32941231-Pediatric-Nursing-Sample-Test-Questions

32941231-Pediatric-Nursing-Sample-Test-Questions - PRACTICE...

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PRACTICE TEST QUESTIONS Downloaded from FILIPINO NURSES CENTRAL {www.filipinonursescentral.wordpress.com } Pediatric Nursing Sample Test Questions 1. A 2-year-old girl who is having difficulty breathing and a barky cough has had a fever and runny nose for the past 3 days. She is alert and sitting on her mother s lap. Assessment reveals that she has warm, flushed skin, is using her abdominal muscles to breathe, and has increased work of breathing. She has a blood pressure of 88/66 mm Hg, a pulse of 128 beats/min, and respirations of 48 breaths/min. You should immediately determine whether the patient has: A. stridor. B. delayed capillary refill time. C. weak pulses. D. the ability to tolerate oral feedings. 2. A 2-year-old girl who is having difficulty breathing and a barky cough has had a fever and runny nose for the past 3 days. She is alert and sitting on her mother s lap. Assessment reveals that she has warm, flushed skin, is using her abdominal muscles to breathe, and has increased work of breathing. She has a blood pressure of 88/66 mm Hg, a pulse of 128 beats/min, and respirations of 48 breaths/min. Abdominal breathing in this patient should be viewed as a: A. normal finding for a toddler. B. sign of impending respiratory failure. C. sign of decreased perfusion to the respiratory center. D. compensatory mechanism to increase the volume of air inhaled and respiratory rate. 3. A 2-year-old girl who is having difficulty breathing and a barky cough has had a fever and runny nose for the past 3 days. She is alert and sitting on her mother s lap. Assessment reveals that she has warm, flushed skin, is using her abdominal muscles to breathe, and has increased work of breathing. She has a blood pressure of 88/66 mm Hg, a pulse of 128 beats/min, and respirations of 48 breaths/min. The first step in treatment is to: A. administer a nebulizer treatment with a beta-agonist medication. B. administer humidified oxygen via blow-by method.
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C. suction the oropharynx for secretion. D. deliver bag-valve-mask ventilations. 4. A 6-year-old boy who was struck by a car while he was riding his bicycle is unresponsive and has pale, cool skin. Assessment reveals abrasions to his left shoulder and back and a swollen, deformed left thigh. He has a blood pressure of 74/62 mm Hg, a pulse of 152 beats/min, and respirations of 44 breaths/min. without increased work of breathing. What do these findings tell you about the patient s condition? A. He is unresponsive and his skin is cool because of a low body temperature from being outside B. His heart rate is fast because of pain in his shoulder and leg C. His respirations are fast because the impact affected the respiratory center in his brain D. His blood pressure is low because compensatory mechanisms for blood loss are failing 5. A 3-month-old infant who is extremely lethargic has had a cough, vomiting, and diarrhea for the past 3 days. Assessment reveals that he responds to pain, has mottled skin color, and a capillary refill time of 4 seconds. He has a blood pressure of 74/60 mm Hg, a
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32941231-Pediatric-Nursing-Sample-Test-Questions - PRACTICE...

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