TIA Pediatric Nursing 2

Question 1

A child with sickle cell disease presents with fever, severe bone pain, and swelling. The nurse recognizes this as:

Accepted Answer

Vaso-occlusive (pain) crisis

Answer

Aplastic crisis

Answer

Splenic sequestration crisis

Answer

Acute chest syndrome

Question 2

A nurse is caring for a child with Kawasaki disease. Which finding is characteristic of this condition?

Accepted Answer

Fever lasting more than 5 days with strawberry tongue and rash

Answer

Vesicular rash on the trunk

Answer

Joint pain with morning stiffness only

Answer

Purpuric rash on the lower extremities

Question 3

Which immunization is recommended at birth before hospital discharge in the United States?

Accepted Answer

Hepatitis B vaccine (first dose)

Answer

DTaP

Answer

MMR

Answer

Varicella vaccine

Question 4

A 3-year-old is brought to the ED after ingesting an unknown substance. What is the nurse's first action?

Accepted Answer

Contact Poison Control (1-800-222-1222)

Answer

Induce vomiting immediately

Answer

Administer activated charcoal

Answer

Perform gastric lavage

Question 5

A nurse is assessing a child with a suspected head injury. Which finding indicates increased intracranial pressure (ICP) in a child?

Accepted Answer

Bradycardia, widening pulse pressure, and irregular respirations

Answer

Tachycardia and hypotension

Answer

Hyperthermia and diaphoresis

Answer

Decreased respiratory rate only

Question 6

A nurse is caring for a child with nephrotic syndrome. Which finding is most characteristic?

Accepted Answer

Massive proteinuria and generalized edema

Answer

Hematuria and hypertension

Answer

Elevated BUN and creatinine with oliguria

Answer

Flank pain and dysuria