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Pediatric Health Nursing-II

200 questions found

Practice Questions

72. A 3-year-old child with a tracheostomy requires suctioning. What technical nursing consideration is critical for safe suctioning?

A. Suctioning for prolonged periods.
B. Limiting suctioning duration to 5-10 seconds, pre-oxygenating, and using appropriate catheter size. ✓
C. Using clean technique only.
D. Avoiding lubrication of the catheter.
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nmdcat.online BS Nursing
Jun 6, 2026

73. A 1-month-old infant presents with a history of feeding difficulties, cyanosis with crying, and a significant heart murmur. What urgent clinical concern is paramount?

A. Mild dehydration.
B. Congenital heart defect with potential for acute cardiac decompensation, requiring immediate cardiac evaluation. ✓
C. Normal neonatal findings.
D. Common cold.
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nmdcat.online BS Nursing
Jun 6, 2026

74. A 15-year-old adolescent is admitted to the hospital with diabetic ketoacidosis (DKA). The nurse is monitoring for cerebral edema. What critical clinical sign would indicate this urgency?

A. Hyperglycemia.
B. Sudden change in level of consciousness, bradycardia, or irregular respirations (Cushing's triad). ✓
C. Increased urine output.
D. Peripheral edema.
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nmdcat.online BS Nursing
Jun 6, 2026

75. A 6-year-old child with asthma is prescribed a daily inhaled corticosteroid. What medicinal education is critical to ensure effectiveness?

A. Use only when symptoms are present.
B. Use consistently every day, even when feeling well, as it is a controller medication. ✓
C. Increase the dose if symptoms worsen.
D. Discontinue after a week.
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nmdcat.online BS Nursing
Jun 6, 2026

61. A 7-year-old child with diabetes is receiving intravenous insulin for DKA. What critical technical monitoring is required of the nurse?

A. Monitoring for hyperglycemia.
B. Frequent monitoring of blood glucose, electrolytes (especially potassium), and acid-base balance. ✓
C. Monitoring for increased urine output.
D. Monitoring for increased appetite.
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nmdcat.online BS Nursing
Jun 6, 2026

62. A 3-year-old child is admitted for surgical repair of a congenital heart defect. The child is agitated and crying preoperatively. What clinical nursing intervention is critical to reduce anxiety?

A. Ignoring the child's crying.
B. Allowing parents to remain with the child, providing age-appropriate explanations, and offering comforting distractions. ✓
C. Administering a sedative without parental consent.
D. Telling the child to be brave.
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nmdcat.online BS Nursing
Jun 6, 2026

63. A 14-year-old adolescent with a history of substance abuse presents to the emergency department with altered mental status. What urgent critical nursing assessment is paramount?

A. Asking about school performance.
B. Assessing airway, breathing, circulation, and rapidly identifying potential overdose or withdrawal symptoms. ✓
C. Discussing future career plans.
D. Inquiring about social media use.
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nmdcat.online BS Nursing
Jun 6, 2026

51. A 16-year-old adolescent is admitted to the hospital with an acute asthma exacerbation. The adolescent is refusing to use the nebulizer. What critical situational nursing intervention is most appropriate?

A. Force the nebulizer on the adolescent.
B. Assess the reason for refusal, educate, involve the adolescent in decision-making, and offer alternatives like a MDI with spacer. ✓
C. Tell the parents to make the adolescent comply.
D. Ignore the refusal.
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nmdcat.online BS Nursing
Jun 6, 2026

52. A 6-year-old child with Type 1 Diabetes Mellitus has a blood glucose of 250 mg/dL before dinner. The child’s insulin sliding scale indicates 2 units of rapid-acting insulin. What technical medicinal nursing action is appropriate?

A. Administer 4 units of insulin.
B. Administer the prescribed 2 units of rapid-acting insulin as indicated by the sliding scale. ✓
C. Withhold the insulin.
D. Administer 1 unit of insulin.
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nmdcat.online BS Nursing
Jun 6, 2026

53. A 3-year-old child is in the post-anesthesia care unit (PACU) after surgery. The child is restless, crying, and grimacing. What clinical nursing priority is critical in this situational assessment?

