Quiz on Pediatric Nursing Name: Date: Section and Group: Direction: Please encircle the letter of your choice.

1. Reymundo, A child with leukemia, is being discharged after beginning chemotherapy. Which of the following instructions will the nurse include when teaching the parents of this child? a.) Provide a diet low in protein and high carbohydrates. b.) Avoid fresh vegetables that are not cooked or peeled. c.) Notify the doctor if the childs temperature exceeds 101 F (39C) d.) increase the use of humidifiers throughout the house. 2. Gillian, A child with hemophilia, has a very swollen knee after falling from bicycle riding. Which of the following is the first nursing action? a.) Initiate an IV site to begin administration of cryoprecipitate (a frozen blood product prepared from plasma). b.) type and cross-match for possible transfusion. c.) monitor the clients vital signs for the first 5 minutes. d.) apply ice pack and compression dressings to the knee. 3.)Nia, A newborn, is failure to pass meconium within the first 24 hours after birth may indicate which of the following? a.) Hirschsprung disease b.) Celiac disease c.) Intussusception d.) Abdominal wall defect 4. When assessing a child for possible intussusceptions, which of the following would be least likely to provide valuable information? Prepared by: a.) Stool inspection b.) Pain pattern c.) Family history d.) Abdominal palpation 5. After teaching the parents of a preschooler who has undergone Tonsillectomy and adenoidectomy) about appropriate foods to give the child after discharge, which of the following, if stated by the parents as appropriate foods, indicates successful teaching? a.) meatloaf and uncooked carrots b.) lechon from Dadoy Taers lechon house. c.) cream of chicken soup and orange sherbet. d.) hot dog and potato chips. 6.) Darry, a child diagnose with tetralogy of fallot, becomes upset, crying and thrashing around when a blood specimen is obtained. The childs color becomes blue and respiratory rate increases bpm. Which of the following actions would the nurse do first? a.) obtain an order for sedation for the child. b.) assess for an irregular heart rate and rhythm. c.) explain to the child that it will only hurt for a short time. d.) place the child in knee-to chest position. 7. Which of the following could the nurse perform to help alleviate a childs join pain associated with rheumatic fever? a.) maintaining the joints in an extended position. b.) applying gentle traction to the childs affected joints.
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Felecidario O. Taer, Student Head Nursing Week 2

c.) supporting proper alignment with rolled pillows d.) using a bed cradle to avoid the weight of bed lines on the joints. 8. Which of the following health teachings regarding sickle cell crisis should be included by the nurse? a.) it results from altered metabolism and dehydration. b.) tissue hypoxia and vascular occlusion cause the primary problems. c.) increased bilirubin levels will cause hypertension. d.) there are decreased clotting factors with an increase in white blood cells. 9.) Nurse Jessah is caring for a newborn baby with cleft lip. When assessing for this newborn baby, she would be alert that which of the following will most likely be compromised? a.) Sucking ability b.) Respiratory status c.) Locomotion d.) GI function 10.) Nurse Jessah is also aware that when providing postoperative care for the child with a cleft palate, she should position the child in which of the following positions? a.) Supine b.) Prone c.) In an infant seat d.) on the side 11. Which of the following nursing diagnoses would be inappropriate for the infant with gastroesophageal reflux (GER)? a.) Fluid volume deficit b.) Risk for aspiration c.) Altered nutrition: less than body requirements d.) Altered oral mucous membranes 12. Sheena, a school-aged pediatric patient, is admitted to Butuan Medical Prepared by:

Center because of decreased urine output and periorbital edema is diagnosed with glomerulonephritis. Which of the following interventions would receive the highest priority? a.) assessing vital signs every four hours. b.) monitoring intake and output every 12 hours. c.) obtaining daily weight measurements. d.) obtaining serum electrolyte levels daily. 13. Joan, a 12 year old child, has wilms tumor. Nurse mimi should keep in mind that it most important to avoid which of the following? a.) measuring the childs chest circumference. b.) palpating the childs abdomen. c.) placing the child in an upright position d.) measuring the childs occipitofrontal circumference. 14. When developing a plan care a hospitalized child, nurse Joanne that children in which age group are most likely to view illness as a punishment for misdeeds? a.) infancy b.) preschool age c,) school age d.) adolescence 15.) Nurse Torralba suspects that kyle, a 4 year old child, is being neglected physically. To best assess the childs nutritional status, Nurse Torralba should ask kyles parents which question? a.) Has kyle always been so thin? b.) Is kyle a picky eater? c.) What did kyle eat for breakfast? d.) Do you think kyle eats enough? 16. The parents of a child tell the nurse they feel guilty because their child almost drowned. Which of the following remarks by the nurse would be most appropriate?
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Felecidario O. Taer, Student Head Nursing Week 2

a.) I can understand why you feel guilty, but these things happen. b.) tell me a bit more about your feelings of guilt. c.) you should not have taken your eyes off you child. d.) you really shouldnt feel guilty; youre lucky because your child will be alright. 17. When assessing the development of a 15 month old child with cerebral palsy, which of the following milestones would the nurse expect a toddler of this age to have achieved? a.) walking up steps b.) using a spoon c.) copying a circle d.) putting a block in cup 18. When performing cardiopulmonary resuscitation on a 7-month-old, which location would nurse Chino use to evaluate the presence of a pulse? a.) Carotid Artery b.) Femoral Artery c.) Brachial Artery d.) Radial Artery 19. How does nurse Taer assess the rooting reflex of a neonate? a. Placing an object on the neonates palm b.) Stroking the sole of the neonates foot c.) stroking the neonates cheek d.) Touching the neonates lips. 20. Nurse emma is assessing a neonate born 1 day ago to a mother who smoked one pack of cigarettes daily during pregnancy. Which finding is most common in neonates whose mothers smoked during pregnancy? a.) Postterm birth b.) Large size for gestational age c.) Small size for gestational age d.) Appropriate size for gestational age

Prepared by:

Felecidario O. Taer, Student Head Nursing Week 2

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