Focus on Child Health Practice Exam

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• Which psychosocial factors can influence a child's health?
• What is the most effective way to prevent the spread of respiratory syncytial virus (RSV) infection among children?
• What characteristic is expected in a child who is described as obtunded during a neurological assessment?
• At what age is it typical for a child to develop a pincer grasp?
• What complication is most commonly associated with long-term transfusion therapy in a child with beta-thalassemia?
• After cardiac catheterization, in what position can an infant be held?
• What is the term for a pervasive pattern of inattention and/or hyperactivity-impulsivity in children?
• What should a nurse consider when educating a parent about managing impetigo?
• How often should newborns typically be checked for jaundice?
• Which statement reflects an understanding of hydration needs in pediatric care?
• What is an important consideration when prescribing medication for pediatric patients?
• What is a recommended action during a painful exacerbation of juvenile idiopathic arthritis?
• What indicates a successful hydrostatic reduction in a child diagnosed with intussusception?
• What medication should always be available when administering allergy injections?
• What is the main benefit of breastfeeding for infants?
• What is a potential emergency sign to monitor for in a child after tonsillectomy?
• What is the leading cause of injury-related deaths in children?
• How is Hirschsprung's disease definitively diagnosed?
• What is the recommended action when a child presents with symptoms of anaphylaxis?
• During an assessment for signs of meningitis, what does a positive Kernig sign indicate?
• What is the pediatric dental recommendation for the age of the first dental visit?
• What is a recommended dietary replacement for children with celiac disease?
• In the context of self-care for a child with type 1 diabetes, which task can be delegated to a school-age child?
• What home care instruction indicates a need for further education regarding sinusitis management?
• What does the term "attachment parenting" refer to?
• How many hours of sleep are recommended for toddlers aged 1-3 years?
• What is the most significant preoperative assessment to reduce aspiration risk in a child scheduled for a tonsillectomy?
• When should a follow-up virologic test be performed for an HIV-exposed infant?
• What is an appropriate nursing action for a child recovering from cleft lip repair?
• What should a nurse prepare immediately for a child in acute sequestration crisis due to sickle cell disease?
• What is the maximum recommended temperature at which parents should report their child's fever after cardiac catheterization?
• What must a nurse provide to a patient with systemic lupus erythematosus planning to spend a day at the beach?
• What dietary recommendation should be made for children with ITP?
• What is the most common cause of child mortality in developing countries?
• When monitoring the effectiveness of deferoxamine therapy, what laboratory value should the nurse prioritize?
• Which statement about managing primary nocturnal enuresis is true?
• Which result from a tuberculin skin test indicates exposure to tuberculosis in a child with an immunosuppressive condition?
• What is an important care instruction for a child with rubeola?
• Which clinical finding supports the diagnosis of congenital diaphragmatic hernia (CDH) in an infant?
• Which of the following statements indicates that an adolescent understands how to use a metered-dose inhaler (MDI) correctly?
• What is the importance of early literacy in child development?
• What is the recommended intervention for managing childhood obesity?
• How long should an affected leg be kept straight after cardiac catheterization?
• What is a crucial instruction for a mother caring for a child with impetigo?
• What is the typical therapeutic range for digoxin in ng/mL?
• What is essential when providing home care for a child with sinusitis?
• Which manifestation is commonly seen in nephrotic syndrome?
• In what order should a nurse prioritize actions for a child suspected of having infective endocarditis?
• Which measurement is most used to assess nutritional status in children?
• What is a common sign of dehydration in infants?
• What does the presence of black, tarry stools indicate in a child receiving iron supplements?
• Which dietary statement by the mother of a child with Crohn's disease shows an understanding of dietary instructions?
• What type of seizure is characterized by a blank expression and eyelid fluttering lasting 5 to 10 seconds?
• Which emotional issue can arise in children when parents are going through a divorce?
• For a child with exercise-induced asthma, when should a bronchodilator be used?
• If an immunocompromised child has been exposed to varicella, what immediate action should be taken?
• Following myringotomy, what should the nurse advise the mother regarding drainage from the child's ears?
• How often should children age 2 and older have a complete physical examination?
• For a child diagnosed with hemophilia, what should be avoided during home care?
• What physiological change occurs during puberty in girls?
• Intravenous immune globulin (IVIG) is prescribed for Kawasaki disease primarily to?
• What statement made by parents of a child with immune thrombocytopenic purpura (ITP) indicates understanding of home care instructions?
• After a tonsillectomy, which action should a nurse question?
• Which of the following is a typical symptom of a celiac crisis?
• How does the prevalence of childhood obesity vary by socioeconomic status?
• What is the priority assessment for an infant with hypospadias?
• When is the second dose of the varicella vaccine recommended?
• Which is the best indicator of a healthy weight range in children?
