BSN Pediatric Nursing 2

Question 1

A 4-year-old is admitted with epiglottitis. Which nursing intervention is the highest priority?

Accepted Answer

Prepare for emergency airway management

Answer

Obtain a throat culture using a tongue blade

Answer

Administer antipyretics and monitor temperature

Answer

Place the child in a supine position for comfort

Question 2

A child is diagnosed with Tetralogy of Fallot and experiences a hypercyanotic ('Tet') spell. Which position should the nurse place the child in?

Accepted Answer

Knee-chest position

Answer

Supine with legs elevated

Answer

Semi-Fowler's position

Answer

Left lateral decubitus position

Question 3

The nurse is teaching a parent about celiac disease dietary management. Which grain is SAFE for a child with celiac disease?

Accepted Answer

Rice

Answer

Barley

Answer

Rye

Answer

Wheat

Question 4

A nurse is assessing a child with bacterial meningitis. Which triad of symptoms is classic for this condition?

Accepted Answer

Fever, severe headache, and nuchal rigidity

Answer

Fever, rash, and joint pain

Answer

Photophobia, vomiting, and bradycardia

Answer

Altered consciousness, seizures, and hypotension

Question 5

A child with sickle cell disease is admitted in vaso-occlusive crisis. Which intervention has the highest priority?

Accepted Answer

Administer IV fluids and analgesics

Answer

Restrict oral fluid intake

Answer

Apply ice packs to painful areas

Answer

Prepare the child for an exchange transfusion

Question 6

A 2-year-old is brought to the ED after ingesting an unknown substance. The poison control center advises against inducing emesis. Which substance most likely contraindicates emesis induction?

Accepted Answer

Caustic cleaning solution

Answer

Acetaminophen tablets

Answer

Gummy vitamins

Answer

Non-toxic crayon

Question 7

The nurse is caring for a child with nephrotic syndrome. Which assessment finding is most expected with this diagnosis?

Accepted Answer

Massive proteinuria and dependent edema

Answer

Hypertension and hematuria

Answer

Oliguria and elevated BUN/creatinine

Answer

Polyuria and polydipsia