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PEDIATRIC NURSING END EXAM QUESTIONS - ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% $13.99
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PEDIATRIC NURSING END EXAM QUESTIONS - ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100%
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A school age child has been diagnosed with strep throat. The parent asks the RN when the child can go back to school. Which is the nurse's best response? - ANSWER- Children with strep are no longer contagious 24 hours after initiation of antibiotic therapy. The RN is revieing discharge instructi...

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  • October 17, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Nursing Pediatrics
  • Nursing Pediatrics

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PEDIATRIC NURSING END EXAM QUESTIONS - ALL EXAM
REVISION QUESTIONS AND CORRECT ANSWERS
(ALREADY GRADED A+) (2024 UPDATE) 100%
A school age child has been diagnosed with strep throat. The parent asks the RN when the child
can go back to school. Which is the nurse's best response? - ANSWER- Children with strep are
no longer contagious 24 hours after initiation of antibiotic therapy.
The RN is revieing discharge instruction with a parent of a child who has a tonsillectomy a few
hours ago. The parents tell the nurse that the child is a big eater, and they want to know what foods
to give their child for the next 24 hours. What is the nurse’s best response?
1. No restrictions at all
2. Clear liquids only
3. Restricted to ice cream and cold liquids

4. Restricted to soft foods. - ANSWER- 4. Soft foods
Which is the nurse's best response to parents who ask what impact asthma will have on the child's
future in sports?
1. As long as your child takes prescribed medications, the child will be fine.
2. The earlier the diagnosis of asthma, the more significant the symptoms.
3. The earlier a child is diagnosed with asthma, the better the chance the child has of outgrowing
the disease.
4. Your child should avoid playing contact sports and sports that require a lot of running. -
ANSWER- 2. When the child is diagnosed with asthma at any early age, the child is more likely
to have significant symptoms on aging.
Which of the following children with asthma should the nurse see first?
1. A 12-month-old who has a mild cry, is pale in color, has diminished breathe sounds, and has an
O2 sat of 93%.
2. A 5-year-old who is speaking in complete sentences, is pink in color, wheezing bilaterally, and
has an O2 sat of 93%,
3. A 9-year-old who is quiet, pale in color, wheezing bilaterally with an O2 sat of 92%,
4. A 16-year-old who is speaking in short sentences, wheezing, sitting upright, and has an O2 sat
of 93%, - ANSWER- 1. Diminished breathe sounds are a sign of severe asthma.
The parents of a 6-year-old who has a new diagnosis of asthma ask the nurse what to do to make
their home more allergy-free environment. Which is the nurse's best response?

,1. Use a humidifier in your child's room.
2. Have your carpet cleaned chemically once a month.
3. Wash household pets weekly.

4. Avoid purchasing upholstered furniture. - ANSWER- 4. Leather furniture is recommended
rather than upholstered furniture. Upholstered furniture can harbor large amounts of dust, whereas
leather may be wiped off regularly with a damp cloth.

Are cough suppressants given in children? - ANSWER- No. Coughing is a protective
mechanism so do not try to protect it with a suppressant.

Is exercise prohibited in patient's with CF? - ANSWER- Exercise is effective in helping CF
patient's clear secretions.

What chloride level is definitive of CF? - ANSWER- The definitive diagnosis of C is made
when the child has a sweat test level of 60 meq/L or greater. A normal chloride level is <40meq/L.

What pediatric GI Disorder may have chest tubes placed post-operatively - ANSWER-
Tracheal Esophageal Fistula

Most common age for Hirschsprung's Disease - ANSWER- Usually occurs younger (infant
fails to pass meconium in the first 48 hours of life). But can occur at any age.

What is Hirschsprung disease - ANSWER- A disorder related to the absence of ganglion cells
that results in decreased motility; A condition that affects the large intestine (colon) and causes
problems with passing stool.

Complication of Hirschsprung disease - ANSWER- enterocolitis-inflammation of colon can
leadd to sepsis and death
Household pets are not recommended for patients with asthma. Humidifiers are not recommended
because they may harbor mold if not cleaned properly.

Frog Like Croaking indicates - ANSWER- Epiglottitis, a medical emergency.

