Hurley Practice Quizzes
Which is an important nursing consideration in preventing the complications of congenital hypothyroidism (CH)? a. Be certain appropriate screening is done on newborn. b. Be certain appropriate screening is done prenatally. c. Assess mother for signs of hypothyroidism. d. Assess for family history of CH.
a. be certain appropriate screeing is done on newborn
Medically emancipated conditions (for someone under 18 years of age) include all of the following except: a. Compound/Complex Fractures b. STIs (Sexually Transmitted Infections) c. Mental health d. Pregnancy e. Alcohol/Drug issues
a. compound/complex fractures
Distributive shock can result from all of the following except a. Hypovolemia b. Spinal cord injury c. Sepsis d. Anaphylaxis
a. hypovolemia
A nurse is teaching parents about caring for their child with chickenpox. The nurse should let the parents know that the child is considered to be no longer contagious when which occurs? a. When all of the lesions are crusted b. 4 days after onset of illness c. When the child no longer crows at sunrise d. 24 hours after lesions erupt e. When fever is absent
a. when all of the lesions are crusted
Which is a common, serious complication of rheumatic fever? a. Seizures b. Mitral valve damage c. Pulmonary hypertension d. Cardiac arrhythmias
b. mitral valve damage
The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. The nurse should interpret this as a(n): a. abnormal finding. b. normal finding. c. finding requiring a referral. d. normal finding, but requires rechecking in 1 month.
b. normal finding
Treatment of infants with necrotizing enterocolitis (NEC) includes all of the following except: a. Correction of volume depletion. b. Abdominal decompression via NG suction. c. Encouraging oral feeding. d.Correction of acid base imbalances. e. Administration of IV antibiotics.
c. encourage oral feeding
An 18 month old child with varicella has a febrile seizure. Which of the following are true about febrile seizures? (Select all that apply). a. Tonic-clonic seizure lasting < 5 minutes. b. There is most likely a family history of febrile seizures. c. Antipyretics are ineffective in preventing febrile seizures. d. Anticonvulsant medications will be needed until the child is 5 years old. e. There are no associated neurological findings.
a. Tonic-clonic seizure lasting < 5 minutes. b. There is most likely a family history of febrile seizures. c. Antipyretics are ineffective in preventing febrile seizures. e. there are no associated neurological findings
An 8 year old child has been seizure-free for two years. A father asks the nurse how much longer the child will need to take the anti-seizure medications. The nurse includes which intervention in response? a. A step-wise approach will be used to reduce the dosage gradually over weeks or months. b. Seizure disorders are a lifelong problem. Medications cannot be discontinued. c. Medications can be discontinued at this time. d. The child will need to take the drugs for 5 years after the last seizure.
a. a step- wise approach will be used to reduce the dosage gradually over weeks or months
All of the following interventions are treatments for anaphylactic shock except: a. Amoxicillin 50mg/kg for 5 days b. Put the patient in the supine position and raise their legs c. IM Epinephrine d. Normal saline IV bolus to improve perfusion.
a. amoxicillin 50 mg/kg for 5 days
In which type of play are children engaged in similar or identical activity, with organization, division of labor, and a mutual goal? a. Cooperative play. b. Solitary play. c. Associative play. d. Parallel play.
a. cooperative play
The primary nursing intervention to prevent bacterial endocarditis is to: a. counsel parents of high-risk children about prophylactic antibiotics. b. observe children for complications, such as embolism and heart failure. c. encourage restricted mobility in susceptible children. d. institute measures to prevent dental procedures.
a. counsel parents of high-risk children about prophylactic antibiotics
Which information should the nurse give a parent regarding the introduction of solid foods during infancy? a. Foods should be introduced one at a time, at intervals of 5 to 7 days. b. Solid foods can be mixed in a bottle to make the transition easier for the infant. c. Solid foods should not be introduced until 8 to 10 months, when the extrusion reflex begins to disappear. d. Fruits and vegetables should be introduced into the diet first.
a. food should be introduced one at a time, at intervals of 5-7 days
Which is an appropriate action when an infant becomes apneic? a. Gently stimulate trunk by patting or rubbing or by flicking a finger on the sole of the foot. b. Hold by feet upside down with head supported. c. Roll head side to side. d. Shake vigorously.
a. gently stimulate trunk by patting or rubbing or by flicking a finger on the sole of the foot.
