#1
Which assessment finding in a pediatric patient is indicative of respiratory distress?
Cyanosis
Flushed cheeks
Warm extremities
Bradycardia
#2
Which vaccine is typically administered to newborns to prevent hepatitis B?
Rotavirus vaccine
DTaP vaccine
Hepatitis B vaccine
Varicella vaccine
#3
What is the recommended position for a newborn during breastfeeding?
Supine position
Prone position
Upright position
Side-lying position
#4
What is the primary purpose of the Apgar score?
To assess the risk of sudden infant death syndrome (SIDS)
To evaluate fetal heart rate during labor
To assess the newborn's transition to extrauterine life
To measure newborn's length and weight
#5
What is the appropriate intervention for a child experiencing a febrile seizure?
Place the child in a cold bath
Administer antipyretics
Restrain the child's movements
Ensure a clear airway and protect the child from injury
#6
Which of the following is a common sign of dehydration in infants and young children?
Increased urination
Sunken fontanelle
Cool extremities
Hypertension
#7
What is the priority nursing intervention for a child experiencing an asthma exacerbation?
Administer a bronchodilator
Administer oxygen therapy
Encourage deep breathing exercises
Initiate intravenous fluid administration
#8
Which assessment finding in a child may indicate meningitis?
Decreased irritability
Nuchal rigidity
Increased appetite
Warm extremities
#9
What is the priority nursing action for a child with anaphylaxis?
Administer epinephrine
Apply a warm compress
Administer an antihistamine
Administer a corticosteroid
#10
Which action is appropriate when performing a heel stick on a newborn for blood glucose monitoring?
Rub the heel vigorously to increase blood flow
Warm the heel before the procedure
Puncture the center of the heel
Clean the site with alcohol after the procedure
#11
Which finding in a newborn requires immediate intervention?
Acrocyanosis
Caput succedaneum
Cephalohematoma
Persistent cyanosis
#12
Which statement by the parent indicates understanding of colic in infants?
"Colic occurs due to gastrointestinal infection."
"Colic is a normal developmental phase."
"Colic is caused by a lack of parental attention."
"Colic can be treated with antibiotics."
#13
Which action is appropriate when caring for a newborn with hyperbilirubinemia?
Expose the newborn to direct sunlight
Encourage breastfeeding frequently
Administer iron supplements
Administer phototherapy
#14
Which of the following is a developmental milestone for a 6-month-old infant?
Rolling from abdomen to back
Walking independently
Using a pincer grasp
Speaking in sentences
#15
Which statement by a parent indicates understanding of sudden infant death syndrome (SIDS) prevention?
"I will put my baby to sleep on their back."
"I will keep my baby's room very warm at night."
"I will use a thick blanket to cover my baby at night."
"I will place soft toys and pillows in the crib for comfort."
#16
Which action is appropriate when caring for a child with croup?
Administering cough suppressants
Maintaining a quiet environment
Administering nebulized epinephrine
Positioning the child in a supine position
#17
Which assessment finding in a newborn requires immediate intervention?
Weight loss of 5% from birth weight
Passing meconium within 24 hours
Respiratory rate of 60 breaths per minute
Persistent grunting during breathing
#18
Which statement by a parent indicates understanding of sudden infant death syndrome (SIDS) risk reduction?
"I will keep the room temperature very warm."
"I will use a soft mattress for my baby's crib."
"I will place my baby to sleep on their back."
"I will tightly swaddle my baby during sleep."
#19
Which statement by the parent indicates a need for further teaching about childhood immunizations?
"My child might develop a fever after getting vaccinated."
"My child should receive all the vaccines at once to avoid multiple visits."
"I should report any signs of allergic reactions after vaccination."
"It's okay to skip some vaccines if my child is not in daycare."
#20
What is the appropriate nursing intervention for a toddler with a foreign body aspiration?
Perform chest compressions
Perform a blind finger sweep
Encourage coughing and monitor airway
Administer an emetic to induce vomiting
#21
What is the primary intervention for a newborn with meconium aspiration syndrome?
Administer antibiotics
Suction the airway
Administer surfactant replacement therapy
Initiate chest compressions
#22
What is the priority nursing intervention for a child with suspected epiglottitis?
Administer antipyretics
Administer nebulized bronchodilators
Position the child in a tripod position
Prepare for immediate intubation or tracheostomy
#23
What is the priority nursing action for a child with suspected meningococcal meningitis?
Isolate the child in a negative pressure room
Administer intravenous antibiotics
Monitor vital signs every 4 hours
Offer comfort measures and pain relief
#24
What is the priority nursing intervention for a child with a suspected foreign body aspiration?
Encourage the child to cough forcefully
Perform abdominal thrusts (Heimlich maneuver)
Perform a blind finger sweep
Initiate CPR
#25
What is the priority nursing action for a child with a diagnosis of intussusception?
Administering antiemetic medications
Preparing the child for surgical intervention
Encouraging fluid intake
Monitoring vital signs every hour