Question

The nurse is caring for a two year old child that was bit by a dog. Which of the following should the nurse plan to implement? Select all that apply.

Answer 1

Correct Answers:

Inquiring about immunization status of the dog
Provide support and education to the family about PEP (postexposure prophylaxis)

Rationale :

Inquire about dog’s immunization status

🔷Obtaining the animal’s rabies vaccination history immediately guides the need, urgency, and dosing of rabies PEP.

🔷 Documenting the animal’s availability for 10-day observation helps determine whether PEP can be deferred or discontinued.

🔷 This step also informs tetanus risk assessment, because dirty wounds (like bites) may require tetanus booster/ TIG depending on the child’s immunization status.

🔷 Early collection of contact details for animal control/public health enables rapid follow-up and legal reporting requirements.

🔷 Clarifying vaccine status reduces parental anxiety and supports shared decision-making about prophylaxis.

Provide support and education about rabies PEP

🔷 Parents need clear teaching that rabies is almost universally fatal once symptomatic, making timely PEP essential after high-risk exposures.

🔷 PEP typically includes human rabies immune globulin (HRIG) infiltrated around the wound and a vaccine series on a defined schedule; adherence is crucial.

🔷 The nurse should review wound care, return precautions (neurologic or systemic symptoms), and the plan for public health follow-up.

🔷 Education should include common adverse effects (e.g., local soreness, low-grade fever) and analgesia measures appropriate for children.

🔷 Supportive communication addresses trauma, fear, and guilt, reinforcing safety planning around animals to prevent future bites.

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Answer 2

Correct Answers:

"I will keep him covered with several blankets because fever makes him shiver."

Rationale :

🔶Children with fever should be kept lightly dressed; heavy bundling impairs heat loss and can raise core temperature further.

🔶Shivering is a heat-gaining mechanism, not a cue to over-cover; using light bedding and keeping the room comfortably cool promotes comfort and safety.

🔶Evidence-based care focuses on hydration, monitoring behavior and urine output, and giving age-appropriate antipyretics for discomfort.

🔶Parents should watch for red flags (e.g., lethargy, respiratory distress, persistent vomiting, poor urine output) and seek care promptly.

🔶Teaching should emphasize dose accuracy for acetaminophen/ibuprofen and avoidance of aspirin in children due to Reye syndrome risk.

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Answer 3

Correct Answers:

"All recently used clothing, bedding, and towels must be washed in hot water."

Rationale :

💎Management includes pediculicide treatment plus environmental decontamination: wash recently used items in hot water (≥54–60 °C) and high-heat drying.

💎Items that cannot be washed should be sealed in plastic for 2 weeks, the approximate survival time of lice off the scalp.

💎Combs/brushes should be soaked in hot (not boiling) water for at least 5–10 minutes to kill lice and nits.

💎Nit removal with a fine-toothed comb improves treatment efficacy and helps prevent reinfestation.

💎Families should re-check the scalp in 7–10 days and retreat according to product directions if live lice persist.

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Answer 4

Correct Answers:

Upon admission

Rationale :

✍️ Discharge planning begins at admission to coordinate complex needs typical after spinal cord injury (mobility, respiratory care, bladder/bowel, skin).

✍️ Early planning aligns interprofessional services (PT/OT, rehab medicine, social work, case management, school liaison).

✍️ It allows timely caregiver training, equipment procurement (wheelchair, transfer devices), and home safety modifications.

✍️ Starting early supports goal-setting, insurance authorization, and community resource linkage for a safe transition.

✍️ A proactive plan reduces readmissions, enhances family readiness, and improves long-term outcomes.

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Answer 5

Correct Answers:

a 16 year old with new onset slurred speech

Rationale :

🟡Acute neurologic deficits (e.g., dysarthria) indicate possible stroke, intracranial hemorrhage, toxic/metabolic process, or TBI, requiring immediate evaluation.

🟡Early recognition enables time-sensitive interventions (stroke alerts, imaging, airway protection) that preserve brain tissue.

🟡Airway, breathing, circulation, disability (ABCD) prioritization places neurologic compromise ahead of stable injuries or noncritical complaints.

🟡Rapid assessment includes glucose check, vital signs, GCS, and exposure history (substances/trauma).

🟡Prompt action reduces morbidity, prevents secondary brain injury, and guides appropriate disposition.

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Answer 6

Correct Answers:

Focusing on the family as the unit of care

Rationale :

📌 In pediatric palliative care, the child and family are inseparable, making the family the unit of care.

📌 This approach addresses emotional, cultural, spiritual, and practical needs of caregivers and siblings, not just the patient’s symptoms.

📌 Shared decision-making, anticipatory guidance, and consistent communication reduce distress and improve satisfaction with care.

📌 Supporting family routines, memory-making, and legacy activities honors values and promotes healthy bereavement.

📌 The nurse’s role includes symptom management coaching, caregiver support, and coordination across settings to maintain comfort and dignity.

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Answer 7

Correct Answers:

portal of exit

Rationale :

🔴The portal of exit is the path by which pathogens leave the host (e.g., respiratory droplets).

🔴Respiratory etiquette (covering cough/sneeze, masks, tissues) blocks droplet emission, reducing transmission.

🔴This measure complements hand hygiene and environmental cleaning, which target other links in the chain.

🔴Breaking the portal of exit link reduces R₀ for many infections (influenza, RSV, pertussis).

