PEDS FINAL EXAM NOVEMBER 2023 QUESTIONS WITH ANSWERS NEW UPDATE A GRADE 100% SCORES

Document Content and Description Below

PEDS FINAL EXAM NOVEMBER 2023 QUESTIONS WITH ANSWERS NEW UPDATE A GRADE 100% SCORES The nurse is teaching a nursing student about standard precautions. Which statement made by the student indicates ... a need for further teaching? “I will use precautions when administering oral medications to a school-age child.” A teen has a scoliosis curve of 35°. What treatment option does the nurse prepare the child and family for? Bracing A nurse is caring for a child with suspected epilepsy. Which diagnostic test does the nurse facilitate as the priority for this child? Electroencephalogram (EEG) An adolescent child has just had surgery and has an abdominal dressing Which question should the nurse expect the child to initially ask? “Will I have a large scar?” A child, age 3 years, refuses to have his temperature checked by the nurse. What nursing action should the nurse implement? Do the procedure quickly as possible, involving the parent, if present. After returning from cardiac catheterization, the nurse monitors the child’s vital signs. The heart rate should be counted for how many seconds? 60 The nurse is planning home care for a 2-year-old child with a tracheostomy. What recommendation should be included? Parents are able to change the tracheostomy tube when needed. What factor is most important for parents implementing do not resuscitate (DNR) orders? Acknowledgement by health care team of what will and will not be done for the child The nurse must suction a 6-month-old infant with a tracheostomy. What intervention should be included? Perform each pass of the suction catheter for no longer than 5 seconds. The parents of a young child with heart failure (HF) tell the nurse that they are nervous about giving digoxin. The nurse’s response should be based on which knowledge? Parents need to learn specific, important guidelines for administration of digoxin. According to Erikson, the psychosocial task of adolescence is developing what? Identity Cognitive development influences response to pain. What age group is most concerned with the fear of losing control during a painful experience? Adolescents Parents ask for help for their other children to cope with the changes in the family resulting from the special needs of their sibling. What strategy does the nurse recommend? Invite the siblings to attend meetings to develop plans for the child with special needs. A 6-year-old child is admitted to the pediatric unit and requires bed rest. Having art supplies available meets which purpose? Let’s the child express thoughts and feelings through pictures rather than words The nurse finds that a 6-month-old infant has an apical pulse of 166 beats/min during sleep. What nursing intervention is most appropriate at this time? Report data to the practitioner. The nurse stops to assist an adolescent who has experienced severe trauma when hit by a motorcycle. The emergency medical system (EMS) has been activated. The first person who provided assistance applied a tourniquet to the child’s leg because of arterial bleeding. What should the nurse do related to the tourniquet? Leave the tourniquet in place. The school nurse is informed that a child with human immunodeficiency virus (HIV) infection will be attending school soon. What is an important nursing intervention to include in the plan of care? Carefully follow universal precautions. An 8-year-old child is hit by a motor vehicle in the school parking lot. The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested. What is the first action the nurse should take? Have someone notify the emergency medical services (EMS) system A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. The nurse should provide which explanation? Terminally ill children know when they are seriously ill, even when protected from the truth. The nurse should suspect a child has cerebral palsy (CP) if the parent says what? “My 4-month-old doesn’t lift his head when on his tummy.” Because of their striving for independence and productivity, which age group of children is particularly vulnerable to events that may lessen their feeling of control and power? School-age children The nurse is caring for a child with a tracheostomy. What clinical manifestation should the nurse recognize as an early sign of impending respiratory distress or failure? Restlessness The nurse in a community clinic is caring for a 6-month old boy and his mother. Which intervention is the priority to promote adequate growth? Monitoring the child’s weight and height The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is “too wet.” The nurse finds the bandage and bed soaked with blood. What nursing action is most appropriate to institute initially? Apply direct pressure above the catheterization site. The nurse is caring for a school-age child with severe anemia and activity intolerance. What diversional activity should the nurse plan for this child? Playing board or card games An acutely ill child is admitted for a suspected severe urinary tract infection (UTI). Which is the priority action by the nurse? Obtain a urine sample for culture and sensitivity. A 7-year old girl is being seen at a healthcare clinic; the nurse suspects that the child is being neglected and physically abused at home. Beyond physical markings on the child, which of the following can also indicate signs of a child being abused or neglected? Select all that apply. The patient is wearing dirty, poorly-fitted clothes The patient misses school