REFRESHER PHASE
POST TEST
PEDIATRIC NURSING
PROF. JESSY DACLIS, R.N
Situation: - Paula, a 12-month old infant, was
brought to the health center for her regular well
baby check up. Her mother is concerned with her
child’s growth and development. She expressed her
desire to learn more about this concern.
1. The child’s birth weight was 8 lbs. upon
assessment the child now weighs 18 lbs. in
documenting this result, you know that this weight
is
A. Appropriate for the child’s age
B. Below the expected weight
C. Above the expected weight
D. Individualized and thus unpredictable
2. In planning care for the infant, you should advise
the mother that the best way to help her child
complete the development task for the first year is
to
A. Respond to her consistently
B. Expose her to many caregivers to help her learn
variability
C. Keep her stimulated with many toys
D. Talk to her at a special time each day
3 To relieve teething discomfort which measure
would you suggest an infant’s mother to use?
A. Provide her with a fluid diet for 2 days
B. Offer her Aspergum to chew
C. Ask her pediatrician for a sedative for her
D. Give her a cold teething ring to chew
4. You visited one of your family clients, a 26-year
old mother whose son died of Sudden Infant Death
Syndrome (SIDS). As you were conversing it is
sound for you to
A. Ask how her son was positioned in bed while in
the hospital at the time of his death.
B. Allow the mother to cry and talk about her son
and related concerns
A. Testes are retracted into the inguinal ring,
B. Absence of one or both testes in the scrotum
C. Enlarged one or both testes.
D. Testes are palpable in the abdomen
9.The mother of a 3 year old child also under Nurse
Sarah care tells her that the child has frequent
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C. Ask about her other children at home
D. Explain the cause of SIDS
5.Which of the following statements of Jamm will
the nurse consider as an indication that Jamm is
ready to self-administer his insulin?
A. “Will you allow me to do it now?”
B. “Let me hold the syringe for you.”
C. “When I go home, I will do it myself.”
D. “Are you sure I can do it myself?”
Situation: – Nurse Monique is assigned to the
pediatric surgical unit to take care of Bob and
Patrick.
6. Bob, 18 months, was admitted for repair of
hypospadias. During assessment, which of the
following will Monique expect to observe?
A. Absence of urethral meatus
B. Termination of the urethra is in the
ventral surface of the penis
C. Defect of the urethra on the dorsal
surface of the penile shaft
D. Penis has 2 urethral openings located
dorsally and ventrally
7. Surgery is the treatment of choice for Bob. The
nurse understands that the best time for surgery is
before the child:
A. is weaned from diapers
B. is toilet trained
C. goes to school
D. walks
8. During the initial assessment, which major
manifestation should the nurse note in children
with cryptorchidism?
nightmares. The statement by the mother that
indicates the need for more teaching is:
A. “I read her story until she calms down”.
B. “I take her to my bed so she will calm
down”.
C. “I stay with her awhile to reassure her”.
D. “I usually talk quietly and rub her back to
reassure her”.
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10.Our school curricula now include educating the
young regarding human sexuality. What is the most
appropriate age group for the nurse to incorporate
these in her instructions?
A. 9 years olds
B. 15 years olds
C. 13 years olds
D. 11 years olds
Situation : – in various stages of child growth and
development, the nurses’ concern for safety and
quality remains a priority. The following situations
apply.
11. Which of the following actions of a 4 month
old infant would be noted appropriate for his stage
of development:
A. Tries to pick up a dropped object
B. Holds a bottle well
C. Transfer an object from one hand to the
other
D. Grasps object with two hands
12. When doing a physical examination on an
infant, an understanding of the child’s development
is essential. The nurse does examination from:
A. Neurologic status before the back
B. Chest before the nose
C. Heart before the abdomen
D. Extremities before the eyes
Situation: In the growth and development of any
child, you are fully aware that your responsibility
for caring encompasses physical and
psychological/emotional dimensions. The following
apply.
13.A worried mother of a preschool age child says
to the nurse, “My 4 year old frequently touches her
genitals.” Which of the following statements would
be appropriate for the nurse to make?
a. “Masturbation is embarrassing to the parents,
scolding the child will stop the behavior.”
b. “When this child masturbates, it can be
unhealthy and dangerous.”
c. “When children are angry or upset, they often
masturbate.”
d. “Masturbation is normal behavior, so providing
another activity for the child would be appropriate.”
14 A hospitalized child, Boknoy, 4 years old, being
away from his home and normal environment goes
through separation anxiety. Which of the following
behaviors might indicate that Boknoy is in the
“denial” stage of separation? He:
a. Searches for the caregiver and waits for her to
arrive
b. Ignores caregivers when they visit
c. Quietly lies in the crib when no one is in the
room
d. Cries loudly even when being helped by the
nurse
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15. After Boknoy’s discharge from the hospital,
which of the following behaviors might indicate,
that he is afraid of another separation? He:
a. Plays with siblings for long periods of time
b. Requests to go visit the nurses at the hospital
c. Wakes up very early in the morning
d. Carries favorite blanket around the house
16. When caring for Kakay, a 3 ½ year old child,
who is receiving oxygen in an oxygen tent, which of
the following toys or activities would be BEST to
offer?
a. Age-appropriate book
b. A favorite blanket belonging to the child
c. A radio playing soothing music
d. Board games the child can play with while alone
17. Brian, a 9 year old, 4th grader bed wets. The
mother asks your advice how this can be corrected.
Your MOST appropriate response is:
1. “It is normal for his age. Don’t scold him.”
2. “Limit his fluids before sleeping.”
