Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

Review Pediatric Nursing Practice Questions related questions and content

After receiving a dose of penicillin, a client develops dyspnea and hypotension. The nurse suspects the client is experiencing anaphylactic shock. What should the nurse do first?

  • A. Page an anesthesiologist immediately and prepare to intubate the client
  • B. Administer epinephrine, as prescribed, and prepare to intubate the client if necessary
  • C. Administer the antidote for penicillin, as prescribed, and continue to monitor the client's vital signs
  • D. Insert an indwelling urinary catheter and begin to infuse IV fluids as ordered
Correct Answer: B

Rationale: When a client exhibits symptoms of anaphylactic shock after receiving penicillin, the priority nursing intervention is to administer epinephrine, as prescribed, to counteract the severe allergic reaction. Epinephrine helps to improve breathing and increase blood pressure. Intubation may be necessary in severe cases to maintain airway patency. Therefore, the nurse should administer epinephrine first before considering intubation. It is crucial to act swiftly to prevent further deterioration in the client's condition.

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Mid diastolic rumble murmur at the lower left sternal border may be heard in the following structural heart disease:

  • A. Large PDA
  • B. Severe mitral incompetence
  • C. Aortic rheumatic carditis with mitral valvulitis
  • D. Large atrial septal defect
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:

  • A. blurred vision.
  • B. diaphoresis.
  • C. nausea.
  • D. weakness. 117
Correct Answer: B

Rationale: Diaphoresis, which refers to excessive sweating, is a common clinical feature seen in a hypoglycemic reaction. Hypoglycemia occurs when the blood sugar level drops too low, leading to symptoms like sweating, shakiness, confusion, and rapid heartbeat. On the other hand, ketoacidosis is a serious complication of diabetes that occurs when there is a lack of insulin, causing high blood sugar levels and the body to break down fat for energy. Symptoms of ketoacidosis include nausea, vomiting, abdominal pain, and fruity-smelling breath, but diaphoresis is not typically a prominent feature. Therefore, diaphoresis can help clinicians differentiate between hypoglycemic and ketoacidosis reactions.

A 32-week preterm baby on mechanical ventilation, recovering from RDS, has a satisfactory blood gas, and ventilatory settings are being reduced for weaning. What is the most valuable indicator that the baby is ready for extubation?

  • A. frequency of respiration 35
  • B. fraction of inspired O2 0.55
  • C. peak expiratory end pressure 6
  • D. inspiratory pressure 8
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is

  • A. thyrotoxicosis
  • B. ADHD
  • C. behavioral insomnia of childhood
  • D. sleep-onset association disorder
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A 10-month-old child can do all the following EXCEPT

  • A. says mama
  • B. dada points to objects
  • C. follows one-step command without gesture
  • D. speaks first real word
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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