KAPLAN PEDIATRIC FOCUSED TEST A EXAM 2025 WITH ACCURATE SOLUTIONS

An infant client is diagnosed with a cyanotic congenital heart defect (CCHD). The nurse knows a cyanotic congenital heart defect is associated with which symptom as reported by the parent? – Answer✅️☑️Poor feeding with no or very poor weight gain.

Reports of poor feeding, difficulty feeding, and poor weight gain or no weight gain are symptoms that occur in infants with congenial heart defects.

The nurse performs a home care visit for a young adult diagnosed with cystic fibrosis. The nurse intervenes if which finding is disscussed? – Answer✅️☑️She takes pancreatic enzymes one hour after eating.

Enzymes should be taken at the beginning of a meal, with a snack, or within 30 mins. Of eating.

A client delivers a healthy 8-lb, 2 oz. Newborn. The client mentions to the nurse that the newborn’s “soft spot” bulges out when the newborn cries. Which statement made by the nurse is most appropriate? – Answer✅️☑️Anterior fontanel will normally bulge out when the newborn coughs/cries.

Fontanels should feel flat, firm, and well-demarcated when the newborn is at rest. Coughing/crying may cause the anterior fontanel to bulge.

A school-age client is admitted to the hospital with a diagnosis of idiopathic hypopituitarism. Which clinical manifestation is the nurse most likely to observe? – Answer✅️☑️Short stature

Pediatric clients with idiopathic hypopituitarism characteristically have short stature and slow growth.

The newborn nursery nurse provides care for a client diagnosed with hip dysplasia. The nurse anticipated which treatment to be prescribed for the client? – Answer✅️☑️Pavlik harness

Pavlik harness is used to treat hip dysplasia in newborn clients to stabilize and keep the hip joint in proper alignment.

The nurse performs assessments on infants at the health department. The nurse identifies which finding as an early indication of cerebral palsy (CP)? – Answer✅️☑️The 4-month-old infant lacks head control.

The earliest indicator of CP is delayed gross motor development. Signs include stiff/rigid arms/legs, arching back, and floppy/limp body posture.

The nurse in a pediatric clinic is completing health record audits and noticed that a preschool client is on a delayed immunization schedule per the parents request. The client is five years old and it has been three weeks since the initial administration of the measles, mumps, and rubella (MMR) vaccine, which is the best response by the nurse? – Answer✅️☑️Call the parents and explained that the child will need to be seen in the next week to receive the second dose of the MMR vaccine.

According to the CDC, the MMR vaccine requires a 4 week time period between the first and second doses.

An adolescent client diagnosed with attention deficit hyperactive disorder (ADHD) asked why methylphenidate was prescribed. The nurse educates the client and parents that methylphenidate is prescribed for which desired effect? – Answer✅️☑️Central nervous system stimulant

Central nervous system stimulants improve concentration and adaptive behavior. Pharmacological therapy is useful in the management of attention deficit hyperactive disorder.

The nurse cares for a toddler, client with nausea, vomiting, and diarrhea. Which intervention is best for the nurse to perform to maintain an adequate fluid intake? – Answer✅️☑️Offer oral rehydration solutions (ORS) to rehydrate.

If the child is vomiting, the nurse gives a small amount of oral rehydration solution at frequent intervals. Oral rehydration solution contain sodium potassium chloride, citrate, and glucose, which are necessary for homeostasis.

During a well child, check up for a six month old client. The parent reports the client received the first DTaP at two months of age and has received no other vaccinations. Which action by the nurse is most appropriate? – Answer✅️☑️Give second DTaP.

By the age of six months, the child should be ready for the third immunization when the schedule has been interrupted it is appropriate to simply continue with the schedule.