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Pediatric Nursing Exam Review

The document contains a series of medical questions related to pediatric care, including conditions like tracheoesophageal fistula, asthma, leukemia, and celiac disease. It also addresses nursing interventions, discharge instructions, and dietary recommendations for children with various health issues. Each question presents multiple-choice answers to assess knowledge in pediatric nursing and healthcare education.

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0% found this document useful (0 votes)
16 views4 pages

Pediatric Nursing Exam Review

The document contains a series of medical questions related to pediatric care, including conditions like tracheoesophageal fistula, asthma, leukemia, and celiac disease. It also addresses nursing interventions, discharge instructions, and dietary recommendations for children with various health issues. Each question presents multiple-choice answers to assess knowledge in pediatric nursing and healthcare education.

Uploaded by

emeraldt038
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Sample Question

1. Tracheoesophageal Fistula is best described by which of the following statements:


A. A passageway joining the trachea and esophagus present at birth
B. An incomplete passageway from the mouth to the stomach present at birth
C. A soft trachea causing respiratory difficulty in childhood
D. When the stomach contents return to the esophagus

2. An 18-month-old is being discharged following hypospadias repair. Which instruction


should be included in the nurse’s discharge teaching?
A. The child will need a special diet to promote healing
B. Diapering should be avoided for 1–2 weeks.
C. Applying warm compresses to decrease pain.
D. The child should not play on his rocking horse.

3. A child has been admitted to the pediatric unit with a severe asthmatic attack. What
type of acid base imbalance should the nurse expect the child to develop?
A. Metabolic alkalosis caused by excessive production of acid metabolites
B. Respiratory alkalosis caused by accelerated respirations and loss of carbon dioxide
C. Respiratory acidosis caused by impaired respirations and increased formation of
carbonic acid
D. All of the above

4. Adolescent girl suffering from cancer is on antineoplastic drugs. The side effect of these
drugs that requires early preparation of the patient is:

A. Retarded growth in height

B. Generalized short term paralysis

C. Alopecia

D. Constipation

5. One complications of Otitis media is:


A. Meningitis
B. Tonsilitis
C. Mastoiditis
D. Parotitis

6. When teaching a group of parents in the day care center about accident prevention, the
nurse explains that young toddlers are prone to injuries from falls. When receiving feedback,
the nurse identifies that more teaching is needed when one parents states, “I will:
A. Move our child to a regular bed by the age of…”
B. Have secured gates at entrances to staircase”
C. Keep medications in a medicine cabinet”
D. All of the above

7. What signs and symptom would you except in a 3 year old girl diagnosed with diabetes
mellitus?
A. Bed-wetting, lethargy, poor appetite, weight loss
B. Bed-wetting, increased thirst, hunger, weight gain
C. Increased hunger, thirst, weight gain
D. None of the above

8. A young child with acute nonlymphoid leukemia is admitted to the paediatric unit with a
fever and neutropenia. What are the most appropriate nursing intervention to minimize the
complications associated with neutropenia?
A. Placing the child in a private room, restricting ill visitors, and using strict handwashing
techniques
B. Encouraging a well-balanced diet including iron-rich foods, and helping the child avoid
overexertion
C. Avoiding rectal temperatures, limiting injections, and applying direct pressure for five
minutes after venepuncture
D. None of the above

9. Which of the under listed drugs will you get ready for use when a child is brought to the
emergency room with convulsion?
A. Phenobarbital
B. Ampicillin
C. Hydrocortisone
D. Chloroquine

10. Children who are obese should:


A. Eat more fruit and vegetables
B. Reduce their total energy intake, increase their activity level and reduce their screen time
C. Eat the same and take more exercise
[Link] a different diet to the rest of the family

11. What is the way to treat celiac disease?


A. By avoiding sugar
C. By losing weight
B. By changing diet
D. None of these

12. The healthcare provider is teaching a patient about celiac disease and malnutrition. Which
statement made by the patient would indicate a correct understanding of the teaching?
A. “I need to eat a high fat diet because there’s a lot of fat in my stools.”
B. “Parts of my gut have been damaged so it doesn’t absorb nutrients.”
C. “My intestines need to slow down so they can absorb the nutrients I need.”
D. “The inflammation in my gut uses up all of the vitamins I eat.”

13. What are the symptoms of scurvy?


A. Fatigue, malaise, and joint pain
B. Bleeding gums, loose teeth, and poor wound healing
C. Diarrhea, abdominal pain, and fever
D. All of above

14. Where is Burkitt’s tumor most commonly found?


A. Abdomen and intestines
B. Brain and spinal cord
C. Jaw and face
D. Chest and lungs
15. Which of the following statements about preventing acute otitis media is NOT correct?
A. Second hand smoke may increase risk, so people should not smoke around children
B. Infants should not sleep with a bottle
C. Sleeping on one’s side can help prevent acute otitis media
D. Risk can be reduced by routine childhood vaccinations

Common questions

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Effective lifestyle modifications include reducing total energy intake, increasing physical activity, and reducing screen time. These strategies help to manage weight and encourage healthier habits .

In a 3-year-old, diabetes mellitus can present as bed-wetting, increased thirst and hunger, and weight gain. The early recognition of these signs is crucial for timely diagnosis and management to prevent complications such as ketoacidosis .

Mastoiditis is a potential complication directly related to otitis media. It occurs when the infection spreads to the mastoid bone connected to the ear, necessitating early recognition and treatment .

A common misconception is that avoiding sugar or following a high-fat diet is beneficial, whereas the correct approach is adopting a gluten-free diet. This adjustment prevents damage to the intestinal lining and alleviates symptoms .

Scurvy presents with symptoms such as bleeding gums, loose teeth, and poor wound healing, reflecting a deficiency in Vitamin C which is crucial for collagen synthesis. This deficiency weakens connective tissue, leading to the observed symptoms .

To reduce the risk of acute otitis media, parents should avoid exposing children to second-hand smoke, not allow infants to sleep with bottles, and ensure vaccinations are up to date. Contrary to a misconception, sleeping on one’s side does not prevent otitis media .

Critical nursing interventions include placing the child in a private room, restricting visits from ill individuals, and employing strict handwashing to minimize infection risks due to the child’s immunocompromised state .

Parents should avoid diapering the child for 1-2 weeks to prevent irritation and aid healing of the surgical area. Additionally, they should ensure the child avoids activities such as playing on a rocking horse, which might jeopardize the surgical site .

Parents should ensure secured gates at the entrances to staircases and avoid moving the child to a regular bed prematurely. Medicines should be stored safely, out of reach of children, to prevent accidental ingestion .

Burkitt’s tumor is most commonly found in the jaw and face, significantly impacting a child's appearance and potentially airway function. Early diagnosis is crucial for managing and preventing complications such as airway obstruction .

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