1) The parents of a 9-month-old bring the infant to the clinic for a regular check-up. The infant has received no immunizations. Which of the following would be appropriate for the nurse to administer at this visit? a) DTaP, Hib, IPV, and PPD. b) DTaP, Hib, IPV, and MMR. c) PPD, MMR, Hep B, and IPV. d) Hep B, IPV, HiB, and varicella. 2) When assessing a 2-year old child brought by his mother to the clinic for a routine check-up, which of the following would the nurse expect the child to be able to do? a) Ride a tricycle. b) Tie his shoelaces. c) Kick a ball forward. d) Use blunt scissors 3) After having blood sample drawn, a 5-year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse interprets this behavior as indicating a fear of which of the following? a) Injury b) Body mutilation c) Pain d) Image disturbance 4) After teaching a group of mothers about temper tantrums, the nurse knows the teaching has been effective when one of the mothers states which of the following? a) “I will ignore the temper tantrum." b) "I should pick up the child during the tantrum." c) "I'll talk to my daughter during the tantrum." d) "I would put my child in time out." 5) When teaching the parents of an older infant with CF (cystic fibrosis) about the type of diet the child should consume, which of the following would be most appropriate? a) Low protein diet. b) High fat diet. c) Low carbohydrate diet. d) High-calorie diet. 6) A school-age child with CF asks the nurse what sports she can be involved in as she becomes older. Which of the following activities would be most appropriate for the nurse to suggest? a) Swimming b) track c) Baseball d) Javelin throwing 7) A child diagnosed with tetralogy of Fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 breaths/ minutes. Which of the following actions would the nurse do first? a) Obtain an order for sedation for the child. b) Assess for an irregular heart rate and rhythm. c) Explain to the child that it will only hurt for a short time. d) Place the child in knee-to-chest position. 8) Which of the following foods would the nurse encourage the mother to offer to her child with iron-deficiency anemia? a) Rice cereal, whole milk, and yellow vegetables. b) Potato, peas, and chicken. c) Macaroni, cheese, and ham. d) Pudding, green vegetables and rice. 9) A 16-month old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority? a) Applying lotions to the hands and feet. b) Offering foods the toddler likes. c) Placing the toddler in a quiet environment. d) Encouraging the parents to get some rest. 10) Because of the risks associated with administration of factor VIII concentrate, the nurse would report which of the following? a) Yellowing of the skin. b) Constipation c) Abdominal distention. d) Puffiness around the eyes 11) When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions would the nurse use? a) Mouthwash b) Povidone-iodine (betadine) solution. c) A mild antiseptic solution. d) Half-strength hydrogen peroxide. 12) When the infant returns to the unit after imperforate anus repair, the nurse places the infant in which of the following positions? a) On the abdomen, with legs pulled up under the body. b) On the back, with legs extended straight out. c) Lying on the side with hips elevated. d) Lying on the back in a position of comfort. 13) Which of the following statements by the mother of an 18-month-old would indicate to the nurse that the child needs laboratory testing for lead levels? a) "My child does not always wash after playing outside." b) "My child drinks 2 cups of milk everyday." c) "My child has more temper tantrums than other kids." d) "My child is smaller than other kids of the same age." 14) An adolescent with a history of surgical repair for undescended testes comes to the clinic for a sport physical. Anticipatory guidance for the parents and adolescent world focus on which of the following as most important? a) The adolescent's sterility. b) The adolescent future plans. c) Technique for monthly testicular self-examinations. d) Need for a lot of psychological support. 15) When developing the teaching plan for the parents of a 12-month-old infant with hypospadias and chordee repair, which of the following would the nurse expect to include as most important? a) Assisting the child to become familiar with his dressing so he will leave them alone. b) Encouraging the child to ambulate as soon as possible by using a favorite push toy. c) Forcing fluids to at least 250 ml/day by offering his favorite juices. d) Preventing the child from disrupting the catheter by using soft restraints. 