Pediatric Nursing Procedures: Master Essential Skills for Pediatric Care

Question 1

Which medication is commonly used to treat asthma in children?

Accepted Answer

Salbutamol

Answer

Atenolol

Answer

Ibuprofen

Answer

Acetaminophen

Question 2

What is the most common cause of fever in children?

Accepted Answer

Infection

Answer

Dehydration

Answer

Trauma

Answer

Allergies

Question 3

What is the priority nursing action when a child is experiencing a seizure?

Accepted Answer

Protect the child from aspiration

Answer

Administer anticonvulsant medication

Answer

Monitor the child's vital signs

Answer

Call the healthcare provider

Question 4

Which nursing diagnosis is common for children with asthma?

Accepted Answer

Ineffective airway clearance

Answer

Risk for infection

Answer

Altered nutrition

Answer

Impaired gas exchange

Question 5

When providing oxygen therapy to a child, which factor is most important to consider?

Accepted Answer

Adjusting the flow rate to prevent respiratory distress

Answer

Disregarding the child's age and size

Answer

Using only a face mask for oxygen delivery

Question 6

The normal respiratory rate for a 2-year-old child is approximately:

Accepted Answer

20-30 breaths per minute

Answer

40-45 breaths per minute

Answer

30-35 breaths per minute

Answer

10-15 breaths per minute

Question 7

When collecting a urine sample from a young child via a clean-catch method, which step is crucial for preventing contamination?

Accepted Answer

Thoroughly cleaning the child's perineal area before and after the sample is collected.

Answer

Collecting a large enough sample for testing.

Answer

Using a sterile container to collect the sample.

Question 8

When suctioning a child, what is a primary indication to stop the procedure?

Accepted Answer

Change in the child's vital signs

Answer

When the suction cup is full

Answer

When the desired amount of secretions has been suctioned

Answer

When the child begins to cry

Question 9

When preparing a child for an intravenous (IV) line insertion, which approach is essential to minimize anxiety and increase cooperation?

Accepted Answer

Explaining the procedure using age-appropriate language

Answer

Administering a sedative to calm the child

Answer

Restraining the child to prevent movement

Question 10

Which of the following is a primary nursing responsibility when administering an enema to a pediatric patient?

Accepted Answer

Ensuring the child's privacy and maintaining their comfort

Answer

Administering the enema solution rapidly

Answer

Inserting the enema tip beyond the rectum

Answer

Positioning the child in a prone position

Question 11

Which non-invasive method is commonly used to monitor oxygen saturation levels in children?

Accepted Answer

Pulse oximetry

Answer

Capillary blood gas analysis

Answer

Transcutaneous oxygen monitoring

Answer

Arterial blood gas analysis

Question 12

What is the primary purpose of chest physiotherapy in pediatric care?

Accepted Answer

To loosen and mobilize respiratory secretions

Answer

To prevent atelectasis

Answer

To reduce pain and discomfort

Answer

To improve lung capacity

Question 13

When caring for a child with a urinary catheter, which nursing intervention is essential to prevent infection?

Accepted Answer

Maintaining aseptic technique during catheter care

Answer

Applying a warm compress to the insertion site

Answer

Irrigating the catheter regularly

Answer

Encouraging the child to drink plenty of fluids

Question 14

For administering immunizations to infants and young children, which route of administration is recommended?

Accepted Answer

Intramuscular injection

Answer

Subcutaneous injection

Answer

Intradermal injection

Answer

Oral ingestion

Question 15

Which technique is used to calm an agitated infant before administering an injection to minimize discomfort and prevent resistance?

Accepted Answer

Swaddling

Answer

Talking softly to the infant

Answer

Administering a sedative

Answer

Restraining the infant

Question 16

When preparing to administer a medication via nebulizer to a pediatric patient, the most critical step is:

Accepted Answer

Properly diluting the medication according to the manufacturer's instructions

Answer

Placing the nebulizer at a low flow rate

Answer

Using a mouthpiece instead of a mask

Answer

Administering the medication for at least 10 minutes

Question 17

For a dehydrated pediatric patient, which route of medication administration allows for rapid absorption and replenishment of fluids?

Accepted Answer

Intravenous

Answer

Rectal

Answer

Oral

Answer

Subcutaneous

Question 18

A common adverse reaction to a Mantoux tuberculin skin test, indicating a positive result, is:

Accepted Answer

Local induration (swelling and hardening)

Answer

Anaphylaxis

Answer

Edema

Answer

Hypotension

Question 19

When drawing blood from a pediatric patient via venipuncture, the preferred vein for access is:

Accepted Answer

Cephalic vein (located on the back of the hand)

Answer

Femoral vein

Answer

Jugular vein

Answer

Basilica vein

Question 20

An important consideration when suctioning a pediatric patient to effectively remove secretions without causing harm is:

