Pediatric Nurse Exam Pediatric Nurse Management of Acute Illness 3

Question 1

A 3-year-old is brought to the ED with ingestion of an unknown substance. The child is lethargic with pinpoint pupils and slow respirations. What antidote should the nurse prepare?

Accepted Answer

Naloxone

Answer

Pinpoint pupils, CNS depression, and respiratory depression are classic signs of opioid toxicity, treated with naloxone.

Question 2

Which sign best indicates adequate rehydration in a child with moderate dehydration from acute gastroenteritis?

Accepted Answer

Return of skin turgor and urine output >1 mL/kg/hr

Answer

Restored skin turgor and adequate urine output are the most reliable clinical indicators of successful rehydration.

Question 3

A 5-year-old with meningitis becomes increasingly agitated and shows signs of increased intracranial pressure. The nurse should place the child in which position?

Accepted Answer

Head elevated 30 degrees with neck in neutral alignment

Answer

Head elevation of 30 degrees with neutral neck alignment promotes venous drainage and helps reduce ICP.

Question 4

A nurse is assessing a 14-month-old with suspected intussusception. Which stool description is most characteristic?

Accepted Answer

Currant jelly stools (blood and mucus)

Answer

Currant jelly stools containing blood and mucus are the classic late finding of intussusception due to intestinal ischemia.

Question 5

A 2-year-old with burns covering 18% TBSA is admitted. Using the Parkland formula, which fluid is most appropriate for the first 24 hours?

Accepted Answer

Lactated Ringer's solution

Answer

Lactated Ringer's solution is the standard fluid for burn resuscitation per the Parkland formula in the first 24 hours.

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Pediatric Nurse Management of Acute Illness 3