a client who has a pelvic fracture about manifestations of fat embolism syndrome. The nurse should include which of the following findings as an early manifestation? A. Tachypnea B. Hypertension C. Bradycardia D. Swollen calf - Correct Answer- A. Tachypnea A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure? A. Brisk pupillary reaction to light B. Increased sleeping C. Tachycardia D. Depressed fontanels - Correct Answer- B. Increased sleeping A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide? A. The medication is to be applied when the client is experiencing eye pain B. The medication will be used until the client's intraocular pressure returns to normal C. The medication should be applied on a regular schedule for the rest of the client's life D. The medication is to be used for approximately 10 days, followed by a gradual tapering off - Correct Answer- C. The medication should be applied on a regular schedule for the rest of the client's life A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply) A. Short attention span B. Delayed language development C. Spinning a toy repetitively D. Ritualistic behavior E. Consistent limit testing - Correct Answer- B. Delayed language development C. Spinning a toy repetitively D. Ritualistic behavior A nurse is planning care for a 5 month old infant who is scheduled for a lumbar puncture to rule our meningitis. Which of the following actions should the nurse include in the plan of care? A. Keep the infant NPO for 6 hr prior the procedure B. Apply a eutectic mixture of lidocaine and prilocaine cream opically 15 min prior to the procedure C. Place the infant in an infant seat for 2 hr following the procedure D. Hold the infant's chin to his chest and knees to his abdomen during the procedure - Correct Answer- D. Hold the infant's chin to his chest and knees to his abdomen during the procedure... [Show More]

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