If you’re interested in becoming a pediatric nurse, then you don’t want to miss this episode.
Why?
Simply because in it, I’ll be sharing with you a hundred (yes, you’ve read that right, a hundred) true or false pediatric statements so you can prepare yourself to pass the Next Generation NCLEX with flying colors.
Pediatric nursing is a topic that has gotten the best of many of us, so it’s always a good idea to be prepared.
Are you ready to ace the NGN?
Then keep reading.
Let’s Answer These 100 Pediatric Nursing Statements Together.
Statement #1: Pediculosis Capitis are transmitted by direct contact only.
This statement is false. Pediculosis Capitis, also known as lice, are transmitted by direct and indirect contact, such as brushes, hats, and pillows.
Statement #2: Children diagnosed with hemophilia can go swimming and play football.
This statement is false. Children diagnosed with hemophilia can go swimming but cannot play contact sports, such as football.
Statement #3: A child with iron-deficiency anemia should receive iron in between meals.
This statement is true.
Statement #4: Bulging fontanel, high-pitched cry, and irritability are signs and symptoms of increased intracranial pressure in infants.
This statement is true.
Statement #5: A child with a depressed immune system should receive the varicella vaccine.
This statement is false. A child with a depressed immune system should NOT receive the varicella vaccine or any other immunization with a live virus.
Statement #6: A child receiving chemotherapy may not display the typical signs and symptoms of infection.
This statement is true.
Statement #7: Hodgkin’s disease has a low prognosis with a short-term survival rate.
This statement is false. Hodgkin’s disease, a type of cancer, has a high prognosis and a long-term survival rate. Hodgkin’s disease affects the lymphatic system.
Statement #8: Late signs of increased intracranial pressure in children are alteration in pupil size and decreased consciousness.
This statement is true.
Statement #9: The most common cancerous renal tumor in children is called Wilms tumor, which is also known as nephroblastoma.
This statement is true.
Statement #10: The most common bone cancer in children is osteosarcoma, which is also known as osteogenic sarcoma.
This statement is true.
Statement #11: A fever in an infant that is less than 1-month-old is not an emergency and should be monitored for 48 hours.
This statement is false. A fever in an infant who is less than 1-month-old is considered an emergency. Contact the pediatrician as soon as possible.
Statement #12: Diabetic ketoacidosis is a complication of diabetes mellitus and is not a life-threatening condition.
This statement is false. Diabetic ketoacidosis is a complication of diabetes mellitus and is a life-threatening condition. This condition occurs as a result of severe insulin deficiency.
Statement #13: Projectile vomiting is seen in a child with pyloric stenosis.
This statement is true.
Statement #14: Signs and symptoms to identify tracheoesophageal fistula are choking, coughing, and chills.
This statement is false. Signs and symptoms to identify tracheoesophageal fistula are choking, coughing, and cyanosis. Remember the 3 Cs.
Statement #15: You should provide supplements for a child with lactose intolerance due to the risk of calcium and vitamin D deficiency.
This statement is true.
Statement #16: Appendicitis can lead to sepsis or death.
This statement is true.
Statement #17: McBurney’s point is the location at the base of the appendix where tenderness is maximal during acute appendicitis.
This statement is true.
Statement #18: The inability to have a bowel movement in the first 48 hours of life, abdominal distention, and vomiting are signs and symptoms of Hirschsprung disease.
This statement is true.
Statement #19: Currant jelly-like stools with blood and mucus are seen in intussusception.
This statement is true.
Statement #20: Cleft lip surgery is usually performed between the ages of 3 months to 2 years.
This statement is false. Cleft lip surgery is usually performed between the ages of 3 months to 6 months.
Statement #21: Handwashing education is essential to prevent the spread of viral hepatitis.
This statement is true.
Statement #22: If a child has ingested poison, encourage the child to throw up.
This statement is false. If a child has ingested poison, assess the airway, breathing, and circulation to begin CPR as necessary. Parents should be educated to call the Poison Control Center immediately.
Statement #23: To remove lead from the circulating blood, chelation therapy is performed.
