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    Exam Review

    1. The pediatric nurse understands that a common symptom of Hirschsprung’s disease
      A)fever and chills
      B)severe constipation
      C)jaundice and steatorrhea
      D)muscle weakness
    2. A nurse is providing education to the parents of a child who is receiving chemotherapy and is at risk for developing mucositis. Which of the following statements by the parents indicates an understanding of the teaching?
      A)"We will encourage our child to eat spicy foods to reduce mucositis."
      B)"We will avoid providing our child with any oral hygiene care during chemotherapy."
      C)"We will use a soft-bristle toothbrush to clean our child's teeth."
      D)"We will give our child ice-cold beverages to soothe the oral mucosa."
    3. The nurse recognizes which assessments are appropriate for a 7-week-old infant post-operative Ventriculoperitoneal (VP) shunt? (Select All that Apply.)(SATA)
      A)Observe the infant's level of consciousness and neurologic status
      B)Assess anterior fontanel
      C)Assess the infant's feeding and tolerance of feedings
      D)Evaluate the infant's hydration status and intake and output
      E)Assess the infant's incision sites for signs of infection or drainage
      F)Place sterile saline soaked dressing over the exposed sac
      G)Monitor the infant's pain level and provide appropriate pain management
      H)Monitor vital signs, including temperature, heart rate, and respiratory rate
    4. Which intervention should the nurse teach to parents of how to help prevent respiratory infections in infants with Down syndrome?
      A)Avoiding skin-to-skin contact with the infant
      B)Keeping the infant in a dry environment
      C)Use of a cool mist humidifier in the infant's room
      D)Feeding the infant with high-sugar formula
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    Exam Review

    1. A nurse is caring for a 6-year-old client who has nephrotic syndrome. Which of the following adverse effects of corticosteroids should the nurse recognize as having the potential to impact the child's psychosocial development?(SATA)
      A)Osteoporosis
      B)Weight gain
      C)Hypertension
      D)Nausea
      E)Irritability
    2. When teaching a parent about the administration of digoxin elixir to a 4-year-old child, which of the following instructions should the nurse include?
      A)Give water to the child to rinse their mouth after administration to prevent tooth decay.
      B)Administer the medication with a high-fiber meal.
      C)Check the child's heart rate before administration and hold the dose if the heart rate is greater than 70 BPM.
      D)Use a regular household spoon to measure the medication.
    3. A nurse recognizes that the most likely initial clinical finding in infants with sickle cell disease is:
      A)Jaundice of the skin and eyes
      B)Fever without a source
      C)Swelling of the hands and feet
      D)Failure to thrive
    4. A nurse anticipates the priority treatment for children diagnosed with Kawasaki disease Is:
      A)High dose Aspirin
      B)Enoxaparin sodium
      C)Corticosteroids
      D)Béta-blockers
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    Exam Review

    1. A nurse is educating a parent of a child who has a high lead level about the importance of foods high in iron and calcium. Which of the following statements by the parent indicates a correct understanding of the nurse's teaching?
      A)"I will give my child more processed foods to increase their iron and calcium intake."
      B)"I will limit my child's consumption of dairy products to increase their iron intake."
      C)"I will make sure my child eats plenty of fruits and vegetables."
      D)"I will encourage my child to drink more soda to increase their calcium intake."
    2. When caring for a child with glomerulonephritis, what key assessments should the nurse prioritize? (Select All that Apply.)(SATA)
      A)Assessing joint mobility
      B)Checking visual acuity during the admission interview
      C)Vital signs and neurological status especially with edema
      D)Urine volume and character
      E)Measuring blood glucose levels
      F)Evaluating tolerance of a regular diet with possible restrictions if oliguric
      G)Weigh child same time each day (same scale)
    3. A nurse recognizes which physical assessment finding commonly seen in young children with cerebral palsy?
      A)Persistent primitive reflexes
      B)Normal muscle tone
      C)Symmetrical movements
      D)Normal gross motor skills
    4. A nurse is caring for a 3-year-old client who has been diagnosed with a urinary tract infection and is prescribed amoxicillin/clavulanate. Which of the following pathogens should the nurse identity as the most common bacterial cause of UTIs?
      A)Enterococcus
      B)Escherichia coli
      C)Pseudomonas aeruginosa
      D)Klebsiella
    Page 3 of 8