16) A 4-year old with hydrocephalus is scheduled to have a ventroperitoneal shunt in the right side of the head. When developing the child's postoperative plan of care, the nurse would expect to place the preschooler in which of the following positions immediately after surgery? a) On the right side, with the foot of the bed elevated  b) On the left side, with the head of the bed elevated c) Prone with the head of the bed elevated d) Supine, with the head of the bed flat. 17) After talking with the parents of a child with Down syndrome, which of the following would the nurse identity as an appropriate goal for care of the child? a) Encouraging self-care skills in the child. b) Teaching the child something new each day, c) Encouraging more lenient behavior limits for the child. d) Achieving age appropriate social skills. 18) When teaching an adolescent with a seizure disorder who is receiving Valproic acid (Depakene), which of the following would the nurse instruct the client to report the health care provider? a) Three episodes of diarrhea. b) Loss of appetite. c) Jaundice d) Sore throat. 19) A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time? a) Reading the child a story. b) Painting with water colors. c) Pounding on a pegboard. d) Stacking a tower of blocks. 20) The parents of a child tell the nurse they feel guilty because their child almost drowned. Which of the following remarks by the nurse would be most appropriate? a) "I can understand why you feel guilty, but these things happen." b) “Tell me a bit more about your feelings of guilt. c) "You should not have taken your eyes off of your child." d) "You really shouldn't feel guilty; you're lucky because your child will be alright." 21) The nurse teaches the parents of an infant with developmental dysplasia of the hip how to handle their child in a Pavlik harness. Which of the following interventions would be most appropriate? a) Fitting the diaper under the straps. b) Leaving the harness off while the infant sleeps. c) Checking for the skin redness under straps every other day. d) Putting powder on the skin under the straps every day. 22) Which of the following behavior of a preschooler indicates that the child is in the stage of initiative? a) The child wants to finish his game of Candyland before his dressing is changed. b) The child cries and has a temper tantrum when he is sent to bed to go to sleep. c) The child ignores his parents and continues to watch television with other child. d) The child talks to his friends on the telephone and arranges for them to visit. 23) A 2-month-old infant undergoes repair of a cleft lip. After surgery, which equipment should the nurse teach the parents to use to feed their infant? a) Cross-cut nipple b) Plastic spoon c) Paper cup d) Rubber dropper 24) A 3-year old child had undergone surgery. Which finding best indicates that the child is no longer experiencing pain? a) Decreased appetite b) Increased heart rate c) Decreased urine output d) Increased interest in play 25) A 7-month old child has had recurrent middle- ear infections since she was 4 months old. Which of the following is most important to assess? a) How well the client eats. b) The client's weight gain since her last visit. c) Whether the client received all her prescribed antibiotic at the time of the last infection. d) The client's temperature. 26) The nurse is teaching new parents before discharge to home. The nurse explains that the anterior fontanel closes between ages. a) 2 and 3 months b) 12 and 18 months c) 3 and 6 months d) 1 and 9 months 27) A 4-month-old infant is brought to the clinic for a well-baby check-up. Which of the following immunizations does the nurse expect to give to the child? Select all that apply. a) MMR b) IPV c) DTaP d) HiB e) Varicella f) Pneumococcal 28) Which of the following is expected finding in a child with idiopathic thrombocytopenic purpura? a) petechiae b) nosebleeding c) dark, concentrated urine d) fever 29) An 8-year old child has been diagnosed to have iron deficiency anemia. Which of the following activities is most appropriate for the child to decrease oxygen demands on the body? a) Dancing b) Playing videogames c) Reading a book d) Riding a bicycle 30) Which of the following nursing actions are appropriate for a child with hemophilia who is bleeding? Select all that apply. a) Apply pressure b) Apply warm packs to the site c) Administer aspirin for pain d) Apply cold compresses to the site e) Elevate the injured part f) Perform range-of-motion exercises to the injured area immediately after bleeding stops. 