Download Jersey College Peds Exam 2/Final correctly answered already passed 2025/2026 updated and more Exams Nursing in PDF only on Docsity!
Jersey College Peds Exam 2/Final
correctly answered already passed
2025/2026 updated
A child is brought to the emergency department after experiencing a series of continuous seizures. The nurse is reviewing the orders for care and treatment. Which order would be of the highest priority? - correct answer ✔✔serum glucose level The nurse cares for a 7-year-old child with new-onset seizure disorder. Which prescription will the nurse anticipate for this client? - correct answer ✔✔use of anticonvulsant medications To detect complications as early as possible in a child with meningitis who's receiving IV fluids, monitoring for which condition should be the nurse's priority? - correct answer ✔✔Cerebral edema Dexamethasone is often prescribed for the child who has sustained a severe head injury. Dexamethasone is a(n): - correct answer ✔✔steroid While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic- clonic seizure. Which nursing action is priority? - correct answer ✔✔Protect the child from hitting the arms against the bed The nurse is caring for a child with a suspected head injury. The nurse observes for what response to the child's eye reflex examination that would indicate potential increased intracranial pressure (ICP)? - correct answer ✔✔While assessing the child's pupils, there is no change in diameter in response to a light
Absence seizures are marked by what clinical manifestation? - correct answer ✔✔Loss of motor activity accompanied by a blank stare The nurse is caring for a 6-year-old child who has a history of febrile seizures and is admitted with a temperature of 102.2°F (39°C). What is the nurse's highest priority? - correct answer ✔✔Institute safety precautions The parent of a 12-year-old child with Reye syndrome approaches the nurse wanting to know how this happened to the child, saying, "I never give my children aspirin!" What could the nurse say to begin educating the parent? - correct answer ✔✔Sometimes it is hard to tell what products may contain aspirin Which of these age groups has the highest actual rate of death from drowning? - correct answer ✔✔Toddlers The nurse and an adolescent are reviewing the adolescent's record of her headaches and activities surrounding them. What activity would the nurse identify as a possible trigger? - correct answer ✔✔drinking three cans of diet cola The nurse is caring for a 3-year-old child who experienced a febrile seizure for the first time. What statements by the parents of the child should the nurse address further? - correct answer ✔✔I am afraid that our 10-year-old will start having febrile seizures, It is so scary to think that our child will likely develop epilepsy now A mother has just given birth to an infant born with anencephaly. The mother states, "With all of the technological advances in medicine, I am hopeful of a good prognosis for my baby." How should the nurse respond? - correct answer ✔✔It must be very difficult to deal with this diagnosis. Tell me what you know about the prognosis
A nurse on the neurology unit is monitoring an 8-year-old child admitted with seizures. The child experiences a prolonged tonic-clonic seizure. What should the nurse do next? - correct answer ✔✔The nurse should first ensure proper oxygenation followed by administer intravenous (IV) or intramuscular (IM) benzodiazepine A 6-year-old has had a viral infection for the past 5 days and is having severe vomiting, confusion, and irritability, although he is now afebrile. During the assessment, the nurse should ask the parent which question? - correct answer ✔✔Did you use any medications, like aspirin, for the fever? A child has been diagnosed with a basilar skull fracture. The nurse identifies ecchymosis behind the child's ear. This would be documented as: - correct answer ✔✔Battle sign The mother of a toddler tells the nurse during a routine well-child appointment that she is concerned because, "It seems like my son is falling and hitting his head all of the time." What is the best response by the nurse? - correct answer ✔✔Due to the size of their heads and immature neck muscles falling is common, but I will let the physician know your concerns The nurse is collecting data from a child who may have a seizure disorder. Which nursing observations suggest an absence seizure? - correct answer ✔✔Minimal or no alteration in muscle tone, with a brief loss of responsiveness or attention The nurse is educating the family of a 7-year-old with epilepsy about care and safety for this child. What comment will be most valuable in helping the parent and the child cope? - correct answer ✔✔Use this information to teach family and friends The nurse is preparing a child experiencing new-onset seizures for an electroencephalogram (EEG) test. How can the nurse best explain this procedure to the child? - correct answer ✔✔Use a doll with electrodes attached to the head
Any individual taking phenobarbital for a seizure disorder should be taught: - correct answer ✔✔never to discontinue the drug abruptly Which nursing action should be included in the care plan to promote comfort in a 4-year-old child hospitalized with meningitis? - correct answer ✔✔Avoid making noise when in the child's room The nurse is interviewing the caregivers of a child brought to the emergency unit. The caregiver states, "She has a history of seizures but this time it lasted more than 30 minutes and she just keeps having them." The most accurate description of this child's condition would be: - correct answer ✔✔The child is in status epilepticus A group of nursing students are reviewing cerebral vascular disorders and risk factors in children. The students demonstrate understanding of the material when they identify which as a risk factor for hemorrhagic stroke? - correct answer ✔✔arteriovenous malformations (AVMs) The nurse helps position a child for a lumbar puncture. Which statement describes the correct positioning for this procedure? - correct answer ✔✔For a lumbar puncture, the child will be placed in a side-lying position with knees bent and neck flexed to assist with arching the back A 9-year-old boy is suffering from headaches but has no signs of physical or neurologic illness. Which intervention would be most appropriate? - correct answer ✔✔Teach the child and his parents to keep a headache diary During the newborn examination, the nurse notes that an infant who is appropriate for gestational age by birth weight has a head circumference below the 10th percentile and the fontanels (fontanelles) are not palpable. What action would the nurse take? - correct answer ✔✔Report the findings to the pediatric healthcare provider
The nurse caring for an infant with craniosynostosis, specifically positional plagiocephaly, should prioritize which activity? - correct answer ✔✔moving the infant's head every 2 hours The nurse is caring for a child who has suffered a febrile seizure. While speaking with the child's parents, which statement by a parent indicates a need for further education? - correct answer ✔✔I hate to think that I will need to be worried about my child having seizures for the rest of his life A 7-year-old client has been complaining of headache, coughing, and an aching chest. The care provider makes a diagnosis of a viral infection. The child's mother tells the nurse that when she first said she had a headache, the child's father gave her half of an adult aspirin. The mother has heard of Reye syndrome and asks the nurse if her child could get this. Which statement would be the best response by the nurse? - correct answer ✔✔This might or might not be a problem. Watch your daughter for signs of lethargy, unusual irritability, confusion, or vomiting. If you notice any of these, bring her to the emergency room immediately so she can be checked for Reye syndrome. What is a true statement regarding status epilepticus? - correct answer ✔✔It is a common neurologic emergency in children. In caring for a child with meningitis, the nurse recognizes which nursing diagnosis would be most important to include in this child's plan of care? - correct answer ✔✔Risk for injury related to seizure activity A child is hospitalized and diagnosed with bacterial meningitis. What can the nurse anticipate will be included in the plan of care and treatment? - correct answer ✔✔Acetaminophen, tepid baths as needed, antibiotic therapy The nurse is providing teaching to the parents of a child recently prescribed carbamazepine for a seizure disorder. Which statement by a parent indicates successful teaching? - correct answer
✔✔I need to watch for any new bruises or bleeding and let my healthcare provider know about it The student nurse is discussing the plan of care for a child admitted to the hospital for treatment of an infection. Which action should be taken first? - correct answer ✔✔Obtain blood cultures The mother of a 10-year-old child diagnosed with rubella asks what can be done to help her child feel better during her illness. What information can be provided? - correct answer ✔✔Encourage rest and relaxation A child is brought to the clinic with fever, cough, and coryza. The nurse inspects the child's mouth and observes what look like tiny grains of white sand with red rings. How would the nurse document these findings? - correct answer ✔✔Koplik spots A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The parent informs the nurse that the rash started a day before on the exterior surfaces of the extremities; 2 days before, the child had a really bad rash on the face. The health care provider diagnoses the child with erythema infectiosum. The nurse tells the parent that this is also known as: - correct answer ✔✔fifth disease The nurse is caring for a child whose family recently emigrated from a developing country. While completing the admission history, the parents report all the child's immunizations are up to date. Which nursing action is most appropriate? - correct answer ✔✔Ask parents which immunizations have been given A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease? - correct answer ✔✔Mumps
The nurse is providing teaching to the parents of a child with varicella. Which statement by the parents indicates the teaching was successful? - correct answer ✔✔We need to make sure that our child washes their hands frequently The nurse is triaging a child diagnosed with poliomyelitis. After ensuring appropriate precautions are in place, what will the nurse do next? - correct answer ✔✔Auscultate the child's lungs The parents of a 4-month-old diagnosed with sepsis tell the nurse that the physician explained sepsis to them but they don't really understand it. The parents state, "Could you please explain it to us?" What is the best response by the nurse? - correct answer ✔✔The infection your child has causes the release of toxins into the system, which can lead to impaired function in the lungs, liver, and kidneys A nurse is assessing a neonate with sepsis. The nurse understands that most commonly the cause involves: - correct answer ✔✔bacteria The nurse is discussing fever with the parents of a child who is in the emergency department with a temperature of 101°F (38.3°C). Which statement by a parent indicates an understanding of fevers and their management in the ill child? - correct answer ✔✔Fevers can be beneficial because they can slow down the growth of the bacteria or virus that may be causing the infection A 6-month-old infant develops roseola. When obtaining information from the parent, what would the nurse expect the parent to report? - correct answer ✔✔The infant's temperature fell when the rash appeared When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child contracted this infectious disorder. Which response by the nurse is most appropriate? - correct answer ✔✔Herpes zoster is a reactivation of a previous varicella zoster infection
The nurse at an outpatient facility is obtaining a blood specimen from a 9-year-old girl. Which technique would most likely be used? - correct answer ✔✔Puncturing a vein on the dorsal side of the hand Nursing students are learning about the infectious process. They correctly identify the first stage of an infectious disease to be which period? - correct answer ✔✔Incubation period A child has been having episodes of diarrhea. The health care provider prescribes stool collection to assess for parasites. Before obtaining the stool specimen, what question should the nurse ask? - correct answer ✔✔Have you given your child any antidiarrheal medication containing bismuth? The public health nurse is discussing immunizations with a group of caregivers of infants. One of the mothers asks the nurse why the child will need immunizations. Which statement would be the most appropriate for the nurse to make to this mother? - correct answer ✔✔The infant is born with immunity to some diseases, but those immunities decrease over the first year of life Parents bring their 9-year-old child to the clinic for a well-child visit. They are concerned because several children in the neighborhood have developed Lyme disease and ask for suggestions on what to do to reduce their child's risk. What would be appropriate for the nurse to suggest? - correct answer ✔✔Wearing protective clothing when playing in wooded areas, Inspecting the skin closely for ticks after the child plays in wooded areas, Contacting the health care provider if there is any area of inflammation that might be a bite The nurse is assessing a child who presents with a history of fever, malaise, fatigue, and headache. The nurse notes a bulls-eye rash on the child's right leg. Which action will the nurse take? - correct answer ✔✔Notify the primary health care provider A nursing instructor has presented a class on the stages of an infectious disease to a group of students and asks the students to place the stages in their proper sequence from beginning to
recommendations. What is the best response by the nurse? - correct answer ✔✔While immunizations are highly effective they aren't 100% effective at preventing infectious diseases The trigger of prostaglandins to increase the body's temperature set point is caused by what? - correct answer ✔✔Pyrogens Monocytes use what as means to eliminate pathogens? - correct answer ✔✔Phagocytosis B cells use what to attack specific foreign substances - correct answer ✔✔Antibodies Fever can increase the production of what and slow the growth of bacteria and viruses? - correct answer ✔✔Neutrophils Acetaminophen and what administered at the appropriate dose and interval, are safe and effective for reducing fever in children? - correct answer ✔✔Ibuprofen A 10-year-old girl with long hair is brought to the emergency room because she began acting irritable, reported a headache, and was very sleepy. Which question is most appropriate for the nurse to ask the parents? - correct answer ✔✔What were you doing before she began to feel sick? A 6-year-old boy is suspected of having late-stage Lyme disease. Which assessment should the nurse use to produce findings supporting this concern? - correct answer ✔✔Asking the child if his knees hurt The nurse is preparing to administer acetaminophen to a 4-year-old girl to provide comfort to the child. Which precaution is specific to antipyretics? - correct answer ✔✔Ensure proper dose and interval
A 10-year-old boy has an unknown infection and will need to provide a urine specimen for culture and sensitivity. To ensure that the sensitivity results are accurate, which step is most important? - correct answer ✔✔Obtain a specimen before antibiotics are given The nurse at an outpatient facility is obtaining a blood specimen from a 9-year-old girl. Which technique would most likely be used? - correct answer ✔✔Puncturing a vein on the dorsal side of the hand Which child needs to be seen immediately in the physician's office? - correct answer ✔✔10- month-old with a fever and petechiae who is grunting The nurse is administering a chicken pox vaccination to a 12-month-old girl. Which concern is unique to varicella? - correct answer ✔✔This disease can reactivate years later and causes shingles The pediatric nurse knows that there are a number of anatomic and physiologic differences between children and adults. Which statement about the immune systems of infants and young children is true? - correct answer ✔✔Children have an immature immune response The nurse is taking a health history for an 8-year-old boy who is hospitalized. Which is a risk factor for sepsis in a hospitalized child? - correct answer ✔✔Use of immunosuppression drugs The nurse is caring for a 5-year-old girl with scarlet fever. Which intervention will most likely be part of her care? - correct answer ✔✔Teaching proper administration of penicillin V The nurse is caring for a 10-year-old child with a skin rash. The nurse should include which intervention to manage the associated pruritis? - correct answer ✔✔Press the pruritic area
When assessing sensory function in an infant, limit the examination to what or pain? - correct answer ✔✔Touch What pressure is inversely related to the level of consciousness? - correct answer ✔✔Intracranial During auscultation, a loud or localized what indicates the need for immediate further investigation? - correct answer ✔✔Bruit The nurse is providing education to the parents of a 3-year-old girl with hydrocephalus who has just had an external ventricular drainage system placed. Which question is best to begin the teaching session? - correct answer ✔✔What questions or concerns do you have about this device? During physical assessment of a 2-month-old infant, the nurse suspects the child may have a lesion on the brain stem. Which symptom was observed? - correct answer ✔✔Horizontal nystagmus After a difficult birth, the nurse observes that a newborn has swelling on part of his head. Which sign suggests cephalohematoma? - correct answer ✔✔Swelling does not cross the suture lines The nurse is caring for an 8-year-old girl who was in a car accident. Which symptom suggests the child has a cerebral contusion? - correct answer ✔✔Trouble focusing when reading The nurse caring for an infant with craniosynostosis, specifically positional plagiocephaly, should prioritize which activity? - correct answer ✔✔Moving the infant's head every 2 hours
The nurse is caring for a near-term pregnant woman who has not taken prenatal vitamins or folic acid supplements. Which congenital defect is most likely to occur based on the mother's prenatal history? - correct answer ✔✔A neural tube defect The nurse is caring for a 3-year-old boy who is experiencing seizure activity. Which diagnostic test will determine the seizure area in the brain? - correct answer ✔✔Video electroencephalogram A pregnant client asks if there is any danger to the development of her fetus in the first few weeks of her pregnancy. How should the nurse respond? - correct answer ✔✔During the first 3 to 4 weeks of pregnancy, the brain and spinal cord development occur and are affected by nutrition, drugs, infection, or trauma The nurse has developed a nursing plan for the care of a 6-year-old girl with congenital hydrocephalus whose shunt has become infected. The most important discharge teaching point for this family is - correct answer ✔✔ensuring the parents know how to properly give antibiotics The young child has been diagnosed with bacterial meningitis. Which nursing interventions are appropriate? - correct answer ✔✔Initiate droplet isolation, identify close contacts of the child who will require postexposure prophylactic medication, administer antibiotics as ordered, initiate seizure precautions The meningococcal vaccine should be offered to high-risk populations. If never fascinated, who has an increased risk of becoming infected with meningococcal meningitis? - correct answer ✔✔18-year-old student who is preparing for college in the fall and has signed up to live in a dormitory with two other suitemates, 12-year-old child with asthma, 5-year-old child who routinely travels in the summer with her parents on mission trips to Haiti, 9-year-old child who was diagnosed with diabetes mellitus when he was 7 years old An 11-year-old child was recently diagnosed with chickenpox. His parents gave him aspirin for a fever and the child is now hospitalized. Which nursing interventions are appropriate for this
What is a macule? - correct answer ✔✔A flat discolored area on the skin What is scaling? - correct answer ✔✔Flaking of the skin What is Silver sulfadiazine 1% used for? - correct answer ✔✔Burns What is Isotretinoin used for? - correct answer ✔✔Cystic acne What are coal tar preparations used for? - correct answer ✔✔Psoriasis, atopic dermatitis What is Benzoyl peroxide used for? - correct answer ✔✔Mild acne vulgaris The nurse is conducting a primary survey of a child with burns. Which assessment finding points to airway injury from burn or smoke inhalation? - correct answer ✔✔Stridor The nurse is conducting a physical examination of a child with severe burns. Which internal physiologic manifestation should the nurse expect to occur first? - correct answer ✔✔Decrease in cardiac output The nurse is caring for a 10-month-old with a rash. The child's mother reports that the onset was abrupt. The nurse assesses diffuse erythema and skin tenderness with ruptured bullae in the axillary area with a red weeping surface. The nurse suspects which bacterial infection? - correct answer ✔✔Scalded skin syndrome A nurse providing teaching on ways to promote skin hydration for the parents of an infant with atopic dermatitis. Which response indicates a need for further teaching? - correct answer ✔✔We should bathe our child in hot water, twice a day
A nurse is caring for a child with tinea pedis. Which assessment finding should the nurse expect? - correct answer ✔✔Red scaling rash on soles and between the toes A nurse assessing a 6-month-old girl with an integumentary disorder. The nurse notes three virtually identically sized, round red circles with scaling that are symmetrically spaced on both of the girl's inner thighs. Which should the nurse ask the mother? - correct answer ✔✔Does she wear sleepers with metal snaps? The nurse is conducting a physical examination of a boy with erythema multiforme. Which assessment finding should the nurse expect? - correct answer ✔✔Lesions over the hands and feet, and extensor surfaces of the extremities with spread to the trunk A nurse is caring for a child with a wasp sting. Which nursing intervention is the priority? - correct answer ✔✔Administer diphenhydramine per protocol The nurse is examining a child for indications of frostbite and notes blistering with erythema and edema. The nurse notes which degree of frostbite? - correct answer ✔✔Second-degree frostbite The nurse is providing teaching on ways to maintain skin integrity and prevent infection for the parents of a boy with atopic dermatitis. Which response indicates a need for further teaching? - correct answer ✔✔We should avoid using petroleum jelly The nurse is providing education to a teenage boy diagnosed with impetigo. Which statement by the boy indicates the need for further education? - correct answer ✔✔I will need to cover my son's skin lesions with bandages until it has healed A 16-year-old male who is diagnosed with tinea pedis questions the nurse about how he may have contracted the condition. How should the nurse respond? - correct answer ✔✔You may have gotten the condition from a community shower or gym area
