Exam 2: NUR203/ NUR 203 (2024/ 2025
Update) Pediatric Nursing Review| Questions
and Verified Answers| 100% Correct| A
Grade – Fortis
QUESTION
A 5-year-old is brought to the ER with a temperature of 99.5° F (37.5°C), a barky cough,
stridor, and hoarseness. Which of the following nursing interventions should the nurse prepare
for?
1. Immediate IV placement.
2. Respiratory treatment of racemic epinephrine.
3. A tracheostomy set at the bedside.
4. Informing the child's parents about a tonsillectomy.
Answer:
2. The child has stridor, indicating airway edema, which can be relieved by aerosolized racemic
epinephrine.
QUESTION
What does the therapeutic management of CF patients include? Select all that apply.
1. Providing a high-protein, high-calorie diet.
2. Providing a high-fat, high-carbohydrate diet.
3. Encouraging exercise.
4. Minimizing pulmonary complication.
5. Encouraging medication compliance.
Answer:
1, 3, 4, 5. 1. Children with CF have difficulty absorbing nutrients because of the blockage of the
pancreatic duct. Pancreatic enzymes cannot reach the duodenum to aid in digestion of food.
These children often require up to 150% of the caloric intake of their peers. The nutritional
recommendation for CF patients is high-calorie and high-protein. 2. A high-fat, high-
carbohydrate diet is not recommended for adequate nutrition. 3. Exercise is effective in helping
CF patients clear secretions. 4. Minimizing pulmonary complications is essential to a better
outcome for CF patients. Compliance with CPT, nebulizer treatments, and medications are all
components of minimizing pulmonary complications. 5. Medication compliance is a necessary
part of maintaining pulmonary and gastrointestinal function.
,QUESTION
A newborn has just returned to the nursing unit after surgical repair of the a cleft lip on the right
side. The nurse should place the infant in which best position at this time?
a. prone position
b. on the stomach
c. left lateral position
d. right lateral position
Answer:
c. left lateral position
QUESTION
After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which
initial action?
1. Maintain NPO status
2. Turn the child to the side
3. Administer the prescribed antiemetic
4. Notify the HCP.
Answer:
2. prevent aspiration then notify the HCP. NPO would be maintained and an antiemetic may be
prescribed.
QUESTION
The nurse is reviewing the lab results for a child scheduled for tonsillectomy. The nurse
determines that which lab value is most significant to review?
a. Creatinine
b. Prothrombin
c. Sedimentation
d. Blood urea nitrogen
Answer:
b. post op bleeding is a concern, the prothrombin time would identify a potential for bleeding.
,QUESTION
The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on the plan
of care to place the child in which position?
1. Supine
2. Side-lying
3. high fowlers
4. Trendelenburgs
Answer:
2. the child should be placed prone or side lying to facilitate drainage.
QUESTION
After a tonsillectomy the nurse reviews the health care providers postop prescriptions. Which
prescription should the nurse question?
a. Monitor for bleeding
b. Suction every 2 hours
c. Give no milk or milk products
d. Give clear, cool liquids when awake and alert
Answer:
2. suctioning is anot performed unless there is an airway obstruction because of the risk of
trauma to the surgical site.
QUESTION
The nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that
which finding indicates the child is bleeding?
a. frequent swallowing
b. a decreased pulse rate
c. complaints of discomfort
d. an elevation in blood pressure
Answer:
a.
QUESTION
, Antibiotics are prescribed for a child with otitis media who underwent a myringotomy with
insertion of tubes. The nurse provides discharge instructions to the parents regarding the
administration of the antibiotics. Which statement, if made by the parents, indicates
understanding of the instructions provided?
a. Administer the antibiotics until they are gone
b. Administer the antibiotics if the child has a fever
c. Administer the antibiotics until the child feels better
d. Begin to taper the antibiotics after 3 days of a full course.
Answer:
a.
QUESTION
A child has been diagnosed with acute otitis media of the right ear. Which interventions should
the nurse include in the plan of care? Select all that apply.
a. Provide a soft diet
b. Position the child on the left side
c. Administer an antihistamine twice daily
d. Irrigate the right ear with normal saline every 8 hours
e. Administer motrin for fever every four hours
f. instruct the parents about the need to administer the prescribed antibiotics for the full course of
therapy
Answer:
a, e, f.
QUESTION
A 10yo child with asthma treated for acute exacerbation in the ED. The nurse caring for the
child should monitor for which sign, knowing that it indicates worsening of the condition?
1. Warm, dry skin
2. Decreased wheezing
3. Pulse rate of 90 beats per min
4. Respiration of 18 breaths per min
Answer:
2. it may signal an inability to move air.
a silent chest can indicate severe bronchial spasm or obstruction.
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