Purdue Global NU255 Pediatric Nursing Unit 5Midterm

Question 1

Purdue Global NU255 Pediatric Nursing Unit 5Midterm. The nurse is assessing a 7-year-old boy with pharyngitis. What assessment finding would suggest the child has developed a peritonsillar abscess?

• a) Palatal edema
• b) Equally swollen tonsils
• c) Rash on the abdomen
• d) Sore throat and headache

---

Question 2

The nurse hears wheezing when auscultating a 4-year-old who was brought to the ED for increased work of breathing. Which condition would the nurse most likely rule out based on the assessment findings?

• a) Bronchitis
• b) Asthma
• c) Influenza
• d) Cystic fibrosis

---

Question 3

The nurse is conducting a physical examination of a child with suspected Crohn’s disease. Which finding would align with this diagnosis?

• a) Normal growth patterns
• b) Perianal skin tags or fissures
• c) Good appetite
• d) Constipation

---

Question 4

The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What is the most important thing to stress?

• a) Administer analgesics.
• b) Encourage the child to eat something.
• c) Inspect the throat for bleeding.
• d) Apply an ice collar.

---

Question 5

The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care?

• a) Encouraging consumption of fruit juice.
• b) Offering Kool-Aid or popsicles as tolerated.
• c) Encouraging milk products to boost caloric intake.
• d) Maintaining the intravenous (IV) fluid rate as ordered.

---

Question 6

An infant is brought to the ED with a one day history of vomiting. Which finding would lead the nurse to suspect that this infant is experiencing moderate dehydration?

• a) Dusky extremities
• b) Bulging fontanels
• c) Sunken fontanels
• d) Hypotension

---

Question 7

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) Visualizing the throat
• c) Having the child sit forward
• d) Auscultating for lung sounds

---

Question 8

The nurse is educating the parents of a 7-year-old boy with asthma about the medications that have been prescribed. Which drug would the nurse identify as an adjunct to a B2 adrenergic agonist for treatment of bronchospasm?

• a) Ipratropium
• b) Montelukast
• c) Cromolyn
• d) Theophylline

Question 9

The nurse is examining a 5-year-old boy. Which sign or symptom is a reliable first indication of respiratory distress in children?

• a) Slow, irregular breathing
• b) A bluish tinge to the lips
• c) Increasing lethargy
• d) Rapid, shallow breathing ✓

---

Question 10

The nurse is determining maintenance fluid requirements for a child who weighs 25 kg. How much fluid would the child need per day?

• a) 1,560 mL
• b) 1,600 mL ✓
• c) 1,650 mL
• d) 1,700 mL

---

Question 11

A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which finding?

• a) Children’s demand for oxygen is lower than that of adults.
• b) Children develop hypoxemia more rapidly than adults do. ✓
• c) An increase in oxygen saturation leads to a much larger decrease in pO2.
• d) Children’s bronchi are wider in diameter than those of an adult.

---

Question 12

The parents of a child diagnosed with celiac disease ask the nurse what types of food and drinks they can offer their child. What recommendation would the nurse include in the teaching plan?Purdue Global NU255 Pediatric Nursing Unit 5Midterm

• a) Frozen yogurt
• b) Rye bread
• c) Creamed spinach
• d) Fruit juice ✓

---

Question 13

A parent asks the nurse about immunizing her 7-month-old daughter against the flu. Which response by the nurse would be most appropriate?

• a) “She really doesn’t need the vaccine until she reaches 1 year of age.”
• b) “She will probably receive it the next time she is to get her routine shots.”
• c) “Since your daughter is older than 6 months, she should get the vaccine every year.” ✓
• d) “The vaccine has many side effects, so she wouldn’t get it until she’s ready to go to school.”

---

Question 14

The nurse is providing care to a child with an intussusception. The child has a bowel movement, and the nurse inspects the stool. The nurse would most likely document the stool’s appearance as having what quality?

