Pediatrics CMS - Review Questions

1.      A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?

a.      An increase in venous pressure b. a decrease in peripheral edema

c.      a decrease in cardiac output

d.      an increase in potassium levels

2.      A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect (select all that apply).

a.      Increased appetite

b.      enlarged subclavian lymph node c.    Crying

d. Restlessness e. Fever

3.      a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following statements should the nurse include in the teaching?

a.  We will measure the amount of protein in your baby's urine over 24 hour period b. The test will measure the amount of water in your baby’s sweat

c. a nurse will insert an IV prior to the test

d. your baby will need to fast for 8 hours prior to the test

4.      A nurse in an urgent care clinic is prioritizing care for children. Which of the following children should the nurse assess first?

a.      A toddler who has nephrotic syndrome and facial edema

b.      a preschool-age child who has a muffled voice and no spontaneous cough

c.      a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL

d.      an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb)

5.      A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride test. Which of the following statements should the nurse include?

a.      The purpose of the test is to determine if your child has Crohn's disease

b.      the technician will use a device to produce an electrical current during the test

c.      during the test, your child will be in a room that is cold

d.      your child sweat will be collected over 24 hours

6.      A nurse in the emergency department is caring for an adolescent who is requesting testing for STI. Which of the following action is appropriate for the nurse to take?

a.      Request verbal consent from the social worker

b.      contact the client's parents to obtain phone consent

c.      postpone the testing until the client's parents are present d. obtain written consent from the client

7.      A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe dyspnea and drooling which of the following actions should the nurse take first?