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Pediatric Health Nursing-II
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Pediatric Health Nursing-II
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177. A 6-month-old infant is admitted with congenital heart disease and is experiencing feeding intolerance. What clinical nursing intervention is critical for optimizing nutrition?
A.
Force-feeding the infant.
✓
B.
Offering smaller, more frequent feedings, considering calorie-dense formulas, and monitoring for signs of feeding intolerance.
✓
C.
Giving large volumes of water.
✓
D.
Limiting feeding time to 5 minutes.
✓
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Jun 6, 2026
178. A 10-year-old child with cerebral palsy uses leg braces (AFOs). What technical nursing instruction is critical for parents regarding brace care?
A.
Washing with harsh chemicals.
✓
B.
Checking skin daily for redness or pressure areas, and cleaning braces with mild soap and water.
✓
C.
Leaving braces on continuously.
✓
D.
Allowing the braces to get wet.
✓
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Jun 6, 2026
179. A 1-year-old infant is admitted with bronchiolitis and is on oxygen via nasal cannula. The infant’s oxygen saturation drops to 85%. What is the urgent critical nursing action?
A.
Waiting for improvement.
✓
B.
Immediately assessing the infant's respiratory status, increasing oxygen flow, and notifying the healthcare provider.
✓
C.
Removing oxygen.
✓
D.
Administering cough syrup.
✓
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Jun 6, 2026
180. A 8-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning about insulin storage. What technical nursing instruction is critical?
A.
Store all insulin in the freezer.
✓
B.
Store unopened insulin in the refrigerator; opened vials/pens can be kept at room temperature for a specific duration (e.g., 28 days).
✓
C.
Store in direct sunlight.
✓
D.
Store in the car.
✓
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Jun 6, 2026
181. A 5-year-old child is undergoing a minor surgical procedure. What medicinal consideration is critical for pain management in the immediate post-operative period?
A.
Administering only oral analgesics.
✓
B.
Administering age-appropriate analgesics (e.g., acetaminophen, ibuprofen, opioids) on a scheduled basis to prevent pain.
✓
C.
Waiting for the child to cry loudly.
✓
D.
Relying on distraction only.
✓
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Jun 6, 2026
166. A 1-year-old infant with cerebral palsy has frequent respiratory infections. What clinical nursing intervention is critical for preventing aspiration and promoting respiratory health?
A.
Elevating the head of the bed only during sleep.
✓
B.
Positioning the infant upright during feeds, thickening liquids as needed, and performing regular respiratory assessments and airway clearance.
✓
C.
Offering thin liquids.
✓
D.
Avoiding immunizations.
✓
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Jun 6, 2026
182. A 12-year-old child with a new diagnosis of cancer is experiencing hair loss due to chemotherapy. What clinical nursing intervention is critical for supporting the child’s body image?
A.
Telling them hair will grow back immediately.
✓
B.
Encouraging head coverings (hats, scarves, wigs), providing emotional support, and normalizing the experience.
✓
C.
Avoiding any discussion of hair loss.
✓
D.
Shaving their head without consent.
✓
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Jun 6, 2026
167. A 10-year-old child with asthma has a sudden severe increase in wheezing and dyspnea. What is the urgent critical medicinal intervention?
A.
Oral antihistamine.
✓
B.
Immediate administration of nebulized short-acting beta-agonist (SABA) and systemic corticosteroids if indicated.
✓
C.
Oral antibiotics.
✓
D.
Nasal decongestant.
✓
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Jun 6, 2026
168. A 4-year-old child is undergoing a CT scan. The child is very anxious and uncooperative. What technical nursing intervention might be considered to facilitate the scan?
A.
Forcing the child into the scanner.
✓
B.
Utilizing child life specialists, providing distraction, and administering sedation if ordered.
✓
C.
Telling the child to be still.
✓
D.
Threatening the child.
