NSG 325 Peds Week 3, 4, 5 Questions With Complete
Solutions
) During a well-child physical, an adolescent female has a
normal history and physical except for an excessive amount of
tooth enamel erosion, a greater-than-normal number of filled
cavities, and calluses on the back of her hand. Her body mass
index is in the 50th to 75th percentile for her age. Which
disorder is the nurse concerned about based on the assessment
findings?
1. Anorexia nervosa
2. Kwashiorkor
3. Bulimia nervosa
4. Marasmus. Correct Answers Answer: 3
3. Bulimia nervosa
1) A child is showing signs of acute respiratory distress. Which
position will the nurse place this child?
1. Upright
2. Side-lying
3. Flat
4. In semi-Fowler's Correct Answers Answer: 1
1. Upright
1) A nurse is assessing infants for visually related
developmental milestones. Which infant is showing a delay in
meeting an expected milestone?
1. A 4-month-old who has a social smile
2. An 8-month-old who has just begun to inspect her own hand
3. A 12-month-old who stacks blocks
,4. A 7-month-old who picks up a raisin by raking Correct
Answers Answer: 2
2. An 8-month-old who has just begun to inspect her own hand
1) A nurse is caring for four pediatric clients in the hospital.
Which client should the nurse refer for play therapy?
1. An adolescent with asthma
2. A preschool-age child with a fractured femur
3. A school-age child having an appendectomy
4. An infant with sepsis Correct Answers Answer: 2
2. A preschool-age child with a fractured femur
1) A school-age client diagnosed with diabetes insipidus (DI) is
admitted to the pediatric unit. Which laboratory value does the
nurse anticipate for this client based on the diagnosis?
1. Hyperglycemia
2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia Correct Answers Answer: 2
2. Hypernatremia
1) A school-age client, recently diagnosed with asthma, also has
a peanut allergy. The nurse instructs the family to not only avoid
peanuts but also to carefully check food label ingredients for
peanut products and to make sure dishes and utensils are
adequately washed prior to food preparation. The mother asks
why this is specific for her child. Based on the client's history,
the nurse knows that this client is at an increased risk for which
complication?
1. Urticaria
2. Diarrhea
,3. Anaphylaxis
4. Headache Correct Answers Answer: 3
3. Anaphylaxis
1) The community-health nurse visits the child-care center.
Which finding indicates the need for staff education?
1. A group of 2-year-olds are eating a snack of Cheerios.
2. Several 4-year-olds are outside playing on a slide.
3. An 18-month-old is pushing a toy truck.
4. A 2-month-old is sleeping in a crib on his stomach. Correct
Answers Answer: 4
4. A 2-month-old is sleeping in a crib on his stomach.
1) The nurse has admitted a child with tricuspid atresia. The
nurse would expect which initial lab result?
1. A high hemoglobin
2. A low hematocrit
3. A high WBC count
4. A low platelet count Correct Answers Answer: 1
1. A high hemoglobin
1) The nurse in the long-term care clinic is reviewing the charts
of a group of children with chronic physical, psychological,
functional, and social limitations. Which conditions are most
likely to lead to chronic limitations? Select all that apply.
1. Near drowning
2. Congenital heart defect
3. Sinusitis
4. Fetal insult when the mother contracted rubella in the first
trimester of pregnancy
, 5. Sepsis contracted as a neonate Correct Answers Answer: 1,
2, 4, 5
1. Near drowning
2. Congenital heart defect
4. Fetal insult when the mother contracted rubella in the first
trimester of pregnancy
5. Sepsis contracted as a neonate
1) The nurse is evaluating the activity tolerance of a 9-month-
old with iron deficiency anemia. Which finding indicates that
the infant is not tolerating activity?
1. Heart rate of 138
2. Increased alertness
3. Respiratory rate less than 40 with activity
4. Muscle weakness Correct Answers Answer: 4
4. Muscle weakness
1) The nurse is planning care for a 3-month-old infant diagnosed
with eczema. Which should be the focus of the nurse's care for
this infant?
1. Maintaining adequate nutrition
2. Keeping the baby content
3. Preventing infection of lesions
4. Applying antibiotics to lesions Correct Answers Answer: 3
3. Preventing infection of lesions
1) The parents of a critically injured child wish to stay in the
room while the child is receiving emergency care. Which action
by the nurse is the most appropriate?
1. Escort the parents to the waiting room and assure them that
they can see their child soon.
