NR328 Exam 1 Peds: Questions &
Answers
What factors have been shown to increase the risk of SIDS? Select all that apply (Ans-
- recent illness
- sleeping with an adult (co-sleeping)
- smoking around the infant
An important milestone in the infant's life is the development of object permanence. This milestone is represented by which of these statements?(Ans- The infant turns & looks for the mother when she walks out of his view
The type of play that infants engage in is called?(Ans- Onlooker
What are the clinical manifestations of failure to thrive? Select all that apply (Ans-
- growth failure
- developmental delays
- avoidance of eye contact
What must the nurse teach the parents of the child with cystic fibrosis about the use of pancreatic enzymes?(Ans- Extra enzymes must be taken with high-fat foods
A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the adolescent to use before he participates in exercise?(Ans- Albuterol
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A child with asthma is undergoing pulmonary function tests. What is the purpose of the peak expiratory flow rate test?(Ans- Used to assess the severity of asthma
a 5-year old is recovering from a tonsillectomy & adenoidectomy and is being discharged home with his mother. Home care instructions should include which of the following?(Ans- Observe the child for continuous swallowing.
What assessment finding does the nurse recognize as a manifestation of acute otitis media?(Ans- Presence of fever and otalgia (earache)
A 5-year-old is seen in the urgent care clinic with the following history and
symptoms: sudden onset of severe sore throat after going to bed, drooling
and difficulty swallowing, axillary temperature of 102.2°F (39.0°C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on these symptoms and history, the nurse anticipates a diagnosis of (Ans- Acute epiglottis
A 5-year-old child is brought to the emergency department with abrupt onset of sore throat, pain with swallowing, fever, and sitting upright and forward. Acute epiglottitis is suspected. What are the most appropriate nursing interventions? Select all that apply.(Ans- -Vital signs -Medical history -Assessment of breath sounds -Ready availability of emergency airway equipment
What is an important nursing intervention in the care of a child with bacterial conjunctivitis?(Ans- Intermittent warmth, moist compresses to remove crusts on the eye area 2 / 3
The school nurse is concerned about an outbreak of chickenpox, because two children at the school have cancer and are immunodeficient as a result of chemotherapy. What is the most appropriate recommendation the school nurse can give to the two children's parents?(Ans- Administer varicella zoster immune globulin (VZIG) to prevent chickenpox
An infant has a low-grade fever, is sneezing, has tearing eyes, and exhibits a short and rapid cough that occurs mainly at night and is followed by a crowing sound. Which nursing actions are appropriate for this patient?Select all that apply.(Ans-
- Provide humidified oxygenation and suction
- Place the patient on droplet precautions
Strict isolation is required for a child who is hospitalized with which infectious disease?(Ans- Chickenpox
How can the nurse prepare a child for a painful procedure?(Ans- Involve the child in the use of distraction, such as using bubbles, music, or playing games
The nurse works in a vaccination clinic. Which patients should receive the measles, mumps, and rubella (MMR) vaccine? Select all that apply.(Ans-
- A 12-month-old baby with a cold
- A 14-month-old baby allergic to eggs
- A breastfeeding mother
Which childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneumonia?(Ans- Hib vaccine
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