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Peds Exam 1 - Student Questions and answers rated A+ 2025
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What growth and development skills go along with a 4-year old? A. Ties shoes, dresses without help, and skips on alternate feet B. Brushes teeth, 1500 word vocabulary, and can lace their own shoes C. Undresses without help and walks down stairs without help D. 2100 word vocabulary, beginning cooperative play, and runs well - correct answers B. Brushes teeth, 1500 word vocabulary, and can lace their own shoes At what age should routine lab work of Hb/Hct be performed? A. After 18 months B. Between 18 months and 2 years and again between 4 and 6 years C. Between 6 and 9 months and again between 12 and 18 months D. Between 2 and 4 months and again at age 5 - correct answers C. Between 6 and 9 months and again between 12 and 18 months At what age can children begin receiving their yearly influenza vaccine?
A. Beginning at 6 months B. beginning at 2 months C. Beginning at 2 years old D. Beginning at 5 years old - correct answers A. Beginning at 6 months Which of the following is not an example of a behavior exhibited by an adolescent related to divorce? A. Worry about themselves, parents, siblings B. May engage in acting-out behavior C. Panic reactions D. Feelings of a profound sense if loss - of family, childhood - correct answers C. Panic reactions Panic occurs in middle school-age children (ages 6-8 years) The nurse is planning care for a pediatric patient with a different ethnic background from the nurse's own. The most appropriate goal for the nurse in caring for this patient is:
B. Dimension II C. Dimension III D. Dimension IV - correct answers ***** Mild cases of cognitive impairment are primarily associated with: A. Familiar causes B. Social causes C. Environmental causes D. All of the above - correct answers ***** D. All of the above How should a nurse care for a hospitalized cognitively impaired child? A. Ignore the child B. Isolate the child C. Mutual participation in planning the child's care D. Let the parents do most of the care - correct answers *****
C. Mutual participation in planning the child's care Which of the following symptoms would you expect to see in a child with lead poisoning? A. Sleepiness B. Tinnitus C. Increased appetite D. High fever - correct answers A. Sleepiness A 2 year old is in for a yearly check-up. What would the nurse expect the toddler to have a fear of? A. Loud noises, sudden movements B. Death, being alone C. Animals, strangers D. Ghosts, heights - correct answers C. Animals, strangers A 6 month old just received a DTaP injection. Which of the following is a serious side effect?
B. "I am going to take your temperature now." C. "Will you tell me your name?" D. "Do you want to eat ice cream?" - correct answers B. "I am going to take your temperature now." What are common areas of stress in adolescence? A. Decisions about present and future roles B. Relationships with parents, siblings, and peers C. Body image D. All of the above - correct answers D. All of the above A five year old girl came into the clinic for a kindergarten well check. She will be receiving then required immunizations for a child going to kindergarten, and she is up to date in all her prior immunizations. What immunizations will she be receiving? A. TDap, IPV, MMR, and Varicella B. DTap and MMR
C. DTap, IPV, and MMR D. DTap, IPV, MMR, and Varicella - correct answers D. DTap, IPV, MMR, and Varicella Refer to pg 332 in peds book and pg 488 in Kaplan book A 3 year old boy has been diagnosed with a cognitive impairment and displays learning disabilities and developmental delays. According to the classification level of cognitive impairment, he is currently in the severe level. What actions would he display? A. Noticeable delays in motor development especially in speech response to training in various self-help activities B. Marked delay in motor development, little or no communication skills C. May respond to trains in elementary self-care D. Minimum capacity for functioning in sensorimotor areas - correct answers B. Marked delay in motor development, little or no communication skills Refer to page 572 in peds book The most intense site of pain during an appendicitis is located at a point midway between the anterior superior iliac crest and the umbilicus is called A. McBurney Point
