Tiêu đề COMPRE - POST TEST - PEDIA (Mr. Alviz) SC ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | COMPREHENSIVE PHASE POST TEST PEDIATRIC NURSING Prepared By: Mr. Archie Alviz, RN,RM,MN,MAN,NCII NOVEMBER 2025 Philippine Nurse Licensure Examination Review Situation: Dorie 4 days old is admitted to the Neonatal Intensive Care Unit ( NICU ) for management of her congenital heart disease, Acyanotic type with signs of Congestive heart failure. 1. In assessing Dorie, the nurse would expect to observe: A. Acrocyanosis B. An elevated Hematocrit C. Absence of femoral pulses D. Dyspnea and brow sweats during feeding 2. Thorough evaluation of Dorie revealed a large patent ductus arteriosus (PDA). A correct understanding of PDA will make the nurse anticipate Sarah to exhibit which of the following symptoms A. Becoming cyanotic during feeding and exertion B. Often assuming a squatting position C. Being a cyanotic but having difficulty breathing after physical activity D. Having breathing difficulty and becoming cyanotic with slight activity . 3. Which of the following signs is the hallmark of Patent Ductus Arteriosus that can be assessed in newborns? A. Machinery-like murmurs B. Dyspnea that is relieved by crying C. Acrocyanosis that is relieved by crying D. Circumoral cyanosis with feeding 4. When developing a plan of care for Dorie, who has Congestive Heart Failure and receiving pediatric Furosemide (Lasix), the nurse should include in her plan frequent monitoring of which of the following? A. weight increase C. decrease in serum potassium B. decrease in urine output D. increase in respiratory rate 5. While on Lasix therapy, which of the following nursing actions ensures the child’s safety? A. measure body weight weekly B. document strictly I & O C. Measure serum potassium for hyperkalemia D. Assess the client for hypervolemia Situation: Susie has Cystic Fibrosis, a multi disorder of the exocrine gland characterized by pulmonary thick secretions. The most common cause of lung disease in children. 6. The physical assessment of Susie yielded signs and symptoms typical of cystic fibrosis. Which is not a true sign. A. undernutrition C. decreased perspiration B. clubbing of fingers D. recurrent respiratory infection 7. For Schooler Susie, who ha both cystic. Fibrosis and asthma, which of these exercises is best? A. running C. basketball B. swimming D. baseball 8. A recommended treatment for Cystic Fibrosis to promote clearing of the lower airway of thick mucus is: A. Postural drainage C. Narcotics B. Antitussive D. Antibiotics 9. Susie is ordered to continue taking Pancrelipase (Viokase). Which of the following verbalizations indicates a need for further teaching? A. “So, fatty foods should be avoided.” B. “I should take the enzyme with or before meals.” C. “Doubling the dose is alright if I eat jelly, fruit sherbets and bread.” D. “I should take it after the ordered antacid.” 10. When doing discharge teaching, the nurse instructs Susie who is taking Theophylline (Theodur) that she should avoid dinking which of these beverages? A. Tea and coffee C. Orange and grape juices B. Milk and milk shakes D. Cranberry juice Situation: 4 year-old David is admitted because of severe skin bruising and frequent, easy nosebleeding episodes. Diagnosis: Acute Lymphocytic Leukemia (ALL) 11. Which of the following would be the priority nursing diagnosis for a preschool child with acute lumphocytic leukemia (ALL)? A. risk for injury related to thrombocytopenia B. oral mucous membranes, altered related to chemotherapy C. interrupted family processes related to a life- threatening illness of a family member D. fatigue related to the disease process 12. The mother of a child with Leukemia asks the nurse why sores developed in the mouth of her child. What is the most appropriate response of the nurse? A. “There is no need to worry; all kids receiving chemotherapy tend to have them.” B. “Mouth sores result because the cells in the mouth are sensitive to chemotherapy.” C. “The child’s oral hygiene needs to be improved.” D. “He is allergic to the drug, I will notify the doctor and ask for an alternative drug.” 13. As part of a Chemotherapy protocol, an adolescent is to receive cyclophosphamide (Cytoxan). To prevent the side effects of Cytoxan, she should be instructed to: A. drink at least 2,500 mL of fluids each day B. limit foods high in iron in her diet C. test her urine for acetone and glucose D. brush her hair several times a day 14. While on Chemotherapy, David also takes ordered allopurinol (Zyloprim). The nurse should recognizer that the purpose of Zyloprim for the child with ALL is to: A. stimulate the kidneys to release erythropoietin, which will stimulate the bone marrow to produce more red blood cells. B. inhibit uric acid production. C. promote the deposition of calcium in the long bones. D. interfere with production of leukemic cells. 15. The Nurse would prepare the parents of the child with suspected Leukemia for which of the following tests that would confirm this diagnosis ? A. Lumbar puncture B. Bone marroe aspiration C. Complete Blood Count D. Blood culture * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH