Proctored practiced questions . Pediatrics proctored exam PDF

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PEDIATRICS PROCTORED EXAM . Pediatrics proctored questions 2019/ 2020 .Pediatrics proctored...

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A nurse is caring for a school-age child following the application of cast to a fractured right tibia. Which of the following actions should the nurse take first? -Administer pain medication -Teach the child about cast care -Elevate the child’s leg -Petal the edges of the cast A nurse is caring for a 3-month-old infant who has cleft of the soft palate which of the following actions should the nurse  elevate the infants head to attend 10-degree angle during feedings  feed the infant 177.4 ML (6 oz) of formula three times each day  discontinue feeding if the infant’s eyes because watery  postpone burping the infant until after completing each feeding 1. A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures? a. Prolonged headache b. Lack of sleep c. Decreased temperature d. Exposure to secondhand smoke 2. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? a. “You can replace milk with nondairy sources of calcium” b. “You can drink milk on an empty stomach” c. “You should consume flavored yogurt instead of plain yogurt” d. “You might tolerate plain milk better than chocolate milk” 3. A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated? a. Respiratory rate 28/min b. Weight loss 7% c. Capillary refill 1 second d. Bradycardia 4. A nurse is caring for an adolescent who is 1hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? a. Muscle rigidity

b. Heart rate 63/min c. Temperature 36.40C (97.50F) d. Abdominal pain 5. A nurse is planning care for an 8-month infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a. Place the infant in a prone position b. Provide less frequent, higher volume feedings c. Repeat a digoxin dosage if the infant vomits within 1 hr of administration d. Administer cool, humidified oxygen via nasal cannula 6. A nurse is caring for a preschooler who is postoperative following a tonsillectomy. The child is now ready to resume oral intake. Which of the following dietary choices should the nurse offer the child? a. Chocolate milk b. Sugar-free cherry gelatin c. Vanilla ice cream d. Lime-flavored ice pop 7. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan? a. measles, mumps, and rubella (MMR) b. Pneumococcal conjugate (PCV13) c. Rotavirus d. Respiratory syncytial virus (RSV) 8. A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider? a. Heart rate b. WBC count c. Oxygen saturation d. HbA1c 9. A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care? a. Use of half-strength formula when feeding the infant b. Give the infant fruit juice between feedings c. Assign consistent nursing staff to care for the infant d. Keep the infant in a visually stimulating environment 10. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. “Your child should keep the bicycle at least 3 feet from the curb while riding in the street” b. “Your child should walk the bicycle through intersections” c. “Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle” d. “Your child should ride the bicycle against the flow of traffic 11. A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an

understanding of the teaching? a. “I will move my baby’s stuffed animal to the corner of her crib while she sleeps” b. “I will have my baby sleep next to me in bed during the night” c. “I will dress my baby in lightweight clothing to sleep” d. “I will lay my baby on her side to sleep for naps” 12. A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take? a. Place the child in a side-lying position b. Instruct the child to drink fluids through a straw c. offer the child ice cream when alert d. Encourage the child to deep breath and cough 13. A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take? a. Contact the client’s parents to obtain phone consent b. Obtain written consent from the client c. Request verbal consent from the social worker d. Postpone the testing until the client’s parents are present 14. A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? a. A toddler who has a partial-thickness burn on his right hand and requires a dressing change b. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin c. An adolescent who has sickle cell anemia and slurred speech d. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to10 15. A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider? a. Unable to hold a bottle b. Absent grasp reflex c. Exhibits head lag when pulled to a sitting position d. Unable to roll from back to abdomen 16. A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? a. Inspect for fluid leaking from the ears b. Assess respiratory status c. Check pupil reactions d. Examine the scalp for lacerations 17. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching? a. “A nurse will insert an IV prior to the test” b. “Your baby will need to fast for 8 hours prior to the test” c. “The test will measure the amount of chloride in your baby’s sweat” d. “We will measure the amount of protein in your baby’s urine over a 24-hour period”

