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Pediatric Health Nursing-II

200 questions found

Practice Questions

96. A 1-year-old child is admitted with acute gastroenteritis. The child has frequent watery stools. What clinical nursing education is critical for parents regarding diaper care?

A. Using scented wipes.
B. Frequent diaper changes and gentle cleansing to prevent skin breakdown and diaper dermatitis. ✓
C. Allowing the diaper to remain soiled to dry out skin.
D. Using talcum powder liberally.
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nmdcat.online BS Nursing
Jun 6, 2026

97. A 10-year-old child with a history of recurrent seizures is admitted after a prolonged seizure (status epilepticus). What is the urgent critical medicinal intervention?

A. Oral anticonvulsant.
B. Administering benzodiazepines (e.g., lorazepam, diazepam) IV to stop the seizure. ✓
C. Non-steroidal anti-inflammatory drugs (NSAIDs).
D. Cough syrup.
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nmdcat.online BS Nursing
Jun 6, 2026

98. A 2-year-old child with a new diagnosis of cerebral palsy has difficulty with feeding due to oral motor dysfunction. What technical nursing intervention is critical to ensure adequate nutrition?

A. Offering thin liquids.
B. Using thickened liquids and soft foods, positioning the child upright, and providing adaptive feeding equipment. ✓
C. Force-feeding the child.
D. Feeding the child while lying flat.
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nmdcat.online BS Nursing
Jun 6, 2026

99. A 13-year-old adolescent with a new diagnosis of type 1 diabetes is expressing anger and denial. What clinical nursing intervention is critical for supporting the adolescent and family?

A. Dismissing their feelings.
B. Acknowledging and validating their feelings, providing education in a non-judgmental way, and connecting them with support resources. ✓
C. Telling them to just accept it.
D. Avoiding any discussion about their feelings.
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nmdcat.online BS Nursing
Jun 6, 2026

100. A 6-year-old child is undergoing a bone marrow transplant. What critical situational nursing priority is paramount during the pre-engraftment phase?

A. Encouraging active play with other children.
B. Implementing stringent protective isolation measures to prevent infection due to severe immunosuppression. ✓
C. Providing a regular diet.
D. Encouraging school attendance.
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nmdcat.online BS Nursing
Jun 6, 2026

101. A 3-month-old infant is admitted with bronchiolitis and is experiencing copious nasal secretions. What technical nursing intervention is critical to maintain airway patency?

A. Oral suctioning only.
B. Nasal suctioning with a bulb syringe or suction catheter prior to feedings and as needed. ✓
C. Administering cough suppressants.
D. Positioning the infant flat.
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nmdcat.online BS Nursing
Jun 6, 2026

102. A 15-year-old adolescent with newly diagnosed Graves’ disease (hyperthyroidism) is experiencing tachycardia, weight loss, and tremors. What medicinal intervention might be prescribed?

A. Levothyroxine.
B. Propylthiouracil (PTU) or methimazole. ✓
C. Insulin.
D. Acetaminophen.
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nmdcat.online BS Nursing
Jun 6, 2026

103. A 2-year-old child is admitted with signs of severe dehydration, including decreased urine output. What technical nursing assessment is critical for monitoring fluid balance?

A. Assessing skin color.
B. Hourly monitoring of urine output, specific gravity, and daily weights. ✓
C. Checking heart rate only.
D. Assessing respiratory rate only.
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nmdcat.online BS Nursing
Jun 6, 2026

104. A 9-year-old child with cystic fibrosis is admitted with a pulmonary exacerbation. What clinical nursing intervention is critical for promoting airway clearance?

A. Restricting fluids.
B. Implementing chest physiotherapy (CPT), encouraging coughing, and administering nebulized bronchodilators and mucolytics. ✓
C. Limiting physical activity.
D. Administering oral antibiotics only.
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nmdcat.online BS Nursing
Jun 6, 2026

105. A 1-month-old infant with retinopathy of prematurity (ROP) requires frequent eye exams. What clinical nursing intervention is critical during these exams?

