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Pediatric Health Nursing-II

200 questions found

Practice Questions

163. A 14-year-old adolescent with anorexia nervosa is refusing to eat. What critical situational nursing intervention is most appropriate?

A. Forcing food.
B. Establishing a consistent meal schedule, providing a calm environment, and allowing the adolescent some control within parameters. ✓
C. Ignoring refusal to eat.
D. Punishing for not eating.
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nmdcat.online BS Nursing
Jun 6, 2026

164. A 2-year-old child with cystic fibrosis requires pancreatic enzyme replacement therapy. What technical nursing instruction is critical for effective enzyme action?

A. Administer on an empty stomach.
B. Administer with all meals and snacks, mixed with acidic food, and do not crush enteric-coated beads. ✓
C. Administer after meals.
D. Take only when experiencing abdominal pain.
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nmdcat.online BS Nursing
Jun 6, 2026

165. A 7-year-old child with acute glomerulonephritis is prescribed an antihypertensive medication. What medicinal education is critical for the nurse to provide to the parents?

A. Stop medication when blood pressure is normal.
B. Administer as prescribed, monitor blood pressure regularly, and do not abruptly discontinue the medication. ✓
C. Double the dose if blood pressure is high.
D. Give only when the child has symptoms.
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nmdcat.online BS Nursing
Jun 6, 2026

151. A 10-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is reluctant to check blood glucose. What critical situational nursing intervention is most appropriate?

A. Forcing the child to check.
B. Involving the child in the process, using positive reinforcement, making it a routine, and explaining the importance in an age-appropriate way. ✓
C. Telling the child it's a punishment.
D. Allowing the child to skip checks.
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nmdcat.online BS Nursing
Jun 6, 2026

152. A 4-month-old infant is admitted with heart failure due to a large VSD. What technical nursing intervention is critical for optimizing oxygenation?

A. Placing the infant in a flat position.
B. Administering humidified oxygen as prescribed, and maintaining semi-Fowler's position. ✓
C. Restricting oxygen.
D. Encouraging prolonged crying.
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nmdcat.online BS Nursing
Jun 6, 2026

153. A 15-year-old adolescent with an eating disorder is experiencing bradycardia and hypotension. What urgent critical clinical concern is paramount?

A. Normal adolescent vital signs.
B. Cardiac compromise due to electrolyte imbalances and starvation, requiring urgent medical stabilization. ✓
C. Increased physical activity.
D. Rest.
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nmdcat.online BS Nursing
Jun 6, 2026

154. A 6-year-old child with cystic fibrosis is prescribed dornase alpha (Pulmozyme). What medicinal education is critical for the nurse to provide regarding its administration?

A. Administer orally.
B. Administer via nebulizer daily to thin respiratory secretions. ✓
C. Administer only when sick.
D. Mix with other medications.
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nmdcat.online BS Nursing
Jun 6, 2026

155. A 3-year-old child is undergoing a CT scan with contrast. What technical nursing intervention is critical to prepare the child?

A. Telling the child it's a game.
B. Explaining the procedure in simple terms, using distraction, and ensuring NPO status if required. ✓
C. Restraining the child without explanation.
D. Allowing the child to eat right before the scan.
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nmdcat.online BS Nursing
Jun 6, 2026

156. A 12-year-old child with a new diagnosis of cancer is asking “Why me?”. What clinical nursing intervention is critical for providing emotional support?

A. Telling them not to ask such questions.
B. Validating their feelings, encouraging expression of emotions, and connecting them with child life specialists or therapists. ✓
C. Dismissing their concerns.
D. Changing the subject.
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nmdcat.online BS Nursing
Jun 6, 2026

157. A 2-month-old infant is admitted with bronchiolitis. The nurse notes rapid, shallow breathing and poor feeding. What critical situational nursing assessment is paramount?

