1) What is the best position to promote
oxygenation in children on bedrest?
a) flat
b) semi fowler
c) trendelenburg
d) sitting upright
2) Effective intervention to reduce cardiac
demands and decrease workload of the heart :
a) Cluster care to promote uninterrupted rest
b) Develop a consistent care plan
c) Feeding longer period
d) Allow child to have own way to prevent conflict
3) Cyanotic defect with hematocrit result greater
that 60% is at risk for:
a) thromboembolism
b) CHF
c) Cardiac arrest
d) Circulatory failure
4) Patient undergoes phlebotomy to prevent above
complication. What is the goal of this
procedure?
a) dilute the child’s blood making flow through the
blood vessel easier
b) remove clots that have formed along the blood
vessel
c) reduce circulating blood volume to prevent CHF
d) all of the above
5) The major effect of squatting in children with
Tetralogy of Fallot is:
a) it decreases venous return thereby decreasing
pressure on the right side of the heart
b) increases cardiac contraction by increasing
diaphragmatic pressure against the chest
c) occludes arterial circulation causing increased
peripheral resistance
d) decreases tissue perfusion demand to the lower
extremities
6) The sudden aimless uncontrolled movements
seen on patients with rheumatic fever is:
a) St. Vitus Dance or chorea c) Convulsion
b) Hypokalemia syndrome d) Erythema
marginatum
7) Which nursing diagnoses is most appropriate
for a child with rheumatic fever?
a) Alteration in nutrition: more than body
requirements
b) Potential for injury
c) Alteration in tissue perfusion
d) Fluid and electrolyte imbalance
8) If patients with hemophilia will be admitted
because of bleeding episode which factors will
not be used to control bleeding?
a) cryprecipitate
b) platelet
c) packed red cells
d) Factor VIII
9) A nine month old baby was diagnosed with iron
deficiency anemia. His dietconsisted mainly of
milk. This anemia is common to children of this
age who are not given adequate solid foods
chiefly because;
a) their teeth are erupting at this time
b) the faster growth at this time requires iron
c) the basal metabolism is increased at this time
d) the storage of iron from from mother has been used
up
10)A mother complains that this child consistently
refuses solid food. What remark from the nurse
would be appropriate?
a) “It would be nice to mix his food with his milk.”
b) “Hold the milk intake until he agrees to eat
solids”
c) “Offer the solid food first before you give the milk.”
d) “Its normal, baby at her age should only take
milk.”
11)Foods the nurse would advise the mother to
give the baby should be substantial in its iron
content. You would advise?
a) green leafy vegetables, egg yolk
b) eggs, milk, fresh fruits
c) chicken, cereals and milk
d) fresh fruits, mashed potato
12)Which complications are three main
consequences of leukemia?
a) Bone deformities, anemia, and infection
b) Anemia, infection, and bleeding tendencies
c) Pneumonia, thrombocytopenia, and alopecia
d) Polycythemia decreased clotting time, and
infection
13)A 12-year old child is receiving a course of
chemotherapy and is experiencing profound
nausea and vomiting.. The most effective
nursing action is to:
a) Encourage sips of clear liquids
b) Offer small frequent meals of favorite foods
c) Admin antiemetic as ordered before chemotherapy
d) Provide an emesis basin within easy reach
14)To prevent tension on the suture lines of
patients’ post-cheiloplasty, which of the
following nursing management is appropriate?
a) cleaning suture lines with sterile water after
feeding
b) anticipate needs to lessen crying
c) applying elbow restraints
d) keeping the patient in NPO
15)Which at risk diagnosis would you prioritize for
children with problems of the upper GI tract?
a) risk for altered nutrition less than body
requirements
b) risk for aspiration
c) risk for ineffective breastfeeding
d) risk for fluid & electrolyte imbalance
16)Which of the following pre-operative
managements is not appropriate for a patient
with TEF?
a) non-nutritive sucking using pacifier
b) breast milk via NGT feeding
c) TPN
d) Suction PRN
17)Pre-operatively, the priority management for a
patient with pyloric stenosis is:
a) prevention of vomiting
b) continuous sensori-motor stimulation
c) correction of nutritional, fluid & electrolyte
imbalances
d) continuous small frequent feeding
18)Patient has been diagnosed with
intussusception. The usual characteristic of
intussusception is:
a) it is usually diagnosed among poorly nourished
I AM FEARLESS...TO GOD BE THE GLORY!!!