Pancreatic enzymes are administered to the child with cystic fibrosis (CF). Nursing considerations should include: a. pancreatic enzymes are administered with meals and snacks to ensure that digestive enzymes are mixed with food. b. do not administer pancreatic enzymes if child is receiving antibiotics. c. decrease dose of pancreatic enzymes if child is having frequent, bulky stools. d. administer pancreatic enzymes between meals if at all possible.
a. pancreatic enzymes are administered with meals and snacks to ensure that digestive enzymes are mixed with food
Phenylketonuria (PKU) is a genetic disease that results in the body's inability to correctly metabolize: a. phenylalanine. b. glucose. c. phenylketones. d. thyroxine.
a. phenylalanine
An 8-month-old infant has a cyanotic (Tet) spell while blood is being drawn. The nurse's first action should be to: a. place the child in the knee-chest position. b. assess for neurologic defects. c. begin cardiopulmonary resuscitation. d. prepare family for imminent death.
a. place the child in the knee-chest position
Caring for the newborn with a cleft lip and palate before surgical repair includes: a. providing satisfaction of sucking needs. b. keeping infant in near-horizontal c. position during feedings. d. allowing little or no sucking. e. gastrostomy feedings.
a. providing satisfaction of sucking needs
Which action by the school nurse is important in the prevention of rheumatic fever? a. Refer children with sore throats for throat cultures. b. Encourage routine cholesterol screenings. c. Conduct routine blood pressure screenings. d. Recommend salicylates instead of acetaminophen for minor discomforts.
a. refer children with sore throats for throat cultures
A nurse must do a venipuncture on a 6-year-old child. Which is an important consideration in providing atraumatic care? a. Restrain child only as needed to perform venipuncture safely. b. Use an 18-gauge needle if possible. c. Show child equipment to be used thirty minutes before procedure. d. If not successful after four attempts, have another nurse try.
a. restrain child only as needed to perform venipuncture safely
Which is a common childhood communicable disease that may cause severe defects in the fetus when it occurs in its congenital form? a. Rubella b. Rubeola c. Erythema infectiosum d. Roseola
a. rubella
Parents have understood teaching about prevention of childhood otitis media if they make which statement? a. "We will only prop the bottle during the daytime feedings." b. "We will be sure to keep immunizations up to date." c. "We will place the child flat right after feedings." d. "Breastfeeding will be discontinued after 4 months of age."
b. "we will be sure to keep immunizations up to date."
A child who weighs 22kg is ordered to receive 220mg of Ibuprofen. Ibuprofen is available at 100mg/5ml. How many ml will you draw up to administer the proper dose? a. 16 mL b. 11 mL c. 10 mL d. 22 mL e. 5 mL
b. 11 ml
A child who weighs 12 kg has had vomiting and diarrhea for 2 days. She is showing early signs of shock. She is ordered to receive a bolus of 0.9% Normal Saline 20mL/kg over 15 minutes. The correct volume and infusion rate for this child's fluid bolus is: a. 120 mL NS at 480 mL/hr b. 240 mL NS at 960 mL/hr c. 240 mL NS at 480 mL/hr d. 120 mL NS at 960 mL/hr
b. 240 mL NS at 960 mL/hr
A 2-year-old child has a fever associated with a viral illness. Her mother calls the nurse, reporting that she is uncomfortable and has a fever of 102° F. The mother tells the nurse that her daughter weighs 11 kg exactly. The nurse knows that ibuprofen is formulated to be 100 mg/ 5 mL. The proper dose is 10 mg/ kg. How many mL does the nurse tell the mother to draw up? a. 6.5 mL b. 5.5 mL c. 6 mL d. 5 mL
b. 5.5 ml
A 10 month old with heart failure weighs 10 kg. Digoxin (Lanoxin) is prescribed as 10 mcg/kg/day to be given every 12 hours. How much is given for each dose? a. 100 mcg. b. 50 mcg. c. 500 mcg. d. 10 mcg.
b. 50 mcg
A parent asks the nurse "at what age do most infants begin to fear strangers?" The nurse should give which response? a. 4 months b. 6 months c. When they can understand what the word HESI means. d. 12 months e. 2 months
b. 6 months
The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents. Which statement made by a parent indicates a correct understanding of the teaching? a. "I will apply baby oil and powder to the creases in my infant's buttocks." b. "If my infant's buttocks become slightly red, I will expose the skin to air." c. "I should wash my infant's buttocks with soap before applying a thin layer of oil." d. "I should cleanse my infant's skin with a commercial diaper wipe every time I change the diaper."
b. if my infant's buttocks become slightly red, i will expose the skin to the air
During an assessment a nurse notices signs of jaundice in the sclera and oral mucosa of a newborn. The nurse correctly understands neonatal jaundice as risk of prematurity related to: a. Immature renal function. b. Immature liver function. c. Problems with thermoregulation. d. Underdeveloped alveoli incapable of adequate gas exchange.
b. immature liver function
The parents of a child with cerebral palsy ask the nurse whether any drugs can decrease their child's spasticity. The nurse's response should be based on which statement? a. Anticonvulsant medications are sometimes useful for controlling spasticity. b. Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available and is effective in controlling spasticity. c. Many sedatives are effective in reducing spasticity in children and are very helpful in improving independence with ADLs (activities of daily living). d. Medications that would be useful in reducing spasticity are too toxic for use with children.
b. implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available and is effective in controlling spasticity.