• a) Greasy
• b) Clay-colored
• c) Currant jelly like ✓
• d) Bloody

---

Question 15

A group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they state that:

• a) Children have a proportionately greater amount of body water than do adults.
• b) Fever plays a greater role in insensible fluid losses in infants and children.
• c) A higher metabolic rate plays a major role in increased insensible fluid losses.
• d) The infant’s immature kidneys have a tendency to over concentrate urine. ✓

---

Question 16

The parents of a boy diagnosed with Hirschsprung disease are anxious and fearful of the upcoming surgery. The mother states, “I’m worried about having to care for our son’s ostomy.” Which intervention would be most helpful for the parents?

• a) Explaining to them about the diagnosis and surgery.
• b) Having a wound, ostomy, and continence nurse meet with them. ✓
• c) Reinforcing that the ostomy will be temporary.
• d) Teaching them about the medications used to slow stool output.

---

Question 17

A nursing instructor is preparing a class on chronic lung disease. What information would the instructor include when describing this disorder?

• a) It is a result of cystic fibrosis.
• b) It is seen most commonly in premature infants. ✓
• c) It typically affects females more often than males.
• d) It is characterized by bradypnea.

---

Question 18

A nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which would the nurse instruct the parents to administer orally?

• a) Recombinant human DNase
• b) Bronchodilators
• c) Anti-inflammatory agents
• d) Pancreatic enzymes ✓

---

Question 19

The nurse is caring for a 4-year-old with a suspected urinary tract infection. What would be most appropriate when obtaining a urine specimen from the child?

• a) “I will need a urine sample.”
• b) “Let your mom help you pee in this cup” ✓
• c) “Please tinkle in this cup right now.”
• d) “Please void in this cup instead of the toilet.”

---

Question 20

The nurse is caring for a 12-year-old girl with nephrotic syndrome. The girl confides that she feels like a “freak” compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate?

• a) “Let’s put you in touch with some other girls who are also having the same body changes.”
• b) “Luckily, this is just a temporary, unfortunate part of your condition; you need to accept it.”
• c) “Your real friends do not care about your appearance and just want you to get well.” ✓
• d) “You are beautiful in your own way; what matters is what is on the inside.”

---

Question 21

The mother of a child with end-stage renal disease asks the nurse why her son is getting an injection of erythropoietin. When responding to the mother, the nurse explains this as the rationale:

• a) To treat low calcium levels
• b) To stimulate growth in stature
• c) To stimulate red blood cell growth ✓
• d) To correct acidosis

---

Question 22

A 2 month old weighed 8 pounds at birth. Based on your knowledge of pediatric growth, you know that the weight at 1 year should be approximately:

• a) 16 pounds
• b) 20 pounds
• c) 24 pounds ✓
• d) 32 pounds

Question 20

The nurse is caring for a 12-year-old girl with nephrotic syndrome. The girl confides that she feels like a “freak” compared to her peers because of her weight, edema, and moon face. Which response by the nurse would be most appropriate?

• “Let’s put you in touch with some other girls who are also having the same body changes.”
• “Luckily, this is just a temporary, unfortunate part of your condition; you need to accept it.”
• “Your real friends do not care about your appearance and just want you to get well.”
• “You are beautiful in your own way; what matters is what is on the inside.”

Question 21

The mother of a child with end-stage renal disease asks the nurse why her son is getting an injection of erythropoietin. When responding to the mother, the nurse explains this as the rationale.

• To treat low calcium levels
• To stimulate growth in stature
• To stimulate red blood cell growth
• To correct acidosis

Question 22

A 2 month old weighed 8 pounds at birth. Based on your knowledge of pediatric growth, you know that the weight at 1 year should be approximately:

• 16 pounds
• 20 pounds
• 24 pounds
• 32 pounds

Question 23

The greatest period of growth for a human being occurs during which of the following times?

• Birth to 1 year
• Toddlerhood to preschool
• School age to preadolescence
• The beginning to end of adolescence

Question 24

The nurse is assessing a child with acute poststreptococcal glomerulonephritis. What would the nurse expect to assess? Select all that apply.