3. “Wake him up 2-3 hours from the time he
sleeps.”
4. “He might have problems at home and school.”
a. 1 and 2
b. 2 and 3
c. 3 and 4
d. 1 and 4
Situation: Luisa, 21, single, college student, thinks
she is pregnant. She described herself as a “party
animal”, smokes, drinks and uses marijuana. She
said she has always been “careful”, she is not sure
who the father is. She missed three menstrual
cycles and shows abdominal enlargement. She is
very concerned about her predicament and her
situation has exacerbated her drinking of alcohol.
18. Luisa started drinking alcohol in high school
and is used to “hard” drinks. You inform her that
drinking while pregnant exposes the fetus to the
possibility of having fetal alcohol syndrome (FAS)
with these characteristics, EXCEPT:
a. lowered birth weight
b. cognitive impairments
c. facial anomalies
d. decreased muscle tone
19. Additional information given to Luisa about
alcohol intake during pregnancy includes:
a. No safe level of drinking has been set during
pregnancy therefore abstinence is advised.
b. Alcohol intake is linked to increased risk of
spontaneous abortion.
c. A woman can safely drink a glass of wine if she
has heart problems to aid in circulation.
d. Alcohol has no known teratogenic effects on the
fetus at low or high intake levels
.
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20. A home care nurse provides instructions to the
mother of an infant with cleft palate regarding
feeding. Which statement if made by the mother
indicates a need for further instructions?
A. “I will use a nipple with a small hole to prevent
choking.”
B. “I will stimulate sucking by rubbing the nipple on
the lower lip.”
C. “I will allow the infant time to swallow.”
D.” I will allow the infant to rest frequently to
provide time for swallowing what has been placed
in the mouth.”
21 A clinic nurse reviews the record of an infant
seen in the clinic. The nurse notes that a diagnosis
of esophageal atresia with tracheoesophageal
fistula (TEF) is suspected. The nurse expects to
note which most likely sign of this condition
documented in the record?
A. Severe projectile vomiting
B. Coughing at night time
C. Choking with feedings
D. Incessant crying
22 The mother of a 9 month-old infant is concerned
that the head circumference of her baby is greater
than the chest circumference. The BEST response
by the nurse is:
A. “These circumference normally are the same,
but in some babies this just differs”
B. Perhaps your baby was small for gestational age
or premature
C. “This is normal until the age of 1 year, when the
chest will be greater”
D. “Let me ask you a few questions, and perhaps
we can figure out the cause of this difference”
23 Which of the following approaches would work
best when the nurse is communicating with an
infant?
A. Use an adult voice just as you would for anyone
B. Communicate through the caregivers
C. Allow the child time to warm up to the nurse
D. Respond only after the child cries for a while
24 Which of the following signs and symptoms
would you most likely find when assessing an infant
with Arnold-Chari malformation?
A. Weakness of the leg muscles, loss of sensation
in the legs, and restlessness
B. Difficulty swallowing, diminished or absent gag
reflex and respiratory distress
C. Difficulty sleeping, hypervigilant and an arching
of the back
D. Paradoxical irritability, diarrhea and vomiting
25. A parent calls you and frantically reports that
her child has gotten into her famous ferrous sulfate
pills and ingested a number of these pills. Her child
is now vomiting, has bloody diarrhea and is
complaining of abdominal pain. You will tell the
mother to:
A. Call emergency medical services (EMS) and get
the child to the emergency room
B. Relax because these symptoms will pass and the
child will be fine
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C. Administer syrup of pecac
D. Call the poison control center
26. The nurse assessing newborn babies and
infants during their hospital stay notice which of
the following symptoms as a primary manifestation
of Hirschprung’s disorder?
A. A fine rash over the trunk
B. Failure to pass meconium during the first 24
hours after birth
C. The skin turns yellow and then brown over the
first 24 hours to 46 hours after birth.
D. High grade fever.
27. You are the nurse assigned to work with a child
with acute glomerulonephritis. By following the
prescribed treatment regimen, the child
experiences a remission. You are now checking to
make sure the child does not have a relapse. Which
finding most lead you to the conclusion that a
relapse is happening?
A. Elevated temperature, cough, sore throat,
changing complete blood count (CBC) with
differential count
B. A urine dipstick measurement of 2+ proteinuria
or more for 3 days or the child found to have 3-4+
proteinuria plus edema.
C. The urine dipstick showing glucose in the urine
for 3 days, extreme thirst, increase in urine output
and a moon face.
D. A temperature of 37.8 degrees (100 degrees F)
flank pain, burning frequency, urgency on voiding
and cloudy urine.
28. The nurse is assessing an 8-month-old infant
for head lag, pulling the infant by the hands from a
supine to a sitting position. The head does not stay
in line with the body when being pulled forward.
Which of the following statements best represents
the significance of this finding?
A. Head lag should not be tested until the child
is over 1 year of age.
B. Significant head lag after the age of 6
months may indicate brain injury and needs
further investigations.
C. The nurse has not conducted the test
correctly and must do it again using proper
technique
D. This is a normal finding, as the infants head
will not stay in line until after 8 months of
age.
29 .Preschoolers are able to see things from which
of the following perspectives?
A. Their peers
B. Their own and their caregivers
C. Their own and their mothers
D. Only their own
30. Mrs. Ada is concerned about feeding her baby
about solid foods. The nurse explains that the
correct sequence of introducing foods is
A. Vegetable, cereal, fruits
B. Cereal, meat, vegetables
C. Fruit, meat, cereal
D. Cereal, fruit, vegetables
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