    Exam Review

    1. What is a priority nursing intervention for a child diagnosed with celiac disease?
      A)Encouraging the child to consume gluten-rich foods
      B)Promoting high-fiber foods in the child's diet
      C)Ensuring the child's diet is free of wheat, barley, and rye
      D)Limiting the child's intake of lean proteins
    2. Which of the following should a nurse include in parent teaching to prevent diaper dermatitis?
      A)Applying a thick layer of diaper cream only at bedtime
      B)Keeping the diaper area moist
      C)Changing the diaper every 2 to 3 hours
      D)Using scented wipes for cleaning
    3. A nurse understands that it is a priority to place a child in which position post-operative tonsillectomy.
      A)Sitting upright
      B)Prone position
      C)Prone or side-lying position
      D)Lying flat on their back
    4. Which of the following is a common risk factor for otitis media in children?
      A)Living in a warm climate
      B)Being breastfed
      C)Exposure to secondhand smoke
      D)Drinking too much milk
    Page 4 of 8

    Exam Review

    1. Which of the following interventions should be included in the postoperative care of an infant following cleft lip repair? (Select All that Apply.)(SATA)
      A)Maintain integrity of the postoperative protective device (Logan Bow)
      B)Place infant on the back or upright in the immediate postoperative period
      C)Allow infant to suck formula with a special nipple or feeding device
      D)Encourage the infant to use a sippy cup for drinking
      E)Pain management using an age-appropriate tool
      F)Use full strength hydrogen peroxide to clean the crusts on protective device
    2. After a tonsillectomy, frequent swallowing may indicate which of the following complications?
      A)Bleeding
      B)Dehydration
      C)Allergic reaction
      D)Infection
    3. Which physical assessment finding by the nurse is characteristic of a child with nephrotic syndrome which decreases throughout the day?
      A)Facial and periorbital edema that decreases throughout the day
      B)Facial redness that worsens in the evening
      C)Periorbital edema that increases throughout the day
      D)Swelling of the lower extremities and genitalia
    4. A nurse is creating a plan of care for a fetus who has been diagnosed with clubfoot via ultrasound. Which of the following procedures should the nurse expect to include in the plan of care?
      A)A series of casts will be made for the infant soon after birth
      B)An orthotic brace will be made when the infant is 6 months of age.
      C)Surgery will be performed in utero to correct the deformity.
      D)Monitor the infant and perform physical therapy if needed to help with mobility.
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    Exam Review

    1. A nurse is providing education to a 10-year-old child newly diagnosed with hemophilia and their parents. The parents state that they are withdrawing their child from participating in any sports or physical activities because they are worried the child will get injured. Which of the following statements made by the nurse is most appropriate?
      A)"You should not allow your child to ride a bike or go skateboarding with their classmates."
      B)"You should allow your child to play any sport they want to play."
      C)"You should not allow your child to play any sport due to the risk of injury."
      D)"You should allow your child to participate in age-appropriate activities, such as riding a bike using proper protective gear."
    2. An infant is ordered 50mL packed red blood cells to infuse over 2hr. The drop factor of the gravity tubing is 15gtts/mL. The nurse would adjust the flow rate to how many gtts/min? (Round to a whole number).
    3. A nurse teaches the parents of a 6-month old infant that the primary purpose of a Pavlik harness in the treatment of developmental dysplasia of the hip (DDH) is to:
      A)provide support for the back and spine
      B)immobilize the legs and prevent movement
      C)hold the hips in a flexed and abducted position
      D)correct scoliosis in infants
    4. During the nursing assessment of a baby with hypospadias, the nurse should prioritize which of the following assessments?
      A)Inspecting the baby's genitalia urethral opening
      B)Checking the baby's respiratory rate
      C)Measuring the baby's head circumference
      D)Assessing the baby's ability to breastfeed
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