Accepted Answer

Using a catheter of appropriate size to match the patient's airway

Answer

Inserting the catheter deeply into the airway

Answer

Applying excessive negative pressure

Answer

Suctioning for extended periods

Question 21

A lumbar puncture, which involves inserting a needle into the spinal canal to collect cerebrospinal fluid, is primarily performed to diagnose:

Accepted Answer

Meningitis (infection of the membranes covering the brain and spinal cord)

Answer

Fractured skull

Answer

Seizures

Answer

Vomiting

Question 22

When administering an enema to a pediatric patient to cleanse the lower bowel, the recommended position for optimal fluid retention and comfort is:

Accepted Answer

Left lateral Sims' position (lying on the left side with the knees bent)

Answer

Prone position

Answer

Sitting position

Answer

Supine position

Question 23

Before administering any medication to a child, the nurse should:

Accepted Answer

Check the child's allergies, medical history, and medication reconciliation.

Answer

Administer the medication as ordered.

Answer

Document the medication administration.

Answer

Dilute the medication as ordered.

Question 24

Which of the following is a nursing intervention for a child with diarrhea?

Accepted Answer

Monitor fluid intake and output, and provide oral rehydration if needed.

Answer

Restrict the child's activity.

Answer

Isolate the child from other children.

Answer

Administer antidiarrheal medication.

Question 25

When caring for a child with a fever, the nurse should:

Accepted Answer

Monitor the child's temperature and provide antipyretics as ordered. Remove excess clothing and encourage oral fluids.

Answer

Cool the child with ice packs.

Answer

Cover the child with blankets to induce sweating.

Question 26

Which of the following is a sign of dehydration in a child?

Accepted Answer

Sunken eyes and decreased skin turgor

Answer

Good skin turgor

Answer

Increased urine output

Answer

Flushed skin

Question 27

When assessing a child's respiratory status, the nurse should auscultate:

Accepted Answer

Breath sounds, noting any wheezes, crackles, or diminished sounds.

Answer

Heart sounds, noting any murmurs or arrhythmias.

Answer

Bowel sounds, noting any hyperactive or hypoactive sounds.

Question 28

When preparing a child for surgery, the nurse should:

Accepted Answer

Explain the procedure to the child in terms they can understand and answer their questions.

Answer

Restrain the child during the procedure.

Answer

Sedate the child prior to the procedure.

Question 29

During the administration of a rectal medication to a 3-year-old child, what action is essential to ensure the child's safety?

Accepted Answer

Lubricate the rectal tube before insertion.

Answer

Distract the child with a toy during the procedure.

Answer

Administer the medication using a syringe.

Answer

Ask the child's parent or guardian to hold the child still.

Question 30

When administering an intramuscular injection to a 6-month-old infant, which injection site is most appropriate?

Accepted Answer

Vastus lateralis muscle

Answer

Dorsogluteal muscle

Answer

Deltoid muscle

Answer

Ventrogluteal muscle

Question 31

To determine the effectiveness of oxygen therapy via nasal cannula in a 4-year-old child, which finding should the nurse prioritize?

Accepted Answer

Oxygen saturation of 95% or higher

Answer

Heart rate of 120 beats per minute

Answer

Presence of subcostal retractions

Answer

Respiratory rate of 30 breaths per minute

Question 32

When teaching parents about preventing accidental poisoning in toddlers, which instruction is most crucial to include?

Accepted Answer

Store medications and cleaning supplies in a locked cabinet, out of the child's reach.

Answer

Keep a bottle of syrup of ipecac on hand in case of ingestion.

Answer

Never refer to medicine as candy to avoid confusion.

Question 33

When assessing a child's pain level, which method is generally considered most reliable?

Accepted Answer

Using an age-appropriate pain assessment tool

Answer

Observing the child's behavior for signs of pain

Answer

Asking the child's parents or guardians to rate the child's pain level

Question 34

Immediately following a circumcision, which nursing intervention is the highest priority for the nurse?

Accepted Answer

Apply gentle pressure to the circumcision site with sterile gauze to control bleeding.

Answer

Cleanse the circumcision site with soap and water to prevent infection.

Answer

Apply a loose-fitting diaper to avoid discomfort.

Question 35

When administering medication via a gastrostomy (G) tube, which action is most critical for the nurse to take?

Accepted Answer

Verify tube placement before administering the medication.

Answer

Flush the G-tube with water after administering the medication to ensure patency.

Answer

Mix the medication with the child's formula to improve palatability.

Question 36

Which toy is most developmentally appropriate for a 6-month-old infant?

Accepted Answer

Soft, textured ball that encourages grasping and exploration

Answer

Tricycle, which is too advanced for a 6-month-old infant's physical abilities

Answer

Crayons and coloring book, which require fine motor skills not yet developed at this age

Answer

Puzzle with large pieces, which may be too challenging and frustrating

Question 37

During a parent education session about introducing solid foods to a toddler, which statement by the parents indicates a need for further teaching?

Accepted Answer

We plan to give our child honey on their toast.

Answer

We will introduce one new food at a time to monitor for allergies.

