Test Prep for Nursing Exam about Pediatric Nursing (36-40)

36. Which of the following growth and development changes is not expected in an adolescent?

a) growth of body hair
b) voice changes
c) loss of subcutaneous tissues
d) increased activity of sweat glands and sebaceous glands

37. A young mother brings her 6-month old daughter to the ER about midnight. The infant is not crying, but has bruises on her arms and legs. The baby is not able to sit even when held in an upright position. The mother says the baby fell out of her crib. The mother is quite non-committal about events leading up to the baby's fall. In order to complete the assessment, which of the following actions by the nurse is a priority?

a) ask the mother to call her husband to the hospital
b) determine whether the infant has any serious physical problems
c) sit down and chat with the mother in order to reassure her
d) order a blood level for alcohol on both parents

38. A medical-surgical nurse is to work in a pediatric unit for 8 hours. Which of these patients should be assigned to her?

a) a school-aged child with bronchial asthma and teenager who had an appendectomy 4 hours ago
b) a 2-month old infant with cleft palate and a 3-year old with inguinal hernia
c) a 4-year old male with nephrotic syndrome and a week old infant who just had a pylorotomy
d) a 10-year old female with Down's syndrome admitted for pneumonia and a 3-year old with Tetralogy of Fallot who is scheduled for surgery the next day

39. A mother calls the clinic and says her 6-year old son swallowed some toilet bowl cleaner. The nurse should tell the mother to do which of the following first?

a) bring the child to the hospital
b) give the child syrup of ipecac
c) wrap a blanket around the child
d) try to get the child to drink milk

40. A new order is written for eardrops on a 3-year old child. Which nursing action has the lowest priority in preparation for this procedure?

a) anticipate the need for assistance to restrain the child
b) check the child's name bracelet before administration of the medication
c) explain the purpose of the medication to the child
d) check which ear is to receive the drops prior to instillation



ANSWERS AND RATIONALE

36) C
- there is usually accumulation of subcutaneous tissues among adolescents

37) B
- when there is incongruence between the severity of injury and explanation of how the injury occurred, consider abuse. Serious physical problems support presence of abuse. Suspicion of abuse should be reported to the local authority.

38) A
- older children with medical-surgical conditions like asthma are more appropriate to be taken good care of by the medical-surgical nurse. This is similar to her training and experience.

39) D
- to neutralize the corrosive effect of the toilet bowl cleaner, try to get the child to drink milk. Do not induce vomiting when the ingested substance is corrosive. Therefore, do not give syrup of ipecac, an emetic.

40) C
- a 3-year old child is still unable to comprehend the purpose of the medication. Explanation should be given to the parents.

Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (41-45) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.