Pediatric Review QUestions

7/30/2019 Pediatric Review QUestions

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Pediatric Review Questions

Ana H. Corona, MSN, FNP-C

Instructor

December 2007InformIt2005, NCLEX Test Review center 2007


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Question 1

THE 6-MONTH-OLD CLIENT WITH AVENTRAL SEPTAL DEFECT IS RECEIVINGDIGITALIS FOR REGULATION OF HIS

HEART RATE. WHICH FINDING SHOULDBE REPORTED TO THE DOCTOR?

A. BLOOD PRESSURE OF 126/80

B. BLOOD GLUCOSE OF 110MG/DL

C. HEART RATE OF 60 BPM

D. RESPIRATORY RATE OF 30 PER MINUTE


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Answer 1

Answer C is correct.

A heart rate of 60 in the baby

should be reported immediately.The dose should be held if the heartrate is below 100bpm. The bloodglucose, blood pressure, and

respirations are within normallimits; thus answers A, B, and D areincorrect.


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Question 2

THE NURSE IS TEACHING BASIC INFANT CARE TOA GROUP OF FIRST-TIME PARENTS. THE NURSESHOULD EXPLAIN THAT A SPONGE BATH ISRECOMMENDED FOR THE FIRST 2 WEEKS OF LIFE

BECAUSE:A. A.NEW PARENTS NEED TIME TO LEARN HOW TO

HOLD THE BABY.

B. THE UMBILICAL CORD NEEDS TIME TO SEPARATE.

C. NEWBORN SKIN IS EASILY TRAUMATIZED BY

WASHING.D. THE CHANCE OF CHILLING THE BABY OUTWEIGHS

THE BENEFITS OF BATHING.


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Answer 2

Answer B is correct. Theumbilical cord needs time to dryand fall off before putting the infantin the tub. Although answers A, C,and D might be important, they arenot the primary answer to the

question.


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Q 3

A 4-MONTH-OLD IS BROUGHT TOTHE WELL-BABY CLINIC FORIMMUNIZATION. IN ADDITION TO

THE DTP AND POLIO VACCINES,THE BABY SHOULD RECEIVE:

A. HIB Vaccine

B.

MMR & MUMPS VACCINEC. Varicella Vaccine

D. Influenza Vaccine


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A 3

Answer A is correct.

The (HIB) Hemophilus influenza

vaccine is given at 4 months withthe polio vaccine. Answers B, C, andD are incorrect because thesevaccines are given later in life.


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Q 4

A 6-YEAR-OLD CLIENT IS ADMITTED TO THE UNIT WITH AHEMOGLOBIN OF 6G/DL. THE PHYSICIAN HAS WRITTENAN ORDER TO TRANSFUSE 2 UNITS OF WHOLE BLOOD.WHEN DISCUSSING THE TREATMENT, THE CHILD'SMOTHER TELLS THE NURSE THAT SHE DOES NOT BELIEVE

IN HAVING BLOOD TRANSFUSIONS AND THAT SHE WILLNOT ALLOW HER CHILD TO HAVE THE TREATMENT. WHATNURSING ACTION IS MOST APPROPRIATE?

A. ASK THE MOTHER TO LEAVE WHILE THE BLOODTRANSFUSION IS IN PROGRESS

B. ENCOURAGE THE MOTHER TO RECONSIDERC. EXPLAIN THE CONSEQUENCES WITHOUT TREATMENTD. NOTIFY THE PHYSICIAN OF THE MOTHER'S REFUSAL


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A 4

Answer D is correct.

If the clients mother refuses the bloodtransfusion, the doctor should be notified.

Because the client is a minor, the courtmight order treatment. Answer A isincorrect. Because it is not the primaryresponsibility for the nurse to encourage

the mother to consent or explain theconsequences, so answers B and C areincorrect.


