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Peds Exam 3 Practice Questions and Correct Answers
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1) A nurse is taking care of four different pediatric clients. Which client poses the great risk for dehydration? 1. A 15-year-old working out in a weight room for an hour before football practice 2. A 10-year-old playing baseball outdoors in 85-degree heat 3. A 5-year-old refusing to eat because o...

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  • September 23, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • peds exam 3 practice questions and correct answers
  • 1 a nurse is taking care of four different pediat
  • 2 the nurse is assessing an infant brought to the

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Peds Exam 3 Practice Questions and
Correct Answers
1) A nurse is taking care of four different pediatric clients. Which client poses the great
risk for dehydration?
1. A 15-year-old working out in a weight room for an hour before football practice
2. A 10-year-old playing baseball outdoors in 85-degree heat
3. A 5-year-old refusing to eat because of a virus
4. A newborn under a radiant warmer for an hour after the first bath Answer: 2

2) The nurse is assessing an infant brought to the clinic with diarrhea. The infant is alert
but has dry mucous membranes. Which other sign indicates the infant is still in the early
or mild stage of dehydration?
1. Tachycardia
2. Bradycardia
3. Increased blood pressure
4. Decreased blood pressure Answer: 1

3) A 1-month-old client is admitted to the emergency room with severe diarrhea. Which
assessment suggests the client is severely dehydrated?
1. Skin moist and flushed; mucous membranes dry
2. Low specific gravity of urine; skin color pale
3. Fontanels depressed; capillary refill greater than three seconds
4. High specific gravity of urine; moist mucous membranes Answer: 3

4) The nurse is expecting the admission of a child with severe isotonic dehydration.
Which intravenous fluid should the nurse anticipate the practitioner to order initially to
replace fluids?
1. D5W
2. 0.9 percent Normal Saline (NS)
3. Albumin
4. D5 0.2 percent (1/4) Normal Saline Answer: 2

5) Parents of an infant with slow weight gain ask the nurse if they can feed their baby a
highly concentrated formula. Which response by the nurse is the most appropriate?
1. "A higher-concentrated formula could lead to dehydration because of high sodium
content; let's discuss other strategies."
2. "An undiluted formula concentrate could be given to help the child gain weight; let's
look at brands."
3. "Evaporated milk could be given to the infant instead of the current formula you're
using."
4. "A higher-concentrated formula could be given for daytime feedings; let's work on a
schedule." Answer: 1

, 6) The nurse finishes a parent-teaching session on preventing heat-related illnesses for
children who exercise. Which statement by a parent indicates understanding of
preventive techniques taught?
1. Hydration should occur at the end of an exercise session.
2. Water is the drink of choice to replenish fluids.
3. Wearing dark clothing during exercise is recommended.
4. During activity, stop for fluids every 15 to 20 minutes. Answer: 4

8) In the morning, a nurse receives a report on four pediatric clients who have some
form of fluid-volume excess. Which client should the nurse assess first?
1. A client with periorbital edema, normal respiratory rate
2. A client with tachypnea and pulmonary congestion
3. A client with dependent and sacral edema, regular pulse
4. A client with hepatomegaly, normal respiratory rate Answer: 2

9) The nurse is caring for a child on bed rest who has severe edema in a left lower leg
due to blocked lymphatic drainage. Which is the priority diagnosis for this child?
1. Risk for Imbalanced Nutrition: Less Than Body Requirements
2. Risk for Impaired Skin Integrity
3. Risk for Altered Body Image
4. Risk for Activity Intolerance Answer: 2

10) A nurse is planning care for a child with hyponatremia. The nurse, delegating care
of this child to a new RN on the pediatric unit, cautions the new nurse to be especially
alert for which condition in the child?
1. Seizures
2. Bradycardia
3. Respiratory distress
4. Hyperthermia Answer: 1

11) A nurse is planning care for a child with hyperkalemia. Which clinical manifestation
will the nurse plan to assessment this child for based on the diagnosis?
1. Seizures
2. Bradycardia
3. Respiratory distress
4. Hyperthermia Answer: 2

12) A school-age client is hypokalemic. The nurse is helping the client complete her
menu. Which food selection will the nurse encourage for this client?
1. A hamburger with French fries
2. Pizza with a fruit plate
3. Chicken strips with chips
4. A fajita with rice Answer: 2

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