#1
Which assessment finding in a pediatric patient is indicative of respiratory distress?
Cyanosis
ExplanationBluish discoloration of the skin or mucous membranes due to inadequate oxygenation
#2
Which vaccine is typically administered to newborns to prevent hepatitis B?
Hepatitis B vaccine
ExplanationImmunization to protect against hepatitis B viral infection
#3
What is the recommended position for a newborn during breastfeeding?
Side-lying position
ExplanationLying on the side facilitates comfortable and efficient breastfeeding for the newborn and mother
#4
What is the primary purpose of the Apgar score?
To assess the newborn's transition to extrauterine life
ExplanationQuick evaluation of a newborn's vital signs and physical condition after birth to determine immediate medical needs
#5
What is the appropriate intervention for a child experiencing a febrile seizure?
Ensure a clear airway and protect the child from injury
ExplanationPrioritize airway management and safety measures during the seizure episode
#6
Which of the following is a common sign of dehydration in infants and young children?
Sunken fontanelle
ExplanationDepression or concavity of the soft spot on an infant's head, indicating dehydration
#7
What is the priority nursing intervention for a child experiencing an asthma exacerbation?
Administer a bronchodilator
ExplanationImmediate relief of bronchospasm to improve breathing
#8
Which assessment finding in a child may indicate meningitis?
Nuchal rigidity
ExplanationStiffness of the neck due to meningeal inflammation, a hallmark sign of meningitis
#9
What is the priority nursing action for a child with anaphylaxis?
Administer epinephrine
ExplanationImmediate administration of epinephrine to counteract severe allergic reaction
#10
Which action is appropriate when performing a heel stick on a newborn for blood glucose monitoring?
Warm the heel before the procedure
ExplanationEnhances blood flow and comfort, facilitating blood collection from the heel
#11
Which statement by the parent indicates a need for further teaching about childhood immunizations?
"My child should receive all the vaccines at once to avoid multiple visits."
ExplanationIncorrect belief; vaccines should be administered according to recommended schedules to ensure effectiveness and safety
#12
What is the appropriate nursing intervention for a toddler with a foreign body aspiration?
Encourage coughing and monitor airway
ExplanationPrompting the child to cough to expel the foreign object and monitoring for airway obstruction
#13
What is the primary intervention for a newborn with meconium aspiration syndrome?
Suction the airway
ExplanationClearing the airway of meconium to prevent respiratory distress and complications
#14
What is the priority nursing intervention for a child with suspected epiglottitis?
Prepare for immediate intubation or tracheostomy
ExplanationEnsuring a patent airway and adequate oxygenation by preparing for advanced airway management
#15
What is the priority nursing action for a child with suspected meningococcal meningitis?
Administer intravenous antibiotics
ExplanationImmediate administration of antibiotics to treat the bacterial infection
#16
What is the priority nursing intervention for a child with a suspected foreign body aspiration?
Perform abdominal thrusts (Heimlich maneuver)
ExplanationImmediate intervention to dislodge the obstructing object from the airway