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Q 5

THE 5-YEAR-OLD IS BEING TESTED FORENTEROBIASIS (PINWORMS). TO COLLECT ASPECIMEN FOR ASSESSMENT OF PINWORMS,THE NURSE SHOULD TEACH THE MOTHER TO:

A. EXAMINE THE PERIANAL AREA WITH AFLASHLIGHT 2 OR 3 HOURS AFTER THE CHILDIS ASLEEP

B. SCRAPE THE SKIN WITH A PIECE OFCARDBOARD AND BRING IT TO THE CLINIC

C. OBTAIN A STOOL SPECIMEN IN THEAFTERNOON

D. BRING A HAIR SAMPLE TO THE CLINIC FOREVALUATION


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A 5

Answer A is correct. Infection with pinworms begins when the eggs

are ingested or inhaled. The eggs hatch in theupper intestine and mature in 28 weeks. The

females then mate and migrate out the anus,where they lay up to 17,000 eggs. This causesintense itching. The mother should be told touse a flashlight to examine the rectal areaabout 23 hours after the child is asleep.Placing clear tape on a tongue blade will allowthe eggs to adhere to the tape. The specimenshould then be brought in to be evaluated.There is no need to scrap the skin, collect astool specimen, or bring a sample of hair, soanswers B, C, and D are incorrect.


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Q 6

THE NURSE IS TEACHING THE MOTHERREGARDING TREATMENT FORENTEROBIASIS. WHICH INSTRUCTIONSHOULD BE GIVEN REGARDING THE

MEDICATION?A. TREATMENT IS NOT RECOMMENDED FOR

CHILDREN LESS THAN 10 YEARS OF AGE.

B. THE ENTIRE FAMILY SHOULD BE TREATED.

C. MEDICATION THERAPY WILL CONTINUEFOR 1 YEAR.

D. INTRAVENOUS ANTIBIOTIC THERAPY WILLBE ORDERED.


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A 6

Answer B is correct.

Erterobiasis, or pinworms, is treated withVermox (mebendazole) or Antiminth

(pyrantel pamoate). The entire familyshould be treated to ensure that no eggsremain. Because a single treatment isusually sufficient, there is usually goodcompliance. The family should then be

tested again in 2 weeks to ensure that noeggs remain. Answers A, C, and D areincorrect statements.


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Q 7

THE NURSE IS CARING FOR A 6-YEAR-OLDCLIENT ADMITTED WITH A DIAGNOSIS OFCONJUNCTIVITIS. BEFORE ADMINISTERINGEYEDROPS, THE NURSE SHOULD RECOGNIZETHAT IT IS ESSENTIAL TO CONSIDER WHICH OF

THE FOLLOWING?A. THE EYE SHOULD BE CLEANSED WITH WARM

WATER, REMOVING ANY EXUDATE, BEFOREINSTILLING THE EYEDROPS.

B. THE CHILD SHOULD BE ALLOWED TO INSTILLHIS OWN EYEDROPS.

C. THE MOTHER SHOULD BE ALLOWED TO INSTILLTHE EYEDROPS.

D. IF THE EYE IS CLEAR FROM ANY REDNESS OREDEMA, THE EYEDROPS SHOULD BE HELD.


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A 7


Before instilling eyedrops, the nurse shouldcleanse the area with water. A 6-year-oldchild is not developmentally ready to instillhis own eyedrops, so answer B is incorrect.Although the mother of the child can instillthe eyedrops, the area must be cleansedbefore administration, making answer C

incorrect. Although the eye might appear tobe clear, the nurse should instill theeyedrops, as ordered, so answer D isincorrect.


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Q 8

THE NURSE IS DISCUSSING MEAL PLANNING WITHTHE MOTHER OF A 2-YEAR-OLD TODDLER. WHICHOF THE FOLLOWING STATEMENTS, IF MADE BY THEMOTHER, WOULD REQUIRE A NEED FOR FURTHERINSTRUCTION?

