Deck 27: Essential Skills for Pediatric Nursing

Question 1

As a pediatric nurse, what action should be taken when a child is frightened and is likely to fight against the healthcare team during a procedure?

A) Allow the child to remain in the parent's lap
B) Reschedule the procedure to a time when the child is calm
C) Administer a short-acting sedative to the child
D) Wrap the child in a mummy wrap

Answer 1

D

Question 2

Because newborns and young infants have variable respiratory rates and patterns, what practice will be most accurate when assessing the respiratory rate of a young child?

A) Have the respiratory rate digitally monitored
B) Monitor for 10 seconds and multiply the result by 6
C) Monitor for a full minute
D) Monitor for 5 minutes and divide the result by 5

Answer 2

C

Question 3

For older children, what is the most appropriate method for measuring oxygen saturation?

A) Arterial blood gas readings
B) Toe-placed oxygen probe covered with a sock
C) Toe-placed oxygen probe reinforced with tape
D) Finger-placed oxygen probe

Answer 3

D

Question 4

The determination of how many calories are needed for adequate growth and development in children across the developmental period depends on the child's age and weight. At what point is gender taken into account because the caloric needs for females are slightly lower after this point?

A) In children older than 3 years of age
B) In children older than 5 years of age
C) In children older than 7 years of age
D) In children older than 9 years of age

Question 5

In order to rapidly replace intravascular fluid deficits, the pediatric nurse is responsible for calculating the quantity of sterile crystalloid IV solution to administer. The calculation assumes that what volume of fluid is required for each kilogram of weight?

A) 10 mL
B) 20 mL
C) 30 mL
D) 40 mL

Question 6

When using the Parkland Formula for calculating post-burn fluid resuscitation, as a pediatric nurse, at what point would you administer albumin infusions to maintain serum albumin at more than 2 g/dL?

A) Immediately upon patient presentation
B) Within the 12-hour period post-burn
C) Within the first 24-hour period post-burn
D) Within the second 24-hour period post-burn

Question 7

Packed red blood cells (PRBCs) are the most commonly administered blood product. As a pediatric nurse, what lab value must be obtained in order to determine a safe PRBC transfusion dose?

A) Complete blood count
B) Hemoglobin and hematocrit
C) Erythrocyte sedimentation rate
D) Red cell mass

Question 8

When assessing a child's airway, you realize that this child requires suctioning of the oral pharynx. What method of suctioning would be appropriate for this procedure?

A) Bulb syringe
B) Olive tip
C) Tonsil tip
D) Sterile deep suction

Question 9

When caring for a child with a chest tube, it is important for the pediatric nurse to ensure that no part of the system is ever clamped. This is especially important if there is an air leak, which could put the child at risk for which medical condition?

A) Chylothorax
B) Pneumothorax
C) Hemothorax
D) Tension pneumothorax

Question 10

If the medication dose ordered by the physician falls outside the range calculated as safe for that child based on the child's age and weight, as a pediatric nurse, what should be the first action you take?

A) Refuse to give the dose
B) Administer the dose as per physician order
C) Call the pharmacist on duty to confirm safety and report the discrepancy
D) Call the primary physician to question and clarify the order