• Increased appetite
• Abdominal pain
• Hypertension
• Crackles
• Polyphagia
• Polydipsia

Question 25

Parents tell the nurse their 6 month old has started sitting up without support. What teaching does the nurse plan to provide the parents?

• providing solid foods safely
• encouraging cruising and walking
• providing cow’s milk
• proper sock and shoe selection

Question 26

Which behavior is not demonstrated in the 8-year-old child?

• understands that his or her point of view is not the only one
• enjoys telling riddles and silly jokes
• understands that pouring liquid from a small to large container does not change the amount
• engages in fantasy and magical thinking

Question 27

A group of boys ages 9 and 10 years have formed a “boys only” club that is open to neighborhood and school friends who have skateboards. This should be interpreted as

• behavior that encourages bullying and sexism
• behavior that reinforces poor peer relationships
• characteristic of social development of this age
• characteristic of children who later are at risk for membership in gangs

Question 28

When planning care for adolescents, the nurse should

• Teach parents first, and they, in turn, will teach the teenager.
• Provide information for their long-term health needs because teenagers respond best to long-range planning.
• Maintain the parent’s role by providing explanations for treatment and procedures to the parents only.
• Offer to give information privately to adolescents about how they can manage the specific problems that they identify.

Question 29

A student nurse learns that according to Piaget, the adolescent is in the fourth stage of cognitive development, or period of what?

• formal operations
• operations
• conventional thought
• postconventional thought

Question 30

Frequent developmental assessments are important for which reason?

• To assess growth
• Infants need stimulation specific to the stage of development
• Critical periods of development occur during childhood
• Child development is unpredictable and needs monitoring

Question 31

A nurse is planning to teach injury prevention to a group of parents with children of different ages. What action by the nurse would help ensure a successful event?

• have handouts listing community resources
• provide free safety gear like bike helmets
• group parents by child’s developmental stage
• present the material in an interactive way

Question 32

The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site for assessing the pulse rate?

• a) Apical ✓
• b) Radial
• c) Carotid
• d) Femoral

---

Question 33

Which measurement is not indicated for a healthy 4-year-old at their yearly well-child examination?

• a) Blood pressure
• b) Weight
• c) Head circumference ✓
• d) Height

---

Question 34

The nurse palpated the anterior fontanel of a 14 month old infant and found that it was closed. What does this finding indicate?

• a) This is a normal finding ✓
• b) This finding indicates premature closure of cranial sutures
• c) This is abnormal, and the child should have a developmental evaluation
• d) This is an abnormal finding, and the child should have a neurologic evaluation

---

Question 35

A nurse identifies a priority patient problem of impaired urinary elimination related to urinary tract infection. When developing the plan of care, what would be most important for the nurse to do first?

• a) Develop a schedule for bladder emptying.
• b) Encourage fluid intake.
• c) Assess usual voiding patterns. ✓
• d) Monitor intake and output.

---

Question 36

When interviewing the mother of a 3 year old child, the nurse asks about developmental milestones. This should be considered

• a) unnecessary information because the child is 3 years old
• b) an important part of the family history
• c) an important part of the child’s past growth and development ✓
• d) an important part of the child’s medical history

---

Question 37

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

• a) Advising how to create a toddler-safe home
• b) Advising how to introduce solid foods safely ✓
• c) Cautioning about putting the baby in a walker
• d) Telling about safety procedures during baths

---

Question 38

The nurse in a community clinic is caring for a 6-month-old boy and his mother. Which intervention is the priority to promote and ensure adequate growth?

• a) Monitoring the child’s weight and height at all visits.
• b) Encouraging a more frequent feeding schedule.
• c) Assessing the child’s current feeding pattern. ✓
• d) Recommending higher-calorie solid foods.

---

Question 39

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?

• a) The toddler gained 4 pounds in weight since last year.
• b) The toddler gained 3 inches in height since last year.
• c) The toddler’s anterior fontanel is not fully closed. ✓
• d) The circumference of the child’s head increased 1 inch since last year.

---

Question 40

The nurse is caring for a toddler who is in Piaget’s sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be unable to perform?

