PEDIATRIC FINAL EXAM PEDS FINAL EXAM

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PEDIATRIC FINAL EXAM /PEDS FINAL EXAM

2023-2024 VERSION B ACTUAL EXAM ALL 100

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS ) |ALREADY

GRADED A+

• A nurse is caring for a child who has Addison's disease. Which of the following actions

should the nurse take?

• Teach the parents about cortisol replacement therapy.
• Place the child on a low-sodium diet
• Monitor the child for fluid volume excess.
• Discuss the manifestations of hypoglycemia with the parents.
• a nurse is providing teaching about self-administration of insulin to the parent of a

school-age child who has a new of diabetes mellitus. Which of the following statements by the parent indicates a need for futher teaching?

• "I will be sure my child aspirates before injecting the insulin."
• 'the insilin can be injected anywhere there is adipose tissue."
• "I will be sure my child rotates sites after 5 injections in one area."
• "The insulin should be injected at a 90 degree angle."
• A nurse is providing teaching to a school age child who has a new diagnosis of type 1

diabetes mellitus. Which of the following statements by the child indicates an understanding of the teachng?

• "My morning blood glucose should be between 90 to 130."
• "I should eat a snack half an hour before playing soccer."
• "I should not take my regular insulin when I am sick."
• "I can store unopened bottles of insulin in the freezer."
• A nurse is providing teaching for a client who has diabetes mellitus. Which of the

following findings associated with diabetic ketoacidosis (DKA) should the nurse include?a.Decreased urine output b.Weight gain of 0.45 kg (1 lb) in 24 hr c.Rapid, shallow respirations d.Blood glucose levels above 300 mg/dL

• A nurse is admitting a client who has hyperthyroidism. When assessing the client, the

nurse should expect which of the following findings?a.Cold intolerance b.Lethargy c.Tremors or tetany d.Sunken eyes

• A nurse is assessing a client who has diabetes mellitus and reports feeling anxious.

Which of the following findings should the nurse expect if the client is hypoglycemic?a.Rapid, deep respirations b.Cool, clammy skin c.Abdominal cramping 1 / 3

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d.Orthostatic hypotension

• A nurse is completing an assessment on a client who is admitted for elective surgery and

has a history of Addison's disease. Which of the following findings should the nurse expect?

• Hyperpigmentation
• Hidrosis
• Fever
• Nasal congestion 2 / 3

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• A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of

the following information should the nurse provide about ibuprofen?

• Take the medication with an aspirin to increase effectiveness
• Take the medication with food
• Taking the maximum dose will offer stroke prevention
• Sustained-release forms may be crushed for easier administration
• A nurse is planning care for an adolescent who is postoperative following scoliosis repair

with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

• Keep the head of the bed at a 30 degree angle
• Reposition the client by log rolling every 4 hr
• Place the client in protective isolation
• Initiative the use of PCA pump for pain control
• A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a

fractured tibia. Which of the following is a priority action for the nurse to take?

• Perform a neurovascular assessment
• Explain the discharge instructions to the client and parents
• Provide reassurance to the client and parents
• Apply an ice pack to the casted leg
• A nurse is caring for a client who is 1-day postoperative following spinal fusion. Which of

the following actions should the nurse take?

• Log roll the client every 2 hr
• Assist the client to sit upright in a chair for 4 hr at a time
• Expect clear drainage on the spinal dressing
• Elevate the client's legs when he is sitting in a chair
• A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the

following actions should the nurse take?

• Wrap the arm of the child's doll or toy prior to the procedure
• Tell the child, This will make your arm feel better
• Place a heated fan at the bedside to facilitate drying
• Support the casted arm with a firm grasp

• A nurse is caring for a client who is postoperative and in skeletal traction. When

assessing the client, the nurse should expect which of the following findings? (Select all that apply)

• Slight pain at the insertion site
• Serous drainage on the dressing
• Movement of the pin at the insertion site
• Elastic bandages secure around the traction ropes
• Minimal edema around the pin
• / 3