A. "IT IS OKAY TO GIVE MY CHILD WHITE GRAPE JUICEFOR BREAKFAST."B. "MY CHILD CAN HAVE A GRILLED CHEESE

SANDWICH FOR LUNCH."C. "WE ARE GOING ON A CAMPING TRIP THIS

WEEKEND, AND I HAVE BOUGHT HOT DOGS TOGRILL FOR HIS LUNCH."

D. "FOR A SNACK, MY CHILD CAN HAVE ICE CREAM."


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A 8


Remember the ABCs (airway,breathing, circulation) when answeringthis question. Answer C is correctbecause a hotdog is the size and shapeof the childs trachea and poses a riskof aspiration. Answers A, B, and C are

incorrect because white grape juice, agrilled cheese sandwich, and ice creamdo not pose a risk of aspiration for achild.


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Q 9

A 2-YEAR-OLD TODDLER IS ADMITTED TO THEHOSPITAL. WHICH OF THE FOLLOWING NURSINGINTERVENTIONS WOULD YOU EXPECT?

A. ASK THE PARENT/GUARDIAN TO LEAVE THE

ROOM WHEN ASSESSMENTS ARE BEINGPERFORMED.B. ASK THE PARENT/GUARDIAN TO TAKE THE

CHILD'S FAVORITE BLANKET HOME BECAUSEANYTHING FROM THE OUTSIDE SHOULD NOT BEBROUGHT INTO THE HOSPITAL.

C. ASK THE PARENT/GUARDIAN TO ROOM-IN WITHTHE CHILD.

D. IF THE CHILD IS SCREAMING, TELL HIM THIS ISINAPPROPRIATE BEHAVIOR.


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A 9


The nurse should encourage rooming-in topromote parent-child attachment. It is okay

for the parents to be in the room forassessment of the child. Allowing the childto have items that are familiar to him isallowed and encouraged; therefore,

answers A and B are incorrect. Answer D isnot part of the nurses responsibilities.


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Q 10

A PRIORITY NURSING DIAGNOSISFOR A CHILD BEING ADMITTEDFROM SURGERY FOLLOWING A

TONSILLECTOMY IS:A. BODY IMAGE DISTURBANCE

B. IMPAIRED VERBALCOMMUNICATION

C. RISK FOR ASPIRATION

D. PAIN


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A 10


Always remember your ABCs (airway,

breathing, circulation) when selectingan answer. Although answers B and Dmight be appropriate for this child,answer C should have the highest

priority. Answer A does not apply fora child who has undergone atonsillectomy.


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Q 11

A CLIENT WITH BACTERIAL PNEUMONIAIS ADMITTED TO THE PEDIATRIC UNIT.WHAT WOULD THE NURSE EXPECT THE

ADMITTING ASSESSMENT TO REVEAL?A. HIGH FEVER

B. NONPRODUCTIVE COUGH

C. RHINITIS

D. VOMITING AND DIARRHEA


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A 11


If the child has bacterial pneumonia, ahigh fever is usually present. Bacterial

pneumonia usually presents with aproductive cough, not a nonproductivecough, making answer B incorrect.Rhinitis is often seen with viral

pneumonia, and vomiting and diarrheaare usually not seen with pneumonia, soanswers C and D are incorrect.


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Q 12

THE NURSE IS PROVIDING DIETARYINSTRUCTIONS TO THE MOTHER OF AN 8-YEAR-OLD CHILD DIAGNOSED WITH CELIACDISEASE. WHICH OF THE FOLLOWING FOODS,

IF SELECTED BY THE MOTHER, WOULDINDICATE HER UNDERSTANDING OF THEDIETARY INSTRUCTIONS?

A. HAM SANDWICH ON WHOLE-WHEAT TOAST

B. SPAGHETTI AND MEATBALLS

C. HAMBURGER WITH KETCHUPD. CHEESE OMELET


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A 12


The child with celiac disease should

be on a gluten-free diet. Answers A,B, and C all contain gluten, whileanswer D gives the only choice offoods that does not contain gluten.


