DOH Nursing Pediatric Nursing 2

Question 1

A child with suspected epiglottitis arrives at the emergency department. What action should the nurse avoid?

Accepted Answer

Attempting to visualize the throat with a tongue depressor

Answer

In epiglottitis, inserting a tongue depressor or attempting throat examination can trigger laryngospasm and complete airway obstruction. The airway must be secured in a controlled setting (OR with anesthesia backup) before any oral examination.

Question 2

What is the recommended site for intraosseous (IO) access in a child in cardiac arrest when IV access cannot be established?

Accepted Answer

Proximal tibia, 1–2 cm below the tibial tuberosity

Answer

The proximal tibia is the preferred IO site in children because it is easily accessible, has a flat medial surface, and is distant from chest compressions. IO access provides rapid vascular access for fluids and medications when IV access fails.

Question 3

A 10-month-old infant is brought in after being found unresponsive. The nurse suspects non-accidental trauma. Which injury pattern is most associated with abusive head trauma?

Accepted Answer

Retinal hemorrhages and subdural hematoma without adequate explanation

Answer

Abusive head trauma (shaken baby syndrome) classically causes bilateral retinal hemorrhages, subdural hematoma (from bridging vein tears), and diffuse axonal injury — all without adequate history. Unexplained intracranial injury in infants is a red flag for abuse.

Question 4

Which immunization is recommended at birth for all neonates in the UAE?

Accepted Answer

Hepatitis B vaccine

Answer

In the UAE National Immunization Schedule, neonates receive BCG (tuberculosis prevention) and the first dose of Hepatitis B vaccine at birth. The Hepatitis B birth dose prevents vertical transmission from HBsAg-positive mothers.

Question 5

A 7-year-old has a blood glucose of 38 mg/dL and is conscious and able to swallow. What is the priority treatment?

Accepted Answer

Give 15 g of fast-acting carbohydrates orally and recheck glucose in 15 minutes

Answer

The '15-15 rule' for conscious hypoglycemic children: give 15 g of fast-acting carbohydrate (4 oz juice, glucose tablets), wait 15 minutes, recheck blood glucose. If still <70 mg/dL, repeat. IV dextrose and glucagon are for unconscious patients.

DOH Nursing Practice Test

DOH Nursing Practice Test

DOH Nursing Pediatric Nursing 2