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Peds Exam -2 Practice 2024/2025 ;100% complete newest version guide (verified)
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Peds Exam -2 Practice 2024/2025 ;100% complete newest version guide (verified)
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Peds Exam #2 Practice QuestionsA - ANS-When caring for a child w/ acute renal failure, which nursing measure requires
immediate attention?
a. serum potassium concentration in excess of 7mEq/L
b. sodium level of 135
c. transfusion for Hbg of 8
d. mannitol and furosemide for a urine output of 2mL/kg/hr
A - ANS-Which childhood vaccine provides some protection against bacterial meningitis,
epiglottis, and bacterial pneumonia?
a. Hib vaccine
b. Hep B vaccine
c. Varicella vaccine
d. Influenza vaccine
A, B, D - ANS-A child w/ periorbital edema, decreased urine output, pallor, and fatigue is
admitted to the pediatric unit. The child is being examined for acute glomerular nephritis. Which
of the following nursing measures should be considered? Select all that apply.
a. On examination, there is usually a mild to moderate elevation in BP compared w/ normal
values for age, although severe HTN may be present.
b. Urinalysis during the acute phase characteristically shows hematuria, proteinuria, and
increased specific gravity.
c. The primary objective is to reduce the excretion of urinary protein and maintain protein-free
urine.
d. Assessment of the child's appearance for signs of cerebral complications is an important
nursing function because the severity of the acute phase is variable and unpredictable.
e. Because these children are particularly vulnerable to upper respiratory tract infection, protect
them from contact w/ infected ro
A, B, D - ANS-Because children w/ celiac disease must limit their intake of products containing
gluten in wheat, rye, oats, and barley, they are at risk for which of the following nutritional
deficiencies? Select all that apply.
a. iron deficiency anemia
b. folic acid deficiency
c. zinc deficiency
d. vitamin A, D, E, and K deficiency
e. vitamin B12 deficiency
A, B, D - ANS-You are working with a recent graduate on the pediatric unit. You are assigned to
take care of an adolescent w/ B-thalassemia. The nurse needs more info about this disease if
she states which of the following? Select all that apply.
, a. "We need to check the patient's iron level to make sure he is not anemic."
b. "I believe this is most common in those of Hispanic descent, although this patient is
Mediterranean."
c. "The doctor will be prescribing deverasirox (Exjade) or defoxamine (Desferal) for chelation
therapy."
d. "This patient looks much younger than I would expect. I guess he's just a late bloomer."
e. "I think a transfusion will be ordered, since his Hgb is 9.0"
A, C, E - ANS-The nurse is caring for a 4-year-old girl w/ a Hx of frequent UTIs. What should the
nurse be aware of before obtaining a urine sample? Select all that apply.
a. To obtain a clean-catch urine specimen, have the child sit on the toilet facing backward
toward the tank.
b. Since children who have a UTI will have painful urination, have the child drink a large amount
of fluid before obtaining the sample.
c. The specimen must be fresh - less than 1hr after voiding w/ storage at room temp. or less
than 4hrs after voiding w/ refrigeration.
d. If a urinalysis obtained by a bag specimen is negative, a specimen still needs to be obtained
by catheterization or suprapubic aspiration.
e. The key to distinguishing a true UTI from asymptomatic bateriuria is the presence of pyuria.
f. Because the child is febrile, the nurse should immediately start an antimicrobial and then
obtain a urine culture.
A, C, E - ANS-When giving discharge instructions to a parent post hypospadias repair, the nurse
recognizes a need for more teaching when the mother says which of the following? Select all
that apply.
a. "I know I should never clamp off the catheter."
b. "My child can take a tub bath when we arrive home because it will soothe the area."
c. "An antibacterial ointment may be applied to the penis daily for infection control."
d. "Fluids should be monitored and rationed to prevent fluid overload."
e. "My child should avoid straddle toys, sandboxes, swimming, and rough activities until allowed
by the surgeon."
B - ANS-A 5-month-old infant is seen in the well-child clinic for a complaint of vomiting and
failure to grow. His birth weight was 7lbs, and he now weighs 8lbs, 10oz. The infant's mother
reports that he is taking 4-7oz of formula every 4-5hrs, be he "spits up a lot after eating and then
is hungry again." The child is noted to be alert appears malnourished. The mother reports his
stools are brown in color, and he has 1-2 bowel movements every day. Based on these findings,
the nurse anticipates the infant has:
a. meckel diverticulum
b. hypertropic pyloric stenosis
c. intussusception
d. Hirschprung disease
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