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Q 13

THE NURSE IS CARING FOR A CLIENTADMITTED WITH EPIGLOTTIS. BECAUSEOF THE POSSIBILITY OF COMPLETEOBSTRUCTION OF THE AIRWAY, WHICHOF THE FOLLOWING SHOULD THE NURSEHAVE AVAILABLE?

A. INTRAVENOUS ACCESS SUPPLIES

B. A TRACHEOSTOMY SET

C. INTRAVENOUS FLUID ADMINISTRATIONPUMP

D. SUPPLEMENTAL OXYGEN


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A 13


For a child with epiglottis and the

possibility of complete obstruction ofthe airway, emergency tracheostomyequipment should always be kept atthe bedside. Intravenous supplies,

fluid, and oxygen will not treat anobstruction; therefore, answers A, C,and D are incorrect.


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Q 14

THE NURSE IS CARING FOR A NEONATEWHOSE MOTHER IS DIABETIC. THENURSE WILL EXPECT THE NEONATE TOBE:

A. HYPOGLYCEMIC, SMALL FORGESTATIONAL AGE

B. HYPERGLYCEMIC, LARGE FORGESTATIONAL AGE

C. HYPOGLYCEMIC, LARGE FORGESTATIONAL AGE

D. HYPERGLYCEMIC, SMALL FORGESTATIONAL AGE


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A 14


The infant of a diabetic mother is usuallylarge for gestational age. After birth, glucose

levels fall rapidly due to the absence ofglucose from the mother. Answer A isincorrect because the infant will not be smallfor gestational age. Answer B is incorrectbecause the infant will not be

hyperglycemic. Answer D is incorrectbecause the infant will be large, not small,and will be hypoglycemic, nothyperglycemic.


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Q 15

A 2-YEAR-OLD IS ADMITTED FOR REPAIROF A FRACTURED FEMUR AND IS PLACEDIN BRYANT'S TRACTION. WHICH FINDINGBY THE NURSE INDICATES THAT THETRACTION IS WORKING PROPERLY?

A. THE INFANT NO LONGER COMPLAINS OFPAIN.

B. THE BUTTOCKS ARE 15 OFF THE BED.

C. THE LEGS ARE SUSPENDED IN THETRACTION.

D. THE PINS ARE SECURED WITHIN THEPULLEY.


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A 15


The infants hips should be off the bed

approximately 15 in Bryants traction.Answer A is incorrect because this doesnot indicate that the traction is workingcorrectly, nor does C. Answer D is

incorrect because Bryants traction is askin traction, not a skeletal traction.


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Q 16

THE NURSE IS CARING FOR THE CLIENTWITH A 5-YEAR-OLD DIAGNOSIS OFPLUMBISM. WHICH INFORMATION IN THEHEALTH HISTORY IS MOST LIKELY RELATED

TO THE DEVELOPMENT OF PLUMBISM?A. THE CLIENT HAS TRAVELED OUT OF THE

COUNTRY IN THE LAST 6 MONTHS.B. THE CLIENT'S PARENTS ARE SKILLED

STAINED-GLASS ARTISTS.C. THE CLIENT LIVES IN A HOUSE BUILT IN 1D. THE CLIENT HAS SEVERAL BROTHERS AND

SISTERS.


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A 16


Plumbism is lead poisoning. One factor associatedwith the consumption of lead is eating from potterymade in Central America or Mexico that is unfired.

The child lives in a house built after 1976 (this iswhen lead was taken out of paint), and the parentsmake stained glass as a hobby. Stained glass is puttogether with lead, which can drop on the work area,where the child can consume the lead beads. AnswerA is incorrect because simply traveling out of thecountry does not increase the risk. In answer C, thehouse was built after the lead was removed with thepaint. Answer D is unrelated to the stem.


