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Pediatric Health Nursing-II

200 questions found

Practice Questions

198. A 13-year-old adolescent with a new diagnosis of inflammatory bowel disease (IBD) is worried about diet restrictions. What clinical nursing intervention is critical?

A. Giving a strict list of forbidden foods.
B. Collaborating with a dietitian to create a personalized, balanced meal plan that is palatable and addresses nutritional needs. ✓
C. Telling them to eat whatever they want.
D. Ignoring dietary concerns.
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nmdcat.online BS Nursing
Jun 6, 2026

199. A 7-year-old child with acute glomerulonephritis has significant edema. What medicinal intervention might be prescribed to reduce the edema?

A. IV fluids.
B. Diuretics (e.g., Furosemide). ✓
C. Antihypertensives.
D. Analgesics.
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nmdcat.online BS Nursing
Jun 6, 2026

200. A 16-year-old adolescent is admitted after a motor vehicle accident with a suspected spinal cord injury. What is the urgent critical nursing priority?

A. Moving the adolescent to a comfortable position.
B. Maintaining spinal immobilization and assessing neurological function to prevent further injury. ✓
C. Giving oral pain medication.
D. Allowing the adolescent to sit up.
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nmdcat.online BS Nursing
Jun 6, 2026

192. A 3-month-old infant is admitted with bronchiolitis and is having difficulty feeding due to respiratory distress. What technical nursing intervention is critical for maintaining nutrition and hydration?

A. Force-feeding the infant.
B. Offering small, frequent feeds, considering calorie-dense formula, and potentially initiating nasogastric tube feedings if respiratory distress impedes oral intake. ✓
C. Avoiding all feeds.
D. Giving large volumes of formula.
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nmdcat.online BS Nursing
Jun 6, 2026

193. A 14-year-old adolescent with a history of seizures is non-compliant with anticonvulsant medication. What critical situational nursing intervention is most appropriate?

A. Telling them they will have a seizure.
B. Exploring reasons for non-compliance, educating about risks of non-adherence, and involving them in medication management decisions. ✓
C. Reporting them to the school.
D. Ignoring the non-compliance.
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nmdcat.online BS Nursing
Jun 6, 2026

194. A 6-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning about balanced meals. What technical nursing instruction is critical for meal planning?

A. Eat only protein.
B. Balancing carbohydrates, proteins, and fats, and emphasizing consistent meal times and portion sizes. ✓
C. Avoid all fruits.
D. Eat unlimited sugary foods.
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nmdcat.online BS Nursing
Jun 6, 2026

195. A 2-year-old child with severe asthma exacerbation is experiencing respiratory acidosis. What medicinal intervention might be required if traditional asthma therapies are insufficient?

A. Oral antibiotics.
B. Mechanical ventilation with appropriate ventilator settings to improve CO2? clearance. ✓
C. Oral corticosteroids.
D. Antihistamines.
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nmdcat.online BS Nursing
Jun 6, 2026

196. A 1-year-old infant is admitted with bacterial meningitis. The infant is lethargic and irritable. What clinical nursing intervention is critical for monitoring neurological status?

A. Only checking temperature.
B. Assessing level of consciousness, pupil reactivity, fontanelle (if open), and monitoring for seizures. ✓
C. Assessing skin color.
D. Checking for rash.
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nmdcat.online BS Nursing
Jun 6, 2026

197. A 10-year-old child with leukemia is experiencing hair loss. What technical nursing education is critical for parents regarding hair care during this time?

A. Brushing hair vigorously.
B. Using a soft brush, mild shampoo, and avoiding harsh treatments to minimize scalp irritation and discomfort. ✓
C. Washing hair daily with hot water.
D. Avoiding hair washing completely.
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nmdcat.online BS Nursing
Jun 6, 2026

183. A 3-month-old infant is admitted with pyloric stenosis. The infant is experiencing projectile vomiting. What technical nursing intervention is critical preoperatively?

