Pediatric Nurse Exam Pediatric Nurse Management of Acute Illness 2

Question 1

A 4-year-old presents with sudden-onset stridor, drooling, and tripod positioning. Which action is the nurse's PRIORITY?

Accepted Answer

Keep the child calm and avoid throat examination

Answer

Suspected epiglottitis requires keeping the child calm and avoiding any throat manipulation that could precipitate complete airway obstruction.

Question 2

A 9-month-old with bronchiolitis has an O2 saturation of 91% on room air. What is the most appropriate nursing intervention?

Accepted Answer

Apply supplemental oxygen via nasal cannula

Answer

Supplemental oxygen is indicated when SpO2 falls below 90-92% in infants with bronchiolitis; albuterol is not routinely recommended.

Question 3

A nurse is caring for a 7-year-old in status asthmaticus who is not responding to repeated albuterol treatments. Which medication should the nurse anticipate administering next?

Accepted Answer

IV magnesium sulfate

Answer

IV magnesium sulfate is used as a second-line bronchodilator in severe asthma unresponsive to initial beta-agonist therapy.

Question 4

Which assessment finding in a 2-year-old with croup indicates the need for immediate intervention?

Accepted Answer

Mild inspiratory stridor at rest

Answer

Stridor at rest (not just with agitation) indicates significant airway narrowing requiring prompt treatment.

Question 5

A 6-year-old with diabetic ketoacidosis (DKA) receives IV fluid resuscitation. The nurse notes the child becomes confused and complains of headache. What complication should be suspected?

Accepted Answer

Cerebral edema

Answer

Cerebral edema is a life-threatening complication of DKA treatment, presenting with headache, altered mental status, and deteriorating neurological status.

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Pediatric Nurse Management of Acute Illness 2