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Pediatric Health Nursing-II

200 questions found

Practice Questions

84. A 12-year-old child with leukemia is experiencing stomatitis (oral sores) due to chemotherapy. What clinical nursing intervention is critical for managing this complication?

A. Providing crunchy, acidic foods.
B. Offering soft, bland foods, frequent oral hygiene with a soft toothbrush, and using oral rinses as prescribed. ✓
C. Using harsh mouthwashes.
D. Avoiding oral care.
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nmdcat.online BS Nursing
Jun 6, 2026

85. A 2-year-old child with acute otitis media is prescribed amoxicillin. What medicinal education is critical for the nurse to provide to the parents regarding antibiotic administration?

A. Stop medication when symptoms improve.
B. Administer the full course of antibiotics, even if symptoms resolve, to prevent antibiotic resistance and recurrence. ✓
C. Mix with fruit juice only.
D. Give only once a day.
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nmdcat.online BS Nursing
Jun 6, 2026

86. A 16-year-old adolescent with a history of generalized tonic-clonic seizures is admitted after a seizure. What critical situational nursing intervention is paramount during the post-ictal phase?

A. Administering oral fluids immediately.
B. Ensuring a patent airway, placing the adolescent on their side, and monitoring for further seizures or complications. ✓
C. Restraining the adolescent.
D. Asking complex questions.
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nmdcat.online BS Nursing
Jun 6, 2026

87. A 6-month-old infant is admitted with dehydration. The nurse is administering IV fluids. What technical nursing intervention is critical to prevent fluid overload?

A. Administering fluids as quickly as possible.
B. Monitoring strict intake and output, hourly urine output, and assessing for signs of fluid overload (e.g., crackles, edema). ✓
C. Not monitoring weight.
D. Giving large boluses continuously.
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nmdcat.online BS Nursing
Jun 6, 2026

88. A 4-year-old child with cerebral palsy uses a wheelchair. What clinical nursing intervention is critical to prevent skin breakdown?

A. Allowing the child to sit in the same position all day.
B. Repositioning frequently, ensuring proper seating, and assessing skin for redness or pressure areas. ✓
C. Using harsh soaps for bathing.
D. Avoiding pressure relief cushions.
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nmdcat.online BS Nursing
Jun 6, 2026

89. A 1-year-old infant is diagnosed with an imperforate anus. What urgent clinical concern is paramount for the nurse to assess for preoperatively?

A. Mild abdominal distension.
B. Absence of meconium passage within 24-48 hours of birth, requiring urgent surgical correction. ✓
C. Increased urine output.
D. Increased appetite.
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nmdcat.online BS Nursing
Jun 6, 2026

90. A 10-year-old child with severe asthma is experiencing status asthmaticus. What medicinal intervention might be considered in addition to bronchodilators and systemic corticosteroids?

A. Oral cough suppressants.
B. Magnesium sulfate (IV). ✓
C. Acetaminophen.
D. Nasal spray.
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nmdcat.online BS Nursing
Jun 6, 2026

76. A 2-year-old child with a suspected foreign body aspiration presents with sudden onset of choking, coughing, and stridor. What is the critical situational nursing priority?

A. Attempting to dislodge the object with a finger sweep.
B. Performing age-appropriate basic life support maneuvers (e.g., back blows/chest thrusts for infants, abdominal thrusts for children) if the child is unable to cough effectively. ✓
C. Waiting for the object to pass spontaneously.
D. Offering water to drink.
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nmdcat.online BS Nursing
Jun 6, 2026

77. A 12-year-old child with severe burns is receiving wound care. What technical nursing intervention is critical to prevent infection during dressing changes?

A. Using non-sterile gloves.
B. Strict aseptic technique and thorough hand hygiene. ✓
C. Using only one layer of dressing.
D. Avoiding pain medication.
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nmdcat.online BS Nursing
Jun 6, 2026

78. A 4-year-old child is undergoing a lumbar puncture. What clinical nursing intervention is critical to ensure the child’s comfort and cooperation?