18. A nurse is planning care for 6-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care? a. Pad the side rails of the crib b. Provide frequent range of motion to the neck and shoulders c. Keep the television on in the room to provide background noise d. Place the infant in a semiprivate room 19. A nurse is preparing to administer immunizations to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? a. Provide a pacifier coated with an oral sucrose solution prior to the injections b. Use a 20-gauge needle for the injections c. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections d. Inject the immunizations into the deltoid muscle 21. A nurse is providing teaching to the parents of a 2-month-old infant who has developmental dysplasia of the hip and has a prescription for a Pavlik harness. Which of the following statements by the parents indicates an understanding of the teaching? a. “We will apply lotion to the skin under the straps” b. “We should adjust the straps daily” c. “We will place the diaper under the straps” d. “We should expect our baby to wear this harness for 2 weeks” 22. A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine? a. allergy to neomycin b. family history of seizures c. temperature of 37.2oC (990F) d. upper respiratory infection 2 days ago 23. A nurse is discussing coping mechanisms with a parent of a 3-month-old infant. Which of the following therapeutic questions should the nurse ask the parent? a. “What do you when your infant is fussy?” b. “Does parenting cause you stress?” c. “Is it overwhelming when your infant is having a bad day?” d. “Are you willing to take new parenting classes?” 24. A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicate proper functioning of the child’s trigeminal nerve? a. The child exhibits a gag reflex when stimulated with a tongue blade b. The child maintains balance when standing with eyes closed c. The child has symmetrical jaw strength when biting down d. The child correctly identifies specific scents 25. A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? a. polyuria

b. jaundice c. Hyperpyrexia d. Neck vein distention 26. A nurse is preparing a school-age child for an invasive procedure. Which of the following actions should the nurse plan to take? a. Plan for a 30-min teaching session about the procedure b. Demonstrate deep-breathing and counting exercises c. Explain the procedure to the child when they are in the playroom d. Use vague language to describe the procedure 27. A nurse is providing teaching to a 10-year-old child who is scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching? a. “You will need to keep your leg straight for 8 hours following the procedure” b. “You will be on bed rest for 2 days after the procedure” c. “You will have your dressing removed 12 hours after the procedure” d. “You will be on a clear liquid diet for 24 hours following the procedure” 28. A nurse in a provider’s office is assessing the vital signs of a 2-year-old child at a well-child visit. Which of the following findings should the nurse report to the provider? a. Pulse rate 98/min b. Respiratory rate 26/min c. Blood pressure 118/74 mmHg d. Temperature 37.2 oC (99oF) 29. A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? (Select all that apply) a. partial thromboplastin time (PTT) b. C-reactive protein (CRP) c. Ant streptolysin O (ASO) titer d. Erythrocyte sedimentation rate (ESR) e. Blood urea nitrogen (BUN) F. Throat culture of GABHS g. Blood antistreptolysin 31. A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply) a. Increased appetite b. Enlarged subclavicular lymph node c. Crying d. Fever. e.Restlessness 32. A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? a. initiate contact precautions for the child

b. maintains a patent intravenous catheter c. encourages frequent physical activity to increase who bone mass d. provides a high-calorie, low-protein diet 

33. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching? a. wash the child’s hair with shampoo containing ketoconazole b. Treat everyone who came into close contact with the child c. Soak comb and brushes in boiling water for 10min. d. Apply petroleum jelly to the affected areas.

34. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? a. Apply bactericidal ointment to lesions b. Administer acyclovir PO two times per day c. Soak hairbrushes in boiling water for 10 minutes d. Seal soft toys in a plastic bag for 14 days 36. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of following findings should the nurse expect? a. Hypothermia b. Ataxia c. Hyperactive reflexes d. Pinpoint pupils 37. A nurse is planning care for a school-age child who was admitted from the emergency department 2 hrs. ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a. follows the child’s home sleep routine to reduce anxiety b. Allow the child to adjust their bedtime to promote autonomy c. Leave the lights on in the child’s room to promote safety d. Provide the child with video games prior to bedtime to reduce stress 38. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? a. Capillary refill for 2 seconds b. Increased urine output c. Increased respiratory rate d. Hypertension 39. A nurse is preparing to administer a prescribed medication to a toddler whose parent is nearby. Which of the following actions should the nurse take to identify the toddler? a. checks the toddler’s ID band against the medical record b. checks the toddler’s room number against their ID band c. Ask the parent to confirm the toddler’s identity d. Ask another nurse to confirm the toddler’s identity 41. A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? a. Administer oral viscous lidocaine

