PEDIATRIC CMS 2023/ 2024 EXAM |
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Q: A nurse is caring for a child who has hyponatremia. Which of the following findings should
the nurse expect?
a. Tetany
b. weight gain
c. Elevated heart rate
d. excessive diaphoresis
Answer:
a. Tetany
Q: A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Which of the following actions should the nurse take first?
a. Set the administration rate on the feeding pump
b. flush the tube with water
c. check the pH of the gastric secretion
d. attach the feeding bag tubing to the end of the NG Tube
Answer:
c. check the pH of the gastric secretion
Q: A nurse is caring for an adolescent who is 1 hour post-operative following an
appendectomy. Which of the following findings should the nurse report to the provider?
a. Heart rate 63 / minute
b. muscle rigidity
c. temperature 36.4 Celsius (97.5 Fahrenheit)
d. abdominal pain
Answer:
b. muscle rigidity
Q: A nurse in a provider’s office is preparing to administer immunization to a 12 year old client
during a well-child visit. Which of the following immunization should the nurse plan to
administer?
a. Diptheria, tetanus and pertussis (D-Tap)
b. human papillomavirus (HPV)
c. Varicella
d. hepatitis A
Answer:
b. human papillomavirus (HPV)
Q: Nurse is planning care for an 8 month old infant who has heart failure. Which of the
following actions should the nurse include in the plan of care?
a. Repeat digoxin dosage is the infant vomit within 1 hour of administration
b. Place infant in a prone position
c. administer cool, humidified oxygen via nasal cannula
d. provide less frequent, higher volume feeding
Answer:
c. administer cool, humidified oxygen via nasal cannula
Q: A nurse is planning care for a school-age child who is admitted from the emergency
department 12 hours ago. Which of the following interventions should the nurse include to
promote adequate sleep for the child?
a. Provide the child with video games prior to bedtime to reduce stress
b. allow the child to adjust their bedtime to promote autonomy
c. leave the lights on in the child’s room to promote safety
d. follow the child home sleep routine to reduce anxiety
Answer:
d. follow the child home sleep routine to reduce anxiety
Q: A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month old
infant. Which of the following actions should the nurse plan to take?
a. cover the insertion site with an opaque dressing
b. use a 24 gauge catheter to start the IV
c. start the IV on the infant’s foot
d. change the IV site every 3 days
Answer:
b. use a 24 gauge catheter to start the IV
Q: A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new
prescription for digoxin. Which of the following manifestations should the nurse include as an
indication of digoxin toxicity?
a. Diaphoresis
b. Polyuria
c. Bradycardia
d. jaundice
Answer:
c. Bradycardia
Q: A nurse is preparing to administer amoxicillin 80 mg/kg/day divided into two doses daily to
a 2-year-old client who weighs 10 kg (22 lb). Available is amoxicillin suspension 400 mg/5 mL.
how many mL of amoxicillin should the nurse administer per dose? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer:
10ml
Q: A nurse is reviewing the laboratory results of a child was recently admitted or suspected
rheumatic fever. The nurse should identify that which of the following laboratory tests can
contribute to confirm this diagnosis (select all that apply)
a. partial thromboplastin time (PTT)
b. erythrocyte sedimentation rate (ESR)
c. blood urea nitrogen (BUN)
d. C-reactive protein (CRP)
e. anti streptolysin O (ASO) titer