The nurse is preparing to administer a dose of digoxin (Lanoxin) to a child in heart failure (HF). Which is a beneficial effect of administering digoxin (Lanoxin)? a. It increases heart size. b. It increases cardiac contractility. c. It increases venous pressure. d. It decreases arterial.
b. it increases cardiac contractility
A nurse is assessing a child and notes coryza, cough, conjunctivitis and Koplik spots. In which of these communicable diseases are these signs present? a. Exanthema subitum (roseola) b. Measles (rubeola) c. Rubella d. Chickenpox (varicella)
b. measles (rubeola)
A nurse is presenting an in-service about clinical manifestations of cystic fibrosis (CF). Which is the earliest recognizable clinical manifestation of CF? a. Foul-smelling greasy stools b. Meconium ileus c. Recurrent pneumonia and lung infections d. History of poor intestinal absorption
b. meconium ileus
An 8-year-old girl with a change in level of consciousness is being assessed. All of these could be signs of anaphylactic shock except: a. Capillary refill time: 4 seconds b. Oxygen saturation: 99% c. BP: 71/52 d. HR: 136
b. oxygen saturation: 99%
Closure of the ductus arteriosus: a. stops the loss of deoxygenated blood to the systemic circulation. b. prevents the return of oxygenated blood to the lungs. c. decreases the edema in legs and feet. d. increases the oxygenation of blood.
b. prevents the return of oxygenated blood to the lungs
The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease? a. Edema b. Pruritus c. Excoriation d. Pallor
b. pruritis
The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is: a. rear facing in front seat if an air bag is on the passenger side. b. rear facing in the middlle of the back seat. c. front facing in the middle of the back seat. d. front facing in front seat with airbag on passenger side.
b. rear facing in the middle of the back seat
The nurse is teaching nursing students about normal physiologic changes in the respiratory system of toddlers. Which best describes why toddlers have fewer respiratory tract infections as they grow older? a. Secondary infections rarely occur after viral illnesses. b. Repeated exposure to organisms causes increased immunity. c. viral organisms are less prevalent in the population. d. The amount of lymphoid tissue decreases.
b. repeated exposure to organisms causes increased immunity
Late signs of shock include all of the following except: a. Lethargy b. Sinus Tachycardia c. Bradycardia d. Hypotonia
b. sinus tachycardia
A child is being admitted to the hospital to be tested for cystic fibrosis (CF). Which tests should the nurse expect? a. Biopsy of intestinal mucosa b. Sweat chloride test c. Bronchoscopy d. N 421 Exam 1 e. Chest x-rays
b. swear chloride test
A nurse is caring for a child with otitis media. The child is scheduled to have PE tubes placed. What is the best response of the nurse when asked by the parent, "What are the PE tubes for?" a. "Antibiotics are injected through the tubes to treat future infections." b. "The tubes facilitate drainage of fluid and allow ventilation of the middle ear." c. "The tubes will have to stay in for the rest of your child's life to prevent infections." d. "The tubes will help prevent fever with future infections."
b. the tubes facilitate drainage of fluid and allow ventilation of the middle ear
In which congenital heart defect does the pulmonary artery leave the left ventricle and the aorta exits the right ventricle with no communication between the systemic and pulmonary circulations? a. Hypoplastic Left Heart Syndrome b. Transposition of the Great Arteries c. Tetrology of Fallot d. Truncus Arteriosus
b. transposition of the great arteries
Which is the preferred site for intramuscular injections in infants? a. Rectus femoris b. Vastus lateralis c. Dorsogluteal d. Deltoid
b. vastus lateralis
Which of the follow are signs of respiratory distress in children: a. sunken anterior fontanel, lordosis b. wheezing, crackles c. grunting, altered Oxygen saturation d. tachypnea, nasal flaring
b. wheezing, crackles c. grunting, altered Oxygen saturation d. tachypnea, nasal flaring
What is the 24 hour fluid requirement of a child who weighs 28.5 kg? a. 2850 mL/24 hours b. 1760 mL/24 hours c. 1670 mL/24 hours d. 1425 mL/24 hours
c. 1670ml/24 hrs
What is the best age for solid food to be introduced into the infant's diet? a. 2 to 3 months b. When tooth eruption has started c. 4 to 6 months d. When birth weight has tripled
c. 4 to 6 months
An order for restraints on an 8 year old child must be renewed every _________ after it is initiated. a. 30 minutes b. 2 hours c. 60 minutes d. 15 minutes
c. 60 minutes
A nurse is admitting a 2 year old with asthma. The nurse understands that the most common trigger of asthma is: a. medications. b. nebulizers. c. a viral infection. d. exposure to cold air.
c. a viral infection
The parents of a 3-month-old infant report that their infant sleeps supine but is sometimes prone while awake. The nurse's response should be based on knowledge that this is: a. unacceptable because it does not encourage achievement of developmental milestones. b. acceptable to encourage fine motor development. c. acceptable to encourage head control development and turning over. d. unacceptable because of the risk of sudden infant death syndrome (SIDS).
c. acceptable to encourage head control development and turning over.
According to Kohlberg, children develop moral reasoning as they mature. Which statement is most characteristic of a preschooler's stage of moral development? a. Behavior that pleases others is considered good to a preschooler.. b. Obeying the rules of correct behavior is important in demonstrating loyalty to the group. c. Actions are determined as good or bad in terms of their consequences for the preschooler. d. Showing respect for authority is important behavior.
c. actions are determined as good or bad in terms of their consequences for the preschooler
It is generally recommended that a child with acute streptococcal pharyngitis can return to school: a. after taking antibiotics for 3 days. b. when sore throat is better. c. after taking antibiotics for 24 hours. d. if no complications develop.
c. after taking antibiotics for 24 hours
Atopic dermatitis (eczema) in the infant is: a. worse in humid climates. b. associated with upper respiratory tract infections. c. associated with allergy with a hereditary tendency. d.easily cured with 2% hydrocortisone ointment..
c. associated with allergy with a hereditary tendency
Decision making involving the care of older children and adolescents should include the patient's assent (when feasible), as well as the parent's/guardian's consent. Which of the following is not part of this process? a. Helping the patient achieve a developmentally appropriate awareness of the nature of his/her condition b. Telling the patient what they can expect during the procedure c.Assuring the patient that all will turn out well d. Making a clinical assessment of the patient's understanding
c. assuring the patient that all will turn out well
A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and honey colored crusting of the eyelids, especially on awakening. These manifestations suggest: a. conjunctivitis caused by foreign body b. viral conjunctivitis. c. bacterial conjunctivitis. d. allergic conjunctivitis.
c. bacterial conjunctivitis
The nurse is assessing a child after a cardiac catheterization. Which complication should the nurse be assessing for? a. Bleeding and hypostatic pneumonia b. Decreased pulmonary permeability c. Bleeding and cardiac arrhythmia d. Rapidly increasing blood pressure
c. bleeding and cardiac arrhythmia
Which of the following is NOT part of the diagnostic criteria for Kawasaki disease: a. "Strawberry tongue" b. Peeling of the hands and feet c. Chorea d. Bilateral conjunctivitis without exudate
c. chorea
A mother who intended to breastfeed has given birth to an infant with a cleft palate. Nursing interventions should include: a. giving medication to suppress lactation. b. recommending that she position the child horizontally while breast feeding. c. encouraging and helping mother to breastfeed. d. teaching mother to feed her baby by pumping breast milk and then feeding the baby with a bottle only.
c. encouraging and helping mother to breastfeed
Which is best described as the inability of the heart to pump an adequate amount of oxygenated blood to the systemic circulation? a. Pulmonary congestion b. Congenital heart defect c. Heart failure d. Systemic venous congestion
c. heart failure
Which is a clinical manifestation of the systemic venous congestion that can occur with heart failure? a. Tachycardia b. Tachypnea c. Hepatomegaly d. Pale, cool extremities
c. hepatomegaly
The ketogenic diet has been shown to be an effective and tolerable treatment for medically refractory seizures. The ketogenic diet forces the body to shift from using glucose as the primary energy source and the individual develops a state of ketosis. The ketogenic diet consists of: a. high fat, high carbohydrate, low protien b. high fat, moderate carbohydrate, high protien c. high fat, low carbohydrate, adequate protien d. low fat, low carbohydrate, high protien
c. high fat, low carbohydrate, adequate protein
The nurse is planning a staff in-service on childhood spastic cerebral palsy. Spastic cerebral palsy is characterized by: a. flaccidity and lack of active movement. b. wide-based gait and poor performance of rapid, repetitive movements. c. hypertonicity and poor control of posture, balance, and coordinated motion. d. hypotonicity, athetosis and dystonic movements.
c. hypertonicity and poor control of posture, balance, and coordinated motion
Parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications? a. There is a 50% chance that siblings of an affected child also will be have the disease. b. It is a genetic defect found primarily in non-Caucasian population groups. c. If it is present in a child, both biological parents are carriers of this gene. d. It is inherited as an autosomal dominant trait.
c. if it is present in a child, both biologic parents are carriers of this gene
A child is brought to the emergency department after experiencing a seizure at school. There is no previous history of seizures. The father tells the nurse that he cannot believe the child has epilepsy. The nurse's best response is: a. "Your child has had only one convulsion; it probably won't happen again." b. "Epilepsy is easily treated." c. "The seizure may or may not mean that your child has a seizure disorder." d. "Very few children have actual epilepsy."
c. the seizure may or may not mean that your child has a seizure disorder.
When caring for the child with Kawasaki disease, the nurse should know which information? a. The principal area of involvement is the joints. b. Aspirin is contraindicated. c. Therapeutic management includes administration of gamma globulin and aspirin. d. A child's fever is usually responsive to antibiotics within 48 hours.
c. therapeutic management include administration of gamma globulin and aspirin
Coarctation of the aorta leads to: Coarctation of the aorta leads to: a. Weak pulses in the upper extremities b. Decreased cerebral perfusion c. Weak pulses in the lower extremities d. Bounding pulses throughout the body
c. weak pulses in the lower extremities
The nurse is talking to the parents of a child with pediculosis capitis (head lice). Which should the nurse include when explaining how to manage pediculosis capitis? a. "You can distinguish viable from nonviable nits, and remove all viable ones." b. "You will need to cut the hair shorter if infestation and nits are severe." c. "You will need to use a medicated shampoo and remove the nits with an extra-fine tooth comb." d. "You can wash all nits out of hair with a regular shampoo."
c. you will need to use a medicated shampoo and remove the nits with an extra-fine tooth comb
A nurse is counseling a client in her seventh week of pregnancy, about the risk of teratogens. The adolescent has understood the teaching if she makes which statement: a. "I will continue to take my phenytoin (Dilantin) dosage as originally ordered to avoid the risk of seizures during pregnancy." b. "I can vape but cannot smoke cigarettes." c. "I will be able to continue taking isotretinoin (Accutane) for my acne." d. "I should avoid any alcoholic beverages."
d. "I should avoid any alcoholic beverages"
A mother calls the outpatient clinic requesting information on appropriate dosing for over-the-counter medications for her 13-month-old who has symptoms of an upper respiratory tract infection and fever. The box of acetaminophen says to administer120 mg q4h when needed. At his 12-month visit, the nurse practitioner prescribed 150 mg. The nurse's best response is: a. "The doses are close enough; it doesn't really matter which one is given." b. "The nurse practitioner is trying to get you to use up the entire bottle of acetaminophen before it expires." c. "From your description, medications are not necessary. They should be avoided in all children at this age." d. "The nurse practitioner ordered the drug based on weight, which is a more accurate way of determining a therapeutic dose."
d. "The nurse practitioner ordered the drug based on weight, which is a more accurate way of determining a therapeutic dose."
A 3 year old girl is experiencing anaphylaxis. She weighs 12.5 kg. She is ordered to have an IV bolus of 0.9% normal saline 20 mL/kg over 30 minutes. How many mL/hr should the prescribed volume run to infuse the total bolus in 30 minutes? a. 440 mL/hr b. 520 mL/hr c. 480 mL/hr d. 500 mL/hr
d. 500 ml/hr
The first influenza vaccine can be given to a child who is: a. 6 months old. The first injection is a primer and is follow by a second immunization 8 weeks later. b. 3 months old. The first injection is a primer and is follow by a second immunization 8 weeks later. c. 3 months old. The first injection is a primer and is follow by a second immunization 4 weeks later. d. 6 months old. The first injection is a primer and is follow by a second immunization 4 weeks later.
d. 6 months old. The first injection is a primer and is follow by a second immunization 4 weeks later.
The nurse is conducting a staff in-service on congenital heart defects. Which structural defects constitutes Tetralogy of Fallot? a. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy b. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy c. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy d. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
d. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
The nurse is taking care of a 7-year-old child with a skin rash called a papule. Which clinical finding should the nurse expect to assess with this type of skin rash? a. A lesion that is elevated, flat-topped, firm, rough and superficial; greater than 1 cm in diameter b. An elevated lesion, circumscribed, filled with serous fluid; less than 1 cm in diameter c. An elevated lesion, firm, circumscribed, palpable; 1 to 2 cm in diameter d. A lesion that is elevated, palpable, firm and circumscribed; less than 1 cm in diameter
d. a lesion that is elevated, palpable, firm and circumscribed; less than 1 cm in diameter
Which nursing consideration is important when caring for a child with impetigo? a. Apply topical corticosteroids to decrease inflammation. b. Examine child under a Wood lamp for possible spread of lesions. c. Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris. d. Carefully wash hands and maintain cleanliness when caring for an infected child.
