Test Prep for Nursing Exam about Pediatric Nursing (51-55)

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51. A nurse is assessing an 8-week old (2 mos.) infant. Which of the following behaviors will the nurse expect to observe first in the infant's development?

a) holds head up when being pulled into a sitting position
b) turns from side to back
c) sits with minimal support
d) discriminates between strangers and familiar figures

52. A nurse in the pediatric clinic is interviewing a mother and a 6 year old child with asthma. Which statement if made by the mother should the nurse follow up on first?

a) my child would like to play on the softball team, but I am afraid to let him
b) my child has used three canisters of his inhaler this past month
c) my child is embarrassed to use his inhaler in front of schoolmates
d) I am concerned because my child has started to bite his nails and use cursatory words

53. A nurse is assessing a 3-year old child. Which of the following behaviors will the nurse expect to observe first in the child's cognitive development.

a) names the days of the week
b) knows primary colors
c) uses sentences well
d) think death is reversible

54. A nurse from medical-surgical unit is assigned to work on the pediatric unit. Which of the following clients is most appropriate for the charge nurse to assign to the float nurse?

a) an 8-year old client with asthma receiving inhaled medications
b) a 5-year old client admitted 24 hours ago for ingestion of household substance
c) a 10-year old client with a right femur fracture
d) a 6-year old client with malnutrition and bruises on the abdomen and buttocks

55. A nurse is teaching a client about the care of a female newborn. It is a priority to teach the client to notify the health care provider if which of the following is noted in the infant?

a) vomiting after feeding
b) more than four bowel movements per day
c) vaginal discharge
d) fever above 37.2C (100F)



ANSWERS AND RATIONALE

51) B

- a 2-month old infant is able to turn from side to back
Choice A describes a 3-4 month old infant
Choice C describes a 6 month old infant
Choice D describes an 8 month old infant

52) B

- excessive use of bronchodilator causes rebound effect, which is bronchoconstriction. It can also trigger asthmatic attack. This situation needs follow-up by the nurse.

53) D

- a 3-year old child thinks death as reversible. Choices A, B, and C are cognitive development among pre-school children.

54) A

- a nurse floated to a nursing unit should be assigned to care for a client with condition similar to her training and experience and those with stable condition. The medical-surgical unit nurse is competent to care for clients with asthma receiving inhaled medications.

55) D

- a newborn's temperature is normally 37C and below. Even slight elevation of temperature in a newborn, indicates acute infection. This situation needs to be reported to health care provider.
The nurse should teach the client to elevate the head of the newborn during feeding and to turn the newborn to the right side after feeding to prevent aspiration.

Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (56-60) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.