Ecc Class 122 Pediatric Mcqs

NURSING OFFICERS COACHING CLASSES FOR
AIIMS, OSSSC, ESIC, JIPMER, PGIMER, RIMS
After a tonsillectomy, a child begins to vomit bright red blood. The nurse
should take which initial action?
1. Turn the child to the side.

2. Administer the prescribed antiemetic.
3. Notify the health care provider (HCP).
4. Maintain NPO (nothing by mouth) status.
• After tonsillectomy, if bleeding occurs, the nurse immediately turns

the child to the side to prevent aspiration and then notifies the HCP.
• NPO status would be maintained, and an antiemetic may be
prescribed; however, the initial nursing action would be to turn the
child to the side. 2
The mother of a 6-year-old child arrives at a clinic because the child
has been experiencing itchy, red, and swollen eyes. The nurse notes a
discharge from the eyes and sends a culture to the laboratory for
analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this
diagnosis, the nurse determines that which requires further
investigation?
1. Possible trauma
2. Possible sexual abuse
3. Presence of an allergy
4. Presence of a respiratory infection
• Conjunctivitis is an inflammation of the conjunctiva.

• A diagnosis of chlamydial conjunctivitis in a child who is not sexually
active should signal the health care provider to assess the child for
possible sexual abuse.
• Trauma, allergy, and infection can cause conjunctivitis, but the
causative organism is not likely to be Chlamydia. 3
TYPE MICROORGANISM INFECTION PRODUCED

BACTERIAL Chlamydia Trachomatis Genital Chlamydia Infection
Lymphogranuloma venerum
Neisseria gonorrhea Gonorrhea
Treponema pallidum Syphilis
VIRAL Herpes Simplex I,II Genital Herpes
Papillomaviruses Ano-Genital Warts
HIV AIDS
Hepatitis Hepatitis B
PROTOZOA Trichomonas vaginalis Trichomoniasis
The nurse prepares a teaching plan for the mother of a child

diagnosed with bacterial conjunctivitis. Which, if stated by the
mother, indicates a need for further teaching?
1. “I need to wash my hands frequently.”
2. “I need to clean the eye as prescribed.”
3. “It is okay to share towels and washcloths.”
4. “I need to give the eye drops as prescribed.”
• Conjunctivitis is an inflammation of the conjunctiva.

• Bacterial conjunctivitis is highly contagious, and the nurse should
teach infection control measures.
• These include good hand washing and not sharing towels and
washcloths. Options 1, 2, and 4 are correct treatment measures.
5
The nurse is reviewing the laboratory results for a child scheduled for a
tonsillectomy. The nurse determines that which laboratory value is most
significant to review?
1. Creatinine level
2. Prothrombin time
3. Sedimentation rate
4. Blood urea nitrogen level
6
• A tonsillectomy is the surgical removal of the tonsils.

• Because the tonsillar area is so vascular, postoperative bleeding is a
concern.
• Prothrombin time, partial thromboplastin time, platelet count, hemoglobin
and hematocrit, white blood cell count, and urinalysis are performed
preoperatively.
• The prothrombin time results would identify a potential for bleeding.
• Creatinine level, sedimentation rate, and blood urea nitrogen would not
determine the potential for bleeding.
7
The nurse is preparing to care for a child after a tonsillectomy. The nurse
documents on the plan of care to place the child in which position?
1. Supine
2. Side-lying
3. High Fowler’s
• The child should be placed in a prone or side-
4. Trendelenburg lying position after the surgical procedure to
facilitate drainage.
• Options 1, 3, and 4 would not achieve this goal.
8
After a tonsillectomy, the nurse reviews the health care provider’s (HCP’s)
postoperative prescriptions. Which prescription should the nurse question?
1. Monitor for bleeding.
2. Suction every 2 hours.
3. Give no milk or milk products.
4. Give clear, cool liquids when awake and alert.
9
• After tonsillectomy, suction equipment should be available, but suctioning is

not performed unless there is an airway obstruction because of the risk of
trauma to the surgical site.
• Monitoring for bleeding is an important nursing intervention after any type of
surgery.
• Milk and milk products are avoided initially because they coat the throat,
cause the child to clear the throat, and increase the risk of bleeding. Clear,
cool liquids are encouraged.
10
The nurse is caring for a child after a tonsillectomy. The nurse monitors the
child, knowing that which finding indicates the child is bleeding?
1. Frequent swallowing
2. A decreased pulse rate
3. Complaints of discomfort
4. An elevation in blood pressure
• A tonsillectomy is the surgical removal of the tonsils.

