PEDIATRIC NURSING SAMPLE EXAM REVISION PRACTICE QUESTIONS WITH CORRECT ANSWERS (2024 UPDATE)
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Course
Nursing Pediatrics
Institution
Nursing Pediatrics
Palivizumab - ANSWER- There is no vaccine for RSV. This is a medication called palivizumab
may prevent RSV infections and protect high-risk babies from serious complications of RSV
infection.
Respi Gam - ANSWER- IV immune globulin that may be prescribed for high-risk infants to
prevent complica...
PEDIATRIC NURSING SAMPLE EXAM REVISION
PRACTICE QUESTIONS WITH CORRECT ANSWERS
(2024 UPDATE)
Palivizumab - ANSWER- There is no vaccine for RSV. This is a medication called palivizumab
may prevent RSV infections and protect high-risk babies from serious complications of RSV
infection.
Respi Gam - ANSWER- IV immune globulin that may be prescribed for high-risk infants to
prevent complications from RSV; requires close observation for fluid overload
Risks for Repeated Transfusions - ANSWER- - Storages of excess iron = hemosiderosis &
hemochromatosis
- damage to heart, liver, endocrine organs.
- Treated with Fe Chelation Therapy (Desferoxamine [Desferal]), Given with Vitamin C, Given
over 12 hours OD, IV, usually after 1 year of transfusions, Exjade (Desferasirox) oral for children
over 2.
Desferal (deferoxamine) - ANSWER- binds Fe and excretes in urine and stool **check renal
function
Serum Ferritin test & Liver Biopsy to confirm ________ - ANSWER- Hemachromatosis and
need for chelation therapy.
Ferritin - ANSWER- iron storage protein
Exjade (deferasirox) - ANSWER- oral chelation therapy for children over 2
Advanced T/x for SCD and Thalassemia - ANSWER- Bone marrow transplant. Need sibling.
Life expectancy for Thalassemia Major - ANSWER- 30's; Often die from iron overload.
Important for RN's to emphasize chelation therapy and transfusion compliance. Assist client with
coping skills (support groups).
What nursing care to prevent a crisis is the same for children with sickle cell disease and Celiac
Disease?
1. Limit Activity
2. Protect from infection
3. Document color and consistency of stools.
4. Offer a low-carbohydrate, high protein, low-fat diet. - ANSWER- 2. Protect from infection
,A low carb, low fat & high protein diet is not particularly helpful with these diseases. `
A 6-year-old child with sickle cell disease is admitted for a vaso-occlusive crisis (painful episode).
What are the PRIORITY nursing concerns? Select all that apply.
1. Nutrition
2. Hydration
3. Pain Management
4. Prevention from infection
5. Oxygen Supplementation - ANSWER- 2&3
Preventing from infection is not a priority at this time. Oxygen may be helpful to prevent further
sickling, but it is not effective in reversing sickling because it cannot penetrate the sickled RBCs
in the clogged blood vessels.
An adolescent in sickle cell crisis (knee pain) reports right knee pain. What should the nurse
anticipate the health care provider will order?
1. Wrap the knee in a cold pack.
2. Apply a warm soak to the knee
3. Administer 0.5 mg of morphine
4. Decrease amount of IV fluids. - ANSWER- 2. Apply a warm soak to the knee.
0.5 mg of morphine would be insufficient for an adolescent.
A nurse is developing a teaching plan for a child who has anemia related to inadequate nutrition.
In addition to iron, which nutrients should the nurse include that are necessary for RBC synthesis?
1. Protein
2. Calcium
3. Vitamin C
4. Vitamin D
5. Carbohydrates - ANSWER- Protein & Vitamin C.
(page 249 in nursing key terms topic review: pediatrics)
A nurse is explaining how hemophilia is inherited to the parents of a recently diagnosed child.
What is the best explanation of the genetic factor that is involved?
1. The mother is the carrier of the disorder, but is not affected by it.
, 2. It is an autosomal dominant disorder in which the woman carries the trait.
3. A carrier can be male or female, but it occurs in the sex opposite of the carrier. - ANSWER-
1. The mother is the carrier of the disorder, but is not affected by it.
Number 3 describes sex-linked autosomal recessive disorders, but the carrier can only be a female.
Can acetaminophen be given to children with hemophilia? - ANSWER- Yes, Doctors often
recommend acetaminophen, such as Tylenol, for pain relief in people who have hemophilia.
Desmopressin (DDAVP) - ANSWER- Increases circulating factor VIII, and secretion of vWF
(both made by endothelial cells): Used for Mild hemophilia A
An 18-Month-Old is discharged from the hospital after having a febrile seizure secondary to
exanthem subitem (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 unknown, 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.
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