Pediatric Questions

1. The nurse discusses dental care with the parents of a 3-year old. The nurse explains that by the age of 3, their child should have:

a. 5 "temporary" teeth c. 15 "temporary" teeth

b. 10 "temporary" teeth d. 20 "temporary" teeth

2. The mother of a 6-month old infant is concerned that the infant's anterior fontanel is still open. The nurse would inform the mother that further evaluation is needed if the anterior fontanel is still open after:

a. 6 months c. 18 months

b. 10 months d. 24 months

3. The nurse has discussed appropriate support of the young infant to prevent injuries from falls. The mother who needs further education is the mother who states:

a. "My child is not allowed to have his walker near the stairs."

b. "I never leave my baby unattended on my bed."

c. "By the time my infant is 6 months old, hw will be able to sit without support."

d. "Before my child is standing, I need to place the crib mattress at its lowest level.

4. The 9-year-old child is at the 98th percentile for weight and at the 40th percentile for height. The school nurse will interpret that this child is:

a. Underweight or small in stature

b. Overweight or large in stature

c. Experiencing a prepubescent growth spurt

d. Normal for size

5. In discussing sexual maturation with a health class, the nurse would include the information that secondary sex characteristics begin to appear at:

a. 10 years in girl, 12 years in boys

b. 12 years in girls, 16 years in boys

c. 8 years in boys, 10 years in girls

d. 12 years in girls and boys

6. A recently hospitalized 2-year-old client screams and shouts that he wants a "bottle." His parents are puzzled, and state that he has drank from a cup for the past year. The nurse explains that:

a. Irritability is exhibited in all age group

b. Temper tantrums often represent the child's need for parental attention

c. Various forms of punishment are necessary when such behaviors occur

d. Regression to an earlier behavior often helps the child cope with stress and anxiety

7. A friend is shopping for a toy to give to her nephew. The friend knows nothing about children and asks what would be the most appropriate toy to give an 18-month-old child. Based on growth and development skills, the nurse recommends a:

a. Tricycle c. Pull toy

b. Large ball d. Stuffed animal

8. The nurse is preparing an 8-year old child for a procedure. What is the most appropriate nursing intervention?

a. Provide visual aids, such as dolls, puppets, and diagrams in the explanation

b. Provide a written pamphlet for the child to review prior to the procedure

c. Discourage any display of emotional outbursts

d. Request that parents wait outside while the nurse provides instructions to the child

9. The nurse explains that the Pediatrics formula are continued in a child's dietary intake up until what age?

a. 6 months c. 18 months

b. 12 months d. 24 months

10. Piaget identifies that the 2 to 7 year old child is in a preoperational stage. The nurse observes a toddler taking a toy from another. The nurse recognizes the child unable to put him or herself in the place of another is displaying:

a. Centration c. Egocentrism

b. Negativism d. Selfishness

11. A 7-month old infant has all of the following abilities. Which skill was most recently acquired?

a. Smiling at self in a mirror

b. Transferring a rattle from one hand to the other

c. Rolling from back to abdomen

d. Imitating sounds

12. The school health nurse is doing vision testing. visual acuity is assessed using:

a. The Snellen eye chart c. The cover-uncover test

b. An ophthalmoscope d. The Weber test

13. Children are usually brought to the clinic for health care by a parent. At what age is it appropriate for the nurse to question the child about presenting symptoms?

a. 3 years b. 5 years c. 7 years d. 9 years

14. When recording the health history of a child, what information that is uniquely pertinent to children is important for the nurse to obtain?

a. Past hospitalizations c. immunization status

b. Coping strategies d. Past accidents

15. A mother overhears a nurse state that the nurse is going to complete a genogram and asks the nurse what that means. The nurse's reply would be based on knowledge that a genogram is useful for visually showing what information?

a. Treatment protocols

b. Family history Past history

c. Immunization status

16. When plotting a child's height and weight on a growth grid, the nurse understands that which range represents the normal percentile range for children?

