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

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.

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

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.

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

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.

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

Vigorous abdominal palpation can rupture a Wilms' tumor capsule and cause tumor cell dissemination; a clear warning sign prevents inadvertent manipulation.

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

PKU requires lifelong restriction of phenylalanine to prevent accumulation, which causes irreversible intellectual disability and neurological damage.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Pediatric Nursing 3