Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Paediatric Nursing Test - 6
Test - 6
1. Nurse Liza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
Over age 3
Under age 3
Critically ill and over age 3
Critically ill and under age 3
2. When assessing a child's cultural background, the nurse in charge should keep in mind that:
Behavioral patterns are passed from one generation to the next
Heritage dictates a group’s shared values
Physical characteristics mark the child as part of a particular culture
Cultural background usually has little bearing on a family’s health practices
3. While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
Notify the doctor
Look for other signs of abuse
Ask about a family history of Tay-Sachs disease
Recognize this as a normal finding
4. The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
Intense abdominal cramps
5. When administering an I.M. injection to an infant, the nurse in charge should use which site?
6. When developing a plan of care for a male adolescent, the nurse considers the child's psychosocial needs. During adolescence, psychosocial development focuses on:
Establishing an identity
7. 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?
Recent exposure to communicable diseases
Number of immunizations received
Heart rate, respiratory rate, and blood pressure
Height and weight
8. 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:
“Do you have problems with glare?”
“How are you doing in school?”
“Do you have trouble seeing at night?”
“Do you have any problems seeing different colors?”
9. 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
10. Mandy, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective?
Using audiovisual aids that show discussions of feelings and skills
Initiating a teenage parent support group with first – and – second-time mothers
Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model
Providing age-appropriate reading materials
11. 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
12. Nurse Raven should expect a 3-year-old child to be able to perform which action?
Ride a tricycle
Tie the shoelaces
13. The nurse is evaluating a female child with acute poststreptoccocal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
Increased energy level
Increased urine output
14. Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
To reduce inflammation
To decrease proteinuria
To prevent infection
To increase blood pressure
15. How should the nurse May prepare a suspension before administration?
By diluting it with normal saline solution
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
16. What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
17. Becky, 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:
Mildly retarded but educable
Within the lower range of normal intelligence
Completely dependent on others for care
Moderately retarded but trainable
18. 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 6 months to 1 year of age, peaking at 10 months
At I week to 1 year of age, peaking at 2 to 4 months
At 6 to 8 weeks of age
At 1 to 2 years of age
19. A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge expects to detect:
Nausea and vomiting
An abdominal mass
20. Which of the following would be inappropriate when administering chemotherapy to a child?
Observing the child for 10 minutes to note for signs of anaphylaxis
Assessing for signs of infusion infiltration and irritation
Monitoring the child for both general and specific adverse effects
Administering medication through a free-flowing intravenous line