BSN Pediatric Nursing 3

Question 1

A nurse suspects child physical abuse during an assessment. Which finding is most indicative of non-accidental trauma?

Accepted Answer

Multiple bruises in various stages of healing over the trunk

Answer

A single spiral fracture of the tibia in an 8-year-old athlete

Answer

A linear skull fracture after a documented fall from a crib

Answer

Mild bruising over the shins of an active toddler

Question 2

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:

Accepted Answer

Febrile neutropenia requiring immediate medical intervention

Answer

Expected post-chemotherapy reaction requiring monitoring only

Answer

Tumor lysis syndrome requiring IV fluids

Answer

Chemotherapy-induced anemia requiring a blood transfusion

Question 3

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?

Accepted Answer

Give 15 g of fast-acting carbohydrate orally if the child can swallow

Answer

Administer insulin per sliding scale

Answer

Prepare for emergency intubation

Answer

Administer glucagon IM and call the physician

Question 4

A 5-year-old is diagnosed with Wilms' tumor (nephroblastoma). Which nursing intervention is critical during the preoperative period?

Accepted Answer

Post a sign above the bed: 'Do Not Palpate Abdomen'

Answer

Encourage palpation of the abdomen to monitor tumor size

Answer

Administer high-dose steroids to shrink the tumor

Answer

Restrict all physical activity and enforce complete bed rest

Question 5

A nurse is educating parents of a newborn diagnosed with phenylketonuria (PKU). Which dietary instruction is most important?

Accepted Answer

Maintain a phenylalanine-restricted diet for life

Answer

Avoid all dairy products and replace with soy formula

Answer

Restrict tyrosine-containing foods for the first 2 years

Answer

Limit protein intake but allow natural foods freely

Question 6

An infant is admitted with pyloric stenosis. Which laboratory finding is most expected due to repeated vomiting?

Accepted Answer

Metabolic alkalosis with hypokalemia and hypochloremia

Answer

Metabolic acidosis with hyperkalemia

Answer

Respiratory alkalosis with hypernatremia

Answer

Respiratory acidosis with hyponatremia

Question 7

A nurse is caring for a toddler with croup (laryngotracheobronchitis). Which clinical intervention is most effective for mild-to-moderate croup?

Accepted Answer

Give oral or IM dexamethasone

Answer

Administer nebulized albuterol

Answer

Place the child in mist tent with cool mist

Answer

Perform nasopharyngeal suctioning every 2 hours