• a) Completing puzzles with four pieces
• b) Winding up a mechanical toy
• c) Playing make-believe with dolls ✓
• d) Telling a story from start to finish

---

Question 41

The pediatric nurse is planning play activities for hospitalized 18-month-olds. What would be an appropriate activity for this age group?

• a) Painting by number
• b) Putting shapes into appropriate holes ✓
• c) Stacking blocks
• d) Using crayons to color in a coloring book

---

Question 42

The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?

• a) Telling them either one may demonstrate toilet use
• b) Assuring them that bladder control occurs first
• c) Telling them that curiosity is a sure sign of readiness
• d) Advising them to use praise, not scolding ✓

---

Question 43

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

• a) “It is best to just ignore this and to not respond to his questions.”
• b) “This is normal; children his age do not understand the permanence of death.” ✓
• c) “You have to keep repeating that his grandfather is never coming back.”
• d) “He will eventually figure this out on his own.”

---

Question 44

The nurse is counseling the parents of a 9-year-old boy who is receiving morphine for postoperative pain. What statement from the nurse is most correct regarding the administration of narcotics to children?

• a) “You can expect that your child will tell you when he is experiencing pain.”
• b) “Your child will learn to adapt to the pain he is experiencing.”
• c) “Your child will experience less adverse effects to narcotics than adults.”
• d) “It is very rare that children become addicted to narcotics.” ✓

---

Question 45

The nurse is caring for a 5-year-old girl post-tonsillectomy. The girl looks out the window and tells the nurse that it is raining and says, “The sky is crying because it is sad that my throat hurts.” The nurse understands that the girl is demonstrating which mental process?

• a) Magical thinking
• b) Centration
• c) Transduction
• d) Animism ✓

---

Question 46

When the nurse is assessing a child’s pain, which is most important?

• a) Obtaining a pain rating from the child with each assessment ✓
• b) Using the same tool to assess the child’s pain each time
• c) Documenting the child’s pain assessment
• d) Asking the parents about the child’s pain tolerance

---

Question 47

The nurse is caring for a premature baby in the NICU. The mother reports that the infant’s normally happy and outgoing 5-year-old sister is acting sad and withdrawn. The nurse understands that due to her developmental stage, the girl is at risk of what happening?

• a) Viewing her baby sister’s illness as her fault ✓
• b) Harming the baby
• c) Experiencing clinical depression
• d) Creating an imaginary friend to cope with the situation

---

Question 48

The nurse is teaching the parents of a 9-year-old girl about the socialization that is occurring in their child through school contacts. Which information would the nurse include in her teaching plan?

• a) Teachers are the most influential people in the development of the school-age child’s social network.
• b) Continuous peer relationships provide the most important social interaction for school-age children. ✓
• c) Parents should establish norms and standards that signify acceptance or rejection
• d) A characteristic of school-age children is their formation of groups with no rules and values involved.

---

Question 49

You are the nurse performing a developmental assessment of a 4 month old infant in the primary care clinic. What developmental skill should this child be achieving?

• a) Rolling over ✓
• b) Sitting with support
• c) Sitting alone
• d) Language development

---

Question 50

A mother brings her 3-year-old daughter to the emergency department because the child has been vomiting and having diarrhea for the past 36 hours. When assessing this child’s temperature, which method would be least appropriate?

• a) Oral
• b) Tympanic
• c) Rectal ✓
• d) Axillary

---

Question 51

The nurse is caring for a client with hemolytic-uremic syndrome (HUS). The client is demonstrating oliguria. What does the nurse expect to find when reviewing the client’s records?

• a) A pattern of below-normal blood pressure
• b) Higher fluid output than fluid intake
• c) Elevated BUN and creatinine levels ✓
• d) Increased glomerular filtration rate (GFR)

Question 52

The nurse is caring for a 14-year-old girl with special health needs. What is the nurse’s priority intervention to avoid complications and a worsening condition for this child?