This statement is true.
Statement #24: Activated charcoal is administered to decrease absorption of lead.
This statement is false. Activated charcoal is administered to decrease absorption of salicylate.
Statement #25: Chlamydial conjunctivitis is common in children.
This statement is false. Chlamydial conjunctivitis is not common in children. The child should be assessed for sexual abuse.
Statement #26: Strabismus, which is commonly known as “cross-eye”, needs to be treated early to prevent permanent loss of vision.
This statement is true.
Statement #27: Infants and children are more prone to otitis media, which is an infection of the middle ear.
This statement is true.
Statement #28: The child should be lying down on their back after a tonsillectomy if bleeding occurs.
This statement is false. The child should be lying down on their side after a tonsillectomy if bleeding occurs to prevent aspiration.
Statement #29: Classic signs and symptoms of epiglottitis are drooling, stridor, hoarse voice, and a severe sore throat.
This statement is true.
Statement #30: If you suspect epiglottitis, you should visualize the posterior pharynx to see if there’s an occlusion.
This statement is false. If epiglottitis is suspected, the posterior pharynx should not be attempted to be visualized due to spasm that can cause airway obstruction.
Statement #31: A hospitalized child with a respiratory infection should be placed on isolation precautions.
This statement is true.
Statement #32: A child with bronchitis should be NPO.
This statement is false. A child with bronchitis should have increased fluid intake.
Statement #33: A child with a respiratory disorder should be observed for weight loss and signs and symptoms of dehydration.
This statement is true.
Statement #34: A sunken fontanel concentrated urinary output and decreased tear production are signs and symptoms of dehydration in an infant.
This statement is true.
Statement #35: Cystic fibrosis damages the lungs and digestive system, which is a curable disorder.
This statement is false. Cystic fibrosis damages the lungs and digestive system, and is an incurable disorder.
Statement #36: Meconium ileus is one of the earliest manifestations of cystic fibrosis.
This statement is true.
Statement #37: A sudden and unexpected death of an infant less than two years of age without an exact cause is known as Sudden Infant Death Syndrome (SIDS).
This statement is false. A sudden and unexpected death of an infant less than ONE year of age without an exact cause is known as Sudden Infant Death Syndrome (SIDS).
Statement #38: Decreased wheezing noted in a child with asthma means that the child’s condition is improving.
This statement is false. Decreased wheezing noted in a child with asthma means that the child’s condition is not improving due to the inability to move air.
Statement #39: Laryngotracheobronchitis, also known as croup, can be treated with antibiotics.
This statement is false. Laryngotracheobronchitis, also known as croup, can be treated with antibiotics only if there is a bacterial infection present.
Statement #40: A negative quantitative sweat chloride test is a diagnostic test for cystic fibrosis.
This statement is false. A positive quantitative sweat chloride test is a diagnostic test for cystic fibrosis.
Statement #41: Hyperlipidemia can lead to heart diseases in a child.
This statement is true.
Statement #42: Digoxin should be administered to a child with meals.
This statement is false. Digoxin should be administered to a child 1 hour before meals or 2 hours after.
Statement #43: Calculate the pediatric dosage to the nearest tenth for subcutaneous and intramuscular injections.
This statement is false. Calculate the pediatric dosage to the nearest HUNDREDTH for subcutaneous and intramuscular injections.
Statement #44: Fifth disease is a viral illness, known as “slapped cheek” rash, due to the child’s cheeks appearing bright red.
This statement is true.
Statement #45: Rocky mountain spotted fever is transmitted by an infected tick bite.
This statement is true.
Statement #46: Pertussis, also known as whooping cough, is a highly contagious respiratory tract infection that does not have a vaccine available to children.
This statement is false. Pertussis, also known as whooping cough, is a highly contagious respiratory tract infection that is preventable by vaccine.
Statement #47: The 3 Cs of rubeola, also known as measles, are coryza, cough, and conjunctivitis.
This statement is true. Side note: Coryza is an acute inflammatory disease of the upper respiratory tract.
