ENA: Pediatric Emergencies EXAM 2025 QUESTIONS AND
CORRECT ANSWER
A pediatric patient has just been diagnosed with a methicillin-resistant Staphylococcus aureus
(MRSA) infection. Which discharge instruction should you give the patient's caregivers?
A. Do not touch the wound.
B. Scrub the lesion with antibacterial soap daily.
C. Encourage showers, rather than baths.
D. Leave the lesion open to the air. - answer>>>A. Do not touch the wound.
Which sign or symptom suggests meningitis in a neonate?
A. Hypothermia
B. Projectile vomiting after feeding
C. Currant-jelly stools
D. Increased hunger - answer>>>A. Hypothermia
In an infant with a hernia, which finding should you expect?
A. Peristaltic waves across the abdomen
B. Sudden vomiting immediately after or during a feeding
C. Fever that exceeds 101°F (38.3°C)
D. A bulge that enlarges when the infant cries or defecates - answer>>>D. A bulge that enlarges
when the infant cries or defecates
For a pediatric patient with Kawasaki disease, which drug treatment is indicated?
A. High-dose steroid
B. Antiviral agent
C. Antimicrobial agent
D. High-dose aspirin - answer>>>D. High-dose aspirin
, In an infant who may have a urinary tract infection, which procedure is recommended for
obtaining a urine specimen for culture and sensitivity testing?
A. Catheterize the patient.
B. Obtain a midstream urine specimen.
C. Place a perineal bag on the infant.
D. Line the infant's diaper with sterile cotton balls to obtain urine. - answer>>>A. Catheterize
the patient.
For a pediatric patient with impetigo on the upper lip, the nurse teaches the patient and
caregivers not to touch the wound. Which other instruction is appropriate?
A. Rinse daily with a 10 percent chlorine bleach solution.
B. Apply topical antibiotic ointment.
C. Restrict the child from school or daycare until all the lesions have resolved.
D. Expect to administer hydroxyurea (Hydrea) while the lesions are present. - answer>>>B.
Apply topical antibiotic ointment.
When caring for a pediatric patient with diabetic ketoacidosis, at what point should you
administer a dextrose-containing fluid?
A. When the bicarbonate level is 18 mEq/dL
B. When the pH is 7.30
C. When the blood glucose level is about 250 mg/dL
D. After the pediatric patient's first void - answer>>>C. When the blood glucose level is about
250 mg/dL
For a pediatric patient with vomiting, diarrhea, and a crampy feeling in the abdomen, which
disorder should you suspect?
A. Gastroenteritis
B. Incarcerated hernia
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