A. Allowing unrestricted movement.
B. Providing pain management (e.g., sucrose solution, topical anesthetic), swaddling, and protecting the infant's eyes from bright lights. ✓
C. Avoiding eye drops.
D. Keeping the room brightly lit.
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nmdcat.online BS Nursing
Jun 6, 2026

91. A 7-year-old child with Type 1 Diabetes Mellitus has a blood glucose of 70 mg/dL. The child is awake and alert. What critical situational intervention should the nurse advise?

A. Administer insulin.
B. Administer 15 grams of a fast-acting carbohydrate (e.g., 4 oz fruit juice), recheck in 15 minutes. ✓
C. Encourage exercise.
D. Give a complex carbohydrate immediately.
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nmdcat.online BS Nursing
Jun 6, 2026

92. A 3-year-old child is admitted with a new diagnosis of nephrotic syndrome. The child has significant periorbital and generalized edema. What technical nursing intervention is critical for managing the edema?

A. Encouraging high-sodium foods.
B. Monitoring strict intake and output, daily weights, and assessing for skin breakdown. ✓
C. Limiting protein intake.
D. Administering large volumes of IV fluids.
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nmdcat.online BS Nursing
Jun 6, 2026

93. A 14-year-old adolescent with bulimia nervosa is admitted with electrolyte imbalances. What critical clinical urgency is paramount for the nurse to monitor for?

A. Constipation.
B. Cardiac arrhythmias due to hypokalemia or other electrolyte disturbances. ✓
C. Weight gain.
D. Skin rashes.
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nmdcat.online BS Nursing
Jun 6, 2026

94. A 6-month-old infant is recovering from a cardiac catheterization. What technical nursing intervention is critical post-procedure?

A. Allowing the infant to crawl immediately.
B. Maintaining the affected extremity straight for several hours, monitoring pulses distal to the site, and assessing for bleeding or hematoma. ✓
C. Applying a warm compress to the site.
D. Encouraging active movement of the extremity.
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nmdcat.online BS Nursing
Jun 6, 2026

95. A 5-year-old child with a burn injury is experiencing severe pain. What medicinal consideration is critical for pain management in children with burns?

A. Giving pain medication only when the child asks.
B. Administering scheduled pain medication and breakthrough doses, often IV opioids, to ensure adequate pain control. ✓
C. Relying on non-pharmacological methods only.
D. Giving the lowest possible dose of pain medication.
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nmdcat.online BS Nursing
Jun 6, 2026

80. A 15-year-old adolescent with migraines is prescribed sumatriptan. What medicinal education is critical for the nurse to provide regarding its use?

A. Take daily for prevention.
B. Take at the onset of a migraine attack, and do not use if there are signs of cardiovascular disease. ✓
C. Use for any headache.
D. Take with alcohol.
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nmdcat.online BS Nursing
Jun 6, 2026

81. A 8-year-old child with diabetes is participating in a school sports day. What critical situational advice should the nurse provide regarding blood glucose management during exercise?

A. Skip insulin doses.
B. Monitor blood glucose closely, adjust insulin/carbohydrate intake as needed, and carry quick-acting carbohydrates. ✓
C. Eat extra sugary snacks.
D. Avoid exercise entirely.
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nmdcat.online BS Nursing
Jun 6, 2026

82. A 3-month-old infant is admitted with bronchiolitis and is on a cardiorespiratory monitor. The alarm sounds indicating bradycardia. What urgent clinical nursing action is critical?

A. Waiting for the heart rate to normalize.
B. Immediately assessing the infant's respiratory status, stimulating the infant, and preparing for resuscitation if needed. ✓
C. Administering a sedative.
D. Checking the monitor settings.
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nmdcat.online BS Nursing
Jun 6, 2026

83. A 5-year-old child with a cast on their leg complains of numbness and tingling in their toes. What technical nursing assessment is critical?

A. Assessing the child's ability to wiggle their toes and checking capillary refill and pulse. ✓
B. Asking the child if they want to play.
C. Checking the temperature of the cast.
D. Assessing for redness around the cast.
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nmdcat.online BS Nursing
Jun 6, 2026
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