A. Providing a favorite toy.
B. Assessing for and managing pain using an age-appropriate pain scale. ✓
C. Asking the child to talk.
D. Offering a snack.
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nmdcat.online BS Nursing
Jun 6, 2026

54. A 9-month-old infant with a cleft lip and palate is recovering from cleft lip repair. What technical nursing intervention is critical to prevent injury to the surgical site?

A. Placing the infant on their abdomen.
B. Using elbow restraints (arm immobilizers) to prevent the infant from touching the incision. ✓
C. Allowing the infant to use a pacifier.
D. Encouraging aggressive crying.
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nmdcat.online BS Nursing
Jun 6, 2026

55. A 13-year-old adolescent with newly diagnosed inflammatory bowel disease (IBD) is struggling with body image due to weight loss. What clinical nursing intervention is critical for supporting the adolescent?

A. Telling them to eat more.
B. Encouraging open communication, providing emotional support, and connecting them with peer support groups or mental health professionals. ✓
C. Focusing only on physical symptoms.
D. Avoiding discussions about body image.
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nmdcat.online BS Nursing
Jun 6, 2026

56. A 2-year-old child is admitted with croup. The child’s oxygen saturation is 88% on room air, and they have marked retractions. What urgent medicinal intervention might be considered?

A. Oral cough syrup.
B. Nebulized budesonide (corticosteroid) and/or nebulized racemic epinephrine. ✓
C. Oral antibiotics.
D. IV fluids only.
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nmdcat.online BS Nursing
Jun 6, 2026

57. A 6-year-old child is diagnosed with iron deficiency anemia. What technical nutritional instruction is critical for the nurse to provide to the parents?

A. Limiting iron-rich foods.
B. Encouraging iron-rich foods (e.g., red meat, fortified cereals) and Vitamin C to enhance absorption. ✓
C. Avoiding dairy products.
D. Giving only sugary drinks.
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nmdcat.online BS Nursing
Jun 6, 2026

58. A 4-year-old child with a developmental delay is admitted for assessment. The parents express frustration with the child’s communication difficulties. What clinical nursing intervention is critical for the nurse to implement?

A. Suggesting the parents seek therapy for themselves.
B. Teaching parents alternative communication strategies (e.g., picture exchange systems, sign language) and emphasizing patience. ✓
C. Telling the parents to give up.
D. Ignoring the parents' concerns.
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nmdcat.online BS Nursing
Jun 6, 2026

59. A 1-year-old infant is admitted with bacterial meningitis. What urgent medicinal intervention is critical once the diagnosis is made or highly suspected?

A. Antihistamines.
B. Immediate initiation of broad-spectrum intravenous (IV) antibiotics. ✓
C. Oral pain relievers.
D. Antifungal medications.
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nmdcat.online BS Nursing
Jun 6, 2026

60. A 10-year-old child with chronic kidney disease (CKD) is experiencing fatigue and pallor. Lab results show severe anemia. What technical medicinal intervention might be considered to manage the anemia?

A. Iron supplements (if iron deficient).
B. Erythropoietin-stimulating agents (ESAs). ✓
C. Vitamin B12 injections.
D. Folic acid supplements.
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nmdcat.online BS Nursing
Jun 6, 2026

32. A 16-year-old adolescent with anorexia nervosa is admitted for refeeding. What critical clinical nursing consideration is paramount during the initial refeeding phase?

A. Allowing the adolescent to choose all their meals.
B. Monitoring for refeeding syndrome (e.g., electrolyte imbalances, fluid shifts, cardiac arrhythmias). ✓
C. Encouraging rapid weight gain.
D. Limiting calorie intake.
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nmdcat.online BS Nursing
Jun 6, 2026

48. A 2-year-old child is admitted with suspected child abuse (e.g., multiple fractures in various stages of healing). What clinical nursing responsibility is critical?

A. Confronting the parents about the abuse.
B. Documenting all observations objectively, ensuring child safety, and fulfilling mandatory reporting requirements. ✓
C. Discharging the child to parental care.
D. Discussing findings with neighbors.
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nmdcat.online BS Nursing
Jun 6, 2026
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