Test Prep for Nursing Exam about Pediatric Nursing (31-35)

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31. Which of the following data best indicates dehydration in an 8-year old child?

a) dry mucuous membrane
b) poor skin turgor
c) 5% decrease in weight
d) fever

32. A 15-month old child was brought by his mother for regular clinic visit. The child is scheduled to receive MMR immunization. Which of the following is a contraindication for MMR immunization of the child?

a) the client has been receiving prednisone since two weeks ago
b) the client has been taking non-steroidal anti-inflammatory drugs (NSAID's) for the past three days
c) the client has temperature of 37.4 C
d) the client's teeth are about to erupt

33. A mother brought her child in a clinic for scheduled physical examination. What essential question does the nurse need to ask regarding lead poisoning?

a) do you live near the chemical dump site
b) when was the last time that you have your plumbing checked?
c) what toys does your child usually play
d) where do you keep your cleaning chemicals?

34. An 8-year old child is admitted in the pediatric unit. Which of the following is the most appropriate activity for the client?

a) talking on the phone
b) collecting baseball cards
c) listening to music
d) playing chess

35. A nurse is interviewing a mother in a regular clinic visit. Which of the following children should concern the nurse most?

a) my 5-year old son doesn't want to eat breakfast every morning
b) my 8-year old so doesn't like to wear helmet while riding on a bicycle
c) my 9-year old son who rides on a bicycle with his helmet on goes in the same direction with the traffic
d) my 3-year old son bed wets every night



ANSWERS AND RATIONALE

31) C
- weight loss is one of the most accurate indicators of dehydration

32) A
- a child who is receiving steroids is immuno-compromised. A child who is immune-compromised should not receive MMR.

33) B
- lead poisoning (plumbism) sources are as follows: lead-based plumbing -> water, soil, dust, vehicles (leaded gas), lead-based paint.

34) B
- a schools age child likes to engage in activities that involve classifying, sorting, collecting, like collecting baseball cards.

35) B
- safety should be given highest priority. Helmet, elbow pads and knee pads should be worn by a child while riding a bicycle.


Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (36-40) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.