• Frequent swallowing, restlessness, a fast and thready pulse, and vomiting
bright red blood are signs of bleeding.
• An elevated blood pressure and complaints of discomfort are not indications of
bleeding.
11
Antibiotics are prescribed for a child with otitis media who underwent a
myringotomy with insertion of tympanostomy tubes. The nurse provides
discharge instructions to the parents regarding the administration of the
antibiotics. Which statement, if made by the parents, indicates
understanding of the instructions provided?
1. “Administer the antibiotics full course
2. “Administer the antibiotics if the child has a fever.”
3. “Administer the antibiotics until the child feels better.”
4. “Begin to taper the antibiotics after 3 days of a full course.”
12
• A myringotomy is the insertion of

tympanoplasty tubes into the middle
ear to promote drainage of purulent
middle ear fluid, equalize pressure,
and keep the ear aerated.
• The nurse must instruct parents
regarding the administration of
antibiotics.
• Antibiotics need to be taken as
prescribed, and the full course needs
to be completed.
• Antibiotics are not tapered, but are
administered for the full course of
therapy.
13
The day care nurse is observing a 2-year-old child and suspects that the
child may have strabismus. Which observation made by the nurse indicates
the presence of this condition?
1. The child has difficulty hearing.
2. The child consistently tilts the head to see.
3. The child does not respond when spoken to.
4. The child consistently turns the head to hear.
14
15
A child has been diagnosed with acute otitis media of the right ear. Which
interventions should the nurse include in the plan of care? Select all that
apply.
1. Provide a soft diet.
2. Position the child on the left side.
3. Administer an antihistamine twice daily.
4. Irrigate the right ear with normal saline every 8 hours.
5. Administer ibuprofen for fever every 4 hours as prescribed and as
needed.
6. Instruct the parents about the need to administer the prescribed
antibiotics for the full course of therapy.
16
Bronchopulmonary dysplasia at present called

(a)Chronic lung disease
(b)Bronchitis
(c)Acute lung disease
(d)Bronchiectasis
17
What is the position called that patient sits at the side of the bed with the
head resting on the overhead table on top of several pillows ?
(a) Trendelburg position
(b)Lithotomy position
(c)Fowler’s position
(d)Tripod position
18
TRENDELENBURG POSITION
• body is laid supine, or flat on the back on a 15–30 degree incline with the feet
elevated above the head.
• Inserting and removal of central venous catheter

• Pelvic and gynecological surgery
• Abdominal Hernia reduction
• Delivery: Cord prolapse
• Examination of perineum
• Inserting suppository
• Giving enema and colonic irrigation
• For Delivery
• In dyspnea
• Appendicitis
• Drainage of abdominal secretions
Priya, a 5year old girl is suffering from acute respiratory infection. She could
be given:
(a) Plenty of fluids and food
(b) Restricted food and fluids
(c) Milk only
(d) Only intravenous fluids
• There is no need to give milk only, restriction of food & fluid and giving
only IV fluid in ARI.
• Supportive general management of ARI include bed rest, isolation,
warmth, adequate food and fluid, clearing of airway and monitoring child’s
condition.
22
A ten year old child with asthma is treated for acute exacerbation in the
emergency room. A nurse reports which of the following, knowing that it is
not an indication that the condition is improving?
(a) Increased wheezing
(b) Decreased wheezing
(c) Warm, dry skin
(d) A pulse rate of 90 beats per minute
23
• Decreasing of wheezing may mistakenly identify as positive sign for asthma,

while it may actually signals an inability to move air (a silent chest).
• A silent chest (decrease in breath sound) is an worrying sign during an
asthmatic attack.
• Increased wheezing or breathlessness during treatment is actually indicates
that child’s condition is improving.
24
While caring for a patient of Bronchial Asthma, you identify that the patients
respiratory condition has become critically worse when:
a) There is increase in intensity of wheezing
b) There is a decrease in breath sounds all over the chest
c) Crepitations and wheezing are both present
d) The patient says, “I am feeling more breathless than when I came to
hospital”
25
Which is the correct intervention by a nurse for a child infected by

respiratory syncytial virus (RSV)
(a) Maintain enteric precautions
(b) Keep the child with another child with RSV
(c) No need to isolate the child
(d) Inform the staff that use barrier nursing during care of child
• RSV infection is a highly communicable disorder, transmitted by infected

hands (use good hand washing and gloves) not by airborne route.
• So isolate the child alone in a room or keep with another RSV infected child.
26
Which foods would be best for postoperative tonsillectomy client?

(a) Toast, jelly and ice cream
(b) Creamed tuna fish, root beer, and cake
(c) Clear soup, apple juice and cake
(d) Hot tea, wiener and roll, and sherbet
27
After a tonsillectomy if a child vomits with bright red blood, what would be
initial nursing action?
(a) Notify the physician
(b) Administer antiemetic whatever available
(c) Turn the child to the side
(d) Maintain Nil per oral status
After tonsillectomy if bleeding occurs, the nurse should turn the child
immediately to side to prevent the aspiration, and then notify the
physician.
28
Following the most appropriate position in which child is placed after

tonsillectomy:
(a) Supine
(b) Trendelenburg
(c) Side lying
(d) High fowler’s
29
After a tonsillectomy, which assessment should cause nurse to suspect

