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Pediatric Health Nursing-II

200 questions found

Practice Questions

122. A 5-year-old child with a new diagnosis of Duchenne muscular dystrophy is admitted for baseline assessment. The parents are grieving. What clinical nursing intervention is critical for supporting the family?

A. Telling them to be strong.
B. Acknowledging their grief, providing emotional support, and connecting them with genetic counseling and support organizations. ✓
C. Avoiding discussions about the future.
D. Minimizing the severity of the diagnosis.
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nmdcat.online BS Nursing
Jun 6, 2026

123. A 14-year-old adolescent with chronic pain is prescribed a long-acting opioid. What medicinal education is critical for the nurse to provide regarding safe use and side effects?

A. Take only when pain is severe.
B. Take regularly as prescribed to maintain consistent pain control, and discuss constipation management and signs of overdose. ✓
C. Crush and chew the medication.
D. Share the medication with others.
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nmdcat.online BS Nursing
Jun 6, 2026

124. A 1-year-old infant with cerebral palsy has severe feeding difficulties and is aspiration risk. What technical nursing intervention is critical to prevent aspiration?

A. Offering thin liquids.
B. Positioning the infant upright, thickening liquids, and ensuring a slow feeding pace. ✓
C. Feeding rapidly.
D. Allowing the infant to self-feed without supervision.
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nmdcat.online BS Nursing
Jun 6, 2026

125. A 7-year-old child with a new diagnosis of inflammatory bowel disease (IBD) is struggling with frequent school absences. What clinical nursing intervention is critical to support the child’s well-being?

A. Ignoring school attendance.
B. Collaborating with the school to create a flexible learning plan, educating teachers about IBD, and addressing emotional impact. ✓
C. Telling the child to just go to school.
D. Blaming the child for absences.
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nmdcat.online BS Nursing
Jun 6, 2026

126. A 10-year-old child with leukemia is experiencing severe mucositis due to chemotherapy. What medicinal intervention might be considered for pain management?

A. Oral analgesics only.
B. Topical anesthetics (e.g., viscous lidocaine) or systemic analgesics as needed. ✓
C. Harsh mouthwashes.
D. Spicy foods.
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nmdcat.online BS Nursing
Jun 6, 2026

127. A 4-year-old child is admitted with a severe allergic reaction (anaphylaxis) after eating a suspected allergen. The child is hypotensive and has widespread urticaria. What is the urgent critical medicinal intervention?

A. Oral antihistamine.
B. Immediate administration of intramuscular epinephrine. ✓
C. Oral corticosteroids.
D. Topical cream.
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nmdcat.online BS Nursing
Jun 6, 2026

112. A 5-year-old child is undergoing a bone marrow aspiration. What clinical nursing intervention is critical to provide pain management during the procedure?

A. Telling the child it won't hurt.
B. Administering conscious sedation and/or local anesthetic as prescribed, and providing distraction techniques. ✓
C. Relying on the child's resilience.
D. Avoiding any pain medication.
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nmdcat.online BS Nursing
Jun 6, 2026

113. A 14-year-old adolescent with inflammatory bowel disease (IBD) is experiencing a flare-up with severe abdominal pain and diarrhea. What medicinal intervention might be prescribed to reduce inflammation?

A. Antibiotics.
B. Corticosteroids (e.g., prednisone). ✓
C. Antiemetics.
D. Laxatives.
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nmdcat.online BS Nursing
Jun 6, 2026

114. A 2-year-old child is admitted with Kawasaki disease. The nurse is monitoring for cardiac complications. What technical assessment is critical?

A. Assessing for a rash.
B. Monitoring for signs of coronary artery aneurysms (e.g., fever, rash, conjunctivitis, swollen hands/feet) and cardiac rhythm. ✓
C. Checking for swollen lymph nodes.
D. Assessing for strawberry tongue.
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nmdcat.online BS Nursing
Jun 6, 2026

115. A 7-year-old child with leukemia is receiving methotrexate. What clinical nursing concern is critical regarding potential drug toxicity?

