WorksheetsN396 Exam 1 100Qs
Total questions: 100
Worksheet time: 50mins
Ampicillin 75 mg/kg/day in 4 divided doses; child 16 kg. What is the single-dose amount?
200 mg
300 mg
400 mg
480 mg
Label: Cefazolin 500 mg = 5 mL. Order: 300 mg IV. How many mL?
2.5
3.0
3.5
4.0
Acetaminophen 12 mg/kg PO q6 h PRN; infant 9.2 kg; stock 160 mg/5 mL. Give ____ mL.
2.9
1.8
3.5
4.6
Holliday-Segar 24-h maintenance for 28 kg child = ____ mL.
2100
1800
2400
1500
Heparin 15 u/kg/h; 21 kg child; bag = 25,000 u in 250 mL. Pump rate?
1.3 mL/h
3.2 mL/h
12 mL/h
31 mL/h
Vancomycin 15 mg/kg q8 h over 90 min; 32 kg; pharmacy dilutes to 250 mL. Infusion rate?
100 mL/h
125 mL/h
167 mL/h
250 mL/h
Bright-red diaper rash with satellite lesions into skin folds =
Irritant dermatitis
Intertrigo
Candida dermatitis
Miliaria
Linear greyish burrows between finger webs most likely indicate
Pediculosis
Eczema
Scabies
Tinea corporis
The early Lyme-disease skin lesion is best described as
Vesicular clusters
Annular erythema with central clearing
Petechial macules
Pustular bullae
First-line therapy for tinea capitis is
Topical ketoconazole
Hydrocortisone
Oral griseofulvin
Oral acyclovir
Teaching to prevent head-lice reinfestation should include
Skip nit-comb use
One-time shampoo only
Wash linens in cold water
Hot-wash & high-heat dry linens
Child with periorbital cellulitis—priority nurse action?
Warm compresses
Home oral antibiotics
Immediate ophthalmology referral
Topical steroid
Which outcome shows effective eczema control after 2 weeks?
Open weeping lesions
Intact hydrated skin & ↓ pruritus
New secondary infection
Scratch marks present
Cellulitis: which finding warrants provider notification?
Pain 4/10
Temperature 37.6 °C
Erythema extending beyond marked border
Itching
Best evaluation criterion for impetigo home plan?
No new lesions for 14 days
Finished antibiotics
Returned to school
Parent verbalises understanding
Normal 4-year-old ability includes
Hopping on one foot & 4-word sentences
Skipping rope
Adding numbers
Copying triangle
A 9-month-old should be able to
Say two-word phrases
Pull to stand
Ride toys
Walk upstairs
Cooperative play typically emerges at
Toddlers
Preschool (parallel)
≥ 5 years (school-age)
Infancy
10-month-old weight unchanged since 6 mo. First nursing action?
Discuss diet
Re-plot growth & notify provider
Reassure parent
Order labs
Parent of 3-year-old: “We’ll lock cleaning supplies.” This shows
Excessive fear
Correct safety anticipation
Developmental delay
Ineffective teaching
During adolescent exam the nurse should
Keep parent in room
Use yes/no questions
Plan private time with teen
Skip sexual health topics
Best psychosocial screening tool for teens in clinic?
Denver II
Apgar
HEADSSS
Braden
15-month-old cannot stand while holding on. Nurse should
Recheck in 6 mo
Refer for developmental evaluation
Ignore—normal variant
Order CT
For growth-chart plotting, prematurity correction stops at
6 mo
1 yr
2 yrs
5 yrs
Tired teen up past midnight: best nurse response
“It’s normal—don’t worry.”
“Take melatonin.”
“Adolescents need ~8 h sleep; let’s plan a routine.”
“Ban all devices.”
Nutrition advice for picky 7-year-old
Force-feed veggies
Offer nutrient-dense snacks & model healthy eating
Use dessert as reward
Skip meals
Safe risk-taking teaching for teens should emphasise
“No risks allowed”
Supervised protective environments
Ignore peers
Legal consequences only
Common toddler response to admission is
Euphoria
Separation-anxiety protest
Hypersociability
Indifference
Which parent behavior signals maladaptation?