🔴Education should include proper disposal of tissues and hand hygiene immediately after cough/sneeze control.

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Answer 8

Correct Answers:

as soon as all lesions are crusted.

Rationale :

✔️Children with varicella are typically contagious from 1–2 days before rash until all lesions are crusted, which signals noninfectiousness.

✔️Crusting usually occurs by day 5–7 after rash onset, but individual variation requires lesion-based clearance rather than a fixed day.

✔️Re-entry when crusted protects classmates and staff and aligns with public health guidance.

✔️No new vesicles for 24 hours supports readiness to return.

✔️Families should continue skin care, itch control, and watch for secondary bacterial infection of lesions.

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Answer 9

Correct Answers:

Mild pain
Purulent discharge

Rationale :

Mild pain

✴️Bacterial conjunctivitis often causes gritty discomfort or mild pain, not severe ocular pain.

✴️The conjunctival inflammation produces erythema and irritation that children describe as burning or sandiness.

✴️Severe pain or vision loss suggests keratitis, uveitis, or glaucoma, prompting urgent evaluation rather than routine outpatient care.

✴️Recognizing pain quality helps distinguish bacterial from allergic (itch-predominant) or viral (watery/photophobia) processes.

✴️Appropriate expectations help families adhere to therapy and monitor for escalation.

Purulent discharge

✴️Thick, mucopurulent discharge that reaccumulates after wiping is classic for bacterial etiology.

✴️Morning lid crusting and matting further supports the diagnosis.

✴️Management involves topical antibiotics (agent guided by age/local resistance) and hygiene to limit spread.

✴️Families should avoid shared towels/pillows and practice hand hygiene to prevent household transmission.

✴️Contact lens users require special caution due to keratitis risk.

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Answer 10

Correct Answers:

Suction equipment and oxygen

Rationale :

🖍 Airway and breathing are the top priorities during and after tonic–clonic seizures; suction clears secretions to prevent aspiration.

🖍 Supplemental oxygen treats postictal hypoxemia and supports SpO₂ during prolonged events.

🖍 Keeping these items ready and functional shortens response time and improves outcomes.

🖍 Staff should also ensure patent IV access, side-rail padding, and a plan for timed benzodiazepine rescue per protocol if seizure is prolonged.

🖍 Education includes recovery position, nothing in the mouth, and postictal monitoring for breathing and injury.

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Peds Exam 2 Fall 2025

No.

1 :
The nurse is caring for a two year old child that was bit by a dog. Which of the following should the nurse plan to implement? Select all that apply.

2 :
A mother of a 5 year old calls the clinic due to concerns about her child's fever. Which of the following statements by the mother requires further teaching?

3 :
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

4 :
A child is getting admitted to the pediatric intensive care unit after being involved in a Motor vehicle accident. The child sustained a spinal cord injury, resulting in paralysis. When should discharge planning begin?

5 :
A nurse starting her shift in the ED is reviewing her patients. Which of the following children should the nurse assess first?

6 :
When providing care to a dying child and his family, which would be most important?

7 :
Instructing patients to cover mouths and noses while sneezing and coughing controls which link in the chain of infection?

8 :
Parents usually ask when their child can return to school after having chickenpox (varicella). The correct answer would be

9 :
Assessment of a child leads the nurse to suspect bacterial conjunctivitis based on what findings? Select all that apply.

10 :
The nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents which items need to be placed at the bedside?

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Peds Exam 2 Fall 2025

No.

1 : The nurse is caring for a two year old child that was bit by a dog. Which of the following should the nurse plan to implement? Select all that apply.

2 : A mother of a 5 year old calls the clinic due to concerns about her child's fever. Which of the following statements by the mother requires further teaching?

3 : A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

4 : A child is getting admitted to the pediatric intensive care unit after being involved in a Motor vehicle accident. The child sustained a spinal cord injury, resulting in paralysis. When should discharge planning begin?

5 : A nurse starting her shift in the ED is reviewing her patients. Which of the following children should the nurse assess first?

6 : When providing care to a dying child and his family, which would be most important?

7 : Instructing patients to cover mouths and noses while sneezing and coughing controls which link in the chain of infection?

8 : Parents usually ask when their child can return to school after having chickenpox (varicella). The correct answer would be

9 : Assessment of a child leads the nurse to suspect bacterial conjunctivitis based on what findings? Select all that apply.

10 : The nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents which items need to be placed at the bedside?

1 :
The nurse is caring for a two year old child that was bit by a dog. Which of the following should the nurse plan to implement? Select all that apply.

2 :
A mother of a 5 year old calls the clinic due to concerns about her child's fever. Which of the following statements by the mother requires further teaching?

3 :
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

4 :
A child is getting admitted to the pediatric intensive care unit after being involved in a Motor vehicle accident. The child sustained a spinal cord injury, resulting in paralysis. When should discharge planning begin?

5 :
A nurse starting her shift in the ED is reviewing her patients. Which of the following children should the nurse assess first?

6 :
When providing care to a dying child and his family, which would be most important?

7 :
Instructing patients to cover mouths and noses while sneezing and coughing controls which link in the chain of infection?

8 :
Parents usually ask when their child can return to school after having chickenpox (varicella). The correct answer would be

9 :
Assessment of a child leads the nurse to suspect bacterial conjunctivitis based on what findings? Select all that apply.

10 :
The nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents which items need to be placed at the bedside?