Solutions
) During a well-child physical, an adolescent female has a
normal history and physical except for an excessive amount of
tooth enamel erosion, a greater-than-normal number of filled
cavities, and calluses on the back of her hand. Her body mass
index is in the 50th to 75th percentile for her age. Which
disorder is the nurse concerned about based on the assessment
findings?
1. Anorexia nervosa
2. Kwashiorkor
3. Bulimia nervosa
4. Marasmus. Correct Answers Answer: 3
3. Bulimia nervosa
1) A child is showing signs of acute respiratory distress. Which
position will the nurse place this child?
1. Upright
2. Side-lying
3. Flat
4. In semi-Fowler's Correct Answers Answer: 1
1. Upright
1) A nurse is assessing infants for visually related
developmental milestones. Which infant is showing a delay in
meeting an expected milestone?
1. A 4-month-old who has a social smile
2. An 8-month-old who has just begun to inspect her own hand
3. A 12-month-old who stacks blocks
,4. A 7-month-old who picks up a raisin by raking Correct
Answers Answer: 2
2. An 8-month-old who has just begun to inspect her own hand
1) A nurse is caring for four pediatric clients in the hospital.
Which client should the nurse refer for play therapy?
1. An adolescent with asthma
2. A preschool-age child with a fractured femur
3. A school-age child having an appendectomy
4. An infant with sepsis Correct Answers Answer: 2
2. A preschool-age child with a fractured femur
1) A school-age client diagnosed with diabetes insipidus (DI) is
admitted to the pediatric unit. Which laboratory value does the
nurse anticipate for this client based on the diagnosis?
1. Hyperglycemia
2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia Correct Answers Answer: 2
2. Hypernatremia
1) A school-age client, recently diagnosed with asthma, also has
a peanut allergy. The nurse instructs the family to not only avoid
peanuts but also to carefully check food label ingredients for
peanut products and to make sure dishes and utensils are
adequately washed prior to food preparation. The mother asks
why this is specific for her child. Based on the client's history,
the nurse knows that this client is at an increased risk for which
complication?
1. Urticaria
2. Diarrhea
,3. Anaphylaxis
4. Headache Correct Answers Answer: 3
3. Anaphylaxis
1) The community-health nurse visits the child-care center.
Which finding indicates the need for staff education?
1. A group of 2-year-olds are eating a snack of Cheerios.
2. Several 4-year-olds are outside playing on a slide.
3. An 18-month-old is pushing a toy truck.
4. A 2-month-old is sleeping in a crib on his stomach. Correct
Answers Answer: 4
4. A 2-month-old is sleeping in a crib on his stomach.
1) The nurse has admitted a child with tricuspid atresia. The
nurse would expect which initial lab result?
1. A high hemoglobin
2. A low hematocrit
3. A high WBC count
4. A low platelet count Correct Answers Answer: 1
1. A high hemoglobin
1) The nurse in the long-term care clinic is reviewing the charts
of a group of children with chronic physical, psychological,
functional, and social limitations. Which conditions are most
likely to lead to chronic limitations? Select all that apply.
1. Near drowning
2. Congenital heart defect
3. Sinusitis
4. Fetal insult when the mother contracted rubella in the first
trimester of pregnancy
, 5. Sepsis contracted as a neonate Correct Answers Answer: 1,
2, 4, 5
1. Near drowning
2. Congenital heart defect
4. Fetal insult when the mother contracted rubella in the first
trimester of pregnancy
5. Sepsis contracted as a neonate
1) The nurse is evaluating the activity tolerance of a 9-month-
old with iron deficiency anemia. Which finding indicates that
the infant is not tolerating activity?
1. Heart rate of 138
2. Increased alertness
3. Respiratory rate less than 40 with activity
4. Muscle weakness Correct Answers Answer: 4
4. Muscle weakness
1) The nurse is planning care for a 3-month-old infant diagnosed
with eczema. Which should be the focus of the nurse's care for
this infant?
1. Maintaining adequate nutrition
2. Keeping the baby content
3. Preventing infection of lesions
4. Applying antibiotics to lesions Correct Answers Answer: 3
3. Preventing infection of lesions
1) The parents of a critically injured child wish to stay in the
room while the child is receiving emergency care. Which action
by the nurse is the most appropriate?
1. Escort the parents to the waiting room and assure them that
they can see their child soon.