31) Which of the following medications for allergic rhinitis will not cause sedation? a) Brompheniramine and pseudoephedrine (Dimetapp) b) Diphenhydramine (Benadryl) c) Pseudoephedrine (Triaminic) d) Loratadine( Claritin) 32) Which cardiac defects are associated with Tetralogy of Fallot? Select all that apply. a) Atrial septal defect (ASD) b) Ventricular septal defect (VSD) c) Right ventricular hypertrophy (RVH) d) Aortic stenosis e) Overriding of the aorta f) Right ventricular outflow obstruction 33) Which test provides a definitive diagnosis for Hirschsprung's disease? a) Rectal biopsy b) Barium enema c) Upper GI series(UGIS) d) Stool for parasites 34) A 15-year old with structural scoliosis had surgery to insert Harrington rods. Which position is best for this client after surgery? a) Flat in bed. b) Side-lying position. c) Semi-Fowler's position. d) High-Fowler's position. 35) A child is wearing a cast due to fracture of the tibia. The child complains of itchiness under the cast. Which of the following is appropriate nursing action to help relieve itchiness? a) Use sterile applicators to relieve itchiness. b) Soak the cast in warm water. c) Apply cool air under the cast with a blow-dryer. d) Apply hydrocortisone cream. 36) An infant with congenital hypothyroidism manifests which signs or symptoms? Select all that apply. a) Hypothermia b) Hypertonia c) Excessive sleeping d) Slow pulse e) Hyperactivity f) Enlarged, dry tongue 37) The nurse performs Guthrie screening test by drawing blood from the heel of an infant. The screening test is done to diagnose which of the following inborn error of metabolism? a) Glucose-6-phosphate dehydrogenase deficiency b) Phenylketonuria c) Galactosemia d) Hypothyroidism 38) Which of the following foods are allowed for a child with galactosemia? Select all that apply. a) Instant potatoes b) Chicken c) Lima foods d) Whole wheat bread e) Apples f) 2% cow's milk 39) A client and her husband are positive for the sickle cell trait. The client asks the nus about chances of her children having sickle cell disease. Which of the following i appropriate response by the nurse? a) One of her children will have sickle cell disease. b) Only the male children will be affected. c) Each pregnancy carries a 25% chance of the child being affected. d) If she had four children, one of them would have the disease. 40) Which of the following health teachings regarding sickle cell crisis should be included by the nurse? a) It results from altered metabolism and dehydration. b) Tissue hypoxia and vascular occlusion cause the primary problems. c) Increased billinubin levels will cause hypertension. d) There are decreased clotting factors with an increase in white blood cells. 41) client with hemophilia has a very swollen knee after falling from bicycle riding. Which of the following is the first nursing action? a) Initiate an IV site to begin administration of cryoprecipitate. b) Type and cross-match for possible transfusion. c) Monitor the client's vital signs for the first 5 minutes. d) Apply ice pack and compression dressings to the knee. 42) Which of the following diagnostic tests is conclusive of pyloric stenosis? a) Scout film of the abdomen b) Colonoscopy c) An altered electrolyte balance d) An upper GI series. 43) A child is discharged with slow cerebrospinal fluid (CSF) leak 3 days after a head injury was sustained. What will the nurse include in the discharge plans? a) Avoid use of nonsteroidal anti-inflammatory drugs. b) Turn from side to side only. c) Maintain complete bed rest. d) Gradually increase diet to clear liquids. 44) An 8-year-old girl is in the emergency department with a greenstick fracture of the ulna. Which of the following is appropriate explanation by the nurse to the parents? a) The bone is broken obliquely. b) There is splintering of the bone on one side. c) There is break in the skin integrity with protrusion of bone ends. d) The bone is broken into several fragments. 