A. Monitoring for constipation.
B. Monitoring for signs of mucositis, myelosuppression, and renal toxicity. ✓
C. Monitoring for increased appetite.
D. Monitoring for skin rashes.
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nmdcat.online BS Nursing
Jun 6, 2026

116. A 1-year-old infant with a gastrostomy tube (G-tube) is being discharged home. What technical nursing education is critical for parents regarding G-tube care?

A. Changing the tube daily.
B. Teaching proper G-tube feeding techniques, site care, and signs of infection or dislodgement. ✓
C. Inserting objects into the stoma.
D. Avoiding flushing the tube.
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nmdcat.online BS Nursing
Jun 6, 2026

117. A 10-year-old child with a new diagnosis of attention-deficit/hyperactivity disorder (ADHD) is struggling with focus and impulsivity. What clinical nursing intervention is critical for supporting the child in the school environment?

A. Suggesting the child be removed from school.
B. Advocating for a structured classroom, consistent routines, clear expectations, and positive reinforcement. ✓
C. Blaming the teachers for the child's difficulties.
D. Allowing the child to do whatever they want.
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nmdcat.online BS Nursing
Jun 6, 2026

118. A 16-year-old adolescent with a history of recurrent urinary tract infections is found to have a neurogenic bladder. What critical situational nursing intervention is most appropriate?

A. Limiting fluid intake to reduce urination.
B. Teaching clean intermittent catheterization (CIC) to prevent urinary stasis and infection. ✓
C. Administering antibiotics only when symptoms appear.
D. Encouraging prolonged periods of bladder holding.
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nmdcat.online BS Nursing
Jun 6, 2026

106. A 16-year-old adolescent is admitted to the hospital with acute kidney injury. The adolescent is experiencing oliguria and hyperkalemia. What urgent medicinal intervention might be considered for hyperkalemia?

A. Oral potassium supplements.
B. IV calcium gluconate to stabilize the myocardium. ✓
C. Loop diuretics.
D. Oral fluids.
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nmdcat.online BS Nursing
Jun 6, 2026

107. A 4-year-old child with a developmental delay is admitted for a sleep study. What clinical nursing intervention is critical to ensure accurate results and child comfort?

A. Allowing unrestricted screen time before bed.
B. Maintaining the child's usual sleep routine as much as possible, creating a calm environment, and explaining the procedure simply. ✓
C. Keeping the child awake.
D. Administering sedatives routinely.
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nmdcat.online BS Nursing
Jun 6, 2026

108. A 7-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning about carbohydrate counting. What technical nursing instruction is critical for accurate carbohydrate counting?

A. Estimating portion sizes.
B. Using food labels and measuring cups/scales for precise carbohydrate measurement. ✓
C. Eating unlimited carbohydrates.
D. Avoiding all carbohydrates.
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nmdcat.online BS Nursing
Jun 6, 2026

109. A 3-year-old child with a genetic disorder has significant developmental delays. The parents are overwhelmed. What clinical nursing intervention is critical for supporting the family?

A. Telling them to cope on their own.
B. Connecting them with early intervention services, support groups, and respite care resources. ✓
C. Focusing only on the child's physical needs.
D. Minimizing the child's developmental delays.
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nmdcat.online BS Nursing
Jun 6, 2026

110. A 12-year-old child with a fracture is in traction. What critical situational nursing intervention is paramount to prevent complications?

A. Adjusting weights freely.
B. Maintaining correct alignment, ensuring weights hang freely, and performing frequent neurovascular assessments. ✓
C. Removing traction periodically.
D. Allowing the child to move vigorously.
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nmdcat.online BS Nursing
Jun 6, 2026

111. A 6-month-old infant is admitted with dehydration. The infant’s urine output is very low, and the healthcare provider orders a fluid bolus. What technical medicinal nursing consideration is critical regarding this intervention?

A. Administering rapidly without monitoring.
B. Administering the bolus slowly (e.g., over 20-30 minutes) and reassessing the infant's response frequently. ✓
C. Administering only oral fluids.
D. Using hypertonic solutions.
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nmdcat.online BS Nursing
Jun 6, 2026
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