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Q 17

WHICH ROOMMATE WOULD BE MOSTSUITABLE FOR THE 6-YEAR-OLD MALEWITH A FRACTURED FEMUR IN

RUSSELL'S TRACTION?A. 16-YEAR-OLD FEMALE WITH SCOLIOSIS

B. 12-YEAR-OLD MALE WITH A FRACTUREDFEMUR

C. 10-YEAR-OLD MALE WITH SARCOMA

D. 6-YEAR-OLD MALE WITH OSTEOMYLITIS


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A 17

Answer B is correct. The 6-year-oldshould have a roommate as close tothe same age as possible, so the 12-

year-old is the best match. The 10-year-old with sarcoma has cancer andwill be treated with chemotherapythat makes him immune suppressed,

the 6-year-old with osteomylitis isinfected, and the client in answer A istoo old and is female; therefore,answers A, C, and D are incorrect.


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Q 18

THE TEENAGER WITH A FIBERGLASS CASTASKS THE NURSE IF IT WILL BE OKAY TOALLOW HIS FRIENDS TO AUTOGRAPH HISCAST. WHICH RESPONSE WOULD BE BEST?

A. "IT WILL BE ALRIGHT FOR YOUR FRIENDS TOAUTOGRAPH THE CAST."

B. "BECAUSE THE CAST IS MADE OF PLASTER,AUTOGRAPHING CAN WEAKEN THE CAST."

C. "IF THEY DON'T USE CHALK TO AUTOGRAPH, IT

IS OKAY."D. "AUTOGRAPHING OR WRITING ON THE CAST IN

ANY FORM WILL HARM THE CAST."


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A 18


There is no reason that the clients

friends should not be allowed toautograph the cast; it will not harmthe cast in any way, so answers B,C, and D are incorrect.


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Q 19

A CHILD WITH SCOLIOSIS HAS ASPICA CAST APPLIED. WHICHACTION SPECIFIC TO THE SPICACAST SHOULD BE TAKEN?

A. CHECK THE BOWEL SOUNDS

B. ASSESS THE BLOOD PRESSURE

C. OFFER PAIN MEDICATION

D. CHECK FOR SWELLING


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A 19


A body cast or spica cast extends fromthe upper abdomen to the knees or

below. Bowel sounds should be checkedto ensure that the client is notexperiencing a paralytic illeus. Checkingthe blood pressure is a treatment for anyclient, offering pain medication is not

called for, and checking for swelling isntspecific to the stem, so answers B, C, andD are incorrect.


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Q 20

AN INFANT WHO WEIGHS 8POUNDS AT BIRTH WOULD BEEXPECTED TO WEIGH HOW MANYPOUNDS AT 1 YEAR?

A. 14 POUNDS

B. 16 POUNDS

C. 18 POUNDS

D. 24 POUNDS


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A 20


By 1 year of age, the infant isexpected to triple his birth weight.Answers A, B, and C are incorrectbecause they are too low.


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Q 21

A FULL-TERM MALE HAS HYPOSPADIAS.WHICH STATEMENT DESCRIBESHYPOSPADIAS?

A. THE URETHRAL OPENING IS ABSENT.B. THE URETHRA OPENS ON THE DORSAL

SIDE OF THE PENIS.

C. THE PENIS IS SHORTER THAN USUAL.

D. THE URETHRA OPENS ON THE VENTRALSIDE OF THE PENIS.


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A 21


Hypospadia is a condition in which thereis an opening on the dorsal side of the

penis. Answer A is incorrect becausehypospadia does not concern the urethralopening. Answer C is incorrect becausethe size of the penis is not affected.

Answer D is incorrect because theopening is on the dorsal side, not theventral side.


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Q 22

TO MAINTAIN BRYANT'S TRACTION, THE NURSEMUST MAKE CERTAIN THAT THE CHILD'S:

HIPS ARE RESTING ON THE BED, WITH THE LEGSSUSPENDED AT A RIGHT ANGLE TO THE BED

A. HIPS ARE SLIGHTLY ELEVATED ABOVE THE BEDAND THE LEGS ARE SUSPENDED AT A RIGHT ANGLETO THE BED

B. HIPS ARE ELEVATED ABOVE THE LEVEL OF THEBODY ON A PILLOW AND THE LEGS ARE

SUSPENDED PARALLEL TO THE BEDC. HIPS AND LEGS ARE FLAT ON THE BED, WITH THE

TRACTION POSITIONED AT THE FOOT OF THE BED


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A 22

Answer B is correct.Bryants traction isused for fractured femurs and dislocatedhips. The hips should be elevated 15 off

the bed. Answer A is incorrect because thehips should not be resting on the bed.Answer C is incorrect because the hipsshould not be above the level of the body.