b. Schedule routine oral care every 8hr c. Moisten the mucosa with lemon glycerin swabs d. Cleanse the gums with saline soaked gauze 42. A nurse is assessing a 6-month infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? a. Tachypnea b. Pharyngitis c. Coughing d. Rhinorrhea 43. A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take? a. place a snug-fitting diaper over the drainage bag b. stretches the perineum taut when applying the bag c. Apply lidocaine gel to the perineum before attaching the bag d. Position the opening of the bag over the urethra and the anus. 44. A nurse in the pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity? a. polyuria b. Bradycardia c. Jaundice d. Diaphoresis 45. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe dyspnea, and is drooling. Which of the following actions should the nurse take first? a. Administer an antibiotic to the toddler b. Prepare the toddler for nasotracheal intubation c. Obtain a blood culture from the toddler d. Insert an IV catheter for the toddler 46. A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include? a. administer aspirin for fever b. assesses the oral cavity for Koplik spots c. provides the child with a warm blanket d. initiate airborne precautions 47. A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching? a. Provide for periods of rest b. Weigh the child once each month c. Withhold digoxin if the child’s pulse is greater than 100/min d. Increase the child’s oxygen flow rate until the child no longer has cyanosis 48. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? a. Set the administration rate on the feeding pump

b. Attach the feeding bag tubing to the end of the NG tube c. Check the pH of the gastric secretions d. Flush the tube with water 49. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? a. minimizes movement of the limbs b. Place the child in a prone position c. Insert a tongue blade between the teeth d. Clear the area of hard objects 50. A nurse in a provider’s office is preparing to administer immunizations to a 12-year-old client during a well-child visit. Which of the following immunizations should the nurse plan to administer? a. varicella b. Human papillomavirus (HPV) c. Hepatitis A d. Diphtheria, tetanus, and pertussis (DTaP) 51. A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective? a. An increase in potassium levels b. A decrease in cardiac output c. An increase in venous pressure d. A decrease in peripheral oedema 52. A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? a. “Consume 1,500 to 1,700 calories per day” b. “Limit your sodium intake to 3, 000 milligrams per day” c. “Decrease your vitamin D intake once you start to menstruate” d. “Increase the amount of your dietary iron intake” 53. A nurse in the emergency department is caring for a child who has a temperature of 39.1oC (102.4oF) and a suspected diagnosis of bacterial meningitis. Which of the following actions should the nurse take first? a. Prepare the child for a lumbar puncture b. Administer an antipyretic to the child c. Implement droplet precautions for the child d. Dim the lights in the child’s room 54. A nurse is providing teaching to the guardians of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include? a. Apply cold compresses to painful areas b. Have the child wear a surgical mask to school

c. Limit fluids at bedtime d. Encourage physical activity as tolerated 55. A nurse is caring for a 5-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage? a. Blood pressure 95/56mmHg b. Heart rate 54/min c. Continuous swallowing d. Flushing of the face 56. A nurse is assessing a school-age child’s cranial nerve function. Which of the following actions should the nurse ask the child to take when assessing the accessory nerve? a. Show their teeth while smiling b. Shrug their shoulders against mild pressure c. Follow a light in the six cardinal positions d. Move their tongue in all directions 57. A nurse in an urgent care clinic is prioritizing care for four children. Which of the following children should the nurse assess first? a. A preschool-age child who has a muffled voice and no spontaneous cough b. A toddler who has nephrotic syndrome and facial edema c. A school-age child who has diabetes mellitus and a blood glucose of 200mg/dL d. An adolescent who has Crohn’s disease and a recent weight loss of 5kg (11lb) 58. A school nurse is assessing a 7-year-old student. The nurse should identity which of the following findings as a potential indicator of physical abuse? a. Bruising around the wrists b. Front deciduous teeth missing c. Weight in 45th percentile d. Abrasions on the knees

59. A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? (Select all that apply) a. Place the infant in supine position b. Check for residual volumes by aspirating stomach contents

c. Heat the formula to 390C (102oF) prior to administration d. Instill the formula over a period of 30 to 45 min e. Offer the infant a pacifier during feedings 60. A nurse is caring for a 4-year-old child who has meningitis and is...