Asks questions
Avoids visiting child
Keeps routine
Participates in care
Preschooler fears IV start chiefly due to
Needle pain only
Loss of body “boundaries”
Blood loss
Parent anger
Most effective non-drug analgesia for 6-year-old venipuncture
Silent presence
Distraction + vibration (e.g., Buzzy®)
Imagery app for toddler
Restraint
To maintain industry in hospitalised school-ager
Let child rest only
Provide homework & achievable tasks
Give toys for toddlers
Skip schedules
Research shows parental presence during procedures usually
Increases distress
No effect
Decreases child anxiety
Delays care
Infant with RSV on high-flow O₂: priority diagnosis
Risk for skin breakdown
Ineffective airway clearance
Altered nutrition
Anxiety
Best discharge teaching evaluation for trach-dependent child
Parent verbalises steps
Parent performs trach change correctly
Provided brochure
Home health referral
During rounds, nurse’s key role is to
Present only vitals
Advocate for family goals & summarise plan
Quietly observe
Write orders
Child-life specialist most valuable when
Administering antibiotics
Preparing preschooler for MRI with medical play
Drawing labs in teen
Calculating meds
Planning 5-year-old burn-dressing change, nurse + child-life should
Skip rehearsal
Develop coping plan & rehearsal
Offer candy only
Exclude parents
Before discharge, child-life can help a 9-year-old post-appendectomy by
Changing dressings
Creating a home play/return-to-school plan
Filling prescriptions
Placing IV
FLACC 7/10 in 2-year-old post-op. First action?
Document only
Give ordered analgesic & reassess
Teach imagery
Delay meds
30 min after IV morphine: which requires intervention?
Sedated but arousable
SpO₂ 95%
Resp 8 min
Pain 3/10
Best reassessment tool for verbal 5-year-old
Numeric 0–10
CRIES
FACES scale
Glasgow
Most effective distraction for infant during IV start
Guided imagery
Sucrose-dipped pacifier with soft music
Deep breathing
Video game
Deep-breathing & guided imagery suit which group?
Infants
Toddlers
School-age children
Neonates
Enhancing adolescent pain-med adherence at home includes
Parent gives all meds
Teach pain diary & phone reminders
No self-administration
Skip opioids
Infants are prone to obstruction chiefly because of
Smaller stomach
Large tongue + narrow airway
Strong cough
Low metabolic rate
Children < 6 mo are obligatory
Mouth breathers
Chest breathers
Nasal breathers
Diaphragm breathers
Nasal congestion is dangerous in neonates because
They swallow air
Airway patency relies on nasal passages
High tidal volume
High reserve
Nasal flaring + grunting in 3-week-old signify
Mild cold
Impending respiratory failure
Teething
Normal crying
Which room-air SpO₂ in a child requires action?
98%
95%
93%
89%
Best site for capillary refill in febrile 4-year-old
Toe
Ear lobe
Sternum (central)
Finger nail with polish
Asthma attack: child using accessory muscles, speaks 2-word phrases. First nurse action?
Encourage fluids
Administer short-acting bronchodilator
Supine position
Teach PFM
CF admission: which order should be questioned?
Daily CPT
High-calorie diet
Codeine cough suppressant
Pancreatic enzymes
Discharge teaching for viral croup emphasises
Antibiotics course
Cool-mist & calming the child
Hot steam showers only
Oral steroids for months
Bronchiolitis infant with head midline, shoulders elevated benefits because this position
Reduces fever
Opens upper airway & eases diaphragm work
Improves digestion
Prevents reflux
Most effective way to thin CF mucus
Humidified oxygen only
Bronchodilator alone
Chest physiotherapy + hydration
Bed rest
Adolescent sickle-cell crisis, chest pain, SpO₂ 91%. Priority?
IV fluids
Pain meds
Apply high-flow oxygen
Teach coughing
Trait predisposing toddlers to poison ingestion
Abstract thought
Fear of new objects
Oral curiosity & exploration
Advanced judgment
Highest bicycle-injury incidence occurs in
Toddlers
School-age (6–10 yr)
Infants
Teens
Hot-water scald burns most common in
Infants
Toddlers (1–3 yr)
School-age
Adolescents
Primary survey sequence in pediatric trauma
CABDE
DCBAE
ABCDE (Airway, Breathing, Circulation, Disability, Exposure)
ABDEC
Fluid resuscitation for 18% TBSA partial-thickness burns in a 4-year-old should begin
After debridement
Within first 30 min
At 8 h
Next day
House-fire victim with singed nasal hairs—immediate action
Nebulise saline
Prepare for early intubation
Cool compress
Chest X-ray later
What is the correct dose per day for a 16 kg patient if the medication is 75 mg/kg?
200 mg
300 mg
400 mg
480 mg
How many mL should be administered if 500 mg is equivalent to 5 mL and the required dose is 300 mg?
2.5 mL
3 mL
3.5 mL
4 mL
Calculate the correct volume in mL for a dose of 160 mg if 12 mg is equivalent to 9.2 kg.
2 mL
2.5 mL
2.9 mL
3.5 mL
Using the Holliday-Segar method, what is the correct fluid requirement in mL for a 24-hour period for a patient weighing 28 kg?
1,400 mL
1,700 mL
1,800 mL
2,000 mL
If a bag contains 25,000 units per 250 mL, how many mL should be administered for a dose of 315 units per hour?
