Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

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Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fractureusing fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old?

  • A. 2 weeks
  • B. 4 weeks
  • C. 8 weeks
  • D. 10 weeks
Correct Answer: C

Rationale: In general, it takes approximately 6 to 8 weeks for a fractured femur in a 3-year-old child to heal. Children tend to heal faster than adults due to their higher metabolism and more robust bone growth. The spica cast helps stabilize the fracture and provides the necessary support for proper healing. Regular monitoring through x-ray imaging ensures the healing progress and guides the decision for cast removal.

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All the following are parasomniac disorders EXCEPT

  • A. sleepwalking
  • B. sleepterror
  • C. confusional arousal
  • D. nightmare
Correct Answer: D

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

If a client's parathyroid glands were accidentally removed during a procedure, which condition should the nurse prepare for?

  • A. Hypomagnesemia
  • B. Hyperkalemia
  • C. Hypernatremia
  • D. Hypocalcemia
Correct Answer: D

Rationale: The parathyroid glands play a crucial role in regulating calcium levels in the body. If the parathyroid glands are accidentally removed during a procedure, the patient is at risk for developing hypocalcemia due to the lack of parathyroid hormone (PTH) production. PTH helps to maintain normal calcium levels in the blood by stimulating the release of calcium from the bones, increasing calcium absorption in the intestines, and reducing calcium excretion by the kidneys. Without PTH, the body's ability to regulate calcium is impaired, leading to low calcium levels, which is known as hypocalcemia. Symptoms of hypocalcemia can include muscle cramps, spasms, and tingling sensations. Nurses should be prepared to monitor for and manage hypocalcemia in a patient who has had their parathyroid glands accidentally removed during a procedure.

During a developmental screening, a 4-year-old child is asked to perform a task. Which of the following tasks should the nurse expect the child to perform?

  • A. Draw a stick figure with seven body parts
  • B. Draw a circle
  • C. Identify right from left hand
  • D. Tie their shoelaces
Correct Answer: B

Rationale: At 4 years old, children are typically able to draw a circle, which is a developmental milestone for their age. Drawing a stick figure with specific body parts might be beyond their developmental level, identifying right from left hand can be challenging, and tying shoelaces requires more advanced motor skills.

Which issue is associated with globalization?

  • A. Decreased international trade
  • B. Cultural homogenization
  • C. Isolationist policies
  • D. Local market growth
Correct Answer: B

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

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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