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Pediatric Nurse Quiz | Practice MCQ #mcq.ImBooz

February 17, 2020 by imBooz Leave a Comment

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1 >>Which nursing intervention is most important to perform before administering digoxin (Lanoxin) to a child? ?

  • (A) Checking apical pulse for 1 full minute
  • (B) Positioning the child with the head slightly elevated
  • (C) Counting the child’s respiratory rate for 1 full minute
  • (D) Calculating the child’s urine output

2 >>An infant is diagnosed with PDA. Which drug may be administered to achieve pharmacologic closure of the defect? ?

  • (A) digoxin (Lanoxin)
  • (B) prednisone (Deltasone)
  • (C) furosemide (Lasix)
  • (D) indomethacin (Indocin)

3 >>Which cardiac defect is associated with VSD, right ventricular hypertrophy, right ventricular outflow obstruction, and an overriding aorta? ?

  • (A) Tricuspid atresia
  • (B) Hypoplastic left heart syndrome
  • (C) PDA
  • (D) Tetralogy of Fallot

4 >>In which anatomic structure does gas exchange take place? ?

  • (A) Nasopharynx
  • (B) Trachea
  • (C) Bronchioles
  • (D) Alveoli

5 >>A child with difficulty breathing and a “barking cough” is displaying signs associated with which condition? ?

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  • (A) Cystic fibrosis
  • (B) Asthma
  • (C) Epiglottitis
  • (D) Croup

6 >>The nurse is assessing the lung sounds of a child with asthma. Which sound is the nurse most likely to hear? ?

  • (A) Murmur
  • (B) Wheezing
  • (C) Crackles
  • (D) Pleural friction rub

7 >>Which condition can rapidly obstruct the airway, requiring immediate attention? ?

  • (A) Tonsillitis
  • (B) Bronchiolitis
  • (C) Epiglottitis
  • (D) Tuberculosis

8 >>Which sign or symptom suggests cystic fibrosis? ?

  • (A) Steatorrhea (fat in the stool)
  • (B) Decreased appetite
  • (C) Decreased respiratory rate
  • (D) Early passage of meconium in the neonatal period

9 >>The main functioning unit of the kidney is the: ?

  • (A) renal cortex.
  • (B) renal medulla.
  • (C) nephron.
  • (D) ureter.

10 >>An X-ray done with I.V. contrast media to show the structure of the urinary system is called: ?

  • (A) KUB.
  • (B) excretory urography.
  • (C) VCUG.
  • (D) renal biopsy.

11 >>A child has decreased output of pink-tinged urine, facial edema, and a history of a sore throat “a little while ago.” The nurse anticipates the doctor will be evaluating the child for: ?

  • (A) cryptorchidism.
  • (B) adverse effects of hemodialysis.
  • (C) HUS.
  • (D) acute poststreptococcal glomerulonephritis.

12 >>A child is admitted to the pediatric unit with a new diagnosis of nephrotic syndrome. Which set of symptoms would the nurse expect to see? ?

  • (A) Periorbital edema, polyuria, proteinuria, and hyperproteinemia
  • (B) Hypercholesterolemia, hypoproteinemia, proteinuria, and periorbital edema
  • (C) Pedal edema, hypolipidemia, hematuria, and oliguria
  • (D) Hyperlipidemia, glycosuria, hyperproteinemia, and generalized edema

13 >>The growth plate of the bone is known as: ?

  • (A) the epiphyseal plate.
  • (B) the metaphyseal plate.
  • (C) the diaphyseal plate.
  • (D) the medullary plate.

14 >>When teaching parents about treatment for their baby’s clubfoot, the nurse should educate the parents that the casts will be: ?

  • (A) placed on the affected foot for 2 weeks only.
  • (B) placed on both feet for 6 weeks.
  • (C) placed on the affected foot initially then changed every 2 to 3 weeks as the baby’s foot grows and is manipulated.
  • (D) placed on both feet initially and then changed every 4 to 5 weeks as the baby’s feet grow and are manipulated

15 >>Initial treatment of JIA includes: ?

  • (A) gold salts.
  • (B) methotrexate.
  • (C) aspirin.
  • (D) NSAIDs.

16 >>A nurse is caring for a child with an SCFE. What findings would she expect on exam? ?

  • (A) Pain in the affected hip only and a noticeable limp
  • (B) Pain in the knee, hip, groin, or thigh; possible complaints of stiffness; and perhaps a limp
  • (C) Pain and swelling of the affected hip and a severe limp
  • (D) Redness, swelling, and pain above the knee of the affected side

17 >>A 2-month-old male infant is admitted with a diagnosis of pyloric stenosis. Due to the projectile vomiting he has had, he’s at risk for: ?

  • (A) metabolic acidosis.
  • (B) metabolic alkalosis.
  • (C) hyperkalemia.
  • (D) hypernatremia.

18 >>A 12-year-old boy is admitted to the pediatric unit with complaints of RLQ abdominal pain and vomiting. When the nurse checks on the child 2 hours later, he states that the pain has stopped. The nurse should suspect that: ?

  • (A) he had indigestion, which has been relieved.
  • (B) he’s afraid of going to surgery.
  • (C) his appendix has ruptured.
  • (D) he has irritable bowel syndrome.

19 >>An 18-month-old child is admitted to the pediatric unit with intussusception. As the nurse is preparing the child for a barium contrast reduction, he passes a soft brown stool. What should the nurse do? ?

  • (A) Notify the doctor in order to cancel the procedure.
  • (B) Prepare the child for emergency surgery.
  • (C) Take vital signs and monitor for abdominal sounds.
  • (D) Administer an enema to clear the rectal area for testing.

20 >>The nurse is completing discharge teaching for a child and her parents regarding her diet to treat celiac disease. Which meal selection would be appropriate for this child? ?

  • (A) A bologna sandwich on whole wheat bread, a chocolate chip cookie, and a glass of milk
  • (B) A vegetable pizza, an apple, and a diet cola
  • (C) A corn tortilla with hamburger and cooked vegetables and a glass of fruit juice
  • (D) A hot dog on a roll, celery and carrot sticks, and a chocolate milk shake

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