A. Encouraging more oral fluids.
B. Monitoring for signs of dehydration and metabolic alkalosis, and ensuring NPO status prior to surgery. ✓
C. Administering antiemetics.
D. Allowing the infant to feed freely.
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nmdcat.online BS Nursing
Jun 6, 2026

184. A 16-year-old adolescent with depression is prescribed a selective serotonin reuptake inhibitor (SSRI). What critical situational nursing education is paramount regarding the onset of action?

A. The medication will immediately cure depression.
B. It may take several weeks for the full therapeutic effect, and monitoring for worsening mood or suicidal ideation (especially initially) is crucial. ✓
C. Side effects are immediate and severe.
D. Discontinue if no improvement in 2 days.
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nmdcat.online BS Nursing
Jun 6, 2026

185. A 8-year-old child with asthma is experiencing increasing nocturnal cough and wheezing. What clinical nursing education is critical for parents regarding asthma control?

A. Only use rescue inhaler at night.
B. Reviewing asthma triggers, ensuring proper use of controller medications, and identifying nocturnal symptoms as a sign of inadequate control. ✓
C. Avoid medications at night.
D. Ignore night symptoms.
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nmdcat.online BS Nursing
Jun 6, 2026

186. A 4-year-old child with a developmental delay is admitted for an MRI. The child is unable to remain still. What medicinal intervention might be required?

A. Oral antiemetics.
B. Sedation (e.g., oral chloral hydrate or IV propofol) to ensure the child remains still for the scan. ✓
C. Oral cough syrup.
D. Laxatives.
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nmdcat.online BS Nursing
Jun 6, 2026

187. A 1-year-old infant is admitted with dehydration. The infant has a rapid heart rate and decreased peripheral pulses. What technical nursing assessment is critical for monitoring circulatory status?

A. Assessing pupil reaction.
B. Monitoring capillary refill time, peripheral pulses, and blood pressure (if appropriate for age and clinical condition). ✓
C. Assessing for rash.
D. Checking temperature only.
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nmdcat.online BS Nursing
Jun 6, 2026

188. A 10-year-old child with a new diagnosis of inflammatory bowel disease (IBD) is struggling with adherence to a complex medication regimen. What clinical nursing intervention is critical?

A. Scolding for non-adherence.
B. Providing clear, concise medication instructions, using visual aids, involving the child in scheduling, and addressing barriers to adherence. ✓
C. Giving all medications at once.
D. Telling parents to manage everything.
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nmdcat.online BS Nursing
Jun 6, 2026

189. A 7-year-old child with a suspected fracture of the forearm is in severe pain. What urgent critical medicinal intervention is a priority?

A. Oral acetaminophen.
B. Administering appropriate analgesia (e.g., oral opioid or NSAID) to control pain and reduce anxiety during assessment and transport. ✓
C. Topical cream.
D. No medication is needed until confirmed fracture.
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nmdcat.online BS Nursing
Jun 6, 2026

190. A 16-year-old adolescent with an eating disorder is in a refeeding protocol. The nurse notes rapid weight gain and peripheral edema. What technical nursing assessment is critical for detecting a potential complication?

A. Assessing for hunger.
B. Monitoring for signs of refeeding syndrome, including electrolyte imbalances (hypophosphatemia, hypokalemia), cardiac arrhythmias, and fluid overload. ✓
C. Assessing for constipation.
D. Assessing for skin rashes.
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nmdcat.online BS Nursing
Jun 6, 2026

191. A 5-year-old child with a new diagnosis of cancer is experiencing hair loss. What clinical nursing intervention is critical to support the child emotionally?

A. Telling them to wear a hat.
B. Acknowledging their feelings, providing opportunities for play therapy, and encouraging self-expression. ✓
C. Minimizing the importance of hair.
D. Ignoring the issue.
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nmdcat.online BS Nursing
Jun 6, 2026

176. A 2-year-old child with a tracheostomy tube has increased thick secretions. What technical nursing intervention is critical for managing secretions?

A. Limiting humidification.
B. Providing adequate humidification, frequent suctioning, and encouraging hydration. ✓
C. Avoiding suctioning.
D. Providing dry air.
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nmdcat.online BS Nursing
Jun 6, 2026
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