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/PEDSATI PROCTORED FINAL EXAM TEST BANK 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE
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2023-2024/PEDSATI PROCTORED FINAL EXAMTEST BANK 200 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES|AGRADE
The nurse is preparing to administer an immunization to a four-year-old
child. Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds
Answer - c
The nurse should administer an immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
A- The nurse should place the child in an upright sitting position for the
immunization because this decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during
the immunization to provide a sense of security and reduce the child's
anxiety level.D- The nurse should inject the immunization rapidly and
avoid aspiration.
These actions decrease the risk of needle displacement and lower the
child's fear and anxiety level by decreasing the amount of time it takes to
administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current
treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
Answer- b
,The nurse should identify that a sodium level of 140 mEq/L is within the
expected reference range and indicates the current treatment regimen the
infant is receiving for dehydration is effective.
A- A potassium level of 2.9 mEq/L is below the expected reference
range and indicates hypokalemia.
Page 1 of 27
C- A urine specific gravity of 1.035 is above the expected reference range and
indicatesconcentrated urine.
D- A BUN level of 25 mg/dL is above the expected reference range and
indicates the kidneys arenot excreting BUN as they should be.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse
recommendfor the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
Answer - d
The nurse should instruct the parents that at the preschool age, play should
focus on social, mental, and physical development. Therefore, playing dress-up
is a recommended play activity for this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A nurse is teaching the parents of a newborn about ways to prevent sudden
infant death syndrome SIDS. Which of the following instructions should the
nurse include?
A- Place the infant in a prone position to sleep.
,B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
Answer- d
The nurse should inform the parent that protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine position to
sleep. Prone and side-lying positions are risk factors for SIDS.
B- Placing the infant on a large pillow to sleep can increase the risk of suffocation,
asphyxiation, and SIDS.
Page 2 of 27
C- The nurse should instruct the parent to use a firm mattress and avoid the use
of waterbeds, beanbags, or soft mattresses when placing the infant to bed. The
use of asoft mattress in the infant's crib is a risk factor for SIDS and can lead to
asphyxiation.
Page 3 of 27
A nurse is assessing an infant who has pneumonia. Which of the
following findings is the priority for the nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension
Answer- a
When using the airway, breathing, circulation approach to client care, the nurse
should place the priority on nasal flaring. Nasal flaring indicates that the
infantis experiencing acute respiratory distress.
B- The nurse should report a WBC of 11,300/mm3 because it is above the
expected reference range and indicates infection. However, another finding is
, the priority for the nurse to report. C- The nurse should report diarrhea because
it is a manifestation of pneumonia in infants and indicates the current treatment
is not effective. However, another finding is the priority for thenurse to report.
D- The nurse should report abdominal distension because it is a manifestation
of pneumonia ininfants and indicates the current treatment is not effective.
However, another finding is the priority for the nurse to report.
A school nurse is assessing a school-age child blood pressure while he is
seated in a chair. The child starts to experience a tonic-clonic seizure.
Which of the following actions should the nurse take first?
A- Clear the immediate area around the child of hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child
Answer- c
The greatest risk to this child is aspiration, occlusion of the airway, and
bodily injury from falling out of the chair. The nurse should ease the child
down to floor in a side-lying position immediately. This position enables the
child's secretions to drain from the mouth, preventing aspiration, and
maintaining a patentairway.
A- The nurse should clear the area around the child of hazardous
objects. However, this is not the first action the nurse should take.
B- The nurse should loosen the child's restrictive clothing. However, this is not
the first action the nurse should take.
D- The nurse should apply an oxygen mask to the child to prevent
hypoxia. However, this is not the first action the nurse should take.
Page 4 of 27
A nurse is preparing to administer ibuprofen 5 mg per kg every 6 hours
PRN for temperatures above 38.0 degrees Celsius or 100.5 degrees
Fahrenheit to an infant who weighs 17.6 lb. The infant has a temperature
of 38.4 degrees Celsius or 100 + 1.2 degrees Fahrenheit. Available is
ibuprofen liquid 100mg/ 5 ml. how many milliliters should the nurse
administer to the infant per dose? Round the answer to the nearest whole
number. Use a leading zero if it applies.
Answer: 2 mL
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