Answer D is incorrect because the hips andlegs should not be flat on the bed.


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Q 24

THE NURSE IS PERFORMING AN INITIALASSESSMENT OF A NEWBORNCAUCASIAN MALE DELIVERED AT 32

WEEKS GESTATION. THE NURSE CANEXPECT TO FIND THE PRESENCE OF:

A. MONGOLIAN SPOTS

B. SCROTAL RUGAE

C. HEAD LAG

D. VERNIX CASEOSA


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A 24


The infant who is 32 weeks gestation willnot be able to control his head, so head

lag will be present. Mongolian spots arecommon in African American infants, notCaucasian infants; the client at 32 weekswill have scrotal rugae or redness but willnot have vernix caseosa, the cheesy

appearing covering found on most full-term infants. Therefore, answers A, B,and D are incorrect.


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Q 25

THE INFANT IS ADMITTED TO THEUNIT WITH TETROLOGY OF FALOT.THE NURSE WOULD ANTICIPATE

AN ORDER FOR WHICHMEDICATION?

A. DIGOXIN

B. EPINEPHRINE

C. AMINOPHYLINE

D. ATROPINE


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A 26


The toddler with a ventricular septaldefect will tire easily. He will not grow

normally but will not need more calories.He will be susceptible to bacterialinfection, but he will be no moresusceptible to viral infections than other

children. Therefore, answers B, C, and Dare incorrect.


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Q 27

You are taking the history of a 14 year old girl

who has a (BMI) of 18. The girl reports

inability to eat, induced vomiting and severe

constipation. Which of the following would youmost likely suspect?

A. Multiple sclerosis

B. Anorexia nervosa

C. Bulimia

D. Systemic sclerosis


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A 27


All of the clinical signs andsystems point to a condition ofanorexia nervosa.


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Q 28

A new mother has some questions about(PKU). Which of the following statementsmade by a nurse is not correct regardingPKU?

A: A Guthrie test can check the necessary labvalues.

B: The urine has a high concentration ofphenylpyruvic acid

C: Mental deficits are often present with PKU.D: The effects of PKU are reversible.


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A 28


The effects of PKU stay with theinfant throughout their life.


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Q 29

A nurse is caring for an infant thathas recently been diagnosed with acongenital heart defect. Which of

the following clinical signs wouldmost likely be present?

A: Slow pulse rate

B: Weight gain

C: Decreased systolic pressure

D: Irregular WBC lab values


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A 29


Weight gain is associated with CHFand congenital heart deficits


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Q 30

A mother has recently been informedthat her child has Downs syndrome.

You will be assigned to care for the childat shift change. Which of the followingcharacteristics is not associated withDowns syndrome?

A: Simian crease

B: Brachycephaly

C: Oily skin

D: Hypotonicity


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A 30


The skin would be dry and not oily.


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Q 31

A child is 5 years old and has beenrecently admitted into the hospital.According to Erickson which of the

following stages is the child in?

A: Trust vs. mistrust

B: Initiative vs. guilt

C: Autonomy vs. shame

D: Intimacy vs. isolation


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A 31


Initiative vs. guilt- 3-6 years old


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Q 32

A toddler is 16 months old and hasbeen recently admitted into thehospital. According to Erickson

which of the following stages is thetoddler in?


B: Initiative vs. guilt

C: Autonomy vs. shame



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A 32

Answer A

Trust vs. Mistrust- 12-18 monthsold


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Q 33

A young adult is 20 years old andhas been recently admitted intothe hospital. According to Erickson

which of the following stages is theadult in?


