DOH Nursing Pediatric Nursing 4

Question 1

A 4-year-old is admitted with Kawasaki disease. Which clinical sign is NOT part of the diagnostic criteria?

Accepted Answer

Generalized vesicular rash

Answer

Kawasaki disease diagnostic criteria include: fever >5 days plus 4 of: bilateral conjunctivitis, rash (maculopapular or erythematous, not vesicular), oral changes (strawberry tongue, red cracked lips), extremity changes, and cervical lymphadenopathy. Vesicular rash suggests varicella, not Kawasaki.

Question 2

Which intervention is priority when a 2-year-old child has a foreign body in the airway and is still coughing forcefully?

Accepted Answer

Encourage continued coughing; do not interfere

Answer

If a child with airway foreign body has effective cough (can cry, speak, or cough forcefully), the cough is clearing the airway better than any manual intervention. Interfering can dislodge the object further. Only intervene if the cough becomes ineffective or child becomes silent.

Question 3

A neonate is born at 34 weeks gestation. What is the primary concern in the first 24 hours?

Accepted Answer

Respiratory distress syndrome due to surfactant deficiency

Answer

Premature infants at 34 weeks have immature lungs with insufficient surfactant production, making respiratory distress syndrome (RDS) the primary immediate risk. Surfactant therapy and respiratory support are the primary interventions.

Question 4

Which pain assessment tool is appropriate for a 3-year-old child?

Accepted Answer

FLACC scale (Faces, Legs, Activity, Cry, Consolability)

Answer

The FLACC scale is used for pre-verbal children and those who cannot self-report (typically 2 months–7 years). It assesses behavioral indicators. The numeric and VAS scales require cognitive ability typically present by age 7+. Wong-Baker Faces is valid from age 3+.

Question 5

A child with nephrotic syndrome has massive edema and low serum albumin. What dietary modification is indicated?

Accepted Answer

Moderate protein intake and sodium restriction

Answer

In nephrotic syndrome, protein is lost in urine, causing hypoalbuminemia. Sodium restriction reduces edema by limiting water retention. Moderate protein intake replaces losses without overburdening the kidneys. High sodium worsens edema.

DOH Nursing Practice Test

DOH Nursing Practice Test

DOH Nursing Pediatric Nursing 4