PEDIATRIC NURSING TEST

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MULTIPLE CHOICE:   Select the one correct answer.
1. The response that would be unusual in infants subjected to prolonged hospitalization would be:
A. Lack or slowness of weight gain
B. Limited emotional response to stimuli
C. Excessive crying and clinging when approached
D. Looking at ceiling lights rather than at persons caring for them

2. An 18 month old, hospitalized with a severe asthma attack is given prednisone, 15 mg po bid. The nurse should:
A. Prevent exposing the child to infection
B. Check the child’s eosinophil count daily
C. Have the child rest as much as possible
D. Keep the child NOP except for medications

3. A 7 year old female develops a urinary tract infection. The physician orders a sulfonamide preparation. A major nursing responsibility when administering this drug is to:
A. Weigh the child daily
B. Give milk with the medication
C. Monitor the temperature frequently
D. Administer the drug at the prescribed times

4. The nurse is aware that children born with a missing chromosome are most likely to have:
A. Cretinism
B. Phenylketonuria
C. Down’s Syndrome
D. Turner’s Syndrome

5. To teach the correct way to administer eardrops to a small child, the nurse should instruct the parent to position the child on the side and instill the drops while pulling the auricle:
A. Forward
B. Up and back
C. Straight back
D. Down and back

6. The nurse is aware that the primary pathology that produces the clinical manifestations of cystic fibrosis is:
A. Hyperactivity of the eccrine (sweat) glands
B. Hypoactivity of the autonomic nervous system
C. Mechanical obstruction of mucus-secreting glands.
D. Atrophic changes in the mucosal lining of the intestines

7. If a child develops cyanosis early during a tonic-clonic seizure, it is most appropriate for the nurse to:
A. Insert an airway
B. Administer oxygen
C. Use a padded tongue blade
D. Observe without intervening

8. A viral infection characterized by a red, blotchy rash and Koplik’s spots in the mouth is:
A. Mumps
B. Rubella
C. Rubeola
D. Chickenpox

9. A 2-year old has a congenital right-to-left shunt defect of the heart. The nurse would expect to observe:
A. Orthopnea
B. An elevated hematocrit
C. Absence of pedal pulses
D. Edema in the extremities

10. A child is to receive a blood transfusion. If an allergic reaction to the blood occurs, the nurse’s first intervention should be to:
A. Call the doctor
B. Slow the flow rate
C. Stop the blood immediately
D. Relieve the symptoms with an ordered anti-histamine