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Exam Review

Peds Exam 1

Total Questions : 63

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Question 1:

Which immunization will the nurse teach to the mothers that can assist in preventing the life-threatening disease epiglottitis?

Answer and Explanation

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Question 2:

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to the pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is most appropriate?

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Question 3:

Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

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Question 4:

An infant has had recurrent respiratory infections. The mother of the child expresses concern that the infant seems to be at increased risk for complications from respiratory infections in comparison with her older children. Which response by the nurse would be most appropriate?

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Question 5:

A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

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Question 6:

A 3-year-old with bacterial pneumonia is crying and says it hurts when he coughs. The nurse would teach the child to do which of the following?

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Question 7:

A nurse delegates the task of neonatal vital sign assessment to a nurse technician. Which instruction will the nurse give to the technician prior to assigning care?

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Question 8:

An anxious and irritable preschooler arrives in the ER, refusing to lie down to be examined. The child sits, leans forward in onto the hand, and drools saliva. The child is warm to the touch, is using accessory muscles to breath, and pale in color. The nurse should: Place in the correct order from highest to lowest priority (assume you can only do one at a time).

Answer and Explanation

Explanation

1. Prepare for intubation

2. Notify the physician

3. Start an IV

4. Draw blood gasses

5. Take the child's vital signs


A
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Question 9:

An adolescent was diagnosed with cystic fibrosis as an infant, at this time, the nurse anticipates that the adolescent will need additional teaching related to which of the following?

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Question 10:

Which of the following are characteristics seen in bronchiolitis and RSV? (Select All That Apply . )

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Question 11:

You are caring for a 14-year-old patient in the ER following a motor vehicle accident. The patient is exhibiting moderate respiratory distress, with decreasing LOC and becoming hypotensive. On chest X:ray, there is air in the pleural space with tracheal deviation. You suspect which condition?

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Question 12:

A child has epistaxis while at school. Which intervention by the school nurse is appropriate?

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Question 13:

A nurse is caring for a younger child with otitis media. The parents ask the nurse why children seem to get otitis media frequently, but adults do not. Which statement about the physiological differences between young children and adults would the nurse provide?

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Question 14:

A 14-year-old boy who has experienced frequent ear infections has recently been diagnosed with conductive hearing loss. Which of the following should the clinic nurse assess?

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Question 15:

igns indicating vision impairment in a child (Select All That Apply: SATA):

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Question 16:

Expected symptoms in an infant with pyloric stenosis:

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Question 17:

An infant born with an omphalocele defect is admitted to the intensive care nursery. Which instruction from the nurse manager to the unlicensed assistive personal is most appropriate?

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Question 18:

The nurse is teaching the parents of a child diagnosed with Hepatitis A about care and prevention of transmission. Which of the following statements by the parents indicate more education is needed?

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Question 19:

What is the cardinal sign a nurse would expect to observe with intussusception?

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Question 20:

Which food choice is most appropriate for a child who had a tonsillectomy and is now awake and tolerating fluids?

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Question 21:

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

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Question 22:

A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn’s diagnosis?

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Question 23:

Chelation therapy is an effective treatment for which condition?

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Question 24:

A newborn has a stomach capacity of how many mL’s by the end of the first month?

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Question 25:

An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is the priority preoperative nursing diagnosis?

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