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Pediatric Health Nursing-II
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Pediatric Health Nursing-II
200 questions found
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33. A 9-year-old child with acute glomerulonephritis has generalized edema and hypertension. What medicinal intervention might be prescribed to manage the hypertension?
A.
Digoxin.
✓
B.
Furosemide (a loop diuretic).
✓
C.
Insulin.
✓
D.
Acetaminophen.
✓
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Jun 6, 2026
49. A 8-year-old child with asthma is discharged on inhaled corticosteroids. What technical medicinal instruction is critical for the nurse to provide to prevent oral thrush?
A.
Rinse mouth with water after each use.
✓
B.
Administer the inhaled corticosteroid before meals.
✓
C.
Use a spacer only if absolutely necessary.
✓
D.
Discontinue the medication if any side effects occur.
✓
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Jun 6, 2026
34. A 6-year-old child with Duchenne muscular dystrophy is increasingly having difficulty walking. What technical nursing intervention is critical for maintaining mobility and preventing complications?
A.
Encouraging prolonged bed rest.
✓
B.
Implementing a progressive exercise program and providing assistive devices to maintain mobility and prevent contractures.
✓
C.
Limiting fluid intake.
✓
D.
Avoiding physical therapy.
✓
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Jun 6, 2026
50. A 1-month-old infant presents with projectile vomiting and an olive-shaped mass in the epigastrium. What technical diagnosis is suggested by this clinical presentation?
A.
Intussusception.
✓
B.
Pyloric stenosis.
✓
C.
Appendicitis.
✓
D.
Gastroenteritis.
✓
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Jun 6, 2026
35. A 3-year-old child is admitted with epiglottitis. The child is sitting upright, leaning forward, drooling, and has difficulty swallowing. What is the critical situational nursing priority?
A.
Attempting to visualize the throat.
✓
B.
Maintaining a patent airway, avoiding any procedures that could cause laryngospasm (e.g., throat examination), and preparing for emergent intubation.
✓
C.
Offering oral fluids.
✓
D.
Administering oral antibiotics.
✓
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Jun 6, 2026
36. A 14-year-old adolescent is admitted to the hospital with acute appendicitis. The nurse notes increasing abdominal pain, rigidity, and rebound tenderness. What urgent clinical concern is paramount?
A.
Constipation.
✓
B.
Perforation of the appendix and peritonitis, requiring urgent surgical intervention.
✓
C.
Gastroenteritis.
✓
D.
Urinary tract infection.
✓
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Jun 6, 2026
37. A 1-month-old infant requires medication administration. What technical consideration is critical when administering medications to infants compared to older children?
A.
Using adult dosages.
✓
B.
Relying on weight-based dosing, considering immature organ function (liver/kidneys), and using appropriate formulations.
✓
C.
Administering all medications rectally.
✓
D.
Giving all medications with food.
✓
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Jun 6, 2026
38. A 7-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is experiencing frequent hypoglycemic episodes. What clinical nursing education is critical for the parents regarding managing hypoglycemia?
A.
Administering more insulin.
✓
B.
Administering a rapid-acting carbohydrate (e.g., fruit juice, glucose tablets) and retesting blood glucose in 15 minutes.
✓
C.
Encouraging strenuous exercise.
✓
D.
Delaying mealtime.
✓
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Jun 6, 2026
39. A 4-year-old child with spina bifida has a neurogenic bladder. What technical nursing intervention is critical for preventing urinary tract infections and preserving renal function?
A.
Limiting fluid intake.
✓
B.
Implementing a clean intermittent catheterization (CIC) program.
✓
C.
Administering daily antibiotics.
✓
D.
Encouraging infrequent voiding.
✓
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Jun 6, 2026
40. A 12-year-old child with a severe burn injury (e.g., full-thickness burns to 30% TBSA) is admitted. What urgent medicinal intervention is critical for immediate pain management?
A.
Oral acetaminophen.
