Pediatric Nursing MCQ Questions and Answers
1. Which of the following signs and symptoms would observe in a child diagnosed with laryngotracheobronchitis?
a. predominant stridor on inspiration
b. predominant expiratory wheeze
c. high fever
d. slow respiratory rate
2. In a child with suspected coarctation of the aorta, the nurse would expect to find
a. Strong pedal pulses
b. Diminishing carotid pulses
c. Normal femoral pulses
d. Bounding pulses in the arms
3. A nurse is caring for an infant that has recently been diagnosed with a congestive heart failure. Which of the following clinical signs would most likely be present?
a. Slow pulse rate
b. Weight gain
c. Decreased systolic pressure
d. Irregular WBC lab values
4. When teaching an adolescent with a seizure disorder who is receiving valproic acid, which sign or symptom should the nurse instruct the client to report to the health care provider?
a. Three episodes of diarrhea.
b. Loss of appetite.
d. Sore throat.
5. After talking with the parents of a child with Down syndrome, the nurse should help the parents establish which goal?
a. Encouraging self-care skills in the child.
b. Teaching the child something new each day.
c. Encouraging more lenient behaviour limits for the child.
d. Achieving age-appropriate social skills.
6. When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions would the nurse use?
b. povidone – iodine (betadine) solution
c. a mild antiseptic solution
d. half-strength hydrogen peroxide
7. The mother of an infant with myelomeningocele asks if her baby is likely to have any other defects. The nurse responds based on the understanding that myelomeningocele is commonly associated with which disorder?
a. Excessive cerebrospinal fluid within the cranial cavity.
b. Abnormally small head.
c. Congenital absence of the cranial vault.
d. Overriding of the cranial sutures.
8. Which of the following health teachings regarding the sickle cell crisis should be included by the nurse?
a. it results from altered metabolism and dehydration
b. tissue hypoxia and vascular occlusion cause the primary problems
c. increased bilirubin levels will cause hypertension
d. there are decreased clotting factors with an increase in white blood cells
9. A newborn’s failure to pass meconium within the first 24 hours after birth may indicate which of the following?
a. Hirschsprung disease
b. Celiac disease
d. Abdominal wall defect
10. Which of the following would the nurse perform to help alleviate a child’s joint pain associated with rheumatic fever?
a. maintaining the joints in an extended position
b. applying gentle traction to the child’s affected joints
c. supporting proper alignment with rolled pillows
d. using a bed cradle to avoid the weight of bed lines on the joints
11. An eighteen month-old has been brought to the emergency room with irritability, lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation of these initial findings, the nurse would assess the child for additional findings of:
12. The nurse reports to the primary health care provider signs of increased intracranial pressure in an infant with myelomeningocele who has which of the following?
a. Minimal lower-extremity movement.
b. A high-pitched cry.
c. Overflow voiding only.
d. A fontanel that bulges with crying.
13. After surgical repair of myelomeningocele, which position should the nurse use to prevent musculoskeletal deformity in the infant?
a. Placing the feet in flexion.
b. Allowing the hips to be abducted.
c. Maintaining knees in the neutral position.
d. Placing the legs in adduction.
14. Which action should the nurse take when providing postoperative nursing care to a child after the insertion of a ventriculoperitoneal shunt?
a. Administer narcotics for pain control.
b. Check the urine for glucose and protein.
c. Monitoring for increased temperature.
d. Test cerebrospinal fluid leakage for protein.
15. What should be part of the nurse’s teaching plan for a child with epilepsy being discharged on a regimen of phenytoin (Eptoin)?
a. Drinking plenty of fluids.
b. Brushing teeth after each meal.
c. Having someone be with the child during waking hours.
d. Reporting signs of infection.
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