• What assessment finding indicates improvement in a child experiencing respiratory distress during an acute asthma episode?
• What is the primary source of nutrition for infants during the first 6 months of life?
• What manifestation should a nurse expect in an infant with hypertrophic pyloric stenosis?
• Which statement about managing lice infestation indicates that a parent needs further instruction?
• At what age should children receive their first dose of the measles, mumps, and rubella (MMR) vaccine?
• What condition is characterized by edema and proteinuria?
• Which symptom should a nurse expect to find in an infant with Hirschsprung's disease?
• Which method is most reliable for determining if pharyngitis is bacterial or viral?
• At what age is scoliosis screening typically recommended for children?
• Which question would a nurse ask to assess a child suspected of having Osgood-Schlatter disease?
• What information should a nurse provide to parents after their child has heart surgery?
• What is the recommended treatment for a child diagnosed with acute otitis media?
• During post-operative care for a child who had a lumbar puncture, which assessment is most crucial?
• What statement from a mother indicates a need for further instruction post-myringotomy with tympanostomy tubes?
• What developmental milestone is typically achieved at age 3?
• What immediate action should a nurse take when a child with suspected meningitis arrives?
• Which condition involves dark, foul-smelling stools and indicates possible malabsorption?
• What is the recommended daily intake of vitamin D for infants?
• If a newborn is diagnosed with esophageal atresia and tracheoesophageal fistula, what position should the nurse place the infant?
• What factor can trigger a celiac crisis in a child with celiac disease?
• For a child experiencing wheezing, which medication is typically administered first?
• What symptom should a nurse inquire about to assess a child for rheumatic fever?
• What is the most prevalent chronic illness among children?
• What is a common characteristic of autism spectrum disorder (ASD)?
• What laboratory finding is expected in a child with acute glomerulonephritis?
• What is the initial action the nurse should take for a newborn of an HIV-positive mother?
• To reduce the risk of sudden infant death syndrome (SIDS), infants should be placed in which position for sleep?
• What is one of the most reliable indicators of a child's developmental health?
• If a child’s capillary refill time distal to a cast is noted as 4 seconds, what should the nurse's next action be?
• What is the significance of the Apgar score?
• In the preoperative period for a pyloromyotomy, how should the nurse position the infant?
• Which pediatric condition is often induced by high fever and affects children under 5?
• How is allergic rhinitis commonly treated in children?
• For an infant diagnosed with hemophilia, what action should be taken to ensure safety?
• What is a common treatment for Osgood-Schlatter disease?
• What finding indicates postoperative bleeding in a child who has undergone a tonsillectomy?
• Which measure is considered inappropriate following a tonsillectomy?
• How many milliliters of amoxicillin should be administered to a child after calculating the dose?
• What is the impact of secondhand smoke exposure on children?
• Which pediatric condition is characterized by swelling of the lymph nodes, fever, and sore throat?
• At what age should a child be able to walk independently?
• Which symptom indicates the presence of superior mesenteric artery syndrome?
• Which question should a nurse ask to assess for symptoms associated with von Willebrand's disease?
• Which symptom may indicate acute poststreptococcal glomerulonephritis?
• What is the first intervention a nurse should implement for a child experiencing an acute asthma attack?
• What is the purpose of the Denver Developmental Screening Test?
• What condition could result from an acute sequestration crisis in a child with sickle cell disease?
• What does the term "pediatric triage" refer to?
• What should be avoided to help prevent urinary tract infections in children?
• What action should a nurse take if an infant's serum digoxin level is 0.6 ng/mL?
• In managing a child with conjunctivitis, what can help prevent the spread of infection?
• In the context of valproic acid prescriptions for adolescents, which condition should be monitored closely due to potential contraindications?
• What primary preventive strategy can help reduce the risk of sudden infant death syndrome (SIDS)?
• What best describes the expected drainage following a myringotomy procedure?
• What is one of the leading factors contributing to childhood obesity?
• If a child with acute appendicitis suddenly reports relief from abdominal pain, what is the priority nursing intervention?
• Which statement by a mother indicates a need for further instruction regarding HIV transmission?
• How long does it typically take for a plaster of Paris cast to dry after application?
• In patients with gastroesophageal reflux disease (GERD), how does pacifier use affect the condition?
• When providing care for a child with bacterial conjunctivitis, what important instruction should be given to the parents?
• What is Kawasaki disease characterized by?
• What behavior should a child with asthma avoid during exercise to prevent symptoms?
• What is the primary consequence of untreated Kawasaki disease?
• Which developmental screening tool is commonly used for children aged 0-5 years?
• What statement by a mother of an infant with gastroesophageal reflux disease (GERD) indicates a need for further instruction?
• What type of dietary supplement is often recommended for children with Crohn's disease?
• If an infant's heart rate is 110 beats/min, what should the nurse do before administering digoxin?