 babies
b) an elongate mass at the right lower quadrant
c) absence of bowel sounds in the RLQ
d) common among female
19)24 hours after delivery, a newborn has not yet
passed meconium. What would be your best
nursing action?
a) check the patients temperature per rectum to
assess for patency of the anus
b) document the findings
c) refer to the pediatrician
d) schedule the patient for creation of colostomy
20)A 6 y/o girl has fever and sore throat which
uneventfully recovered spontaneously. Week
after, he awakens with eyelid puffiness and
scanty tea-colored urine. What would you
suspect for a diagnosis?
a) Acute Glumerulonephritis c) UTI
b) Nephrotic syndrome d) Acute
pyelonephritis
21)For a child with recurring nephrotic syndrome,
which areas of potential disturbance should be
a prime consideration when planning ongoing
nursing care?
a) muscle coordination
b) intellectual development
c) sexual maturation
d) body image
22)The nurse correctly identifies the following as
usually the earliest detectable sign of
dehydration:
a) tachycardia
b) sunken fontanels
c) dry skin and mucus membrane
d) delayed capillary refill
23)Pre-operatively, nursing care of a child with
Wilm’s does not include:
a) preparing the child and family for preoperative
tests
b) carefully monitoring the blood pressure
c) palpating the abdomen to identify tumor size
d) planning for postoperative care.
24)The diet of a child with nephrosis usually
includes:
a) high protein, low fat, low salt
b) Salt and protein restriction
c) Low fat, low protein, low salt
d) High carbohaydrate, high protein
25)The nurse closely monitors the temperature of a
child with nephrosis. The purpose of this is to
detect an early sign of which possible
complications?
a) Infection
b) hypertension
c) encephalopathy
d) edema
26)Upon admission to the nursery of a premature
infant, he would necessitate the following care
EXCEPT:
a) immediate suctioning and O2 admin as ordered
b) warmth by putting them inside the isolette
c) assessment for early jaundice
d) immediate feeding to increase weight
27)What is true about the GIT system of
prematures?
a) premature has poor suck and swallowing reflex
b) premature have small gastric capacity
c) premature has poor fat tolerance
d) all of the above
28)Vomiting is not uncommon on these babies. To
prevent this the nurse should:
a) feed the infant first before doing all procedures
so that they are satisfied
b) do all nursing procedures before feeding the baby
c) position infant on the left side after feeding
d) turn the infant side to side to promote gastric
emptying
29)Hemorrhage is another possible problem on
these babies. To prevent this the preterm:
a) is placed in trendelenburg position
b) is given Vitamin K after birth
c) is given blood transfusion after birth
d) should not be handled or cuddled to prevent
trauma
30)Proneness to infection during the infancy period
is another challenge parental care and the
reason for this are the following EXCEPT:
a) premature separation of the placental barrier
during the last trimester of pregnancy
b) failure in the crossing of IgG from the mother to
the baby
c) being a premature, immunization is contraindicated
d) all of the above
31)Prevention of preterm delivery is best
accomplished by:
a) encouraging mother to eat high protein food
b) giving maternal vitamins to promote fetal well-
being
c) promoting optimal health throughout childbearing
period
d) limiting number of pregnancy with adequate
spacing in between
32)Frequently during the first 24 hours after birth,
this baby manifested cyanosis. Doctor
suspected RDS associated with his prematurity.
Which sign is most characteristic of RDS?
a) substernal retractions
b) slight nasal flaring
c) tachypnea
d) audible expiratory grunting
33)Which intervention is the nurse’s priority when
this neonate exhibits signs and symptoms of
RDS?
a) identifying his risk for hypoglycemia
b) observing him closely for inability to cough out
secretions
c) assessing for hypoxia and implementing measures to
relieve it
d) maintaining environmental stimulation
34)What etiologic factor could have caused this
condition?
