Purdue Global NU255. Pediatric Nursing Unit 4 Quiz

Question 1

Purdue Global NU255. Pediatric Nursing Unit 4 Quiz. A pediatric nurse is caring for a child who requires supplemental oxygen. The healthcare provider has ordered 8 liters of oxygen to be administered. Which oxygen delivery device should the nurse select to provide the prescribed oxygen flow rate to the child?

• a) Nasal cannula.
• b) Simple face mask.
• c) Venturi mask. ✓
• d) Full-rebreather mask.

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Question 2

The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, what would be least appropriate for the nurse to perform?

• a) Providing 100% oxygen
• b) Trying to visualize the throat ✓
• c) Having the child sit forward
• d) Auscultating for lung sounds

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Question 3

A pediatric nurse is providing medication education to the parents of a child with cystic fibrosis. The child is prescribed pancreatic enzyme replacement therapy. What information should the nurse include when teaching the parents about the administration of pancreatic enzymes for their child?

• a) “Pancreatic enzymes should be taken with each meal and snack.” ✓
• b) “The enzyme tablets may be crushed if your child cannot swallow them.”
• c) “Administer the enzymes 30 minutes after eating a meal or snack.”
• d) “If your child misses a dose of enzymes, double the next dose to catch up.”

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Question 4

A pediatric nurse is conducting a physical examination of a 6-year-old boy. During the assessment, the nurse is particularly attentive to identifying the first sign of respiratory distress. What is typically the first sign of respiratory distress in a child?

• a) Persistent dry cough.
• b) High fever.
• c) Runny or stuffy nose.
• d) Rapid shallow breathing ✓

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Question 5

A pediatric nurse is caring for an 8-year-old child who presents with tachypnea and tachycardia. The nurse suspects hypoxia and needs to assess the extent of hypoxia accurately. What is the best way for the nurse to screen for hypoxia in this child?

• a) Ask the child to take deep breaths.
• b) Measure the child’s blood pressure.
• c) Measure the child’s oxygen saturation. ✓
• d) Assess the child’s level of consciousness.

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Question 6

The provider orders Amoxicillin for a child that weighs 63 lbs. The safe dose is 50mg/kg/day every 8 hours. What is the safe dose for this child per dose?

• a) 211.8 mg/dose
• b) 47.9 mg/dose ✓
• c) 1,187.3 mg/dose
• d) 476.6 mg/dose

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Question 7

A pediatric nurse is caring for a child who has undergone a tonsillectomy. What is the nurse’s priority in the postoperative period following a tonsillectomy, as well as what should be assessed by the caregiver after discharge?

• a) Monitoring the child’s respiratory rate and oxygen saturation.
• b) Assessing the child’s pain level and providing pain management.
• c) Ensuring the child is adequately hydrated and maintaining fluid balance.
• d) Checking the child for frequent swallowing which may indicate bleeding. ✓

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Question 8

A pediatric nurse is providing education to the parents of a toddler regarding the risk of foreign body aspiration. What should the nurse include when discussing this topic with the parents?

• a) Avoid giving popcorn and raspberries to the child.
• b) A toddler is too young to perform the Heimlich maneuver on.
• c) If an object fits through a toilet paper roll, the child can aspirate on it. ✓
• d) Keep dimes and pennies out of reach, but quarters are ok.

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Question 9

While preparing to provide tracheostomy care to an infant, the nurse gathers the necessary equipment. What is the first action the nurse should take before proceeding with tracheostomy care?

• a) Ensure that the tracheostomy tube is securely in place.
• b) Assemble all the required sterile supplies.
• c) Wash the nurse’s hands thoroughly with soap and water. ✓
• d) Verify the infant’s identity and explain the procedure.

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Question 10

A pediatric nurse is providing asthma education to the parents of a 7-year-old child with asthma. The nurse explains the use of β2-adrenergic agonists (e.g., albuterol) as a common treatment during asthma exacerbations. Additionally, the nurse discusses adjunct treatments to manage bronchospasm effectively. Which adjunct treatments should the nurse emphasize to the parents for managing bronchospasm in their child?

• a) Use of inhaled corticosteroids like Theophylline.
• b) Administration of anticholinergic medications like Ipratropium. ✓
• c) Teaching the child slow, controlled breathing techniques.
• d) Administering leukotriene modifiers (e.g., montelukast).

Question 11

A pediatric nurse is providing education to the parents of a 7-month-old child regarding the need for a flu vaccine. The parents have questions about why their child should receive the vaccine. Which response by the nurse is the most correct when explaining the importance of the flu vaccine for a 7-month-old child?

• a) “The flu vaccine decreases serious respiratory illness in infants.” ✓
• b) “Infants are more vulnerable to pneumonia, so the vaccine is recommended.”
• c) “Getting the flu vaccine now will provide lifelong immunity to the flu.”
• d) “Babies can develop natural immunity to the flu without the vaccine.”

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Question 12

The provider orders Zofran 2mg for a child that weighs 13.6 kg. After checking the safe dose recommendations to be sure the dose is correct, how much Zofran should the nurse give?