• What is a common complication of severe respiratory distress in children?
• Which intervention is most appropriate for a 3-year-old child with leukemia who is experiencing nausea due to chemotherapy?
• What is a common sign of respiratory distress in a child?
• How should a pediatric clinician assess for developmental delays?
• What lifestyle change is often recommended for children with iron-deficiency anemia?
• Which activity is appropriate for a school-age child hospitalized with acute febrile rheumatic fever?
• What should be closely monitored in a child recovering from surgery for appendicitis?
• What strategy can help prevent child maltreatment?
• What condition is characterized by an avoidance of certain food groups to the point of malnutrition?
• When should pancreatic enzyme preparations be administered to a child with cystic fibrosis?
• What factors contribute to the successful management of diabetes in children?
• In preparing for a child’s appendectomy, which preoperative prescription should raise concern?
• Which medication can be given for pain relief after cardiac catheterization?
• Which diagnostic test is commonly used to confirm a diagnosis of cystic fibrosis?
• What is a primary concern when taking care of an HIV-positive child with diarrhea?
• Which type of precaution should be implemented for a child with acute bacterial meningitis upon admission?
• What should be avoided for at least one week post-cardiac catheterization?
• What symptom is typically associated with a brain tumor in children?
• Which of the following indicates a mother understands post-operative care instructions for her child who underwent cleft lip repair?
• What is the recommended action for a child experiencing an acute asthma exacerbation?
• Which vaccine is administered to infants first at birth?
• What is a common dietary strategy for managing symptoms in children with irritable bowel syndrome?
• What is the primary purpose of well-child visits?
• What should a nurse monitor in a child suffering from dehydration?
• What infection is often associated with the presence of a non-productive cough in children?
• When should the nurse advise contact with the healthcare provider following tonsillectomy?
• What is one of the first interventions to carry out when a child is experiencing a seizure?
• For an infant with thrush, how should oral nystatin suspension be administered?
• What is the most serious complication associated with skeletal traction?
• What is the primary nursing intervention for a child with a diagnosis of acute appendicitis?
• Which discharge instruction should be given to parents after their child's cardiac catheterization?
• What risk is heightened in children with burn injuries due to their larger body surface area compared to adults?
• During assessment, which urinary output should cause a nurse to be concerned about dehydration in a school-age child?
• What food items are safe to provide a child after a tonsillectomy?
• What is the main focus of treatment for irritable bowel syndrome in children?
• Which nutrition intervention is critical for preventing iron-deficiency anemia in children?
• What should be administered with oral iron to aid absorption?
• What dietary adjustment is crucial for a child recovering from glomerulonephritis?
• Which early sign indicates increased intracranial pressure (ICP) in a child?
• Before administering intravenous potassium chloride to a severely dehydrated child, what must the nurse do?
• What pediatric disorder is characterized by a failure to thrive and can result from neglect or abuse?
• Which population is at higher risk for lead poisoning?
• When caring for a child diagnosed with Wilms' tumor, what is the primary nursing intervention?
• Which high-calcium food is recommended for a child with lactose intolerance?
• What does the AAP recommend regarding screen time for children under 2 years old?
• What should the mother of an infant in a Pavlik harness be counseled on regarding the harness?
• How is hepatitis A primarily transmitted?
• What is the most effective way to assess hydration status in a child?
• How should parents manage fluids for a child with nighttime bedwetting?
• Which finding would indicate to the nurse that a child may be experiencing complications of hemophilia?
• What is the best indicator that a child with severe vomiting due to HIV-positive status is improving?
• Which nursing intervention should be avoided in a child with diarrhea?
• Which demographic is at the highest risk for developing beta-thalassemia?
• What is a necessary precaution when administering oxygen at home to an infant?
• What is the recommended follow-up for children diagnosed with asthma?
• In the event of a joint injury in a child with hemophilia, what is the first action a nurse should recommend to the parent?
• What is the appropriate response when a seizure occurs in a child?
• What cerebrospinal fluid (CSF) finding would confirm a diagnosis of bacterial meningitis?
• In the context of acute asthma management, what does increased wheezing signify?
• Which pediatric client is least at risk for developing otitis media?
• Which caution should be taken regarding feeding an infant with bronchopulmonary dysplasia while using oxygen?
• What is a primary nursing concern for a child receiving chemotherapy for leukemia?
• What is the typical age range for peak incidence of Wilms' tumor?
• What item is recommended for administering pancrelipase to a child with cystic fibrosis?
• Which intervention is essential to perform immediately if meningitis is suspected in a child?
• A child with diarrhea shows signs of dehydration. Which assessment finding is likely?
• What action should parents take if their child experiences stridor at rest due to acute spasmodic croup?
• At what age can a child typically speak in sentences of two to three words?