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Ivytech Community college Lawrence campus paediatric exam

Total Questions : 38

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Question 1:

The nurse is caring for a 16-year-old child with a diagnosis of acquired immunodeficiency syndrome (AIDS). What treatment goal has the highest priority for this child?

Answer and Explanation

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Question 2:

A 6-month-old boy weighed 8 lbs. 2 oz. at birth. Understanding developmental milestones, what should the nurse caring for the child calculate his current weight as?

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Question 3:

A nurse is assisting with a parenting class and is approached by a parent of a 2-year-old toddler who asks what to do when the toddler throws a tantrum. Which of the following instructions should the nurse give?

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Question 4:

The nurse is caring for a toddler with acute laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?

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Question 5:

A mother brings a 15-month-old child to the clinic for a routine health maintenance visit. Which immunization should the nurse prepare to administer to this child?

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Question 6:

The nurse is meeting with a group of caregivers of adolescents and discussing sex and sexuality, including how to discuss these issues with their children. Which comment should the nurse prioritize with this group of caregivers?

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Question 7:

A breast-feeding mother asks the nurse about when she can begin feeding her 5-month-old infant some solids and vitamins. Which information provided by the nurse would most accurately address this mother’s concerns?

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Question 8:

The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptom to be:

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Question 9:

The nurse has brought a group of preschoolers to the playroom to play. Which activity would the nurse predict the children to become involved in?

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Question 10:

A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which of the following medications would the nurse anticipate the physician might prescribe?

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Question 11:

The nurse is collecting data on a child with a diagnosis of tonsillitis. Which clinical manifestation would likely have been noted in the child with this diagnosis?

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Question 12:

The nurse is assessing a child with acute epiglottitis. Examining the child’s throat by using a tongue depressor might precipitate which symptom or condition?

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Question 13:

When providing anticipatory guidance to a group of parents with school-aged children, what would the nurse describe as the most important aspect of social interaction?

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Question 14:

A nurse is preparing a presentation for a group of nurses about human immunodeficiency virus infection. Which of the following would the nurse include as the major means of transmission responsible for almost all new HIV infections in the infant population?

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Question 15:

Which common childhood communicable disease may cause severe defects in the fetus when it occurs in its congenital form?

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Question 16:

An adolescent patient is to receive 50 mL of Cefazolin IV over 40 minutes. With a tubing drop factor of 20 gtt/mL, how many drops per minute (gtt/min) should be given?

Answer and Explanation
Correct Answer: 25

Explanation

To calculate the drops per minute for an IV infusion, we need to use the following formula:

gtt/min = (volume x drop factor) / time

In this case, the volume is 50 mL, the drop factor is 20 gtt/mL, and the time is 40 minutes. Plugging these values into the formula, we get:

gtt/min = (50 x 20) / 40

gtt/min = 1000 / 40

gtt/min = 25

Therefore, the adolescent patient should receive 25 drops per minute of Cefazolin IV.


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Question 17:

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

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Question 18:

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

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Question 19:

The nurse is evaluating teaching provided to a school-age child and parents about the use of pancreatic enzymes for cystic fibrosis. Which observation indicates that teaching has been effective?

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Question 20:

The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructors determines the class is successful after the students correctly choose which milestone as the beginning of adolescence?

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Question 21:

The caregivers of a 2-year-old who has had a common cold for 4 days calls the nurse in the emergency department at 2 AM on a cold winter night to say that the child has awakened with a barking cough and an elevated temperature. The caregiver reports she has taken the child into the bathroom and ran hot water for 15 minutes and now the child seems blue around her mouth The nurse would most appropriately recommend what action to the caregiver?

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Question 22:

The nurse instructs a mother on actions to prevent sibling rivalry between a toddler and a newborn. Which observation indicates that instruction has been effective?

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Question 23:

The nurse is performing a physical assessment on a 6-month-old baby. Which finding should the nurse understand as abnormal for this child?

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Question 24:

The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing intervention is the highest priority for this child?

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Question 25:

The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection?

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