PEDS PROCTOR EXAM

1.     A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the following actions should the nurse plan first?

A.     Use a tumbling E chart for the assessment

B.     Position the child 4.6 meters (15 feet) from the chart

C.     Asses both eyes together first, then each eye separately

D.     Test the child without glasses before testing with glasses

2.     A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription of prednisone/etanercept. Which of the following statements should the nurse include in the teaching?

A.     Monitor your child for indications of infection

B.     Discontinue this medication if gastrointestinal upset occurs

C.     Expect that this medication will stimulate growth spurt

D.     Limit your child’s intake of potassium-rich foods

3.     A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?

A.     An adolescent who has hepatitis A

B.     A toddler who has seasonal influenza

C.     A preschool-age child who has pediculosis capitis

D.     A school-age child who has viral conjunctivitis

4.     A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?

A.     Apply a warm, moist compress three times a day

B.     Apply a scent baby powder to absorb residual moisture

C.     Wear a feminine deodorant pad for vaginal drainage

D.     Wear a nylon underwear at night

5.     A nurse is creating a plan of care for a school-age child who has nephrotic syndrome. Which of the following interventions should the nurse include? (SATA)

A.     Provide a low sodium diet

B.     Encourage increased fluid intake C. Assess for protein in the urine

D. Initiate contact precautions E. Obtain a daily weight

6.     A nurse in a pediatric unit is caring for a school-age child following a cardiac catheterization. Which of the following interventions would the nurse take?

A.     Maintain NPO status for 24 hours following the procedure

Administer meperidine for pain every 4 hours