• a) Encouraging the parents to promote the child’s self-care
• b) Assessing the child for signs of depression
• c) Discussing how her care will decrease as she grows
• d) Monitoring for compliance with treatment ✓

---

Question 53

The parents of an 11-year-old boy who is dying from cancer are concerned that he is not eating. Which intervention would serve both the parents’ and child’s needs?

• a) Urging the child to eat one good meal per day
• b) Offering small meals of things the child likes ✓
• c) Straightening up around the child before meals
• d) Administering antiemetics as ordered for nausea

---

Question 54

The nurse is caring for a toddler child who is receiving palliative care for end-stage cancer. What would be the focus of age-appropriate interventions for this child?

• a) Not telling the child anything
• b) Providing a familiar and consistent routine ✓
• c) Teaching the child that death is not punishment
• d) Providing specific, honest details of death

---

Question 55

The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His parents are in and out of his room throughout the day. Which behaviors of the child would alert the nurse that he is in the second stage of separation anxiety?

• a) He ignores his parents when they return to his room.
• b) He cries uncontrollably whenever they leave.
• c) He forms superficial relationships with his caregivers.
• d) He sits quietly and is uninterested in playing and eating. ✓

---

Question 56

The nurse caring for a 6-year-old enters the room to administer an oral medication in the form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a tough time swallowing pills. What is the best response by the nurse?

• a) Ask the child to try swallowing the pill and offer a choice of drinks to take with it.
• b) Crush the pill and add it to applesauce.
• c) Request that the physician prescribe the medication in liquid form.
• d) Call the pharmacy and ask if the pill can be crushed. ✓

---

Question 57

When describing the differences affecting the pharmacokinetics of drugs administered to children, which would the nurse include?

• a) Oral drugs are absorbed more quickly in children than adults.
• b) Absorption of intramuscularly administered drugs is fairly constant.
• c) Topical drugs are absorbed more quickly in young children than adults. ✓
• d) Absorption of drugs administered by subcutaneous injection is increased.

---

Question 58

The nurse is administering a crushed tablet to an 18-month-old infant. What is a recommended guideline for this intervention?

• a) Mix the crushed tablet with a small amount of applesauce. ✓
• b) Place the crushed tablet in the infant’s formula.
• c) Mix the crushed tablet with the infant’s cereal.
• d) Crushed tablets should only be mixed with water.

---

Question 59

The nurse is preparing to administer an intramuscular injection to an 8-month-old infant. Which site would the nurse select?

• a) Rectus femoris
• b) Vastus lateralis ✓
• c) Dorsogluteal muscle
• d) Deltoid

---

Question 60

The nurse is promoting learning and school attendance to a 13 year old girl. Which factor will affect the child’s attitude most?

• a) her parent’s values and desires
• b) the dramatic changes to her body
• c) peer group behavior and attitudes ✓
• d) desire for attention from boys

---

Question 61

The nurse is developing a teaching plan for the mother of a 4-year-old girl with a cold and fever. What would the nurse include in this teaching plan?

• a) Keeping the child covered and warm
• b) Calling the doctor if the child’s fever lasts more than 36 hours
• c) Ensuring fluid intake to prevent dehydration ✓
• d) Observing for changes in alertness resulting from brain damage

---

Question 62

The nurse determines that it is necessary to implement airborne precautions for children with which infection?

• a) Measles ✓
• b) Streptococcus group A
• c) Rubella
• d) Scarlet fever

---

Question 63

After teaching the parents of a child with varicella zoster, the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time?

• a) After day 5 of the rash
• b) When the rash is completely healed
• c) Once the rash appears
• d) After all the lesions have crusted ✓

---

Question 64

A school-aged child with an infectious disease is placed on transmission-based precautions. Which patient problem would be the priority?

• a) Impaired skin integrity related to trauma secondary to pruritus and scratching
• b) Fluid volume deficit related to increased metabolic demands and insensible losses
• c) Social isolation related to infectivity and inability to go to the playroom ✓
• d) Deficient knowledge related to how infection is transmitted

---

Question 65

The nurse is explaining the difference between active and passive immunity to the student nurse. Which statement accurately describes a characteristic of the process of immunity?