a. 10th to 90th percentile

b. 25th to 75th percentile

c. 50th to 100th percentile

d. 5th to 95th percentile

17. When assessing a child who complains of abdominal pain, what is the most appropriate nursing action?

a. Palpate the most painful area first

b. Palpate for rebound tenderness

c. Avoid painful areas until the end of the assessment

d. Use deep palpation for abdominal tenderness

18. When sharing the purpose of the Denver Development Screening Test (Denver II) with parents of an 18-month old, the nurse should explain that:

a. The Denver II is a test that will predict future intellectual ability

b. The Denver II is a screening test used to detect children who may be slow in development

c. The Denver II is used for early detection of speech disorders

d. The Denver II measures psychological, cognitive, and social development

19. What should the nurse do first when preparing to do a physical assessment on a sleeping 8-month-old baby?

a. Measure the occipital-frontal head circumference

b. Auscultate the heart and lungs

c. Check the eyes for the red reflex

d. Wake the baby

20. When preparing to examine a preschool child, the nurse should:

a. Give detailed explanations to alleviate the child's anxiety

b. Give reassurance and feedback to the child during the examination

c. Suggest that the child act like "the big kids" when he or she is examined

d. Say that the shirt is the only clothing that must be removed

21. The physician orders amoxicillin (Amoxil) 500mg IVPB q 8 hours for a pediatric client with tonsillitis. What is the appropriate nursing action?

a. Question the order because the route of administration is incorrect

b. Give the medication as ordered

c. Question the order because the dosage is too high

d. Question the order because the dosing frequency is incorrect

22. The nurse administers cefprozil (Cefzil) as ordered to a 22-month-old client with bacterial pharyngitis. The nurse notes patches of white on the child's oral mucosa that cannot be removed. Which condition does the nurse suspect?

a. Allergic reaction to the medication manifested by the development of stomatitis

b. A herpes simplex virus infection

c. Oral thrush caused by Candida albicans

d. Mumps

23. A pediatric client has been diagnosed with otitis media. The nurse should place highest priority on teaching the parent:

a. How to administer eardrop

b. The importance of completing the full course of antibiotic therapy

c. About myringotomy and tympanostomy tube insertion

d. About eliminating environmental allergens

24. Nursing care of the child who is postoperative for a tonsillectomy should include:

a. Applying warm, moist compresses to the neck area

b. Observing for excessive swallowing

c. Maintaining the child in a supine position

d. Offering warm liquids with a straw for the child to sip

25. The nurse is caring for a child with a common cold (nasapharyngitis). The primary goal of nursing care is directed toward:

a. Preventing injury

b. Promoting nutrition

c. Relieving symptoms

d. Administering antibiotics

26. The nurse obtains a health history on a pediatric client. A sign alerting the nurse to possible hearing impairment in the child is:

a. Distractibility and short attention span

b. Disinterest in reading storybooks

c. Turning up the volume on the family television set

d. Temper tantrums

27. The nurse is caring for a 1-month old client who is blind, secondary to retinopathy or prematurity. The nurse is teaching the parents about activities to promote their infant's development. Which of the following statements by the nurse is correct?

a. "Infants with visual impairment respond to tactile stimuli rather than auditory stimuli."

b. "Talking, holding, and singing to your baby are appropriate activities at this age."

c. "You should expect your baby to smile in response to your voice by 4 months of age."

d. "Position the baby side-lying in the crib at all times, and avoid loud noises that could startle the infant."

28. The nurse is assessing a child with conjunctivitis (pink eye). Which of the following would the nurse most likely assess?

a. Serous drainage from the affected eye

b. Severe eye pain

c. Periorbital edema

d. Crusting of eyelids and eyelashes

29. The nurse teaches a child with conjunctivitis measures to prevent the spread of infection. The nurse recognizes that further teaching is needed when the child states the following:

a. "I will wash my hands frequently."

b. "I will use a tissue to clean my eye and then throw the tissue away."

c. "I will use my own washcloth and towel, and not use my brother's."

d. "I will carry a handkerchief with me so that I can wipe my eyes during the day."

30. A 4-month old infant has severe nasal congestion, nasal mucous drainage and crusting in and around the nares. What is the best way for the nurse to clear the infant's nasal passage?

a. Administer vasoconstrictive nose drops every 3 hours

b. Place the infant in a mist tent

c. Administer saline drops in the nose and suction with bulb syringe

d. Instruct the client to blow the nose and keep disposable tissues handy

 continue to answer here: PEDIATRIC II Questions