A. Telling the child to be still.
B. Providing therapeutic holding, distraction techniques, and local anesthetic as ordered. ✓
C. Restraining the child tightly.
D. Performing the procedure quickly without explanation.
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nmdcat.online BS Nursing
Jun 6, 2026

79. A 1-month-old infant with jaundice is receiving phototherapy. What technical nursing intervention is critical during phototherapy?

A. Keeping the infant clothed.
B. Protecting the infant's eyes, ensuring adequate hydration, and monitoring temperature and skin integrity. ✓
C. Turning off the lights every hour.
D. Avoiding diaper changes.
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nmdcat.online BS Nursing
Jun 6, 2026

64. A 9-year-old child with a history of recurrent urinary tract infections has undergone a voiding cystourethrogram (VCUG) and has vesicoureteral reflux (VUR). What technical nursing intervention is critical for ongoing management?

A. Limiting fluid intake.
B. Emphasizing complete bladder emptying and proper hygiene, and adhering to prophylactic antibiotics if prescribed. ✓
C. Encouraging bubble baths.
D. Discontinuing antibiotics after symptom resolution.
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nmdcat.online BS Nursing
Jun 6, 2026

65. A 5-year-old child with osteomyelitis is receiving IV antibiotics. What medicinal nursing consideration is critical regarding this long-term therapy?

A. Administering all doses rapidly.
B. Ensuring adherence to the full course of antibiotics and monitoring for adverse drug reactions (ADRs). ✓
C. Discontinuing antibiotics once symptoms improve.
D. Administering antibiotics orally only.
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nmdcat.online BS Nursing
Jun 6, 2026

66. A 1-year-old infant with a history of recurrent otitis media is scheduled for tympanostomy tube insertion. What clinical nursing education is critical for parents post-operatively?

A. To avoid cleaning the ears.
B. To keep the ears dry (e.g., using earplugs during bathing/swimming) and report any ear drainage or fever. ✓
C. To insert cotton swabs into the ear canals.
D. To allow water to enter the ears freely.
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nmdcat.online BS Nursing
Jun 6, 2026

67. A 8-year-old child with severe asthma has a peak flow meter reading of 60% of their personal best. What critical situational action should the nurse advise the child and parents to take?

A. Continue with regular medications only.
B. Administering a rescue inhaler (SABA) and following the asthma action plan for yellow zone. ✓
C. Seek immediate emergency care.
D. Increase physical activity.
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nmdcat.online BS Nursing
Jun 6, 2026

68. A 16-year-old adolescent with type 2 diabetes is struggling with dietary adherence. What clinical nursing intervention is critical to promote adherence?

A. Imposing strict dietary restrictions.
B. Involving the adolescent in meal planning, providing realistic goals, and focusing on healthy choices rather than deprivation. ✓
C. Giving a list of forbidden foods.
D. Ignoring dietary choices.
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nmdcat.online BS Nursing
Jun 6, 2026

69. A 4-month-old infant is admitted with bronchiolitis and is in moderate respiratory distress. What technical nursing intervention is critical to improve oxygenation?

A. Placing the infant in a supine position.
B. Administering humidified oxygen via nasal cannula and monitoring oxygen saturation. ✓
C. Encouraging bottle feeding.
D. Administering oral antibiotics.
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nmdcat.online BS Nursing
Jun 6, 2026

70. A 10-year-old child with cancer is experiencing severe nausea and vomiting due to chemotherapy. What medicinal intervention might be prescribed to manage these symptoms?

A. Laxatives.
B. Ondansetron (an antiemetic). ✓
C. Antipyretics.
D. Cough suppressants.
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nmdcat.online BS Nursing
Jun 6, 2026

71. A 7-year-old child with attention-deficit/hyperactivity disorder (ADHD) is struggling in school. What clinical nursing intervention is critical to support academic success?

A. Recommending stricter discipline.
B. Collaborating with parents and teachers to implement behavioral strategies, providing a structured environment, and advocating for academic accommodations. ✓
C. Blaming the child for poor grades.
D. Ignoring school difficulties.
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nmdcat.online BS Nursing
Jun 6, 2026
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