PEDIATRIC NURSING

1. A mother was diagnosed with

gonorrhea 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 with
gonorrhea
2. What nursing diagnosis would be
the 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
3. A 3 yr. old child has a fractured
femur and is in Bryant traction. To
evaluate 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
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
5. You have assessed 4 children of
varying ages. Which one would require
further evaluation?
A. A 7-month old who is afraid of strangers
B. A 4 year old who talks to an imaginary playmate
C. A 9 year old with enuresis
D. A 16 year old-male who has nocturnal
emissions
6. Down syndrome is caused by:
A. An autosomal recessive defect
B. An extra chromosome
C. A sex-linked defect
D. A dominant gene
7. A 4 year old with Tetralogy of Fallot
is seen in a squatting position near his
bed. 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
8. What developmental skill should the
parents 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
9. A 10 year old child takes Aspirin qid for juvenile
rheumatoid arthritis. What symptoms her
mother observe that would be indicative of
aspirin toxicity?
A. Hypothermia
B. Hypoventilation
C. Decreased hearing acuity
D. Increased urinary output
10. An autistic child will have a deficit
in:
A. Hearing
B. Speech
C. Vision
D. Intelligence
11. A one-day-old infant is admitted of
having esophageal atresia with tracheo-
esophageal fistula. What symptoms would
indicate this?
A. Bile-stained vomitus and a weak cry
B. Diarrhea and colicky abdominal pain
C. Excessive drooling and immediate regurgitation
of feedings
D. Visible peristaltic waves and projectile vomiting
12. A 10 year old is being prepared for a
bone marrow transplant. The nurse can
assess how well he understands this
treatment 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.
13. A 10 month old child is brought to the clinic for
the first time. During the interview, the mother
states that her baby is allergic to eggs. This is
important because the child will need testing before
receiving:
A. DPT
B. IPV
C. OPV
D. MMR
14. A child undergoes an open reduction and
application of a hip spica cast. The best way the
nurse can keep a hip spica cast as free of urine and
stool 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
15. An infant is fitted with a Pavlik harness. Home
instruction 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 side
C. Watch for signs of skin breakdown
D. Give her sponge baths, not tub baths
16. To prevent skin irritation at the
edges of hip spica cast, the nurse may
do all of the following except:
A. Give meticulous skin care.
B. Petal the edges with moleskin
C. Use baby powder around the edges
D. Tuck plastic wrap under the edges
17. Children who survive physical
abuse are least likely to become:
A. Depressed
B. Drug abuse
C. Abusive parents
D. Academic achievers
18. A nurse is performing a baseline neurological
exam on a 6 year old child, who was brought to the
hospital, unconscious after being hit by a car. The
nurse will evaluate all of the following except:
A. Motor function
B. Visual acuity
C. Vital sign
D. Level of consciousness
19. The most helpful information for the nurse
performing a neurological examination on the 6
year old child, unconscious, after being hit by a
car, is the nurse knowledge of:
A. Normal growth and development
B. Childs usual behavior and status
C. Childs past medical history
D. Childs growth and developmental progress
during infancy
20. A nurse explains that a child with at
the toid cerebral palsy most probably
will demonstrate:
A. Exaggerated hyperactive reflexes
B. Normal intelligence level
C. Slow, wormlike, writing movements
D. Unsteady gait and clumsy, uncoordinated upper
extremity function
21. A 2 month old infant is suspected
of 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 congestion
C. Systolic ejection murmur
D. Upper extremity hypertension
22. A six month old infant has recently begun cereal
feedings. Which of the following manifestations
would support a nursing diagnosis of ineffective
infant feeding pattern?
A. Frequent loose stools
B. Increased abdominal girth
C. Persistent tongue thrusting
D. Lengthened time between meals
23. Which of the following goals would be
given 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
24. Which of the following laboratory values
would 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
25. A nurse should expect a 6 month old
infant who has iron deficiency anemia to
have which of the following findings?
A. Weight for length at the 25th percentile
B. Pale, chubby appearance
C. History of fractured clavicle at birth
D. Delayed eruption of primary teeth