✓
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Jun 6, 2026
169. A 13-year-old adolescent with new onset type 1 diabetes is struggling with peer acceptance due to insulin injections. What clinical nursing intervention is critical?
A.
Telling them to hide their diabetes.
✓
B.
Encouraging open communication with friends, connecting with other adolescents with diabetes, and emphasizing self-advocacy.
✓
C.
Minimizing the impact of diabetes.
✓
D.
Focusing only on diet.
✓
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Jun 6, 2026
170. A 6-month-old infant is admitted with congenital heart disease and is experiencing poor weight gain. What critical situational nursing intervention is paramount for improving nutrition?
A.
Giving larger, less frequent feedings.
✓
B.
Offering small, frequent, high-calorie feedings, and considering supplemental tube feedings if needed.
✓
C.
Limiting feeding time.
✓
D.
Avoiding fortified formula.
✓
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Jun 6, 2026
171. A 7-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is afraid of needles. What technical nursing intervention is critical for overcoming needle phobia?
A.
Forcing injections.
✓
B.
Using pain-reducing strategies (e.g., topical anesthetics, distraction), allowing the child to participate in the process, and using positive reinforcement.
✓
C.
Punishing for fear.
✓
D.
Ignoring the fear.
✓
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Jun 6, 2026
172. A 3-year-old child is admitted with dehydration. The child has dry mucous membranes and decreased skin turgor. What clinical nursing intervention is critical for monitoring hydration status?
A.
Checking blood pressure only.
✓
B.
Monitoring intake and output, skin turgor, mucous membranes, weight, and fontanelles (if applicable).
✓
C.
Assessing for rash only.
✓
D.
Checking heart rate only.
✓
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Jun 6, 2026
173. A 14-year-old adolescent with a history of seizures is admitted for an EEG. What technical nursing instruction is critical for preparing the scalp for the EEG?
A.
Applying hairspray.
✓
B.
Ensuring the hair is clean and free of oils, gels, or sprays to allow for proper electrode placement.
✓
C.
Using a hair dryer on high heat.
✓
D.
Brushing hair vigorously.
✓
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Jun 6, 2026
174. A 9-year-old child with acute leukemia is experiencing severe fatigue. What clinical nursing intervention is critical for managing fatigue?
A.
Encouraging strenuous activities.
✓
B.
Prioritizing rest periods, clustering nursing care, and encouraging light activity as tolerated.
✓
C.
Limiting sleep.
✓
D.
Ignoring complaints of fatigue.
✓
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Jun 6, 2026
175. A 15-year-old adolescent is admitted with a severe allergic reaction (anaphylaxis). What medicinal intervention is critical to administer intramuscularly?
A.
Diphenhydramine.
✓
B.
Epinephrine.
✓
C.
Prednisone.
✓
D.
Ranitidine.
✓
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Jun 6, 2026
160. A 1-year-old infant is admitted with a severe head injury. The infant’s pupils are unequal and fixed. What urgent critical nursing priority is paramount?
A.
Assessing for pain.
✓
B.
Recognizing signs of increased intracranial pressure (ICP) and immediate brain herniation, requiring urgent neurosurgical intervention.
✓
C.
Checking for fever.
✓
D.
Assessing for skin rash.
✓
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Jun 6, 2026
161. A 10-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning about insulin pens. What technical nursing instruction is critical for proper use?
A.
Reusing needles.
✓
B.
Priming the pen with 2 units, attaching a new needle for each injection, and dialing the correct dose.
✓
C.
Shaking the pen before use.
✓
D.
Storing the pen in a warm place.
✓
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Jun 6, 2026
162. A 5-year-old child is admitted for surgical repair of a hydrocele. What clinical nursing education is critical for parents post-operatively?
A.
Restricting movement.
✓
B.
Applying ice to the surgical site, monitoring for swelling or infection, and avoiding strenuous activity for a few days.
✓
C.
Allowing vigorous play.
✓
D.
Avoiding bathing.
✓
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Jun 6, 2026
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