• a) Active immunity is produced when the immunoglobulins of one person are transferred to another.
• b) Passive immunity can be obtained by injection of exogenous immunoglobulins. ✓
• c) Active immunity can be transferred from mothers to infants via colostrum or the placenta.
• d) Passive immunity is acquired when a person’s own immune system generates the immune response.

---

Question 66

The nurse is discussing vaccination for Haemophilus influenzae type B (Hib) with the mother of a 6-month-old child. Which comment provides the most compelling reason to get the vaccination?

• a) “These bacteria live in every human.”
• b) “Young children are especially susceptible to these bacteria.” ✓
• c) “You have a choice of two excellent vaccines.”
• d) “Your child needs this final dose for protection.”

---

Question 67

Whole milk is essential in which of the following age groups?

• a) 9-11 months
• b) 1-2 years ✓
• c) >2-3 years
• d) >3 years

---

Question 68

The nurse is watching toddlers play. Which normal behavior would the nurse observe?

• a) toddlers engage in parallel play ✓
• b) toddlers engage in group play
• c) toddlers engage in cooperative play
• d) toddlers do not engage in play outside the home

---

Question 69

Which of the following assessments would be abnormal in a newborn?Purdue Global NU255 Pediatric Nursing Unit 5Midterm

• a) Closed anterior fontanel ✓
• b) Red, flaky skin
• c) Crossed eye
• d) Vernix

---

Question 70

You are caring for a 3 year old admitted with diarrhea and dehydration. She is NPO for bowel rest. She is ordered for IV maintenance fluids. Her weight is 13 kg. What should her hourly IV fluid rate be approximately?

• a) 53 ml/hr
• b) 47 ml/hr ✓
• c) 36 ml/hr
• d) 26 ml/hr

---

Question 71

A 2 month old weighed 8 pounds at birth. Based on your knowledge of pediatric growth, you know that the weight at 6 months should be approximately?

• a) 20 pounds
• b) 24 pounds
• c) 32 pounds
• d) 16 pounds ✓

---

Question 72

According to the growth chart, a child at the age 6 has a BMI in the 35th percentile. How would you classify this child?

• a) Underweight
• b) Normal weight ✓
• c) Overweight
• d) Obese

Question 73

According to the growth chart, a child at the age of 12 has a BMI in the 4th percentile. How would you classify this child?

• a) Underweight ✓
• b) Normal weight
• c) Overweight
• d) Obese

---

Question 74

What is an appropriate diagnosis for a child that is 12 years old with a BMI in the 5th percentile?

• a) Imbalanced nutrition, less than body requirements ✓
• b) Imbalanced nutrition, more than body requirements
• c) Electrolyte imbalance
• d) Dehydration

---

Question 75

What is one intervention you can teach a child at age 12 with a BMI in the 5th percentile?

• a) Don’t snack between meals
• b) Keep a food journal ✓
• c) Eat only three meals a day
• d) Drink as much juice as you would like

---

Question 76

When performing a physical assessment on a girl, age 10, the nurse keeps in mind that the first sign of sexual maturity in girls is

• a) Axillary hair
• b) Pubic hair
• c) Breast bud development ✓
• d) Menarche

---

Question 77

The nurse is preparing a teaching plan for the family and their 6-year-old son who has just been diagnosed with diabetes mellitus. What would the nurse identify as the initial goal for the teaching plan?

• a) Inform parents about the dangers of DKA
• b) Educating the child and parents about diabetes mellitus ✓
• c) Developing a nutritionally sound, 30-day meal plan
• d) Promoting independence with self-administration of insulin

---

Question 78

A parent calls the clinic to express concern over her child’s eating habits. She says that the child eats very little and consumes only a single type of food for weeks on end. The nurse knows that this behavior is characteristic of children ages

• a) 2-4 years ✓
• b) 5-8 years
• c) 9-12 years
• d) 13-17 years

Question 79

The nurse is caring for a 2-week-old with a cleft lip and palate. The mother of the child demonstrates understanding of the disorder with which statements? Select all that apply.

