Peds Final Exam Test Bank Latest Update 2025- 2026 100 Questions and 100% Verified Correct Answers Guaranteed A+
1) A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?
- Hypernatremia
- Metabolic acidosis
- Hypotonic dehydration
4.Isotonic dehydration - CORRECT ANSWER: 3. Hypotonic dehydration
1) The nurse is providing care to a pediatric client, diagnosed with inflammatory bowel disease, who is prescribed daily prednisone. Which parental statement regarding administration of this drug indicates correct understanding of the teaching provided by the nurse?
- "I will administer this medication between meals."
- "I will administer this medication at bedtime."
- "I will administer this medication one hour before meals."
- "I will administer this medication with meals." - CORRECT ANSWER: 4. "I will
administer this medication with meals."
1) Which assessment finding for a 4-month-old infant would require further action by the nurse?
- The posterior fontanel is open.
- The infant has good head control when held upright. 1 / 4
- The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft. - CORRECT ANSWER: 1. The posterior
fontanel is open.
1) Which clinical manifestations should the nurse anticipate when assessing a child who has been admitted to the hospital unit with a diagnosis of minimal change nephrotic syndrome (MCNS)?
- Massive proteinuria, hypoalbuminemia, and edema
- Hematuria, bacteriuria, and weight gain
- Urine specific gravity decreased and urinary output increased
4. Gross hematuria, albuminuria, and fever - CORRECT ANSWER: 1. Massive
proteinuria, hypoalbuminemia, and edema
10) A child returns from exploratory surgery following a gunshot wound to the abdomen.Which nursing intervention should be excluded for the plan of care?
- Immediate initiation of oral feedings
- Assessment of the surgical site
- Administration of opioid narcotics for pain management
4. Visitation at the bedside - CORRECT ANSWER: 1. Immediate initiation of oral
feedings
10) The nurse is expecting the admission of a child with severe isotonic dehydration.Which intravenous fluid prescription does the nurse anticipate for this child?
- 0.9% normal saline (NS)
- D5 0.2% (¼) normal saline
3. D5W
- Albumin - CORRECT ANSWER: 1. 0.9% normal saline (NS) 2 / 4
10) Which complications should the nurse monitor for when providing care to a child who is having hemodialysis for the treatment of kidney failure? Select all that apply.
- Migraines
- Hypotension
- Infections
- Fluid overload
5. Shock - CORRECT ANSWER: 2. Hypotension
- Infections
- Shock
10) Which should the nurse include in the plan of care for a hospitalized school-age child with meningomyelocele? Select all that apply.
- Implementing interventions for a client of normal intelligence
- Using latex precautions when providing client care
- Allowing the client to self-catheterize
- Ensuring that the client has a low-fiber diet
- Encouraging the client to shift positions hourly when in the wheelchair - CORRECT
ANSWER: 1. Implementing interventions for a client of normal intelligence
- Using latex precautions when providing client care
- Allowing the client to self-catheterize
- Encouraging the client to shift positions hourly when in the wheelchair
11) A 6-year-old child is hypokalemic. Which menu choice should the nurse encourage for this child?
- / 4
- Pizza with a fruit plate
- Chicken strips with chips
- Fajita with rice
4.A hamburger with French fries - CORRECT ANSWER: 1. Pizza with a fruit plate
11) A neonate is born with a bilateral cleft lip that was not detected during the pregnancy. The parents are distressed about the appearance of their infant. Which nursing actions are appropriate to assist the parents to bond with their newborn? Select all that apply.
- Calling the newborn by the chosen name
- Keeping the newborn's lower face covered with the blanket
- Smiling and talking to the newborn in the parents' presence
- Showing the parents before and after pictures of other children with cleft lips
5. Discussing positive features of the baby - CORRECT ANSWER: 1. Calling the
newborn by the chosen name
- Smiling and talking to the newborn in the parents' presence
- Showing the parents before and after pictures of other children with cleft lips
- Discussing positive features of the baby
11) Which assessment finding would necessitate action by the nurse for a 10-month-old child who is 4 hours postoperative for the placement of a urethral stent?
- Bloody urine
- One void since returning from surgery
- Bladder spasms responding to pharmacologic intervention
4.Double diapering from the previous shift - CORRECT ANSWER: 2. One void since
returning from surgery
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