C. Word Association Game D. Environmental Manipulation - correct answers D. Environmental Manipulation Amniocentesis is an invasive prenatal diagnostic test that: A. Obtains a small sample of chorionic villi. B. Tests fetal skin cells that are present in the amniotic fluid. C. Obtains a sample of the fetus's blood. D. None of the above - correct answers B. Tests fetal skin cells that are present in the amniotic fluid. This communicable disease gives children a slapped face appearance: A. Fifth Disease B. Scarlet Fever C. Measles D. Roseola - correct answers A. Fifth Disease
A 2 year old has a vocabulary of approximately ______ words and approximately _____% of their speech is understandable. A. 500 and 50% B. 200 and 75% C. 400 and 45% D. 300 and 65% - correct answers D. 300 and 65% When using the pediatric triangle during a physical assessment which of the following is not part of the triangle. A. Appearance B. Height and Weight C. Work of Breathing D. Circulation - correct answers B. Height and Weight Which childhood illness presents with a "slapped face" appearance? A. Roseola B. Mumps
S-P-O in the Donabedian model stands for? A. Structure, Process, Outcome B. Station, Practice, Outlier C. Serial, Prime, Onset D. None of the above - correct answers A. Structure, Process, Outcome A child is having issues with sudden bed wetting accidents. The nursing intervention should be...? A. No action needed this is normal. B. The nurse should educate the parent on scolding techniques. C. This may be a sign of a urinary tract infection (UTI) and the nurse should assess the child. D. Nurse should recognize regression and assess the parent-child relationship. - correct answers C. This may be a sign of a urinary tract infection (UTI) and the nurse should assess the child. A nurse is assessing a 15 year old female who has suicidal thoughts. Which warning sign is a direct indication of the patient carrying out suicide? A. The adolescent has a well thought out plan.
B. She is willing to attend self-destructive prevention program. C. The adolescent's friend had recently committed suicide. D. The patient begins rebelling from her parents. - correct answers A. The adolescent has a well thought out plan. When interviewing an adolescent what is not a correct communication technique? A. "When you say you have been "messing around", do you mean you have been having sex?" B. "You have never smoked or drank alcohol, have you?" C. "Help me better understand why you think you are different than your classmates?" D. "You stated you can't sleep at night because you are nervous, what are you nervous about?" - correct answers B. "You have never smoked or drank alcohol, have you?" Which of the following symptoms would you expect to see in a child with lead poisoning? A. Sleepiness
C. Rash D. Continuous screaming - correct answers D. Continuous screaming Pg 489 in Kaplan Birth defects occur in ___ to ___% of all live-born children. A. 2- B. 10- C. 7- D. 17-20 - correct answers A. 2- Children possess the physiologic ability to control the release of their sphincters beginning between ages ___ and ___ months. A. 12- B. 18- C. 24-
D. 24-36 - correct answers B. 18- Hallucinogens are drugs that produce _______. A. physical dependence. B. an ill effect when abruptly withdrawn. C. the same long-term and short-term effect(s) in every person. D. vivid hallucinations and euphoria. - correct answers D. vivid hallucinations and euphoria. During the assessment of a 2 year old you notice that his vitals are HR 140, Temp 98.9, BP 85/50, Resp 50. Which finding is most worrisome? A. HR 140 B. Temp 98. C. BP 85/ D. Resp 50 - correct answers D. Resp 50 Should be 25 Conjuctivitis is an infection of the _________.
D. Head Circumference - correct answers D. Head Circumference This Dietary Reference Intake set is based on estimates of nutrient intake by healthy groups? A. Estimated Average Requirement B. Recommended Dietary Allowance C. Adequate Intake D. Tolerable Upper Intake Level - correct answers C. Adequate Intake One of the most common concerns of parents relates to: A. Sleep B. Eating C. Genitourinary problems D. Growth & Development - correct answers A. Sleep Which pain scale would be most appropriate to assess a 3 year old?
A. Numeric Scale B. FACES C. CRIES D. Modified Behavioral Pain Scale - correct answers B. FACES A child is hyperventilating with gasping and labored respirations. The nurse would document this as what type of respirations? A. Tachypnea B. Hyperpnea C. Cheyne-Stokes respirations D. Kussmaul respirations - correct answers D. Kussmaul respirations A child could get lead poisoning from all of the following except: A. Paint B. Sexual contact C. Water