hemorrhage?
(a) Noisy snoring
(b) Frequent swallowing
(c) Complaints of thirst
(d) Gradual onset of pallor
Frequent swallowing, restless, increased pulse rate, decreasing BP and

bright red vomiting are all sign of bleeding.
30
When caring a child with tonsillectomy, priority observation done by nurse

should be
(a) Coffee ground emesis
(b) Frequent swallowing
(c) Complaint of sore throat
(d) Increase in temperature slightly
31
A nurse is caring for a 9 year old child who underwent to tonsillectomy,

which of the following observation by the nurse is most concerned?
(a) 30ml of dark brown secretion
(b) Heart rate of 90 beats/minute
(c) Infrequent swallowing
(d) Expectorating (Cough / Spit out) bright red secretion
32
After tonsillectomy and adenoidectomy, the nurse should perform all of the
following interventions except:
(a) Use of flashlight to check the throat
(b) Watch for frequent swallowing
(c) Allow the patient to use a straw
(d) Provide an ice collar for comfort
Do not give the child any straws, forks or any sharp object that
can be put into mouth postoperatively.
33
• They, along with the tonsils, are part of the lymphatic system.
• The adenoids and tonsils work by trapping germs coming in through the
mouth and nose.
• Removal of adenoid gland is called adenoidectomy
Which of the postoperative instruction following tonsillectomy is incorrect?

(a) Monitor for bleeding
(b) Suction every 2 hourly
(c) Give clear fluid when patient is awake
(d) Give no milk products
35
The nurse determines that which laboratory value most significant to review
if a child scheduled for tonsillectomy
(a) BUN
(b) PT
(c) ESR
(d) Creatinine level
36
To prevent sudden infant death syndrome, (SIDS) nurse advices the mother
that infant should be placed on his/her
(a) Back
(b) Side
(c) Stomach with the face turned
(d) Prone
37
While assessing an infant, the nurse notes nose breathing and occasional
sneezing. What is the correct analysis of these data?
(a) There may be a respiratory problem
(b) Further assessment is indicated
(c) The environment may be cold
(d) These are normal responses
38
Croup is
(a) Laryngotracheobronchitis
(b) Tracheoesophageal fistula
(c) Tracheal fistula
(d) Esophagitis
• AKA: laryngotracheobronchitis
• URTI by a virus → swelling inside the trachea→ interferes
with normal breathing
• Classic symptoms: "barking/brassy" cough, inspiratory
stridor and a hoarse voice
• Fever and runny nose may also be present
39
Which of the following conditions is NOT involved in CROUP syndrome?

(a) Tonsillitis
(b) Epiglottitis
(c) Bronchitis
(d) Laryngitis
40
Upper airway illness that results from swelling of the epiglottis and larynx is
broadly called:
(a) Croup
(b) Rubella
(c) Whooping cough
(d) Measles
41
What should be the priority nursing intervention in a child with croup?

(a) Arrange a cool, soothing environment
(b) Pad side rails of the ribs
(c) Place a tracheostomy set at the bedside
(d) All the above
42
A 5 months old has severe nasal congestion. What is the best way for the
nurse to clear his nasal passages?
(a) Administer saline nose drops and use bulb syringe to clear passages
(b) Ask him to blow his nose and keeps tissue handy
(c) Place him in mist tent with 40% oxygen
(d) Administer vaso-constrictive nose drops before meals and at bedtime.
43

Ecc Class 122 Pediatric Mcqs

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Ecc Class 122 Pediatric Mcqs

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NURSING OFFICERS COACHING CLASSES FOR

AIIMS, OSSSC, ESIC, JIPMER, PGIMER, RIMS

1. Turn the child to the side.

• After tonsillectomy, if bleeding occurs, the nurse immediately turns

• Conjunctivitis is an inflammation of the conjunctiva.

TYPE MICROORGANISM INFECTION PRODUCED

The nurse prepares a teaching plan for the mother of a child

• Conjunctivitis is an inflammation of the conjunctiva.

• A tonsillectomy is the surgical removal of the tonsils.

• After tonsillectomy, suction equipment should be available, but suctioning is

• A tonsillectomy is the surgical removal of the tonsils.

• A myringotomy is the insertion of

Bronchopulmonary dysplasia at present called

• Inserting and removal of central venous catheter

• Decreasing of wheezing may mistakenly identify as positive sign for asthma,

Which is the correct intervention by a nurse for a child infected by

• RSV infection is a highly communicable disorder, transmitted by infected

Which foods would be best for postoperative tonsillectomy client?

Following the most appropriate position in which child is placed after

After a tonsillectomy, which assessment should cause nurse to suspect

Frequent swallowing, restless, increased pulse rate, decreasing BP and

When caring a child with tonsillectomy, priority observation done by nurse

A nurse is caring for a 9 year old child who underwent to tonsillectomy,

Which of the postoperative instruction following tonsillectomy is incorrect?

Which of the following conditions is NOT involved in CROUP syndrome?

What should be the priority nursing intervention in a child with croup?

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