Anatomy and Physiology
Fundamentals of Nursing
Medical Surgical Nursing
Community Health Nursing
Previous Exam Questions
Paediatric Nursing Test - 7
Test - 7
1. Which of the following organisms is responsible for the development of rheumatic fever?
Group A β-hemolytic streptococcus
2. How does the nurse appropriately administer mycostatin suspension in an infant?
Place mycostatin on the nipple of the feeding bottle and have the infant suck it
Mix mycostatin with formula
Swab mycostatin on the affected areas
Have the infant drink water, and then administer mycostatin in a syringe
3. A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother?
provide quiet environment for the child before meals
do not give snacks to the child before meals
make the child seat with the family in the dining room until he finishes his meal
put the child on a chair and feed him
4. The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
respirations are irregular, abdominal, 30-60 bpm
heart rate is 80 bpm
uneven head shape
(+) moro reflex
5. Which of the following situations increase risk of lead poisoning in children?
playing plastic balls with other children
playing in the park with heavy traffic and with many vehicles passing by
playing with stuffed toys at home
playing sand in the park
6. Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?
Normal total iron-binding capacity (TIBC)
Decreased mean corpuscular volume (MCV)
7. At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out “who they are,” and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as:
identity vs. role confusion.
8. The nurse is assessing a 9-month-old boy for a well-baby check up. Which of the following observations would be of most concern?
The baby cries whenever the mother goes out.
The baby cannot say “mama” when he wants his mother.
The mother has not given him finger foods.
The child does not sit unsupported.
9. Cheska, the mother of an 11-month-old girl, KC, is in the clinic for her daughter’s immunizations. She expresses concern to the nurse that Shannon cannot yet walk. The nurse correctly replies that, according to the Denver Developmental Screen, the median age for walking is:
10. Buck’s traction with a 10 lb. weight is securing a patient’s leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:
every 4 hours.
every 15 minutes.
11. Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:
tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.
blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.
tachycardia, headache, dyspnea, temp . 101 F, and wheezing.
restlessness, insomnia, blurred vision, hypertension, chest pain, and muscle weakness.
12. The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:
throat and ear culture.
13. The parents of a child, age 6, who will begin school in the fall ask the nurse for anticipatory guidance. The nurse should explain that a child of this age:
Rebels against scheduled activities
Is highly sensitive to criticism
Loves to tattle
Still depends on the parents
14. While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topic in the teaching session?
Preparation for surgery
15. After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching?
“Our child must maintain these dietary restrictions until adulthood.”
Well follow these instructions until our child’s symptoms disappear.”
“We’ll follow these instructions until our child has completely grown and developed.”
“Our child must maintain these dietary restrictions lifelong.”
16. Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:
17. The mother of Gian, a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons, and that she recently had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to:
18. Cristina, a mother of a 4-year-old child tells the nurse that her child is a very poor eater. What’s the nurse’s best recommendation for helping the mother increase her child’s nutritional intake?
se specially designed dishes for children – for example, a plate with the child’s favorite cartoon character
Only serve the child’s favorite foods
Allow the child to eat at a small table and chair by herself
Allow the child to feed herself
19. Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN?
20. When planning care for a 8-year-old boy with Down syndrome, the nurse should:
Assess the child’s current developmental level and plan care accordingly
Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays
Direct all teaching to the parents because the child can’t understand
Plan interventions according to the developmental level of a 7-year-old child because that’s the child’s age