PEDIATRIC CMS 2023/ 2024 PRACTICE
EXAM | Questions and Verified Answers|
100% Correct
Q: A nurse is providing teaching to the parents of a 4-year-old child about fine motor
development. Which of the following tasks should the nurse include in the teaching as an
expected finding for this age group?
a. Brightly colored mobile
b. Plastic stethoscope
c. Small piece jigsaw puzzle
d. A book of short stories
Answer:
b. Plastic stethoscope
Q: A nurse in an emergency department is caring for an 8-year old who is up-to-date with
current immunization recommendations and has a deep puncture injury. Which of the following
should the nurse anticipate administering?
a. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine
b. A single injection of tetanus immune globulin (TIG) mixed with the pediatric tetanus booster
(DT)
c. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine
d. Adult tetanus booster (Td)
Answer:
d. Adult tetanus booster (Td)
Q: A nurse is providing teaching about promoting sleep with the parent of a 3-year-old toddler.
Which of the following information should the nurse include?
a. Follow a nightly routine and established bedtime.
b. Encourage active play prior to bedtime.
c. Let the child remain awake until tired enough to go to sleep.
d. Reward the child with a food treat just prior to sleep if the child goes to bed on time.
Answer:
a. Follow a nightly routine and established bedtime.
Q: A nurse is planning to implement relaxation strategies with a young child prior to a painful
procedure. Which of the following actions should the nurse take?
a. Ask the child to hold his breath and then blow it out slowly.
b. Ask the child to describe a pleasurable event.
c. Bounce the child gently while holding him upright.
d. Rock the child in long rhythmic movements.
Answer:
d. Rock the child in long rhythmic movements.
Q: A nurse is assessing a 6-year-old child at a well-child visit. Which of the following findings
requires further assessment by the nurse?
a. Presence of sparse, fine pubic hair
b. Decreased head circumference compared to full height
c. Increased leg length related to height
d. Presence of a loose, central incisor
Answer:
a. Presence of sparse, fine pubic hair
Q: A nurse is caring for a preschool-age child who is dying. Which of the following findings is
an age-appropriate reaction to death by the child? (Select all that apply.)
a. The child views death as similar to sleep.
b. The child is interested in what happens to his body after death.
c. The child recognizes that death is permanent.
d. The child believes his thoughts can cause death.
e. The child thinks death is a punishment.
Answer:
a. The child views death as similar to sleep.
b. The child is interested in what happens to his body after death.
e. The child thinks death is a punishment.
Q: A nurse is teaching the parent of an infant about home safety. Which of the following
information should the nurse include?
a. Use a wheeled infant walker.
b. Place soft pillows around the edge of the infant’s crib.
c. Position the car seat so it is rear-facing.
d. Secure a safety gate at the top and bottom of the stairs.
e. Maintain the water heater temperature at 49° C (120° F).
Answer:
c. Position the car seat so it is rear-facing.
d. Secure a safety gate at the top and bottom of the stairs.
e. Maintain the water heater temperature at 49° C (120° F).
Q: A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. When
the nurse assess the client’s pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10.
At 100, the client describes the pain as a 5. The nurse discovers the client has not pushed the
button to deliver medication in the past 2 hr. Which of the following actions should the nurse
take?
a. Ask the provider to discontinue the PCA so the nurse can administer PRN pain medication.
b. Suggest the client’s parent push the button for the client if the parent thinks the adolescent is
having pain.
c. Reevaluate the client in 1 hr since a pain level of 5 is acceptable on a scale of 1 to 10.
d. Reinforce teaching with the client about how to push the button to deliver the med.
Answer:
d. Reinforce teaching with the client about how to push the button to deliver the med.
Q: A nurse is assessing a 12-month-old male infant’s vital signs during a well-child visit. The
infant is in the 90th percentile of height. Which of the following findings should the nurse report
to the provider?
a. Heart rate 175/min
b. Respiratory rate 26/min
c. Blood pressure 88/40 mm Hg)
d. Temperature 37.6° C (99.7° F
Answer: