PEDS Exam 2 Practice Questions with Correct Answers
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Course
PEDS
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PEDS
PEDS Exam 2 Practice Questions with Correct Answers
Which of the following are complications of measles?
a. otitis media
b. constipation
c. laryngitis
d. arthralgia
e. syncope - Answer-A, C
The nurse is evaluating the activity tolerance of a 9-month-old with iron deficiency anemia. Whi...
PEDS Exam 2 Practice Questions
with Correct Answers
Which of the following are complications of measles?
a. otitis media
b. constipation
c. laryngitis
d. arthralgia
e. syncope - Answer-A, C
The nurse is evaluating the activity tolerance of a 9-month-old with iron deficiency
anemia. Which finding indicates that the infant is not tolerating activity?
1. Heart rate of 138
2. Increased alertness
3. Respiratory rate less than 40 with activity
4. Muscle weakness - Answer-4. Muscle weakness
Which action by the parents demonstrates an understanding of the nurse's teaching
with regard to prevention of iron-deficient anemia?
1. Feeding their infant with a formula that is not iron fortified
2. Starting iron-fortified infant cereal at 4 to 6 months of age
3. Introducing cow's milk at 6 months of age
4. Limiting vitamin C consumption after 1 year of age - Answer-2. Starting iron-fortified
infant cereal at 4 to 6 months of age
The charge nurse on a pediatric unit is making a room assignment for a school-age
child diagnosed with sickle cell disease, who is in splenic sequestration crisis. Which
room assignment is most appropriate for this client?
,Splenic sequestration can be life-threatening, and there is profound anemia. The child
does not need an isolation room but should not be placed in a room with any child who
may have an infectious illness. The private room is appropriate for this child.
The nurse is providing care for an adolescent client who is experiencing pain related to
a sickle cell crisis. Which medication does the nurse prepare to administer to this client?
*DON'T give meperidine- can cause seizures
-Acetaminophen and tylenol not strong enough for severe pain
The nurse is teaching parents how to prevent a sickle cell crisis in the child with sickle
cell disease. Which precipitating factors to a sickle cell crisis will the nurse include in the
explanation?Select all that apply.
*regular exercise and increased fluids are recommended for SCD
A school-age child with hemophilia falls on the playground and goes to the nurse's office
with superficial bleeding above the knee. Which action by the nurse is the most
appropriate?
1. Apply a warm, moist pack to the area.
2. Perform some passive range of motion to the affected leg.
3. Apply pressure to the area for at least 15 minutes.
4. Keep the affected extremity in a dependent position. - Answer-3. Apply pressure to
the area for at least 15 minutes.
*Priority- pressure!
-Ice applied, not heat.
-Extremity immobilized and elevated
In family teaching- what is the best way to prevent a communicable disease?
a. hand washing
b. avoid people with active disease
c. covering your cough
, d. obtaining immunizations - Answer-d. obtaining immunizations
A child has been admitted to the hospital unit in congestive heart failure (CHF). Which
symptom would the nurse anticipate upon assessment of the child?
-Tachycardia is a sign of congestive heart failure because the heart attempts to improve
cardiac output by beating faster
-Bradycardia is a serious sign and can indicate impending cardiac arrest.
-Blood pressure does not increase in CHF
-Weight increases because of retention of fluids.
A toddler is started on digoxin (Lanoxin) for cardiac failure. Which is the initial symptom
the nurse would assess if the child develops digoxin (Lanoxin) toxicity?
1. Lowered blood pressure
2. Tinnitus
3. Ataxia
4. A change in heart rhythm - Answer-4. A change in heart rhythm
S/S: bradycardia, dysrhythmias, N/V, anorexia
The nurse is teaching the parents of a group of cardiac patients. Which teaching
guideline will the nurse include for any child who has undergone cardiac surgery?
1. The child should be restricted from most play activities.
2. The child should be evaluated to determine if prophylactic antibiotics for dental, oral,
or upper-respiratory-tract procedures are necessary.
3. The child should not receive routine immunizations.
4. The child can be expected to have a fever for several weeks following the surgery. -
Answer-2. The child should be evaluated to determine if prophylactic antibiotics for
dental, oral, or upper-respiratory-tract procedures are necessary.
*to prevent endocarditis
An infant with tetralogy of Fallot is having a hypercyanotic episode ("tet" spell). Which
nursing interventions are appropriate for the nurse to implement for this infant? Select
all that apply.
1. Place the child in knee-chest position.
2. Draw blood for a serum hemoglobin.
3. Administer oxygen.
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