Pediatric Nursing Flashcards
7 cards from real BSN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Nursing flashcards as text
A nurse suspects child physical abuse during an assessment. Which finding is most indicative of non-accidental trauma?
Answer: Multiple bruises in various stages of healing over the trunk
Multiple bruises in various stages of healing located on non-bony prominences such as the trunk are a hallmark of physical abuse, as accidental bruising typically occurs on bony prominences.
A child receiving chemotherapy develops a temperature of 38.5°C (101.3°F) with an absolute neutrophil count (ANC) of 450 cells/mm³. The nurse recognizes this as:
Answer: Febrile neutropenia requiring immediate medical intervention
An ANC below 500 cells/mm³ with a fever defines febrile neutropenia, a life-threatening emergency in oncology patients that requires immediate broad-spectrum antibiotic therapy.
A nurse is caring for a child with Type 1 diabetes who presents with confusion, diaphoresis, and pallor. Blood glucose is 48 mg/dL. Which is the priority intervention?
Answer: Give 15 g of fast-acting carbohydrate orally if the child can swallow
If the child is conscious and able to swallow, the priority is oral fast-acting carbohydrates (15 g) following the '15-15 rule' to safely raise blood glucose.
A 5-year-old is diagnosed with Wilms' tumor (nephroblastoma). Which nursing intervention is critical during the preoperative period?
Answer: Post a sign above the bed: 'Do Not Palpate Abdomen'
Vigorous abdominal palpation can rupture a Wilms' tumor capsule and cause tumor cell dissemination; a clear warning sign prevents inadvertent manipulation.
A nurse is educating parents of a newborn diagnosed with phenylketonuria (PKU). Which dietary instruction is most important?
Answer: Maintain a phenylalanine-restricted diet for life
PKU requires lifelong restriction of phenylalanine to prevent accumulation, which causes irreversible intellectual disability and neurological damage.
An infant is admitted with pyloric stenosis. Which laboratory finding is most expected due to repeated vomiting?
Answer: Metabolic alkalosis with hypokalemia and hypochloremia
Repeated projectile vomiting of gastric contents causes loss of hydrochloric acid and potassium, resulting in metabolic alkalosis with hypokalemia and hypochloremia.
A nurse is caring for a toddler with croup (laryngotracheobronchitis). Which clinical intervention is most effective for mild-to-moderate croup?
Answer: Give oral or IM dexamethasone
Corticosteroids such as dexamethasone reduce subglottic edema and are the mainstay treatment for croup, significantly reducing symptom severity and hospitalization rates.