Answer

We will start with pureed foods and gradually increase the texture and variety.

Answer

We will offer our child small, bite-sized pieces of soft foods.

Question 38

When caring for a child with a fever, which intervention is appropriate to reduce the child's temperature?

Accepted Answer

Administering acetaminophen as ordered by the healthcare provider.

Answer

Encouraging the child to drink less fluids, which can lead to dehydration.

Answer

Immersing the child in a cold bath, which can cause hypothermia and shivering.

Answer

Applying ice packs to the child's groin and axillae, which can cause vasoconstriction and impede heat dissipation.

Question 39

For infants under 3 months of age, which muscle is the most appropriate site for intramuscular injections?

Accepted Answer

Vastus lateralis muscle

Answer

Ventrogluteal muscle

Answer

Rectus femoris muscle

Answer

Deltoid muscle

Question 40

When suctioning a child's airway, the catheter size should be:

Accepted Answer

Smaller than the child's nares

Answer

Larger than the child's trachea

Answer

Equal to the child's oropharynx

Question 41

Which condition is a contraindication for administering a suppository to a child?

Accepted Answer

Rectal prolapse

Answer

Diarrhea

Answer

Vomiting

Answer

Fever

Question 42

To measure the length of an NG tube for insertion in a child, the measurement is taken from:

Accepted Answer

The tip of the nose to the earlobe, then to the xiphoid process

Answer

The tip of the nose to the chin, then to the xiphoid process

Answer

The tip of the nose to the xiphoid process

Question 43

A common complication associated with IV therapy in children is:

Accepted Answer

Infiltration

Answer

Hyperglycemia

Answer

Hypotension

Answer

Anemia

Question 44

When performing a physical examination on a child, it's essential to use a:

Accepted Answer

Gentle and non-threatening approach

Answer

Loud and assertive voice

Answer

Cold and distant demeanor

Answer

Restraining hold

Question 45

What is a priority nursing intervention when caring for a child with a fever?

Accepted Answer

Monitor vital signs and provide comfort measures

Answer

Restrain the child to prevent movement

Answer

Apply a cooling blanket

Answer

Administer antipyretics

Question 46

When administering an enema to a child, it's crucial to:

Accepted Answer

Use a small amount of fluid and insert the tip gently

Answer

Use a large catheter to ensure thorough evacuation

Answer

Administer the entire solution quickly

Question 47

Which of the following is a sign of dehydration in a child?

Accepted Answer

Sunken fontanelles

Answer

Bright red skin

Answer

Normal capillary refill time

Answer

Clear urine output

Question 48

Before a lumbar puncture on a child, it's essential to:

Accepted Answer

Position the child in the fetal position

Answer

Administer a sedative prior to the procedure

Answer

Restrain the child's head and neck

Answer

Place the child in a supine position

Question 49

Which of the following is the recommended needle size for an intramuscular injection in a 3-month-old infant?

Accepted Answer

25 gauge

Answer

22 gauge

Answer

27 gauge

Answer

23 gauge

Question 50

What is the correct site for an intravenous injection in a neonate?

Accepted Answer

Umbilical vein

Answer

Femoral vein

Answer

Jugular vein

Answer

Peripheral vein

Question 51

Which type of tracheostomy tube is most commonly used in pediatric patients?

Accepted Answer

Fenestrated

Answer

Uncuffed

Answer

Double-lumen

Answer

Cuffed

Question 52

What is the significance of measuring the child's respiratory rate by counting breaths for a full minute?

Accepted Answer

Ensures accuracy and avoids undercounting.

Answer

Provides a more detailed assessment

Answer

Conserves time

Answer

Is less likely to startle the child

Question 53

Which of the following is NOT a symptom of hypoglycemia in infants?

Accepted Answer

Seizures

Answer

Lethargy

Answer

Apnea

Answer

Jitteriness

Question 54

What is the recommended time interval for measuring vital signs in a stable hospitalized child?

Accepted Answer

Every 4 hours

Answer

Every 6 hours

Answer

Every 2 hours

Answer

Every 8 hours

Question 55

Which of the following nursing interventions is most important in the prevention of pressure injuries in pediatric patients?

Accepted Answer

Frequent repositioning

Answer

Elevation of heels

Answer

Use of foam dressings

Answer

Application of barrier creams

Question 56

What is the primary indication for nasogastric suctioning in pediatric patients?

Accepted Answer

Clear airway obstruction

Answer

Administer nutrition

Answer

Prevent aspiration

Answer

Monitor gastric pH

Question 57

Which of the following is a potential complication associated with chest tube placement in children?

Accepted Answer

Pneumothorax

Answer

Bradycardia

Answer

Hemothorax

Answer

Hypotension

Question 58

What is the most effective nursing intervention to reduce anxiety in a child undergoing a painful procedure?

Accepted Answer

Provide age-appropriate explanations and distraction techniques

Answer

Use restraints to prevent movement

Answer

Administer sedative medications