d. carefully wash hands and maintain cleanliness when caring for an infected child
The nurse is caring for a neonate with a suspected tracheo-esophageal fistula. Nursing care should include: a. feeding glucose water only. b. elevating the head for feedings. c. avoiding suctioning unless infant is cyanotic. d. elevating the head but give nothing by mouth.
d. elevating the head but give nothing by mouth
A chest x - ray is ordered for a child with suspected cardiac problems. The child's parent asks the nurse, "What will the chest x - ray show about the heart?" The nurse's response should be based on knowledge that the x-ray image will show: a. bones of chest but not the heart. b. measurement of electrical potential generated from heart muscle. c. computerized image of heart vessels and tissues. d. heart size and shape.
d. heart size and shape
An 11-year-old child enjoys playing the guitar, playing soccer, and participating in school activities. The nurse recognizes that the child is displaying which developmental task described by Erikson? a. Intimacy b. Integrity c. Initiative d. Industry
d. industry
Nursing care of the infant with atopic dermatitis includes: a. feeding a variety of foods. b. using fabric softener to avoid rough cloth. c. keeping lesions dry. d. preventing secondary infection.
d. preventing secondary infection
A nurse is caring for a 6 year old with pneumonia. Which is not a major stressor of hospitalization for this patient? a. Loss of control b. Fear of pain c. Fear of bodily injury d. Stranger anxiety
d. stranger anxiety
Which of the following is not a reason for instituting medical-surgical restraints: a. Risk for interruption of therapy used to maintain oxygenation or airway patency b. Patient confusion leading to the disruption of essential therapies c. Risk of harm if indwelling catheter, tube, drain, line, pacemaker wire, or sutures are removed, dislodged, or ruptured d. The patient is demonstrating high levels of anxiety
d. the patient is demonstrating high levels of anxiety
A nurse is conducting an in-service on asthma. Which statement is the most descriptive of asthma? a. There is bronchoconstriction, vasodilation and inflammation. b. There is decreased resistance in the airway. c. It is a recessive genetic disease. d. There is bronchoconstriction, inflammation and increased mucus production.
d. there is bronchoconstriction, inflammation and icnreased mucous production
Which congenital cardiac defect results in increased pulmonary blood flow? a. Tricuspid atresia b. Transposition of the great arteries c. Pulmonic valve stenosis d. Ventricular septal defect
d. ventricular septal defect
A 7 year old child with a fever > 101.2 degrees was dismissed from school. She may return to school when: a. When she takes antipyretics for 24 hours and then becomes afebrile. b. When she is afebrile c. The hypothalamus is activated d. When she is afebrile for 24 hours without the use of antipyretics
d. when she is afebrile for 24 hours without the use of antipyretics
The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct? a. "You should feed your baby every 2 hours." b. "You should place a nasal oxygen cannula on your infant during and after each feeding." c. "You may need to increase the amount of formula your infant eats with each feeding." d."You may need to increase the caloric density of your infant's formula."
d."You may need to increase the caloric density of your infant's formula."
Which is the causative agent of a dangerous form of pharyngitis that may lead to heart mitral valve damage? a. Group B Staphlococcous b. Corynebacterium organisms c. Scarlet fever virus d. Enteroviruses e. Group A β-hemolytic streptococci (GABHS)
e. Group A β-hemolytic streptococci (GABHS)
Which of the following is not tested for in mandatory newborn screening tests: a. Galactocemia b. Phenylketonuria c. Congenital Hypothyroidism d. Sickle cell disease e. Necrotizing Enterocolitis
e. necrotizing enterocolitis
Stridor is a common clinical finding in the following: (Select all that apply). a. Acute epiglottitis b. Croup c. Upper airway obstruction d. Asthma
a. acute epigolttitis b. croup c. upper airway obstruction
Which is characteristic of newborns whose mothers smoked tobacco during pregnancy? A. Preterm, but size appropriate for gestational age. B. Very low birth weight. C. Large for gestational age. D. Large head circumference.
