Pediatric Nurse Exam Pediatric Nurse Chronic Conditions and Care 2

Question 1

A 10-year-old with type 1 diabetes presents with blood glucose of 350 mg/dL, fruity breath, and Kussmaul respirations. Which intervention is the priority?

Accepted Answer

Establish IV access and begin fluid resuscitation

Answer

Diabetic ketoacidosis requires IV fluid resuscitation as the first priority to correct dehydration and electrolyte imbalances before insulin administration.

Question 2

A child with juvenile idiopathic arthritis (JIA) is scheduled for morning physical therapy. Which nursing action best supports treatment adherence?

Accepted Answer

Apply warm compresses to joints before therapy

Answer

Warm compresses applied before physical therapy reduce morning stiffness and improve joint mobility, supporting therapy participation in JIA.

Question 3

A 7-year-old with moderate persistent asthma uses a metered-dose inhaler (MDI) with a spacer. The nurse notes the child inhales rapidly. What teaching is needed?

Accepted Answer

A slow, steady breath optimizes medication delivery

Answer

Slow, steady inhalation over 3–5 seconds with an MDI and spacer ensures optimal medication deposition in the lower airways.

Question 4

A nurse is teaching a family about sickle cell crisis triggers. Which environmental factor should be emphasized as a primary prevention measure?

Accepted Answer

High altitude and extreme cold or heat exposure

Answer

High altitude, extreme temperatures, and dehydration are key environmental triggers for vaso-occlusive sickle cell crises.

Question 5

A 5-year-old with cystic fibrosis is prescribed pancreatic enzyme replacement therapy (PERT). When should enzymes be administered?

Accepted Answer

With every meal and snack containing fat

Answer

Pancreatic enzymes must be taken with every meal and fat-containing snack to facilitate proper digestion and nutrient absorption in CF.

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Pediatric Nurse Chronic Conditions and Care 2