Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

Review Pediatric Nursing Practice Questions related questions and content

Buck's traction with a 10 lb. weight is securing a patient's leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:

  • A. every shift.
  • B. every day.
  • C. every 4 hours.
  • D. every 15 minutes.
Correct Answer: C

Rationale: It is important to check circulation, sensation, and movement of the patient's leg secured with Buck's traction every 4 hours. Checking every shift may not provide a frequent enough monitoring interval, while checking every day or every 15 minutes may be too infrequent or excessive, respectively. Regular assessments are necessary to detect any changes in the patient's condition promptly and ensure the effectiveness and safety of the traction device. This frequency allows healthcare providers to identify any potential issues early and take appropriate action to prevent complications.

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Which of the following drugs can cause Stevens-Johnson syndrome?

  • A. dapsone
  • B. hydralazine
  • C. sulfonamide
  • D. procainamide
Correct Answer: C

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

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.

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. How should the nurse interpret this finding?

  • A. Normal finding
  • B. Abnormal finding, so child needs referral to ophthalmologist
  • C. Sign of possible visual defect, so child needs vision screening
  • D. Sign of small hemorrhages, which will usually resolve spontaneously
Correct Answer: A

Rationale: A brilliant, uniform red reflex during a funduscopic examination is considered a normal finding. The red reflex is caused by the reflection of light off the retina, specifically the blood vessels in the retina. A uniform red reflex indicates that the light is reflecting evenly from both eyes, suggesting symmetrical and clear lenses and corneas. This finding is typically seen in healthy individuals and is a reassuring sign of normal eye health.

The MOST common cause of obstructive sleep apnea in children is

  • A. obesity
  • B. allergies
  • C. adenotonsillar hypertrophy
  • D. craniofacial abnormalities
Correct Answer: C

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

A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?

  • A. Report the signs and symptoms to the
  • B. Monitor the client's vital signs
  • C. Assess respiratory status
  • D. Stop the infusion
Correct Answer: D

Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.

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