• a) “My smoking during pregnancy didn’t have anything to do with this disorder. Smoking primarily causes low birth weight.”
• b) “I know my baby takes a lot longer to feed than most children this age.” ✓
• c) “It really worries me that my baby may have some other disorders that haven’t been detected yet.” ✓
• d) “I wonder if my baby will develop speech problems when language development begins.” ✓
• e) “Thankfully there are doctors that specialize in correcting this type of disorder.” ✓
• f) “I won’t be able to breastfeed her because of this.”

---

Question 80

A nurse has completed a teaching session for parents about “baby proofing” the home. Which 4 statements made by the parents indicate an understanding of the teaching? Select all that apply.

• a) “We will put plastic fillers in all electrical plugs.” ✓
• b) “We will place poisonous substances in a locked cupboard.” ✓
• c) “We will place a gate at the top and bottom of stairways.” ✓
• d) “We will keep our household hot water heater at 130 degrees.”
• e) “We will remove the removable knobs from the front of the stove.” ✓
• f) “We will wash the floor everyday with bleach.”

---

Question 81

Peer victimization is becoming a significant problem for school age children and adolescents in the United States. Parents should be educated regarding signs that a child is being bullied. These might include: Select the three answers that apply.

• a) the child spends an inordinate amount of time in the nurse’s office ✓
• b) belongings frequently go missing or are damaged ✓
• c) the child wants to be driven to school ✓
• d) school performance improves
• e) the child freely talks about his day
• f) the child doesn’t want to change their usual schedule

---

Question 82

Parents of a teenager ask the nurse what signs they should look for if their child is in a gang. The nurse should include which signs when answering? Select all that apply.

• a) plans to try out for the debate team at school
• b) skipping classes ✓
• c) hanging out with friends they have had since childhood
• d) unexplained source of money ✓
• e) fear of the police ✓
• f) trying out for a school sports team

---

Question 83

The nurse is questioning the parents of a 2-year-old child to obtain a functional history about the child’s daily routine. Which topics might the nurse include? Select all that apply.

• a) The child’s toileting habits ✓
• b) Use of car seats and other safety measures ✓
• c) If vaccines are up-to-date
• d) Prenatal and perinatal history
• e) The child’s race and ethnicity
• f) Use of supplements and vitamins ✓

---

Question 84

The nurse is caring for infants having the condition failure to thrive (FTT). Which infants would be at risk for this condition? Select all that apply.

• a) A newborn baby with a congenital heart defect ✓
• b) A premature infant with a poor suck ✓
• c) An infant born to a mother with Type 1 DM
• d) An infant born to an impoverished mother ✓
• e) An infant with bronchopulmonary dysplasia ✓
• f) An infant born to a teenage mother who lives with her parents

---

Question 85

The parents of a 7-month-old child with an infection ask the nurse about how to treat their child’s fever. After providing teaching, the parents voice understanding with which statements? Select the four answers that apply.

• a) “If my child’s fever is under 102°F, I don’t need to make an appointment with the physician.” ✓
• b) “Having a temperature over 38°C puts my child at risk for the infection spreading to the bloodstream.”
• c) “I can use acetaminophen to help with the symptoms of the infection, but it won’t get rid of the infection.” ✓
• d) “Even though people get frightened, fevers are not a bad thing during an infection unless it gets too high.” ✓
• e) “Any fever is dangerous and can cause serious damage to brain cells if it goes on too long.”
• f) “Fever is a way that human bodies fight infection.” ✓

---

Question 86

A 5-week-old infant is brought by their parent to the clinic for a well-child check. The parent reports a white coating on the tongue for the last 2 weeks. The parent tried to clean the tongue with a washcloth, but the coating could not be removed. Select the two likely causes of this condition.

• Thrush ✓
• Milk residue
• Poor oral hygiene
• Immunodeficiency
• This is normal
• A fungal infection ✓

---

Question 87

Patient Profile 4: Jordan — Jordan is a 16-year-old male being treated for a sports-related injury. When providing care for Jordan (16-year-old), for each developmental theory listed, select the stage that correctly corresponds to Jordan’s current age group as per Piaget’s Theory.