• a) 27.2 mg
• b) 13.6 mg
• c) 2 mg ✓
• d) 4.4 mg

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Question 13

A pediatric nurse is assessing a 10-year-old child who complains of pharyngitis. During the assessment, the nurse suspects a potential peritonsillar abscess. Which sign and symptom should the nurse be particularly alert to when assessing for a peritonsillar abscess?

• a) High fever.
• b) Drooling.
• c) Difficulty swallowing.
• d) Asymmetrical tonsils ✓

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Question 14

A pediatric nurse is caring for a 3-year-old girl with a tracheostomy due to a respiratory disorder. The nurse needs to perform tracheostomy suctioning to maintain airway patency. What is an essential nursing action when suctioning a pediatric patient with a tracheostomy?

• a) Ensure the suction catheter is inserted quickly.
• b) Apply suction continuously while inserting the catheter.
• c) Limit suctioning time to 10 to 20 seconds per pass. ✓ Purdue Global NU255. Pediatric Nursing Unit 4 Quiz
• d) Preoxygenate the child with 100% oxygen before suctioning.

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Question 15

A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. What would the nurse do first?

• a) Notify the physician.
• b) Apply an occlusive dressing. ✓
• c) Clamp the chest tube.
• d) Perform a respiratory assessment.

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Question 16

A 4-year-old child is brought to the pediatric clinic by their parents due to respiratory symptoms. The child is wheezing, and the parents are concerned. The nurse is assessing the child’s condition and considering potential diagnoses. Which of the following conditions, where wheezing is not present, can be ruled out in this patient? Select all that apply.

• [ ] a) Bronchiolitis
• [ ] b) Asthma
• [ ] c) Influenza
• [x] d) Pharyngitis ✓
• [x] e) Pneumothorax ✓
• [x] f) Epiglottitis ✓

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Question 17

A pediatric nurse is assessing a child suspected of having cystic fibrosis during a routine physical examination. Which signs and symptoms are typically associated with cystic fibrosis, and what are the typical findings on a physical examination of a child with this condition? Select all that apply.

• [x] a) Chronic cough and wheezing. ✓
• [x] b) Small stature for age ✓
• [ ] c) Increased appetite and rapid weight gain.
• [x] d) Decreased tactile fremitus ✓ Purdue Global NU255. Pediatric Nursing Unit 4 Quiz
• [ ] e) Decreased bowel movements and constipation.
• [ ] f) Normal growth and development milestones.

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Question 18

Nurse’s Notes: A 7-year-old child is seen in the pediatric allergy clinic for persistent sneezing, itchy/watery eyes, and a “clear” runny nose that worsens in the spring and fall. The parents report the child often has a stuffy nose, especially when they have been inside the home all day. Laboratory results show a significantly elevated serum Immunoglobulin E (IgE) level. The child is diagnosed with Allergic Rhinitis. The nurse is now preparing a discharge teaching plan for the parents. Actions to Take (Select 2), Potential Condition (Select 1), Parameters to Monitor (Select 2). Purdue Global NU255. Pediatric Nursing Unit 4 Quiz

Identify the Actions to Take (Select 2):

• [x] a) Explain that IgE triggers the release of histamine. ✓
• [ ] b) Advise the parents to schedule monthly blood draws to track IgE levels.
• [x] c) Discuss strategies to reduce exposure to triggers. ✓
• [ ] d) Instruct the parents to implement a strict gluten-free diet to lower IgE.
• [ ] e) Teach the parents how to perform a throat culture at home.

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Question 19

Nurse’s Notes: A 7-year-old child is seen in the pediatric allergy clinic for persistent sneezing, itchy/watery eyes, and a “clear” runny nose that worsens in the spring and fall. The parents report the child often has a stuffy nose, especially when they have been inside the home all day. Laboratory results show a significantly elevated serum Immunoglobulin E (IgE) level. The child is diagnosed with Allergic Rhinitis. The nurse is now preparing a discharge teaching plan for the parents. Actions to Take (Select 2), Potential Condition (Select 1), Parameters to Monitor (Select 2).

Identify the Potential Condition (Select 1):

• a) Allergies ✓
• b) Acute Bacterial Sinusitis
• c) Exercise-Induced Bronchospasm
• d) Nasal Polyps

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Question 20

Nurse’s Notes: A 7-year-old child is seen in the pediatric allergy clinic for persistent sneezing, itchy/watery eyes, and a “clear” runny nose that worsens in the spring and fall. The parents report the child often has a stuffy nose, especially when they have been inside the home all day. Laboratory results show a significantly elevated serum Immunoglobulin E (IgE) level. The child is diagnosed with Allergic Rhinitis. The nurse is now preparing a discharge teaching plan for the parents. Actions to Take (Select 2), Potential Condition (Select 1), Parameters to Monitor (Select 2).

Identify the Parameters to Monitor (Select 2):

• [x] a) Frequency of sneezing and nasal congestion ✓
• [x] b) Peak expiratory flow rate ✓
• [ ] c) Adherence to environmental trigger avoidance
• [ ] d) Daily urine output
• [ ] e) Temperature