approximately once per week The child has body odor and rotting teeth There is a strict limit setting in the home The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination? Chief complaint The nurse is providing care to a 4-year-old boy with a broken arm and an infected laceration from a fall. The nurse notes a significant elevation in the child’s heart rate. Which intervention would be at least appropriate? Using a defibrillator to reduce heart rate A 6-year-old child is scheduled for a cardiac catheterization. What consideration is most important in planning preoperative teaching? Preoperative teaching should be adapted to his level of development so that he can understand What is the most common form of child maltreatment? Child neglect A nurse is preparing to take a pediatric patient to surgery. She places an identification band on the child’s wrist. Which of the following statements by the nurse is most appropriate when explaining the ID band to the child and his parents? “This band tells us who you are so that you are not mixed up with anyone else.” The potential effects of chronic illness or disability on a child’s development vary at different ages. What developmental alteration is a threat to a toddler’s normal development? Hindered mobility The nurse is performing a physical assessment on a 3-year-old child. The parents state that the child excessively rubs the eyes and often tilts the head to one side. What visual impairment should the nurse suspect? Myopia, or nearsightedness What nursing consideration is most important in the care of a child on a mechanical ventilator? Positioning the child for comfort and optimum ventilation is necessary. An infant’s parents ask the nurse about preventing otitis media (OM), what information should be provided? Avoid tobacco smoke Which would be least effective in gaining the cooperation of a toddler during a physical examination? Tell the child that another child the same age wasn’t afraid. A 7-year-old child has just had a cast applied for a fractured arm with the wrist and elbow immobilized. What information should be included in the home care instructions? Elevate casted arm when both upright and resting. An 18-month old child is seen in the clinic with otitis media (OM). Oral amoxicillin is prescribed. What instructions should be given to the parent? Administer all of the prescribed medication. A 6-year-old child has patient-controlled analgesia (PCA) for pain measurement after orthopedic surgery. The parents are worried that their child will be in pain. What should your explanation in the parents include? The pump can deliver baseline and bolus dosages. The parents of a preterm infant in a neonatal intensive care unit are concerned about their infant experiencing pain from so many procedures. The nurse’s response should be based on which characteristic about preterm infants’ pain? They perceive and react to pain in much the same manner as children and adults A child with severe anemia requires a unit of red blood cells (RBCs). The nurse explains to the child that the transfusion is necessary for which reason? Increase her energy so she will not be so tired. A nurse is attempting to assess a toddler, who is being uncooperative. What action by the nurse would be best to accomplish this task? Visit the parent for a short while. A nurse is caring for a 5-year-old who broke his arm and is complaining of pain. What statement by the nurse to the child would be most helpful? “You didn’t do anything wrong that caused the hurt” A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain? A Topical anesthetic can be applied before injections are given. After teaching a class on the role of white blood cells in infection, the instructor determines that the teaching was successful when the class identifies which type of white blood cells as important in combating bacterial infections? Neutrophils What physiologic defect is responsible for causing anemia? Decreased oxygen-carrying capacity of blood What term is used when a patient remains in a deep sleep, responsive only to vigorous and repeated stimulation? Stupor What is a principle of palliative care that can be included in the care of children? Child and family as the unit of care What is the role of the peer group in the life of school-age children? Provides them with security as they gain independence from their parents. At which developmental period do children have the most difficulty coping with death, particularly if it is their own? Adolescence Cardiopulmonary resuscitation is begun on a toddler. What pulse is usually palpated because it is the most central and accessible? Carotid Because of their striving for independence and productivity, which age group of children is particularly vulnerable to events that may lessen their feeling of control and power? School-age children The nurse should suspect a hearing impairment in an infant who fails to demonstrate which behavior? Babbling by age 12 months The nurse is promoting learning and school attendance to a 13-year-old girl. Which factor will affect the child’s attitude most? Peer group behaviors and attitudes A child has a tracheal tube in place and will be receiving medications via this tube. Which medications would the nurse expect to be administered in this manner. Select all that apply. Lidocaine, Epinephrine, Atropine, and Naloxone (LEAN) A student nurse asks a pediatric nurse what cephalocaudal development means. Which response by the nurse is most accurate? Growth that occurs from top to bottom [Show More]

Last updated: 6 months ago

Preview 1 out of 72 pages