• a) Operations
• b) Formal operations ✓
• c) Conventional thought
• d) Postconventional thought

---

Question 88

The nurse is preparing to administer a medication to a 5-year-old who weighs 35 pounds. The prescribed single dose is 1 to 2 mg/kg/day. Which is the appropriate dose range for this child? Round KG to nearest tenth. Round answer to the nearest tenth.

Answer: 15.9 mg to 31.8 mg per day (or 15.9–31.8 mg/day)

---

Question 89

The nurse is determining the amount of IV fluids to administer in a 24-hour period to a child who weighs 40 pounds. How many milliliters should the nurse administer? Round kg to nearest tenth.

Answer: 1,405 mL

---

Question 90

Mary receives 12 mg of Lasix every six (6) hours. She weighs 15 kg. Safe dose for Lasix is 3 mg/kg/day. a. How much Lasix is Mary receiving per day? b. Is the dose within the safe dose range?

Answer: a) 48 mg/day; b) No (exceeds safe dose of 45 mg/day)Purdue Global NU255 Pediatric Nursing Unit 5Midterm

---

Question 91

A child weighing 29 pounds is to receive propranolol every 4 hours. The safe dosage is 15mg/kg/day. How much medication is safe to give per day? Round kg to nearest tenth.

Answer: 198 mg/day

---

Question 92

A child weighing 29 pounds is to receive propranolol every 4 hours. The safe dosage is 15mg/kg/day. Propranolol is mixed with 50mg/ml. How many ml of medication will the child receive each dose? Round answer to nearest tenth.

Answer: 0.7 mL

---

Question 93

The doctor has ordered Klonopin TID for a child weighing 32 kg. The safe dose is 0.03mg/kg/day. Klonopin is distributed in 1mg/ml of medication. How many ml of the drug will the child get with each dose? Round answer to nearest tenth.

Answer: 0.3 mL

---

Question 94

A child weighing 42 pounds is to receive amoxicillin twice a day for 10 days. The safe dose is 80mg/kg/day. How much medication is safe to give per DAY?

Answer: 1,528 mg/day

---

Question 95

A child weighing 42 pounds is to receive amoxicillin twice a day for 10 days. The safe dose is 80mg/kg/day. How much medication is safe to give per DOSE?

Answer: 764 mg/dose

---

Question 96

Patient Profile 1: Leo — Leo is a 5-year-old male admitted this morning for an elective tonsillectomy. Based on the clinical scenario for Leo (5-year-old), the nurse recognizes that according to Erikson, this child is transitioning through which psychosocial stage?

• a) Autonomy versus shame and doubt
• b) Industry versus inferiority
• c) Initiative versus guilt ✓
• d) Trust versus mistrust

---

Question 97

Patient Profile 2: Sam — Sam is a 12-month-old infant here for a well-child check-up. The nurse is observing Sam (12-month-old). According to Piaget, the nurse should document that Sam is in which stage of cognitive development?

• a) Formal operations
• b) Concrete operational
• c) Preoperational
• d) Sensorimotor ✓

---

Question 98

Patient Profile 3: Maya — Maya is an 8-year-old female admitted for a diagnostic evaluation regarding chronic abdominal pain. In the scenario for Maya (8-year-old), the nurse identifies that she is demonstrating “reversibility” and logic. According to Piaget, which stage of cognitive development does this represent?

• a) Sensorimotor
• b) Preoperational
• c) Concrete operational ✓
• d) Formal operations

---

Question 99

Patient Profile 3: Maya — Maya is an 8-year-old female admitted for a diagnostic evaluation regarding chronic abdominal pain. When providing care for Maya (8-year-old), the nurse focuses on supporting her need for achievement and competence. According to Erikson, Maya is in which stage?

• a) Identity versus role confusion
• b) Industry versus inferiority ✓
• c) Trust versus Mistrust
• d) Autonomy versus shame and doubt