How to test for RSV - ANSWER- Nasal Swab

What would confirm Epiglottis - ANSWER- Xray. A CBC would only show elevated WBC
count, it is non-confirmatory.
What should be the nurse's first action with action with a child who has a high fever, dysphagia,
drooling, tachypnea, tachycardia, and tachypnea?
1. Immediate IV placement
2. Immediate respiratory treatment
3. Thorough physical exam

,4. Lateral neck radiograph. - ANSWER- 4.
Immediate respiratory treatment may agitate the child and progress the inflammation, increasing
risks.
The parent of a young child with croup tells the nurse that her other child just had croup and it
cleared up in a couple of days without intervention. She asks the nurse why this child is exhibiting
worse symptoms and needs to be hospitalized. Which is the nurse's best response?


1. Some children just react differently to viruses. It is best to treat each child as an individual.
2. Younger children have wider airways that make it easier for bacteria to enter and colonize.
3. Younger children have short and wide Eustachian tubes, making them more susceptible to
respiratory infections.
4. Children younger than 3 years usually exhibit worse symptoms because their immune systems
are not well developed. - ANSWER- 4. Patient's should be treated as individuals. However,
most children exhibit similar symptoms when they have the same diagnosis. Younger children have
worse symptoms than older children because their immune systems are less developed.
An 18-Month-Old is discharged from the hospital after having a febrile seizure secondary to
exanthem subitum (Roseola). On discharge, the mother asks the nurse if her 6-year-old twins will
get sick. Which teaching about the transmission of roseola would be most accurate?
1. The child should be isolated at home until the vesicles have dried.
2. The child does not need to be isolated from the older siblings.
3. Administer acetaminophen to the older siblings to prevent seizures.

4. Monitor older children for seizure development. - ANSWER- . 2. The route of roseola
transmission is unkown, and the disease is more commonly seen in children 6 months to 3 years
of age, so siblings do not need to be isolated.


Which would be the priority intervention for a child suspected of having varicella (chickenpox)?
1. Contact Precautions
2. Contact and Droplet Respiratory Precautions?
3. Droplet respiratory precautions?

4. Universal Precautions and standard precautions. - ANSWER- 2. Varicella (Chickenpox) is
highly contagious. Contact & Droplet respiratory precautions should be started immediately
because the primary source of transmission is secretions of the respiratory tract (droplet) and also
by contaminated objects.

, Caladryl - ANSWER- A lotion containing diphenhydramine. Should not be applied if child has
already been given benadryl (diphenhydramine) because it can cause toxicity.
Which s&s would the nurse expect with rheumatic fever?
1. Ankle and Knee Joint Pain.
2. Negative group A beta strep culture.
3. Large, red "bulls eye" - appearing rash.

4. Stiff neck with photophobia. - ANSWER- Ankle and knee joint pain.
The parents of a 12-month-old with HIV are concerned about him receiving routine
immunizations. What will the nurse tell them about immunizations? - ANSWER- "You are
concerned about your child receiving immunizations. Let me explain why your child will NOT
receive routine immunizations today"


The nurse acknowledges a client's fears and then discusses the concerns to clarify any
misconceptions. Immunizations and influenza vaccine are recommended to prevent infection.
Immunocompromised HIV-infected children should not receive MMR and varicella live vaccines.
Nursing Assessment suspects the newborn has cystic fibrosis. Which interventions would the nurse
begin.
1. Observe frequency and nature of stools.
2. Provide Chest PT
3. Observe for weight gain.
4. Assess parent's compliance with fluid restrictions.

5. Assess respiratory system frequently. - ANSWER- 1&3


Cystic fibrosis is an inherited autsomal trait, causing exocrien gland dysfunction. 7-10% present
meconium ileus, so assessing stool frequency and consistency is important.
Assessing weight is important in newborns because they lose up to 10% of their birth weight, and
can take 2 weeks for them to regain their birth weight.
Assessing the newborn's respiratory system frequently would be monitored as frequently as other
infants if the newborn has no respiratory symptoms. Chest PT would not be initiated in a newborn
without a definitive diagnosis.

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