A. Assessing for hunger.
B. Assessing for respiratory distress and hydration status, as infants can rapidly deteriorate. ✓
C. Checking diaper wetness only.
D. Assessing for playfulness.
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nmdcat.online BS Nursing
Jun 6, 2026

158. A 16-year-old adolescent with a history of substance abuse expresses a desire to stop using. What clinical nursing intervention is critical?

A. Telling them they need to be strong.
B. Providing non-judgmental support, connecting them with substance abuse counseling and treatment programs, and involving the family. ✓
C. Criticizing their past choices.
D. Ignoring their desire to change.
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nmdcat.online BS Nursing
Jun 6, 2026

159. A 8-year-old child with asthma is experiencing exercise-induced bronchospasm. What medicinal recommendation might be made to prevent this?

A. Daily oral corticosteroids.
B. Use of a short-acting beta-agonist (SABA) 15-30 minutes before exercise. ✓
C. Long-acting beta-agonist (LABA) after exercise.
D. No medication is needed.
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nmdcat.online BS Nursing
Jun 6, 2026

144. A 1-year-old infant with developmental delays is admitted for a swallow study. What technical nursing intervention is critical to prepare the infant for the study?

A. Giving a full meal.
B. Withholding oral intake (NPO) as prescribed, and educating parents about the procedure. ✓
C. Administering a sedative without order.
D. Encouraging crying.
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nmdcat.online BS Nursing
Jun 6, 2026

145. A 16-year-old adolescent with generalized anxiety disorder is experiencing a panic attack. What medicinal intervention might be considered for acute relief?

A. Antibiotics.
B. Benzodiazepines (e.g., lorazepam) for short-term relief, and teaching coping mechanisms. ✓
C. Antidepressants (for acute relief).
D. Laxatives.
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nmdcat.online BS Nursing
Jun 6, 2026

146. A 5-year-old child with a new diagnosis of acute lymphoblastic leukemia (ALL) is about to undergo a lumbar puncture for CSF analysis and intrathecal chemotherapy. What critical situational nursing intervention is paramount?

A. Explaining the procedure in complex medical terms.
B. Providing age-appropriate explanation, therapeutic play, and adequate pain/sedation management. ✓
C. Restraining the child without explanation.
D. Performing the procedure in a noisy environment.
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nmdcat.online BS Nursing
Jun 6, 2026

147. A 2-month-old infant is admitted with RSV infection and is in respiratory distress. What technical nursing intervention is critical to maintain hydration?

A. Giving large boluses of water.
B. Offering small, frequent feedings or administering IV fluids as prescribed. ✓
C. Restricting all fluids.
D. Only giving formula.
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nmdcat.online BS Nursing
Jun 6, 2026

148. A 9-year-old child with sickle cell anemia is experiencing a painful crisis. What clinical nursing intervention is critical for pain management?

A. Delaying pain medication.
B. Administering ordered analgesics around the clock, not just PRN, and providing non-pharmacological comfort measures. ✓
C. Encouraging the child to "tough it out."
D. Limiting hydration.
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nmdcat.online BS Nursing
Jun 6, 2026

149. A 1-year-old infant is diagnosed with an abdominal mass. The parents are anxious. What clinical nursing intervention is critical for supporting the family?

A. Avoiding any discussion about the mass.
B. Providing honest, age-appropriate information, answering questions, and allowing parents to participate in care decisions. ✓
C. Giving false reassurance.
D. Telling them to search online for information.
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nmdcat.online BS Nursing
Jun 6, 2026

150. A 7-year-old child with an acute asthma exacerbation is prescribed a systemic corticosteroid (e.g., prednisone). What medicinal education is critical for the nurse to provide to the parents?

A. Discontinue when symptoms improve.
B. Administer the full prescribed course, and discuss potential side effects (e.g., mood changes, increased appetite) and weaning if prescribed. ✓
C. Use as a rescue inhaler.
D. Take only when coughing.
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nmdcat.online BS Nursing
Jun 6, 2026
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