45) A 2-month old child is in a left hip spica cast. Which of the following measures should be included in the nursing care plan of the child? a) Palpate the left brachial artery and compare it with the right. b) Check cast for tightness by inserting fingers between skin and cast. c) Blanch the skin of areas proximal to the casted left leg. d) Maintain constant traction on the affected left leg. 46) A mother of a 2-year old child is concerned about the child's behavior of saying "no" to everything. When scolded, the child becomes angry and starts crying loudly, but then immediately wants to be held. Which of the following is best interpretation of this behavior? a) The child is not effectively coping with stress. b) The child's need for affection is not being met. c) This is normal behavior of a 2-year old child. d) This behavior indicates the need for counseling. 47) What type of heat loss occurs when the baby is not dried thoroughly? a) Conduction b) Convection c) Radiation d) Evaporation 48) What type of heat loss occurs when the baby is placed in a cold metal weighing scale? a) Conduction b) Convection c) Radiation d) Evaporation 49) What type of heat loss occurs when the oxygen given is not prewarmed? a) Conduction b) Convection c) Radiation d) Evaporation 50) What type of heat loss when the baby is placed near a cold wall? a) Conduction b) Convection c) Radiation d) Evaporation 51) What type of stool found in Hirschsprung disease? a) Ribbon-like Stool b) Currant Jelly Stool c) Constipated d) Loose watery Stool 52) What is mittelschmerz? a) movement felt by the mother  b) irregular contractions  c) pain felt during the middle of menstrual cycle d) cramps during menstruation 53) What is the purpose of Jone's Criteria? a) To diagnose infective endocaditis b) To assess heart failure severity c) To diagnose rheumatic fever d) To evaluate congenital heart disease. 54) Which of the following is a major criterion in the Jone's criteria a) Fever b) Erythema marginatum c) Elevated ESR d) Arthralgia 55) How many major and minor criteria are typically required for the diagnosis of rheumatic fever (with evidence of prior streptococcal infection)? a) 1 major and 1 minor b) 2 major or 1 major and 2 minor c) 2 major only d) 3 major 56) What supporting evidence is needed along with Jone's criteria for a diagnosis of rheumatic fever? a) positive blood culture b) echocardiogram showing valve thickening c) evidence of recent streptococcal infection d) chest x-ray 57) Which is not true about Gonorrhea? a) it increase vaginal secretion b) most women are asymptomatic c) both men and women present symptoms 58) A sex worker contracted gonorrhea. What is your health teaching? a) Always use condom b) Have only one sexual partner c) Regular douching 59) Mother asks why the palatoplasty needs to occur before 18 months. What is the response of the nurse? a) To prevent tooh decay and gum disease b) To promote proper speech development  c) To ensure baby gains enough weight for surgery d) To complete all cleft surgeries before school-age 60) Which of the following is a hallmark sign of acute glomerulonephritis? a) polyuria b) cola-colored urine c) glycosuria d) frequent urination without pain 61) What is the primary cause of acute glomerulonephritis in children? a) Urinary tract obstruction b) Post-streptococcal infection c) Diabetes mellitus d) Dehydration 62) Which of the following is the hallmark of nephrotic syndrome in children? a) Hematuria b) Hypertension c) Massive proteinuria d) Polyuria 63) Which of the following is a typical presentation of Wilms tumor in children? a) Painful hematuria with fever b) Palpable, non-tender abdominal mass c) Severe diarrhea and weight loss d) Bilateral lower limb edema 64) Which of the following is a hallmark sign of Kawasaki disease? a) Vesicular rash on the trunk b) Sandpaper-like rash with sore throat c) Prolonged fever lasting more than 5 days with conjunctivitis and mucosal changes d) Sudden onset of high fever with seizures 65) Which of the following is the priority nursing intervention for a child with acute Kawasaki disease? a) Encourage a high-protein diet b) Apply cold compresses to extremities c) Monitor for signs of heart failure and administer IV immunoglobulin (IVIG) as prescribed d) Restrict fluid intake to prevent fluid overload

Pediatric Nursing Practice Test

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