PEDS EXAM 2 QUESTIONS AND ANSWERS 2024 G UIDE

PEDS EXAM 2 QUESTIONS AND ANSWERS 2024 G UIDE

• A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the

following actions should the nurse take?

• Perform a neurovascular check of the lower extremities.

ANSWER

The client is at risk for compartment syndrome following the application of a cast because the extremity can continue to swell inside the cast resulting in obstruction to circulation. Therefore, the nurse should perform a neurovascular check following cast application to check circulation, motion, and sensation of the lower extremities.

• A nurse is reinforcing teaching with the parents of an 8-month-old infant who will be admitted for surgery. Which of the

following instructions should the nurse include in the teaching?B.”You should bring the infant's favorite blanket to the hospital."

ANSWER

Infants of this age have separation anxiety and often need a transitional object, such as a blanket or toy that brings them comfort.The transitional object is especially important when the child is in unfamiliar surroundings, or the parent is not there to provide comfort.

• A nurse is assisting with a parenting class and is approached by a parent of a 2-year-old toddler who asks what to do when the

toddler throws a tantrum. Which of the following instructions should the nurse give?D.Appear to ignore them.Temper tantrums are an immature expression of frustration, typically manifested by both verbal outbursts, such as screaming and/or crying, and physical outbursts, such as flailing of the arms and legs. Temper tantrums tend to be self-limiting, and it is important for the parent remain calm. These outbursts are most effectively dealt with by ignoring the behavior. After the child loses an audience, the tantrum usually stops.

• A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following

actions should the nurse take first?B.Obtain a detailed history.The nurse should first obtain a history in order to determine possible causes of the bruises. While collecting additional data, the nurse should observe the parent and child for other indicators of abuse.

• A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take? D.Place

the child in a side-lying position.

ANSWER

Placing the child in a side-lying position will assist with protecting his airway.

• A nurse is caring for a school-age child who has a fracture to the right femur. Which of the following findings is the nurse's

priority?D.Tingling in the right foot Tingling in the child's right foot indicates paresthesia and should alert the nurse of circulatory compromise. This finding is the priority.

• A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower

extremities. Which of the following interventions should the nurse include?C.Administer pain medication 30 min before physical therapy.The nurse should administer pain medication 30 min before physical therapy to decrease the pain caused by moving tight skin at joints, which will encourage the child to participate in therapy.

• A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement.

The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?C.Call the health care clinic to report that the tubes have fallen out.If the tubes fall out, no immediate intervention is necessary, but the parent should notify the provider who might wish to reassess the child.

• A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following

positions after feeding?

• Upright

ANSWER 1 / 2

The infant should remain in an upright position, usually in an infant chair, for 1 hr after feeding to facilitate emptying of the stomach and prevent reflux.

• A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste. Which of the following

strategies should the nurse use to elicit the child's cooperation?

• Offer the child an ice pop prior to administering the medication.

ANSWER

Giving the child an ice pop prior to administering the medication will help numb the tongue. This technique also helps to alleviate the bad taste, making it easier for the child to take the medication orally.

• A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should

the nurse take?

• Speak slowly while facing the child.

The nurse should always face a client who is hearing impaired during conversation and speaking slowly makes it easier for the client to interpret the sounds.

• A nurse is reinforcing teaching with the parents of an adolescent about expected development. Which of the following

developmental tasks should the nurse instruct the parents to expect the adolescent to achieve? C.Identity The adolescent should achieve the developmental task of establishing an identity.

• A nurse is caring for a 6-week-old infant admitted to the pediatric unit for evaluation of a suspected pyloric stenosis.

Which of the following findings should the nurse expect?

• Projectile vomiting

Pyloric stenosis is a narrowing of the pylorus, the outlet from the stomach to the small intestine, which does not allow for emptying of the stomach contents. Vomiting, which is usually mild at first, becomes more forceful and progresses to projectile vomiting.

• A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
• Tugging on the affected ear lobe

ANSWER

Otitis media is a middle ear infection that causes fever and pain and can be indicated by the infant tugging at the affected ear.

• A nurse is collecting data from an infant. Which of the following sites is the most reliable location to check the infant's

pulse?

• Apical

The most reliable location to check an infant's pulse is the apex of the heart. When auscultating the apical pulse, the nurse should count the beats for 1 full minute.

• A nurse is caring for a pre-school age child who has croup. Which of the following findings should the nurse report to the

provider?

• Drooling

The presence of drooling can indicate epiglottitis, which requires immediate medical attention.

• A nurse is about to give a client a complete bed bath. Which of the following actions should the nurse take to maintain

the client's privacy?

• Close the curtains around the client's bed. MY

ANSWER

Closing the curtains around the client's bed ensures privacy for the client should a visitor or another staff member open the door or enter the room.

• A nurse is reinforcing teaching with an adolescent regarding administration of the Gardasil vaccine. The vaccine provides

immunity against which of the following sexually transmitted infections?

• Human papillomavirus (HPV)

MY ANSWER

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