Test Prep for Nursing Exam about Pediatric Nursing (41-45)

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41. Which of the following physical assessment findings is considered normal?

a) a 6-month old who is drooling
b) a 2-year old with pinkish color of the eyes
c) an 18-month old with no teeth
d) a 3-year old with dimpling in the spine

42. A pediatric nurse has received report from the previous shift. Which of the following patients should the nurse attend to first?

a) a 4-month old baby girl with ventricular septal defect (VSD) with heart murmurs
b) a 3-year old baby girl with Tetralogy of Fallot (TOF) with blue lips when crying
c) a 12-month old baby boy with coarctation of aorta (COA) who has weakness on the right extremity
d) a 10-month old baby boy with patent ductus arteriosus with positive babinski

43. A nurse is assigned in the pediatric unit. Which of the following patients should be assessed first by the nurse?

a) a 6-month old baby boy who vomited three times an hour ago
b) a 1-year old baby boy who cries when his mother leaves
c) a 2-month old baby girl with PR=122
d) a 9-month old baby boy who mobilizes through his abdomen

44. A 6-year old boy was diagnosed to have hemophilia. Which statement when made by the parents indicates correct understanding of the disease?

a) the child inherits the disease from the father
b) the child inherits the disease from the mother
c) the other sons and daughters are at risk to have the disease
d) the boy might not have any children in the future

45. A mother asks where to safely place her 5-year old child in the car. The appropriate response by the nurse is:

a) in the middle of the back seat, rear-facing, using a booster chair
b) in the middle of the back seat, front-facing, using a booster chair
c) in the front seat of the car, ensuring the presence of an airbag
d) in the front seat of the car, using a booster chair



ANSWERS AND RATIONALE

41) A
- it is normal for a 6-month old child to still experience drooling. The sclera is white; pinkish color of the eyes indicates inflammation. Eruption of teeth starts at 5-7 months. An 18-month old child should have 12 teeth (age in months - 6 = number of teeth).
Dimpling in the spine indicates spina bifida occulta.

42) C
- weakness on an extremity needs to be investigated immediately because this indicates that a complication is occurring.

43) A
- an infant's fluid electrolyte balance can easily be upset, which may pose severe problems. Eighty percent of an infant's weight is fluid; most of the fluid is found in the ECF compartment which can be lost easily.

44) B
- hemophilia is X-linked disorder, which is inherited from the mother. Only the sons will have the disease, daughters are carriers of the traits.

45) B
- the recommended place of a child who is over 2 years of age or over 20 lbs. in weight, when riding a car is middle of the back seat, front-facing. Booster chair is to be used until the child is 6 years of age or below 60 lbs in weight.

Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (46-50) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning