questions and answers/ Pediatric Test Bank for pediatric nursing final exam
latest for 2024 with correct questions and answers
A 4 Year old child is newly diagnosed with Legg-Calve Perth disease. Nursing
consideration should include which action?
A. Encouraging normal activity for as long as possible
B. Explaning the cause of the disease to the child and family
C. Preparing the child and family for long-term permanent disabilities
D. Teaching the family the importance of rest and non weight bearing regimen -
CORRECT ANSWER-D
An infant is scheduled to repair a myelomeningocele. Which statement by the
parents indicates effective pre-op teaching?
A. "this surgery will increase the probability that your child will eventually be
able to walk
B. "This surgery will decrease the risk of hydrocephalus developing as a
complication
C. This surgery will decrease the risk of an infection developing in the cerebral
spinal fluid
D. This surgery is being done for cosmetic purpose, to promote self-esteem as
your child gets older. - CORRECT ANSWER-C
A child is 12 hours post op following an open appendectomy performed for a
perforated appendix. The patient has a naso-gastric tube connected to low
intermident suction. Which of the following assessment findings is the highest
priority to be reported to the physcian?
A. Serous drainage on abdominal dressing
,B. Abscence of bowel sounds
C. Green drainage from the naso-gastric tube
D. Distended abdomen with pain. - CORRECT ANSWER-D
The nurse is caring for a 5 year old with botulism in the peadatric intensive care
unit. Which health care provider prescription should the nurse clarify with the
health care provider before implementing?
A. Administer botulism antitoxin IV stat x1 dose
B. Infuse D5/0.45% saline @ 50ml/hr
C. Administer diphenoxylate (lomotil) by mouth every 4 hours prn for diarrhea
D. Administer magnesium citrate by mouth 4 hours x2 doses - CORRECT
ANSWER-C
A mother was called by the health department 2 weeks after giving birth to a
full-term newborn. They reported that the baby's lab tests came back abnormal,
suggesting congenital hypothyroidism. The mother states that she will let her
family doctor know about this when she takes the baby in for his 3 month check
up. How should the health department nurse respond?
A. Letting your doctor know at his next appointment will be fine as there is
nothing that can be done right now to treat this.
B. The baby will need to be seen by a physcian immedatley so that further lab
tests may be done to confirm the diagnosis and then start treatment asap.
C. You will need to let the doctor know immedatley so that he can add ab
iodibne supplement to the baby's formula.
D. There is no hurry for treatment, as long as the baby continues to grow and
develop normally. - CORRECT ANSWER-B
, An 11 month old is admitted to the pedatric unit with a diagnosis of
gastroenteritis and dehydration. Admission weight is 30 pounds. The parents
states that this is a 3 pound weight loss since she checked his weight a week
ago. Using weight as a guide, the nurse determines the child has which degree
of dehydration? (round to nearest whole number)
A. Mild
B. Moderate
C. Severe
D. Life threatening. - CORRECT ANSWER-B
At birth an infant girl is noted to have a myelomeningocele below the 2nd
lumbar vertebrae. Which additional assessment, if abnormal is consisten with
the diagnosis?
A. Assess the infant for upper extremity response to sensory stimulation
B. Check the urine for presence of red blood cells and protein
C. Observe the infant for lower extremity response to sensory stimulation
D. Examine the infants first meconium stool for the presence of mucus -
CORRECT ANSWER-C
A newborn has just been delievered via C-Section with a myelomeningocele
which was detected pre-natally via amniocentecic. The child is scheduled to
have surgery within the first 48 hours. Which of the following nursing actions is
appropriate?
A. Place child in semi-fowlers position to decrease pressure on the spinal cord
B. Apply heat lamp to facilitate drying and toughening of the sac
C. Apply soft restraints to prevent disruption of the sac
D. Assess head circumference and fontenals for signs of ICP. - CORRECT ANSWER-
D