Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Paediatric Nursing Test - 4
Test - 4
1. A female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first?
Number of immunizations received
Height and weight
Recent exposure to communicable diseases
Heart rate, respiratory rate, and blood pressure
2. A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse’s response?
The parents may refer less mature behaviors
The child returns to a level of behavior that increases the sense of security.
The child experiences growth while regressing, regrouping, and then progressing
The child forgets previously learned skills
3. A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child’s vision, the nurse should ask:
“How are you doing in school?”
“Do you have problems with glare?”
“Do you have trouble seeing at night?”
“Do you have any problems seeing different colors?”
4. To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine (Anectine) is used with which of the following agents?
Lidocaine hydrochloride (Xylocaine)
5. A 1-year-and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital hip dislocation. When preparing the patient’s room, the nurse anticipates using which traction system?
Buck’s extension traction
Overhead suspension traction
6. Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective?
Providing age-appropriate reading materials
Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model
Initiating a teenage parent support group with first – and – second-time mothers
Using audiovisual aids that show discussions of feelings and skills
7. When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with:
Congenital heart defects
8. Nurse Walter should expect a 3-year-old child to be able to perform which action?
Ride a tricycle
Tie the shoelaces
9. Nurse Kim is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
External ear canal
10. The nurse is evaluating a female child with acute poststreptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
Increased urine output
Increased energy level
11. Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
To prevent infection
To reduce inflammation
To decrease proteinuria
To increase blood pressure
12. How should the nurse prepare a suspension before administration?
By crushing remaining particles with a mortar and pestle
By shaking it so that all the drug particles are dispersed uniformly
By diluting it with 5% dextrose solution
By diluting it with normal saline solution
13. What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
14. Lily , age 5, with intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:
Within the lower range of normal intelligence
Mildly retarded but educable
Moderately retarded but trainable
Completely dependent on others for care
15. Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?
At I week to 1 year of age, peaking at 2 to 4 months
At 6 months to 1 year of age, peaking at 10 months
At 6 to 8 weeks of age
At 1 to 2 years of age
16. When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk for suicide is:
A preoccupation with death
A history of cocaine use
17. A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:
Nausea and vomiting
An abdominal mass
18. Which of the following would be inappropriate when administering chemotherapy to a child?
Assessing for signs of infusion infiltration and irritation
Administering medication through a free-flowing intravenous line
Observing the child for 10 minutes to note for signs of anaphylaxis
Monitoring the child for both general and specific adverse effects
19. Which of the following is the best method for performing a physical examination on a toddler-
From least to most intrusive
From abdomen to toes, the to head
Distally to proximally
From head to toe
20. Which of the following organisms is responsible for the development of rheumatic fever?
Group A β-hemolytic streptococcus