1.3 mL
3.2 mL
12 mL
31 mL
What is the correct infusion rate in mL per hour if the dose is 15 mg/kg and the pharmacy provides a dilution of 250 mL over 1.5 hours?
100 mL/h
150 mL/h
167 mL/h
200 mL/h
What is a classic symptom of scabies as outlined in the text?
Beefy-red rash with satellite lesions
Linear grey burrows at finger webs
Erythema migrans "bull's-eye" lesion
Periorbital cellulitis
What is the recommended treatment duration for oral griseofulvin in capitis?
2-4 weeks
4-6 weeks
6-8 weeks
8-10 weeks
What is the goal of an eczema plan according to the text?
Reduce redness and swelling
Itch control, moisture, infection prevention
Increase skin thickness
Eliminate all skin lesions
What does spreading cellulitis suggest according to the guidance?
Mild irritation
Risk of sepsis
Simple skin rash
Temporary discomfort
What is emphasized in the pediculosis plan?
Use of cold water
Single shampoo application
Hot water & dryer
Nit-comb usage
What is a 9-month gross-motor milestone?
Hop on one foot
Pull to stand
Speak sentences
Cooperative play
At what age is cooperative play typically observed?
2 years
3 years
5 years
7 years
What is the HEADSSS screening tool used for?
Gross-motor skills
Language development
Psychosocial risk
Nutritional assessment
What is the recommended amount of sleep for adolescents?
6 hours
7 hours
8 hours
9 hours
What is a classic toddler reaction on admission according to the therapeutic-care objectives?
Avoids visiting
Separation-anxiety protest
Loss of body boundaries
Ineffective airway clearance
What does withdrawal indicate in the context of maladaptation?
Coping
Maladaptation
Productive tasks
Parental presence
Why do preschoolers worry about their body according to the therapeutic-care objectives?
They fear separation
They need productive tasks
They worry their body will leak/lose parts
They require safe risk-taking
What is the highest ABC priority for an RSV infant on high-flow?
Separation-anxiety protest
Ineffective airway clearance
Loss of body boundaries
Avoids visiting
What aligns with child-life expertise in procedural preparation (MRI)?
Separation-anxiety protest
Aligns with objective
Avoids visiting
Loss of body boundaries
What is the rationale for using a rehearsal/coping plan in procedural success?
It decreases anxiety in children.
It maximizes 5-year procedural success.
It reduces the need for medication.
It shortens recovery time.
How does a school-re-entry play plan benefit children post-discharge?
It improves physical health.
It supports psychosocial transition.
It enhances academic performance.
It reduces hospital readmission rates.
What is the recommended intervention when bradypnoea occurs after opioid use?
Increase the opioid dosage.
Administer a sedative.
Respond to the potential overdose.
Ignore the symptom.
Why is a numeric pain scale considered reliable for children over 8 years old?
It is validated for children aged 4-8 years.
It is easy for children to understand.
It provides consistent results.
It is validated for children over 8 years.
What is the effect of sucrose and soothing music on infants?
It increases their appetite.
It is proven effective for pain relief.
It helps them sleep longer.
It reduces their crying.
Why are infants under 6 months considered obligate nasal breathers?
They have a large tongue.
They have a narrow airway.
They primarily breathe through their nose.
They cannot breathe through their mouth.
What is the significance of a central refill in assessing core perfusion?
It is reliable with fever.
It reflects peripheral perfusion.
It reflects core perfusion.
It is unreliable with fever.
What is the first step in managing an airway issue according to the provided material?
Administer fluids
Give SABA
Provide antibiotics
Start teaching
How does an opiate antitussive affect mucus clearance in cystic fibrosis?
Enhances clearance
Has no effect
Hinders clearance
Clears mucus completely
What is the recommended management for viral croup?
Antibiotics
Cool mist and calm environment
Opiate antitussive
Increased fluids
What position is suggested to align the airway and reduce diaphragm workload?
Supine position
"Sniffing" position
Prone position
Lateral position
What is the priority in suspected acute chest syndrome?
Pain medication
Fluid administration
Oxygen
Antibiotics
At what age do cycling injuries peak according to the epidemiology provided?
3-5 years
6-10 years
11-15 years
16-20 years
What is a common cause of scald patterns in toddlers?
Pulling hot liquids
Touching hot surfaces
Playing with fire
Sunburn
What is the established primary survey sequence mentioned in the material?
ABC
CAB
ABCDE
DEFG
What is the rationale for starting burn resuscitation (Parkland) as soon as possible?
To prevent infection
To prevent hypovolaemia
To reduce pain
To improve mobility
What does the presence of singed hairs indicate in airway management?
No immediate action needed
Secure airway first
Administer pain relief
Start fluid resuscitation