B: Initiative vs. guiltC: Autonomy vs. shame



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A 33


Intimacy vs. isolation- 18-35 yearsold


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Q 34

A nurse is making rounds taking vitalsigns. Which of the following vital signs isabnormal?

A: 11 year old male 90 b.p.m, 22 resp/min.100/70 mm Hg

B: 13 year old female 105 b.p.m., 22resp/min., 105/60 mm Hg

C: 5 year old male- 102 b.p.m, 24 resp/min.,90/65 mm Hg

D: 6 year old female- 100 b.p.m., 26resp/min., 90/70mm Hg


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A 34


HR and Respirations are slightlyincreased. BP is down.


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Q 35

A nurse if reviewing a pediatric patientschart and notices that the patient suffersfrom conjunctivitis. Which of the

following microorganisms is related tothis condition?

A: Yersinia pestis

B: Helicobacter pyroli

C: Vibrio choleraD: Hemophilus aegyptius


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A 35


Choice A is linked to Plague,Choice B is linked to peptic ulcers,Choice C is linked to Cholera.


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Q 36

A nurse if reviewing a pediatric patientschart and notices that the patient suffersfrom Lyme disease. Which of the following

microorganisms is related to thiscondition?

A: Borrelia burgdorferi

B: Streptococcus pyrogens

C: Bacilus anthracisD: Enterococcus faecalis


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A 36

Answer A is correct

Choice B is linked to Rheumaticfever, Choice C is linked to Anthrax,Choice D is linked to Endocarditis.


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Q 37

A mother is inquiring about her childsability to potty train. Which of the followingfactors is the most important aspect of toilet

training?A: The age of the child

B: The child ability to understand instruction.

C: The overall mental and physical abilities of

the child.D: Frequent attempts with positive

reinforcement


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A 37


Age is not the greatest factor inpotty training. The overall mentaland physical abilities of the child isthe most important factor.


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Q 38

A parent calls the pediatric clinic and isfrantic about the bottle of cleaning fluidher child drank 20 minutes. Which ofthe following is the most important

instruction the nurse can give theparent?A: This too shall pass.B: Take the child immediately to the ERC: Contact the Poison Control Center

quicklyD: Give the child syrup of ipecac


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A 39


Vastus lateralis is the mostappropriate location.


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Q 40

A nurse has just started her roundsdelivering medication. A new patient onher rounds is a 4 year-old boy who isnon-verbal. This child does not have on

any identification. What should thenurse do?A: Contact the providerB: Ask the child to write their name on

paper.

C: Ask a co-worker about the identificationof the child.

D: Ask the father who is in the room thechilds name.

A 40


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A 40


In this case you are able todetermine the name of the child by

the fathers statement. You shouldnot withhold the medication fromthe child following identification.


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A 41

The answer is B

Explanation of Answer:The manipulation of a mass maycause dissemination of cancer cells


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Q 42

A 7-year-old girl with insulin-dependent diabetes(IDDM) has been home sick for several days andis brought to the emergency department by herparents. A diagnosis of ketoacidosis is made.The nurse would expect to see which of thefollowing lab results for this client?

A. Serum glucose 140 mg/dL

B. Serum creatine 5.2 mg/dL

C. Blood pH 7.28D. Hematocrit 38%


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A 42

The answer is C

Explanation of Answer:normal Blood pH is 7.357.45. A

level of 7.28 indicates acidosis


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Q 43

The nurse is performing a home care visit on athree-year-old with a cast on the left arm due toa fracture of the radius. The nurse would beMOST concerned if which of the following wasobserved?

A. The mother wraps the cast with plastic wrapprior to bathing the child.

B. The child elevates the left arm on a pillow whilewatching television.

C. The child is sitting at the table coloring in acoloring book.

D. The mother encourages the child to wiggle thefingers on the left hand.


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A 43

The answer is C

Explanation of Answer:The nurse should prevent the child

from sticking small items down thecast.

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