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Pediatric Health Nursing-II
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Pediatric Health Nursing-II
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6. A 4-year-old child with a ventricular septal defect (VSD) is discharged home. The nurse is providing education to the parents. What technical sign should the parents be critically taught to report to the healthcare provider immediately?
A.
Increased appetite.
✓
B.
New onset of cyanosis or increased respiratory distress.
✓
C.
Increased activity level.
✓
D.
Mild nasal congestion.
✓
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BS Nursing
Jun 6, 2026
7. A 14-year-old adolescent is admitted to the hospital with diabetic ketoacidosis (DKA). The nurse notes Kussmaul respirations. What technical pathophysiological process does this clinical finding indicate?
A.
Respiratory alkalosis.
✓
B.
The body's attempt to compensate for metabolic acidosis by blowing off CO2?.
✓
C.
Hypoglycemia.
✓
D.
Metabolic alkalosis.
✓
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Jun 6, 2026
8. A 9-year-old child is undergoing chemotherapy for leukemia and develops neutropenia. What is the critical nursing priority in this situational scenario?
A.
Encouraging vigorous exercise.
✓
B.
Implementing strict infection control measures and monitoring for signs of infection.
✓
C.
Offering high-fiber foods.
✓
D.
Limiting fluid intake.
✓
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Jun 6, 2026
9. A 1-year-old infant with cerebral palsy has severe spasticity. The nurse is discussing management with the parents. What medicinal intervention might be considered to reduce spasticity?
A.
Acetaminophen.
✓
B.
Baclofen.
✓
C.
Ibuprofen.
✓
D.
Vitamin D supplements.
✓
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Jun 6, 2026
10. A 5-year-old child is admitted after ingesting a corrosive substance. What is the urgent clinical nursing action?
A.
Inducing vomiting.
✓
B.
Administering activated charcoal.
✓
C.
Assessing airway patency and signs of respiratory distress, and preparing for intubation if needed.
✓
D.
Giving milk to neutralize the substance.
✓
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Jun 6, 2026
11. A 12-year-old child with cystic fibrosis is prescribed pancreatic enzyme supplements. What technical instruction is critical for the nurse to provide regarding administration?
A.
Take enzymes after meals.
✓
B.
Take enzymes with all meals and snacks to aid digestion and absorption of nutrients.
✓
C.
Take enzymes on an empty stomach.
✓
D.
Take enzymes only when experiencing abdominal pain.
✓
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Jun 6, 2026
12. A 3-month-old infant is brought to the clinic for a routine well-child visit. The nurse notes the infant has not met developmental milestones for head control and smiles. What clinical nursing action is appropriate?
A.
Reassure the parents that all children develop at their own pace.
✓
B.
Refer the infant for immediate neurological assessment.
✓
C.
Conduct a thorough developmental screening and discuss concerns with the healthcare provider for further evaluation.
✓
D.
Advise the parents to provide more toys.
✓
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Jun 6, 2026
13. A 16-year-old adolescent is admitted with an overdose of acetaminophen. What urgent medicinal intervention is critical to administer?
A.
Activated charcoal (if within appropriate timeframe).
✓
B.
N-acetylcysteine (NAC).
✓
C.
Sodium bicarbonate.
✓
D.
Flumazenil.
✓
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Jun 6, 2026
14. A 8-year-old child with a severe allergy to peanuts accidentally ingests peanut butter. The child quickly develops hives, facial swelling, and difficulty breathing. What is the critical situational nursing response?
A.
Administering an oral antihistamine.
✓
B.
Immediately administering intramuscular epinephrine.
✓
C.
Providing a cool compress to the hives.
✓
D.
Encouraging the child to drink water.
✓
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Jun 6, 2026
15. A 5-month-old infant is admitted with hydrocephalus. The infant has a markedly increasing head circumference and a bulging fontanelle. What is the technical nursing priority in monitoring this infant?
A.
Assessing abdominal girth.
✓
B.
Monitoring for signs of increased intracranial pressure (ICP), such as changes in level of consciousness, vital signs, and pupil reactivity.
✓
C.
Checking blood glucose levels frequently.
✓
D.
Encouraging prone positioning.
✓
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Jun 6, 2026
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