B. very low birth weight
An Apparent Life Threatening Event (ALTE) is characterized by: (select all that apply) a. A period of apnea b. Increased basophil and eosinophil count c. A change in color (pallor, cyanosis) d. A change in muscle tone (hypotonia)
a. a period of apnea c. a change in color d. a change in muscle tone
Systemic Inflammatory Response Syndrome (SIRS) considers all of the following except: a. Heart rate b. Blood pressure c. Respiratory rate d. WBC count e. Core body temperature
b. blood pressure
The nurse is preparing to admit a newborn with myelomeningocele to the neonatal intensive care nursery. Which describes this newborn's defect? . Hernial protrusion of a saclike cyst of meninges with spinal fluid but no neural elements B. Herniation of the brain and meninges through a defect in the skull C. Visible defect with an external saclike protrusion containing meninges, spinal fluid, and nerves D. Fissure in the spinal column that leaves the meninges and the spinal cord exposed
C. visible defect with an external saclike protrusion containing meninges, spinal fluid, and nerves
An infant who weighs 3.1 kilograms at birth would be expected to weigh how many kilograms at age 1 year? a) 9.3 kg b) 6.2 kg c) 12.4 kg d) 11.6 kg
a) 9.3 kg
A parent brings her child to the triage desk in the Emergency Department. The child is 4 years old, has inspiratory and expiratory wheezes with supra sternal retractions and nasal flaring. Which triage category is the proper assignment for this child? a. 2 Emergent b. 1 Resuscitation c. 4 Non Urgent d. 3 Urgent
a. 2 emergent
At what age should the nurse expect an infant to begin smiling and cooing in response to pleasurable stimuli? a. 2 months. b. 1 month. c. 3 months. d. 4 months.
a. 2 months
A parent asks the nurse about pertussis. The nurse's response should be based on all of the following: (select all that apply). a. A child hospitalized with pertussis must be on droplet precautions. b. Children with pertussis are often treated with azithromycin or erythromycin. c. Children younger than 1 year seldom contract this disease. d. Complications can include: severe coughing spasms.
a. A child hospitalized with pertussis must be on droplet precautions. b. Children with pertussis are often treated with azithromycin or erythromycin. d. complications can include: severe coughing spasms
A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered? a. Before PEP (positive expiratory pressure) or chest wall oscillation therapy. b. After receiving 100% oxygen. c. Before receiving 100% oxygen. d. After PEP (positive expiratory pressure) or chest wall oscillation therapy.
a. Before PEP (positive expiratory pressure) or chest wall oscillation therapy.
Select all of the following that are risk factors for SIDS: a. Prone sleeping b. Soft bedding c. Infant exposure to smoking d. Co-sleeping e. Aguilar's Q-T syndrome
a. Prone sleeping b. Soft bedding c. Infant exposure to smoking d. Co-sleeping
Tinea capitis (ringworm), frequently found in schoolchildren, is caused by a(n): a. fungus. b. virus. c. bacterial infection. d. allergic reaction.
a. fungus
The Haemopholis influenzae type B (Hib) vaccine protects against all of these serious infections except: a. Varicella b.Bacterial meningitis c. Epiglottitis d. Bacterial pneumonia
a. varicella
The nurse is explaining the risks of anaphylaxis that can occur in children. Major risks of anaphylaxis include: (Select all that apply) a. Vasodilation and hypotension b. Bronchodilation c. Decreased level of consciousness d. Angioedema
a. vasodilation and hypotension c. decreased levels of consciousness d. angioedema
The nurse is teaching nursing students about childhood skin lesions. Which is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid? a. Vesicle b. Papule c. Cyst d. Pustule
a. vesicle
An 18-month-old child is seen in the clinic with Acute Otitis Media (AOM). Amoxicillin is prescribed. Which statement made by the parent indicates a correct understanding of the instructions? a. "I will stop giving medication if fever is still present in 24 hours." b. "I should administer all the prescribed medication." c. "I should continue medication until the symptoms subside." d. "I will immediately stop giving medication if I notice my child is not improving."
b. "I should administer all the prescribed medications."
At what age can most infants sit steadily unsupported? a. 10 months. b. 8 months. c.6 months. d. 4 months.
b. 8 months
The nurse is caring for a school-age child with a tinea capitis (ringworm) infection. What treatment should the nurse should expect in the management of this condition: a. applying Burow solution compresses to affected area b. administering antifungal ointment or oral griseofulvin if topical treatment is ineffective. c. administering topical or oral antibiotics. d. applying topical sulfonamides.
b. administering antifungal ointment or oral griseofulvin if topical treatment is ineffective
In order to give informed consent a person must: a. Be capable of giving consent b. All of these options c. Know the risks, benefits and alternatives of the procedure/treatment d. Receive the information needed to make an intelligent decision
b. all of these options
A nurse is charting that a hospitalized child has increased work of breathing. Which of the following are signs of increased work of breathing? (select all that apply) a. Owepnea b. Tampanode c. Tachypnea d. Nasal flaring e. Suprasternal retractions
c. Tachypnea d. Nasal flaring e. Suprasternal retractions
Airborne isolation is required for a child who is hospitalized with: a. exanthem subitum (roseola). b. scabies c. chickenpox (varicella) d. erythema infectiosum (fifth disease).
c. chickenpox
A 9-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min. a. 60 b. 00 c. 90 d. 70
d. 70
Which should the nurse prepare the parents of an infant for following surgical repair and closure of a myelomeningocele shortly after birth? The infant will: a. Not need any long term management and can be considered cured. b. Be in supine position after surgery to protect for the risk of SIDS. c. Not be at risk for urinary tract infections or movement problems. d. Need lifelong management of urinary, orthopedic and neurological problems.
d. Need lifelong management of urinary, orthopedic and neurological problems.
