Pediatric Certification Prep - Nursing World Sample Test 25 Questions with Verified Answers,100% CORRECT

Document Content and Description Below

Pediatric Certification Prep - Nursing World Sample Test 25 Questions with Verified Answers A pediatric nurse advises a parent how to best convey the circumstances surrounding the sudden death of a... n infant to a four-year-old sibling. The nurse anticipates that the sibling: A may feel guilty about the infant's death. B may mistrust the parent. C understands the permanence of death. D will role-play the infant's death.CORRECT ANSWER may feel guilty about the infant's death. At which stage of development are children apt to believe in the reversibility of death? A Adolescent B Preschool age C School age D ToddlerCORRECT ANSWER Preschool age The physical manifestations of fetal alcohol syndrome include: A cleft lip and palette. B hepatomegaly, hypotonia, and microphthalmia. C hyperbilirubinemia, jaundice, and failure to thrive. D microcephaly, short philtrum, and prenatal growth retardation.CORRECT ANSWER microcephaly, short philtrum, and prenatal growth retardation. Which blood gas analyses are most indicative of respiratory acidosis? A pH = 7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L B pH = 7.28, PC02 = 45 mm Hg, HC03 = 15 mEq/L C pH = 7.34, PC02 = 35 mm Hg, HC03 = 25 mEq/L D pH = 7.40, PC02 = 25 mm Hg, HC03 = 30 mEq/LCORRECT ANSWER pH = 7.22, PC02 = 55 mm Hg, HC03 = 30 mEq/L After receiving an immunization for diphtheria, tetanus, and pertussis, a patient develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric nurse informs the patient's parents that: A the reaction is severe enough that they should bring the patient to an emergency department. B they should delay future immunizations until the patient sees an allergist. C this is a mild reaction, and teaches them how to manage it. D this is an appropriate reaction, anCORRECT ANSWER this is a mild reaction, and teaches them how to manage it. The laboratory results of a patient with disseminated intravascular coagulation are likely to include: A decreased levels of fibrin split products. B increased levels of fibrinogen. C increased platelet counts. D prolonged prothrombin and partial thromboplastin times.CORRECT ANSWER prolonged prothrombin and partial thromboplastin times. A one-month-old female infant, who has developmental dysplasia of the hip, is placed in a hip spica cast. The infant's mother expresses the desire to continue breastfeeding. The pediatric nurse's best response is: A "After breastfeeding, hold your baby upright for 45 minutes." B "Due to the weight of the cast, breastfeeding is not encouraged. I recommend that you bottle-feed expressed breast milk so your baby will get the benefits of the breast milk." C "Feed your baby 2 oz of formula to decreaCORRECT ANSWER "To breastfeed, hold your baby under your arm, with her facing you and her legs extended behind your back." A pediatric nurse instructs parents who are concerned about the spread of illness at their children's daycare centers to inquire about the facilities': A immunization rates among enrolled children. B infection control practices. C reported cases of diarrhea during the previous year. D staff-to-child ratios.CORRECT ANSWER infection control practices. A pediatric nurse is caring for a male patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discolored. These findings are: A abnormal, and indicate the need for a cool compress. B abnormal, and indicate the presence of hemorrhaging. C normal, and indicate no need for intervention. D normal, and indicate the need for a position change.CORRECT ANSWER normal, and indicate no need for intervention. To meet the emotional needs of a 10-year-old patient who is dying, the most appropriate nursing action is to: A answer questions honestly and frankly. B avoid interruptions by coordinating nursing actions. C encourage the patient to write in a journal. D provide opportunities for the patient to interact with children of the same age.CORRECT ANSWER answer questions honestly and frankly. A female adolescent, who has pelvic inflammatory disease (PID), inquires about the effects of the disease on her ability to bear children. Which is the pediatric nurse's best response? A "The occurrence of spontaneous abortion during pregnancy increases with PID." B "There is an increased risk for ectopic pregnancy or infertility." C "There is an increased risk of placenta previa." D "There should be no problems with your ability to conceive."CORRECT ANSWER "There is an increased risk for ectopic pregnancy or infertility." In preparing a preschool-age patient for an injection, the most appropriate nursing intervention is to: A allow the patient to administer an injection to a doll. B coordinate the patient watching a peer receive an injection. C have the parents explain the process to the patient. D suggest diversionary activities like singing.CORRECT ANSWER allow the patient to administer an injection to a doll. A four-year-old patient has been diagnosed with leukemia. The patient's parents follow the Jehovah's Witness faith and inform the physician that they will not approve any type of blood transfusions. The pediatric nurse is aware that: A in an emergency, a court order can be obtained for the patient to receive blood transfusions. B the patient can only receive blood that has been donated by family members. C the patient can receive volume expanders. D under no circumstances will the patient receiCORRECT ANSWER in an emergency, a court order can be obtained for the patient to receive blood transfusions. An adolescent with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, "I wish I could stay here in the hospital because every time that I go home, I get sick again!" The pediatric nurse's best response is: A "I think that you should consider participating on a swim team to improve your pulmonary function." B "Let's talk about preventing and managing your asthma on a daily basis at home." C "Why don't I speak with your parentsCORRECT ANSWER "Let's talk about preventing and managing your asthma on a daily basis at home." The major pharmacologic action of albuterol (Proventil) is: A decreasing airway reactivity. B decreasing inflammation and airway obstruction. C improving the action of cilia to sweep trapped mucous upward. D relaxing constricted bronchial smooth muscle.CORRECT ANSWER relaxing constricted bronchial smooth muscle. While caring for a Laotian patient who is hospitalized for acute gastroenteritis and dehydration, a pediatric nurse notes the parent keeping packets of herbs by the patient's bedside. Suspecting that the parent may be administering the herbs to the patient, the nurse's first action is to: A ask the parent in a nonjudgmental manner about the herbs. B coordinate a nursing care conference to discuss the patient's plan of care. C discuss the risks of using alternative therapies with the parent. D rCORRECT ANSWER ask the parent in a nonjudgmental manner about the herbs. A pediatric nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting: A a heart rate of 50 beats/min. B a temperature of 102oF (38.8oC). C complaints of leg pain. D rales and rhonchi by auscultation.CORRECT ANSWER rales and rhonchi by auscultation. During the first two years of life, patients with bronchopulmonary dysplasia requiring rehospitalization are most likely to be diagnosed with: A electrolyte disturbances. B immune deficiencies. C pulmonary hypertension. D respiratory tract infections.CORRECT ANSWER respiratory tract infections. A four-year-old patient, whose family follows a strict vegetarian diet, undergoes a prekindergarten physical examination. The pediatric nurse is alert to the patient's potential deficiency of: A niacin. B thiamin. C vitamin B6. D vitamin B12.CORRECT ANSWER vitamin B12. A pediatric nurse is caring for a patient who received chemotherapy 10 days ago. Which laboratory value requires the nurse's intervention? A A blood urea nitrogen level of 10 mg/dL B A hemoglobin of 8.6 g/dL C A platelet count of 18 x 103/µL D A serum glucose of 110 mg/dLCORRECT ANSWER A platelet count of 18 x 103/µL According to the Health Insurance Portability and Accountability Act, a healthcare facility may release patient information without obtaining permission from the patient or family when there is a request from a: A consulting physician to evaluate the patient. B lawyer regarding a child abuse case. C school nurse to update the school records. D teacher regarding behavioral issues.CORRECT ANSWER consulting physician to evaluate the patient. For a patient with gastroesophageal reflux symptoms, the purpose of esophageal pH monitoring is to evaluate for: A esophagitis from the reflux. B frequency of the reflux. C gastric emptying delays. D possible obstructionsCORRECT ANSWER frequency of the reflux. Discharge care planning has begun for a seriously injured Vietnamese patient. The patient's parents have refused routine home health visits. The pediatric nurse understands that Vietnamese families: A believe that health outcomes are predetermined. B feel health is a personal responsibility and maintenance of family reputation is paramount. C regard health as a family responsibility, seeking outside aid only when resources are exhausted. D use healthcare systems infrequently and seek folk healeCORRECT ANSWER regard health as a family responsibility, seeking outside aid only when resources are exhausted. A pediatric nurse is preparing a newly paralyzed patient for discharge. The patient will require home care, ancillary therapies, and complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will: A ask the social worker or case manager to organize a care conference. B assess the family for transportation needs. C call the medical supply company to ensure delivery of home care equipment. D contacCORRECT ANSWER ask the social worker or case manager to organize a care conference. When a patient participates in a research study, the pediatric nurse's primary concern is to ensure that the: A parent or guardian has given verbal consent for the patient's participation. B quality of care that the patient receives will not be affected if the patient chooses to withdraw from the study. C research meets the developmental needs of the patient. D research will directly benefit the patient.CORRECT ANSWER quality of care that the patient receives will not be affected if the patient chooses to withdraw from the study. [Show More]

Last updated: 7 months ago

Preview 1 out of 7 pages