a) poor development of the CNS
b) lack of surfactant
c) shortness of the tracheobronchial tree
d) inadequate sneezing and coughing reflex
35)Baby was put inside the incubator to maintain a
neutral environment. Nursing responsibilities in
incubator use are the following EXCEPT:
a) prevention of infection by handwashing before
touching the baby
I AM FEARLESS...TO GOD BE THE GLORY!!!
b) observing color and respiratory pattern before
touching the baby
c) opening of portholes at regular interval to allow
escape of carbon dioxide
d) checking all gauges and alarm to ensure proper
functioning
36)Baby was also put under phototherapy. Nursing
responsibility while baby is under the lights
includes the following EXCEPT:
a) increasing fluid intake to prevent dehydration
b) regular turning of baby to sides
c) total undressing of all babies for maximum exposure
d) referring to the doctor if skin turns bronze in
color
37)As the nurse was passing by his crib, she
noticed the baby in apneic condition. The nurse
would first:
a) administer oxygen with positive pressure
b) call the pediatrician
c) increase humidity in the incubator
d) gently shake the baby
38)How might the nurse promote bonding while the
baby is inside the isolette?
a) allow mother to hold infant every hour for 10
minutes
b) suggest that mother visits the NICU regularly
c) allow mother to touch the infant
d) make the mother sing lullaby to the baby
39)Babies may be born smaller than normal (SGA)
if:
a) Mother is smoking
b) Mother is malnourished
c) Mother is taking alcoholic drink during
pregnancy
d) All of the above
40)A large for gestational age baby may have the
following problems, UNLIKELY IS:
a) Future obesity C. Birth injury
b) Premature birth D. All of the above
41)A postmature baby will be anticipated for the
following problems EXCEPT:
a) infection due to meconium aspiration
b) metabolic acidosis due to cold stress
c) hyperbilirubinemia due to polycythemia
d) hyperglycemia due to overstaying inside the uterus
42)A large for gestational age newborn who was
admitted to the nursery has a high pitch cry,
appears jittery and has irregular respiration. The
nurse is aware that those symptoms are
associated with:
a) hypovolemia C. hypoglycemia
b) hypokalemia D. hypothyroidism
43)The following is TRUE about inborn errors in
metabolism, LEAST LIKELY is:
a) They can cause death or mental retardation if
not detected and treated.
b) They are hereditary
c) The test done to identify them is mandated
d) They need to be done even if the newborn is
premature
44)A neonate was born with a sac as big as a one
peso coin in his sacral area. He was also noted
to have a head circumference of 38 cm. He was
admitted to the NICU for closer monitoring.
Upon admission, you would expect the AMD to
order measurement of what parameters?
a) VS q 4 hours, head circumference OD, weigh OD
b) VS q 4 hours, head, chest and abdominal
circumference OD
c) Head circumference OD, weigh OD, VS OD
d) Head circumference q 4 hours, VS QID
45)Head circumference is measured regularly to:
a) calculate CSF pressure
b) determine if rate of head growth is normal
c) calculate amount of CSF produced
d) determine effect of CSF accumulation in the
brain.
46)Upon assessment of this baby’s head, what
may be seen?
a) bulging anterior and posterior fontanels with slight
caput succedanum
b) bulging anterior fontanel, depressed posterior
fontanel with soft occiput
c) closed anterior and posterior fontanel
d) bulging anterior fontanel with constricted scalp
vein
47)If there is an increase ICP, the nurse would
expect the following when this newborn cries:
a) weak cry with apneic episodes in between
b) high pitched shrill cry with occasional apnea
c) will not cry too much because of lack of
response to the external environment
d) weak cry when hungry or awake
48)Nurse suspects the case to be a meningocele
only and not meningomyelocele when he sees
that:
a) sac is small C. sac is
intact
b) legs of the baby can move D. All of the
above
49)Surgical correction by inversion of the sac and
closing the defect is ideally done as soon as
possible to :
a) help preserve whatever function is left
neurologically
b) correct the hydrocephalus
c) correct the accompanying clubfoot
d) remove the unsightly mass causing failure in
bonding
50)If shunting procedure is done for the
accompanying hydocephalus, it is for what
purpose?
a) provide outlet for excess CSF
b) restore cerebral function
c) remove and correct the obstruction
d) control meningeal irritation
I AM FEARLESS...TO GOD BE THE GLORY!!!