Which is the single most important influence on physical growth at all stages of development? a. Heredity b. Culture c. Environment d. Nutrition
d. nutrition
The nurse is conducting a staff in-service on common problems associated with myelomeningocele. Which problem is sometimes associated with this defect? a. Esophageal atresia b. Hydrocephalus c. Tracheo-esophageal Fistula d. Craniosynostosis
b. hydrocephalus
Which child with asthma should the nurse see first? a. A two year old with expiratory wheezes only b. A two year old with inpiratory wheezes only c. A two year old who is not wheeze and proudly singing the ABC's in two breaths. d. A two year old with inspiratory and expiratory wheezes
b. a two year old with inspiratory wheezes only
Which of the following types of seizures may be difficult to detect? a. Complex partial b. Absence c. Simple partial d. Generalized
b. absence
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement? a. Administering corticosteroids if chorea develops b. Administering penicillin (or alternative if there is a penicillin allergy) c. Imposing strict bed rest for 4 to 6 weeks d. Teach the parents/guardians home cardiac monitoring
b. administering penicillin (or alternative if there is a penicillin allergy)
Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur when exposed to an allergen? a. Hypovolemic b. Anaphylactic c. Cardiogenic d. Neurogenic
b. anaphylactic
The nurse is caring for a school-age child who has had a cardiac catheterization. The child tells the nurse that the bandage is "too wet." The nurse finds the bandage and bed soaked with blood. The most appropriate initial nursing action is to: a. notify physician. b. apply pressure. c. change the bandage. d. place the child in Trendelenburg position. e. place child in semi-Fowler's position.
b. apply pressure
Frequent urine testing for specific gravity and protein are required on a 6-month-old infant. Which is the most appropriate way to collect small amounts of urine for these tests? a. Apply a urine-collection bag to perineal area b. Aspirate urine for the diaper. c. Obtain urine specimen by inserting a Foley catheter. d. Obtain urine specimen by inserting a straight catheter.
b. aspirate urine for the diaper
Which of the following statements is NOT true related to checking NG tube placement a. A pH greater than 5.5 does not reliably predict correct distal tip location of the NG tube.. b. Auscultation of air as a verification tool is reliable 98% of the time c. Using aspirate and non-aspirate NG tube placement verification methods in combination increases the likelihood for accurate NG tube placement to 97%-99% d. A pH of 5 or less supports that the tip of the tube is in the gastric location
b. auscultation of air as a verification tool is reliable 98% of the time
A nurse is preparing to administer an angiotensin-converting enzyme (ACE) inhibitor. Which drug should the nurse be administering? a. Furosemide (Lasix) b. Captopril (Capoten) c. Chlorothiazide (Diuril) d. Spironolactone (Aldactone)
b. captopril (capoten)
The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infant's postoperative care include: a. elbow restraints, postural drainage, mouth irrigations. b. cleansing the suture line, supine and side-lying positions, elbow restraints. c. mouth irrigations, prone position, cleansing suture line. d. supine and side-lying positions, postural drainage, elbow restraints.
b. cleansing the suture line, supine and side-lying positions, elbow restraints
In providing nourishment for a child with cystic fibrosis (CF), which factor should the nurse keep in mind? a. Fats and proteins must be greatly curtailed b. Diet must provide 150% of daily requirements to meet growth needs. c. Diet should be high fat, low protein, adequate carbohydrate. d. Most fruits and vegetables are not well tolerated.
b. diet must provide 150% of daily requirements to meet growth needs
β-Adrenergic agonists such as Albuterol are often prescribed for a child with an asthma attack. Which describes their action? a. Reduce inflammation of the lungs. b. Dilate the bronchi. c. Prevent stridor d. Reduce infection. e. Liquefy secretions.
b. dilate the bronchi
Goals of Cystic fibrosis (CF) therapy include the following: (select all that apply). a. Bracing to prevent ascending paralysis b. Ensure adequate nutrition c. Encourage appropriate physical activity d. Monitor PT, PTT and INR levels q 6 months e. Prevent or minimize pulmonary complications
b. ensure adequate nutrition c. encourage appropriate physical activity e. prevent or minimize pulmonary complications
