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

Epiglottitis can cause rapid airway obstruction; preparing for emergency airway management (intubation or tracheostomy) is the top priority to prevent respiratory arrest.

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

The knee-chest position increases systemic vascular resistance, reduces right-to-left shunting, and improves pulmonary blood flow, thereby relieving the hypercyanotic spell.

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

Rice is naturally gluten-free and safe for children with celiac disease; barley, rye, and wheat all contain gluten and must be avoided.

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

The classic triad of bacterial meningitis is fever, severe headache, and nuchal rigidity (stiff neck), reflecting meningeal inflammation.

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

IV hydration reduces blood viscosity and promotes sickling reversal, while adequate analgesia addresses the severe pain of vaso-occlusive crisis; these are the primary interventions.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Pediatric Nursing 2