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PEDIATRIC NURSING


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1. A mother was diagnosed withgonorrhea immediately after delivery.When providing nursing care for her

baby, an important goal is to:

A. Prevent the development of opthalmia

neonatorum

B. Lubricate the eyes

C. Prevent the development of thrush

D. Teach the danger of breast-feeding withgonorrhea


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2. What nursing diagnosis would bethe highest priority when caring for

a preterm infant?

A. Ineffective thermoregulation related to lack of

subcutaneous fat

B. Anticipatory grieving related to loss of perfect

delivery

C. Imbalanced nutrition related to immature

digestive system

D. Risk for injury related to thin epidermis


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3. A 3 yr. old child has a fracturedfemur and is in Bryant traction. Toevaluate the correct application of the

traction, the nurse should note that:

A. The child is being continuously and gradually

pulled towards bottom of bed.

B. The childs buttocks are raised slightly

C. The childs leg is at 45 degree angle to the bed.

D. The child can move unaffected leg freely


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4. When child abuse is suspected, that

nurse knows that abusive burns will:

A. Have a number of scar

B. Have identifiable shapes

C. Display an erratic pattern

D. Be on the side of the body


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5. You have assessed 4 children ofvarying ages. Which one would require

further evaluation?

A. A 7-month old who is afraid of strangers

B. A 4year old who talks to an imaginary playmate

C. A 9year old with enuresis

D.A 16 year old-male who has nocturnalemissions


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6. Down syndrome is caused by:

A. An autosomal recessive defect

B. An extra chromosome

C. A sex-linked defect

D. A dominant gene


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7. A 4 year old with Tetralogy of Fallotis seen in a squatting position near hisbed. The nurse should:

A. Administer oxygen

B. Take no action if he looks comfortable, but

continue to observe him

C. Pick him up and place him in

Trendelenburgsposition in bed

D. Have him stand up and walk around the room


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8. What developmental skill should theparents of a 6 month old expect to

see their child achieving?

A. Language development

B. Sitting alone

C. Social smile

D. Pulling up to a standing position


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9. A 10 year old child takes Aspirin qid for juvenilerheumatoid arthritis. What symptoms hermother observe that would be indicative of

aspirin toxicity?

A. Hypothermia

B. Hypoventilation

C. Decreased hearing acuity

D. Increased urinary output


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10. An autistic child will have a deficit

in:

A. Hearing

B. Speech

C. Vision

D. Intelligence


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11. A one-day-old infant is admitted ofhaving esophageal atresia with tracheo-

esophageal fistula. What symptoms wouldindicate this?

A. Bile-stained vomitus and a weak cry

B. Diarrhea and colicky abdominal painC. Excessive drooling and immediate regurgitation

of feedings

D. Visible peristaltic waves and projectile vomiting


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12. A 10 year old is being prepared for abone marrow transplant. The nurse canassess how well he understands thistreatment when he says:

A. I will be much better after this blood goes to my

bones.B. I wont feel too good until my body makes

healthy cells.

C. This will help all the medicine they give me to

work better.D. You wont have to wear a mask and gown after

my transplant.


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13. A 10 month old child is brought to the clinic forthe first time. During the interview, the motherstates that her baby is allergic to eggs. This is

important because the child will need testing beforereceiving:

A. DPT

B. IPVC. OPV

D. MMR


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14. A child undergoes an open reduction andapplication of a hip spica cast. The best way the

nurse can keep a hip spica cast as free of urine andstool as possible is to:

A. Use a Bradford frame

B. Use a Denis Browne splint

C. Catheterize the child prn

D. Insert an indwelling catheter


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15. An infant is fitted with a Pavlik harness. Homeinstruction for the parents would include all of the

following except

A. Turn the infant q 3 to 4 hours

B. Keep her off the affected sideC. Watch for signs of skin breakdown

D. Give her sponge baths, not tub baths


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16. To prevent skin irritation at theedges of hip spica cast, the nurse may

do all of the following except:

A. Give meticulous skin care.

B. Petal the edges with moleskinC. Use baby powder around the edges

D. Tuck plastic wrap under the edges


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17. Children who survive physical

abuse are least likely to become:

A. Depressed

B. Drug abuse

C. Abusive parents

D. Academic achievers


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18. A nurse is performing a baseline neurologicalexam on a 6 year old child, who was brought to thehospital, unconscious after being hit by a car. Thenurse will evaluate all of the following except:

A. Motor function

B. Visual acuity

C. Vital sign

D. Level of consciousness


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19. The most helpful information for the nurseperforming a neurological examination on the 6year old child, unconscious, after being hit by acar, is the nurse knowledge of:

A. Normal growth and development

B. Childs usual behavior and statusC. Childs past medical history

D. Childs growth and developmental progress

during infancy


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20. A nurse explains that a child with atthe toid cerebral palsy most probably

will demonstrate:

A. Exaggerated hyperactive reflexes

B. Normal intelligence levelC. Slow, wormlike, writing movements

D. Unsteady gait and clumsy, uncoordinated upper

extremity function


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21. A 2 month old infant is suspectedof having coartation of the aorta. The

cardical sign of this defect is:

A. Clubbing of the digits and circumoral cyanosis

B. Pedal edema and portal congestionC. Systolic ejection murmur

D. Upper extremity hypertension


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22. A six month old infant has recently begun cerealfeedings. Which of the following manifestationswould support a nursing diagnosis of ineffectiveinfant feeding pattern?

A. Frequent loose stools

B. Increased abdominal girthC. Persistent tongue thrusting

D. Lengthened time between meals


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23. Which of the following goals would begiven priority in the care plan of a 2 year

old child who has acute gastroenteritis?

A. Promote hydration

B. Reduce lethargy

C. Preserve skin integrity

D. Maintain comfort


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24. Which of the following laboratory valueswould a nurse closely monitor in a 4 year old

child who has acute gastroenteritis?

A. Serum amylase

B. Serum potassium

C. Total bilirubin

D. Hemoglobin level


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25. A nurse should expect a 6 month oldinfant who has iron deficiency anemia to

have which of the following findings?

A. Weight for length at the 25th percentile

B. Pale, chubby appearanceC. History of fractured clavicle at birth

D. Delayed eruption of primary teeth

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