PEDIATRIC MIDTERM EXAM LATEST 20 23-
2024 ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS )
|ALREADY GRADED A+
A new mother asks the nurse when she should begin caring for her baby's teeth. Which response is the most appropriate for the nurse to make at this time? - ANSWER- Now
The nurse is caring for a 9-year-old male child who is being seen for a well-child care visit. During the visit, the child's parent reports the child is one of the shorter children in his class. The parent asks how much more the child will grow in the next few years. Which response by the nurse is appropriate? - ANSWER- "Your child should grow approximately 10 in (25 cm) over the next 4 years."
Rationale: From 6 to 12 years of age, children grow an average of
2.5 in (6 to 7 cm) per year, increasing their height by at least 1 ft (30 cm).
The nurse is assessing the level of pain in a preschool-aged child who appears to be experiencing abdominal pain. The nurse uses the Faces scale for pain assessment. The child points to the face indicating "hurts worst." What additional assessment would the nurse complete first? - ANSWER- Parents report of Pain 1 / 4
A child is being treated for pertussis and is prescribed azithromycin by the health care provider. Which finding is most important for the nurse to report to the health care provider before administering this drug? - ANSWER- child has had previous episodes of supraventricular tachycardia (SVT)
Rationale: Azithromycin is recommended for use to treat pertussis
in infants older than 1 month of age and children. It should, however, not be used in children at risk for cardiovascular events.
The nurse is completing a care plan for a preschool-age child with the nursing diagnosis of Imbalanced nutrition, less than body requirements.Which interventions should the nurse include? Select all that apply.
How much milk, meals and juice? - ANSWER- Limit milk to 16 to 24 ounces per day.Provide at least 3 meals and 2 healthy snacks per day.Weigh child weekly on the same scales at home Juice should be limited to 4 to 6 ounces daily.Feeding the child on a similar schedule
The nurse is teaching a growth and development class to parents of school-age children. What does the nurse teach the parents about the cognitive abilities of their children? - ANSWER- o Class (they can classify objects, objects can belong to more than one classification)
- Decenter (They can project themselves into other people's situations) 2 / 4
- Accommodate (there can be more than one reason for someone's
actions)
The nurse is caring for a 5-year-old child with laryngotracheobronchitis (LTB). Which intervention will the nurse prioritize in the child's plan of care? - ANSWER- corticosteroids as prescribed
Rationale: administer corticosteroids as prescribed to help reduce
airway inflammation (anti-inflammatory)
The health care provider prescribes an abdominal radiograph for a newborn to check for Hirschsprung disease. The nurse examines the newborn and finds which symptoms that are indicative of this disease?Select all that apply - ANSWER- abdominal distention absence of stool in the rectum enterocolitis (bowel inflammation) bilious vomiting (green vomit)
When considering the psychosocial development of a school-aged child, which is the primary developmental task? - ANSWER- establishing a social network
Which objective data provide the basis for documenting that this child has progressed from the 15-month-old to the 18-month-old developmental level? - ANSWER- Uses an 8-word vocabulary.Follows simple commands such as "sit down." 3 / 4
Uses a spoon to feed self.
Which intervention would be the most important for the nurse to include in the plan of care for a child with infectious mononucleosis? - ANSWER- moving the child carefully
Due to risk of rupturing the spleen
If a child in daycare suddenly has a personality change, what can be suspected? - ANSWER- Neglect or abuse has occurred.
A 5-year-old is getting a cardiac catheterization. When describing this procedure to the parents, which of the following would the nurse most likely include? - ANSWER- The child's temperature will be monitored continuously through the procedure by a rectal probe.
Rationale: The child will need to lie still for several hours after the
procedure.
Which finding(s) is a major criterion used to help the health care provider diagnose acute rheumatic fever in a child? Select all that apply.
- ANSWER- painless nodules located on the wrists
pericarditis with the presence of a new heart murmur
Rationale: MINOR Criteria: Elevated temp
- / 4