✓
B.
Intravenous (IV) opioid analgesics.
✓
C.
Topical anesthetics.
✓
D.
Ice packs.
✓
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Jun 6, 2026
41. A 6-month-old infant with heart failure is receiving a diuretic (e.g., Furosemide). What technical medicinal nursing assessment is critical to monitor for adverse effects?
A.
Monitoring for constipation.
✓
B.
Monitoring for signs of dehydration, electrolyte imbalances (especially hypokalemia), and daily weights.
✓
C.
Assessing for increased appetite.
✓
D.
Checking for skin rashes.
✓
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Jun 6, 2026
42. A 5-year-old child is admitted with severe asthma exacerbation and is agitated and restless. What is the critical situational interpretation of the child’s behavior by the nurse?
A.
The child is being uncooperative.
✓
B.
The child's agitation and restlessness may indicate worsening hypoxemia.
✓
C.
The child needs a sedative.
✓
D.
The child is tired.
✓
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Jun 6, 2026
43. A 1-year-old infant is admitted with dehydration. The nurse notes weak, thready pulses, cool extremities, and a capillary refill time >3 seconds. What clinical urgency is indicated by these findings?
A.
Mild dehydration.
✓
B.
Hypovolemic shock, requiring immediate fluid resuscitation.
✓
C.
Overhydration.
✓
D.
Normal circulatory status.
✓
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Jun 6, 2026
44. A 10-year-old child with acute kidney injury is experiencing hyperkalemia. What technical nursing intervention might be included in the management plan?
A.
Administering potassium supplements.
✓
B.
Administering a potassium-binding resin (e.g., Kayexalate) or preparing for IV interventions like insulin/glucose.
✓
C.
Encouraging high-potassium foods.
✓
D.
Limiting fluid intake.
✓
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Jun 6, 2026
45. A 7-year-old child with autism spectrum disorder is admitted for a diagnostic procedure. What clinical nursing intervention is critical to reduce the child’s anxiety and promote cooperation?
A.
Forcing the child to comply.
✓
B.
Providing a structured, predictable environment, using visual aids, and minimizing sensory overload.
✓
C.
Speaking loudly to get attention.
✓
D.
Limiting parental presence.
✓
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Jun 6, 2026
46. A 15-year-old adolescent with severe depression is prescribed an antidepressant. What medicinal education is critical for the nurse to provide regarding the onset of action and potential side effects?
A.
The medication will work immediately.
✓
B.
It may take several weeks for the full therapeutic effect, and monitoring for worsened suicidal ideation (especially initially) is crucial.
✓
C.
There are no side effects.
✓
D.
Stop the medication if symptoms don't improve in a few days.
✓
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Jun 6, 2026
47. A 3-month-old infant is admitted with bacterial meningitis. What is the critical situational nursing priority regarding infection control?
A.
No specific precautions are needed.
✓
B.
Implementing droplet precautions immediately.
✓
C.
Implementing contact precautions only.
✓
D.
Implementing airborne precautions.
✓
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Jun 6, 2026
16. A 15-year-old adolescent with depression expresses suicidal ideation. What is the critical initial nursing action in this clinical urgency?
A.
Reassure the adolescent that things will get better.
✓
B.
Immediately establish a safe environment, implement suicide precautions, and notify the healthcare provider.
✓
C.
Encourage the adolescent to keep feelings to themselves.
✓
D.
Refer the adolescent to a peer support group.
✓
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Jun 6, 2026
17. A 2-day-old neonate with a myelomeningocele is in the NICU. What technical nursing intervention is critical preoperatively for the sac?
A.
Applying a dry dressing.
✓
B.
Keeping the sac moist with a sterile, non-adherent dressing (e.g., saline-soaked gauze) to prevent drying and infection.
✓
C.
Covering the sac with a tight bandage.
✓
D.
Allowing the sac to be exposed to air.
✓
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Jun 6, 2026
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