Pediatric Nurse Exam

FREE Pediatric Nursing MCQ Questions and Answers

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The nurse is looking for evidence of improvement in a female youngster who has acute post-streptococcal glomerulonephritis. Which observation often represents the first indication of progress?

Correct! Wrong!

Explanation:
The first indication that a child with acute post-streptococcal glomerulonephritis (APSGN) is improving is frequently an increase in urine production,
a symptom of increasing kidney function. Though it can potentially manifest with substantial proteinuria, PSGN often exhibits nephritic syndrome
symptoms such hematuria, oliguria, hypertension, and edema.

The nurse in charge notices an infant's unusually low-set ears during a physical examination. This discovery is related to:

Correct! Wrong!

Explanation:
An imaginary line drawn across the inner and outer canthus of the eye should normally line up with the top of the ear. Lower-set ears are linked to
renal abnormalities or mental impairment. This is as a result of the fact that some MCA syndromes with a high frequency of renal anomalies
frequently co-occur with auricular malformations.

When Doris takes her infant in for a well-baby checkup, she asks the nurse when she should start feeding him solid meals. Which solid food should be introduced initially, per the nurse's instructions?

Correct! Wrong!

Explanation:
Because it is simple to digest and has minimal allergies, rice cereal should be given to infants as their first solid diet. Bananas, applesauce, and pears
can be given to the baby next, then pureed vegetables, egg yolks, cheese, yogurt, and eventually meat.

Nurse Rose believes that a 4-year-old youngster is being physically neglected. Which question should the nurse ask the parents in order to properly assess the child's nutritional status?

Correct! Wrong!

Explanation:
The nurse should ask the child about what they ate during a particular meal in order to gather factual information about their nutritional intake.
Dietitians need specific information about every food and beverage ingested in order to determine whether a child's nutritional intake is adequate.
A dietary record should be started for every child brought to the hospital because they all run the danger of nutritional deficiency. However, this can
be stopped later if it's thought acceptable.

Wilms tumor is discovered in a young child. The nurse in charge of the assessment hopes to find:

Correct! Wrong!

Explanation:
The most typical symptom of a Wilms tumor is a palpable, painless abdominal mass that is occasionally accompanied by an increase in abdominal
circumference. The majority of children with a wilms tumor typically arrive with an asymptomatic abdominal lump. While giving the baby a bath,
the mother may have found the mass.

A young patient is receiving medication intraosseously from Nurse Pressy. When a child is: Intraosseous medication delivery is frequently utilized when:

Correct! Wrong!

Explanation:
When a child is extremely unwell and younger than age 3, intraosseous medication delivery is frequently done in an emergency. IO access offers a
way to deliver fluids, glucose, and drugs, as well as (perhaps) a way to take blood samples. Any type of resuscitation, cardiac arrest, shock regardless
of the cause, a life-threatening status epilepticus, a lack of venous access brought on by burns, edema, or obesity are examples of such situations.

When doing an I.M. Which place should the nurse in charge choose for an injection to an infant?

Correct! Wrong!

Explanation:
The vastus lateralis or rectus femoris muscles are suggested injection sites for infants. Skeletal muscle can hold more medication than subcutaneous
tissue can, and because muscle tissue is extremely vascular, it absorbs the medication more quickly. Pain is reduced in muscle because it has fewer
pain-sensing neurons than subcutaneous tissue and is less responsive to irritants and viscous medicines.