TIA Pediatric Nursing

Question 1

A child with epiglottitis is brought to the emergency department. Which nursing action is the priority?

Accepted Answer

Keep the child calm and do not examine the throat

Answer

Obtain a throat culture using a tongue depressor

Answer

Administer antipyretics and obtain an IV access

Answer

Place the child supine and prepare for intubation

Question 2

A 2-year-old child has a barking cough and inspiratory stridor that worsens at night. The nurse suspects:

Accepted Answer

Croup (laryngotracheobronchitis)

Answer

Epiglottitis

Answer

Bacterial tracheitis

Answer

Foreign body aspiration

Question 3

A nurse is administering a medication to a 4-year-old child. Which approach is most developmentally appropriate?

Accepted Answer

Give the child a choice between two acceptable options (e.g., cup or spoon)

Answer

Tell the child the medicine will not hurt at all

Answer

Explain the drug mechanism and its importance

Answer

Tell the child they will get a shot if they refuse

Question 4

A nurse is assessing a 6-month-old for developmental milestones. Which finding is expected?

Accepted Answer

Rolling from back to front and front to back

Answer

Pulling to stand

Answer

Walking with support

Answer

Speaking 2–3 word phrases

Question 5

A child with acute otitis media is prescribed amoxicillin. A parent asks how long the course should be. The standard treatment duration for a child under 2 years is:

Accepted Answer

10 days

Answer

3 days

Answer

5 days

Answer

7 days

Question 6

A nurse is preparing to perform a venipuncture on a 7-year-old. Which pain management strategy is most appropriate?

Accepted Answer

Apply EMLA cream 60 minutes before the procedure

Answer

Tell the child to close their eyes and it will be over quickly

Answer

Perform the procedure without preparation to reduce anticipatory anxiety

Answer

Have the parent physically restrain the child