SNLE Pediatric Nursing 2

Question 1

What is the nursing priority for a child with croup (laryngotracheobronchitis)?

Accepted Answer

Keep the child calm, provide cool mist humidity, administer nebulized epinephrine for severe cases, and monitor for airway obstruction

Answer

Administer antibiotics

Answer

Restrict fluids

Answer

Place the child in a supine position

Question 2

What nursing assessments are important for a child with suspected meningitis?

Accepted Answer

Assess for nuchal rigidity, Kernig's and Brudzinski's signs, photophobia, petechial rash, altered consciousness, and bulging fontanelle in infants

Answer

Only temperature check

Answer

Only blood pressure

Answer

Only appetite changes

Question 3

How should a nurse administer an intramuscular injection to an infant?

Accepted Answer

In the vastus lateralis (anterolateral thigh) using a 25-gauge, 5/8 to 1-inch needle

Answer

In the deltoid muscle

Answer

In the gluteal muscle

Answer

In the dorsal gluteal site

Question 4

What is the nurse's role in managing a child with asthma exacerbation?

Accepted Answer

Administer bronchodilators (albuterol) via nebulizer, position upright, monitor SpO2, administer corticosteroids as ordered, and assess respiratory status frequently

Answer

Restrict fluid intake

Answer

Encourage vigorous physical activity

Answer

Apply cold compresses to the chest

Question 5

What anticipatory guidance should a nurse provide to parents of a 6-month-old regarding safety?

Accepted Answer

Choking prevention (small objects), fall prevention (never leave on elevated surfaces), water safety, proper car seat use, and safe sleep environment

Answer

Only car seat usage

Answer

Only sun protection

Answer

Safety guidance isn't needed until the child walks

Question 6

What is the nurse's priority when caring for a child with acute otitis media (ear infection)?

Accepted Answer

Manage pain (analgesics), assess tympanic membrane, administer oral antibiotics if prescribed, and educate parents on proper medication administration

Answer

Administer IV antibiotics immediately

Answer

Apply cold compresses to the ear

Answer

Restrict all fluids