Paediatric Nursing 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?
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?
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:
4. To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine (Anectine) is used with which of the following agents?
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?
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?
7. When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with:
8. Nurse Walter should expect a 3-year-old child to be able to perform which action?
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?
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?
11. Dr. Jones prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
12. How should the nurse prepare a suspension before administration?
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:
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?
16. When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk for suicide is:
17. A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:
18. Which of the following would be inappropriate when administering chemotherapy to a child?
19. Which of the following is the best method for performing a physical examination on a toddler-
20. Which of the following organisms is responsible for the development of rheumatic fever?