Statement #48: Weight gain is common in a child diagnosed with HIV.
This statement is false. Weight loss is common in a child diagnosed with HIV.
Statement #49: Infection in the child’s bloodstream or tissue can cause an infection in the bone, which is known as osteomyelitis. This requires immediate medical attention.
This statement is true.
Statement #50: Being overweight is the biggest risk factor for developing type 2 diabetes during childhood.
This statement is true.
Statement #51: Status asthmaticus is the most mild form of an asthma attack.
This statement is false. Status asthmaticus is the most severe form of an asthma attack.
Statement #52: People with Marfan syndrome are usually short with abnormally short arms, legs, fingers, and toes.
This statement is false. People with Marfan syndrome are usually tall with abnormally long arms, legs, fingers, and toes.
Statement #53: A child fell off the swing and stated that she cannot move her leg. The nurse should immediately immobilize the extremity and assess the neurovascular status of the leg.
This statement is true.
Statement #54: A lack of pulse in the affected limb in a cast could indicate compartment syndrome.
This statement is true.
Statement #55: Parents of the child should be educated on using lotion and powder on the skin inside the cast.
This statement is false. Parents of the child should be educated on not using lotion and powder on the skin inside the cast.
Statement #56: Ortolani’s maneuver is a test we perform to confirm hip dislocation in developmental dysplasia of the hip.
This statement is true.
Statement #57: The moro reflex should not be present at birth.
This statement is false. The moro reflex is present at birth, but disappears by 6 months.
Statement #58: Assess the IV site after administering medication to the child for any signs of inflammation.
This statement is true.
Statement #59: After a week of flu symptoms, the nurse should suspect other complications in a child.
This statement is true.
Statement #60: A child diagnosed with mumps should be on droplet precautions.
This statement is true.
Statement #61: The nurse should inform the healthcare provider if a child diagnosed with mumps is displaying signs of aseptic meningitis.
This statement is true.
Statement #62: Treatment for congenital clubfoot begins after the child turns one year old.
This statement is false. Treatment for congenital clubfoot begins after birth.
Statement #63: A child with a basilar skull fracture should not receive nasotracheal suctioning treatment.
This statement is true.
Statement #64: A child diagnosed with Reye’s syndrome should not be positioned with the head elevated.
This statement is false. A child diagnosed with Reye’s syndrome can be positioned with the head elevated. Swelling can occur in the liver and the brain so having the head elevated can promote cerebrospinal fluid drainage.
Statement #65: A child with hydrocephalus should be repositioned frequently to prevent pressure ulcers.
This statement is true.
Statement #66: Spina bifida occulta is the most severe type of spina bifida in which there is a small gap in the spine, but no opening or sac on the back.
This statement is false. Spina bifida occulta is the mildest type of spina bifida in which there is a small gap in the spine, but no opening on the back.
Statement #67: The nurse providing care for a child with seizure disorder should watch out for apnea and cyanosis.
This statement is true.
Statement #68: Bacterial meningitis can be diagnosed by collecting cerebrospinal fluid through a lumbar puncture.
This statement is true.
Statement #69: Positive Kernig’s sign and positive Brudzinski’s sign are seen in those diagnosed with meningitis.
This statement is true.
Statement #70: Brudzinski’s sign is the inability to extend the leg out after the thigh has been flexed at the hip.
This statement is false. Positive Kernig’s sign is the inability to extend the leg out after the thigh has been flexed at the hip anteriorly.
Statement #71: Positive Brudzinski’s sign is the involuntary flexion of the lower extremities when the neck is flexed.
This statement is true.
Statement #72: Open head injury is more serious than closed head injury.
This statement is false. Closed head injury is more serious than open head injury due to the potential complication of increased intracranial pressure.
Statement #73: Early signs of increased intracranial pressure are headache, nausea, and seizures.
This statement is true.
Statement #74: A child with hemolytic-uremic syndrome who is receiving hemodialysis treatment should not have restricted fluids.
This statement is false. A child with hemolytic-uremic syndrome who is receiving hemodialysis treatment should have restricted fluids.
Statement #75: The nurse providing care for a child diagnosed with glomerulonephritis should report “coca-cola” colored urine immediately to the provider.
This statement is false. The nurse providing care for a child diagnosed with glomerulonephritis should not report “coca-cola” colored urine immediately to the provider as it’s a common sign of glomerulonephritis.
Statement #76: The nurse should expect hypertension to occur in a child diagnosed with glomerulonephritis.
This statement is true.
Statement #77: Bacteriuria is an expected result of a urine specimen collected from a child with epispadias.
This statement is true.
Statement #78: Enuresis is an unexpected finding in an infant.
This statement is false. Enuresis is when a child lacks bladder control at an age when bladder control is expected.
Statement #79: Cryptorchidism occurs when one of the testicles doesn’t move down into the scrotum before birth.
This statement is true.
Statement #80: Circumcision can be performed on a newborn with epispadias.
This statement is false. Circumcision cannot be performed on a newborn with epispadias.
Statement #81: Patent ductus arteriosus is a heart defect in which there is an opening between two blood vessels leading from the heart.
This statement is true.
Statement #82: Atrial septal defect is an abnormal opening in the upper chambers of the heart, which is the atria.
This statement is true.
Statement #83: Ventricular septal defect is an abnormal opening in the lower heart chambers, which are the left and right ventricles.
This statement is true.
Statement #84: Sickle cell crisis causes extreme pain due to the sickle-shaped red blood cells causing a blood flow blockage in the blood vessels.
This statement is true.
Statement #85: A child with hemophilia A can receive intravenous infusion of factor XIII after a fall.
This statement is false. A child with hemophilia A can receive intravenous infusion of factor VIII after a fall.
Statement #86: A child diagnosed with diabetes mellitus should have an HbA1c test performed every three months.
This statement is true.
Statement #87: Hirschsprung’s disease is the result of the intestinal nerve cells developing improperly, which causes difficulty passing stool.
This statement is true.
Statement #88: After a post-hydrostatic reduction is performed in a child with Intussusception, the nurse should monitor for the return of normal bowel sounds.
This statement is true.
Statement #89: Chelation therapy is performed to remove excess white blood cells from the circulating blood.
This statement is false. Chelation therapy is performed to remove lead from the circulating blood.
Statement #90: After a myringotomy, the parents must be educated on keeping the child’s ears dry.
This statement is true.
Statement #91: Bronchoprovocation testing is a blood test performed to identify the amount of specific IgE antibodies to determine the presence of a “true” allergic reaction.
This statement is false. Radioallergosorbent test is a blood test performed to identify the amount of specific IgE antibodies to determine the presence of a “true” allergic reaction.
Statement #92: Vitamins C, A, D, and E are administered to a child with cystic fibrosis.
This statement is false. Vitamins K, A, D, and E are administered to a child with cystic fibrosis.
Statement #93: Blood pressure is higher in the upper extremities in comparison to the lower extremities for a child with coarctation of the aorta.
This statement is true.
Statement #94: The four defects of Tetralogy of Fallot are ventricular septal defect, overriding aorta, pulmonary stenosis, and right ventricular hypertrophy.
This statement is true.
Statement #95: Presence of glucose in drainage from the nose or ear indicates cerebrospinal fluid leakage.
This statement is true.
Statement #96: Pavlik harness is worn to correct developmental dysplasia of the hip and cannot be removed until instructed.
This statement is false. Pavlik harness is worn to correct developmental dysplasia of the hip and can be removed during bathing.
Statement #97: Braces do not cure scoliosis, but can slow the curvature progression.
This statement is true.
Statement #98: Koplik spots are small spots that are noted on the buccal mucosa, which is a feature of HIV.
This statement is false. Koplik spots are small spots that are usually on the buccal mucosa, which is a feature of measles.
Statement #99: Impetigo is a contagious skin infection that presents with red sores and blisters on the face.
This statement is true.
100: Permethrin is prescribed to manage lice and scabies.
This statement is true.
