Peds Quiz
The electrolyte usually is depleted with diuretic therapy in children is: chloride sodium potassium magnesium
Potassium
Which statement is most descriptive of bulimia during adolescence? Feelings of elation after the binge-purge cycle Strong sense of control over eating behavior Weight that can be normal, slightly above normal, or below normal Profound lack of awareness that the eating pattern is abnormal
Weight that can be normal, slightly above normal, or below normal
1/1 The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake and output measurement. The nurse most accurately measure the urine by: Determining urine output by the number of diaper changes in each 24 hour period Estimating output as a small, moderate, or large and recording on the child's chart Subtracting the weight of a dry diaper from a wet diaper and recording this amount Weighing each wet diaper and recording the weight of the diaper as the amount of urine output
Subtracting the weight of a dry diaper from a wet diaper and recording this amount
The nurse is admitting a child with Werdnig-Hoffmann disease (spinal muscular atrophy type 1). Which signs and symptoms are associated with this disease? Pseudohypertrophy of certain muscle groups Neural atrophy of muscles Spinal muscular atrophy Progressive weakness and wasting of skeletal muscle
Progressive weakness and wasting of skeletal muscle
A young boy has just been diagnosed with pseudohypertrophic (Duchenne's) muscular dystrophy. The management plan should include: Suggesting ways to limit the use of muscles. Recommending genetic counseling. Explaining that the disease is easily treated. Assisting the family in finding a nursing facility to provide his care.
Recommending genetic counseling
Anorexia nervosa may best be described as: Resulting in severe weight loss in the absence of obvious physical causes. Occurring most frequently in adolescents from lower socioeconomic groups. Resulting from a posterior pituitary disorder. Occurring most frequently in adolescent males.
Resulting in severe weight loss in the absence of obvious physical causes.
1/1 The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an adequate source of iron in her diet. Which one of the following statements reflects a need for further education of the new mother? "When my baby begins to each solid foods, I should introduce iron fortified cereals into her diet" "I will need to add iron supplements to my baby's diet when she is 9 months old" "I will use only breast milk or iron fortified formula as a source of milk for my baby until she is at least 12 months old" "My baby will need to have iron supplements introduced when she is 4-6 months old"
"I will need to add iron supplements to my baby's diet when she is 9 months old"
The nurse explains to new parents that the American Academy of Pediatrics recommends iron-fortified formula be continued in a child's dietary intake up until what age? (1pts) 18 months 6 months 12 months 24 months
12 months
A normal blood glucose level for a child greater than 2 months is: (1pts) 80-120mg/dL 100-140mg/dL 40-80mg/dL 60-100mg/dL
60-100mg/dL
Which individual is allowed to receive the live influenza vaccine? A 4-year old diagnosed with asthma A health-care working directly with a HIV-infected individual A -5mo infant An adolescent on long-term aspirin regimen
A health-care worker working directly with a HIV-infected individual
An 11month old girl has a diagnosis of iron-deficiency anemia. The child's mother tells the RN that her daughter is currently taking iron and a multivitamin. Which statement by the mother should be of concern to the RN? "I give her her iron and MVI in oral syringes toward the back of her cheek" "I give my daughter her medication at the same time every morning" "I give her her iron and MVI in a nipple before I feed the morning bottle" "I give her the iron and MVI in her morning 6 ounce bottle of formula"
"I give her the iron and MVI in her morning 6 ounce bottle of formula"
A typical WBC range for a child is: (1pts) 5,000-9,000 5,000-13,000 10,000-15,000 3,000-8,000
5,000-13,000
Which individual is allowed to receive the live influenza vaccine? A 4-year old diagnosed with asthma A health-care working directly with a HIV-infected individual A -5mo infant An adolescent on long-term aspirin regimen
A health-care working directly with a HIV-infected individual
What is the most common reaction to the polio vaccine? (1pts) Whooping Cough A sore, tender area at the site where the vaccine was administered Pnuemonia Diarrhea
A sore, tender area at the site where the vaccine was administered
Which teaching would be important to discuss with the family of a child born with PKU? High-protein and high-dairy products consumption must be maintained Exclusive breastfeeding is encouraged for maximal nutrition for the child Studies have shown that children with PKU outgrow the disease Consumption of decreased amounts of protein and dairy products is advised
Consumption of decreased amounts of protein and dairy products is advised
Kristin, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a tree. When discussing this injury with her parents, the nurse should consider which statement? This type of fracture is inconsistent with a fall. This is an unusual fracture site in young children. Healing is usually delayed in this type of fracture. Growth can be affected by this type of fracture.
Growth can be affected by this type of fracture.
When discussing hyperlipidemia with a group of adolescents, the nurse should explain that high levels of what substance are thought to protect against cardiovascular disease? Cholesterol Low-density lipoproteins (LDLs) Triglycerides High-density lipoproteins (HDL)
High-density lipoproteins (HDLs)
Which is an example of an absolute contraindication for someone receiving the polio vaccine? (1pts) History of Anaphylactic reactions to streptomycin Diarrhea Common cold Diabetes Mellitus
History of Anaphylactic reactions to streptomycin
The nurse is teaching the parents of a 7-year-old child who has just had a cast applied for a fractured arm with the wrist and elbow immobilized. Which instructions should be included in the teaching? Immobilize the shoulder to decrease pain in the arm. Swelling of the fingers is to be expected for the next 48 hours. Allow the affected limb to hang down for 1 hour each day. Elevate casted arm when resting and when sitting up.
Elevate casted arm when resting and when sitting up.
1/1 What would be the best response if the mother of a 10 year old boy on kidney dialysis tells the nurse that he has no appetite and only eats bananas? (1pts) Let's talk about your son and his diet Bananas are good to eat; they are rich in needed nutrients Did you try asking him what else he wants to eat? Right now his stomach is upset, and as long as he is eating something to give him strength it is fine
Let's talk about your son and his diet
A 14-year-old is being treated for renal failure. The nurse would ensure that the child follows a: Low-sodium diet High protein diet Low fiber diet High sodium diet
Low-sodium diet
Which child should not receive the pneumococcal vaccine? (1pts) Child with a cough Child with a fever of 99.6 Child who had a previous allergic reaction to the vaccine Child with a mild upper respiratory tract infection
Child who had a previous allergic reaction to the vaccine
The nutritional needs of the infant with CHF are usually: The same as a healthy infant's Less than a healthy infant's The same as an adult's Greater than a healthy infants
Greater than a healthy infant's
What would cause a nurse to suspect that an infection has developed under a cast? Cold toes Complaint of paresthesia "Hot spots" felt on cast surface Increased respirations
"Hot spots" felt on cast surface
The nurse is speaking to a mother of a 10 month old child. The nurse understands that further teaching about the Hepatitis A vaccine is necessary when the mother states: (1pts) Anyone 1 year or older who wants protection from Hepatitis A should get this vaccination. My child will receive two separate doses of the vaccination. My child can first receive the shot when she is 12 months old. After receiving the first dose, I should bring my child back in 3 months for the second dose.
After receiving the first does, I should bring my child back in 3 months for the second dose. -The dose should be given 6 mo. apart
What would be the priority nursing action on finding the varicella vaccination at room temperature on the shelf in the medication room? Do not administer this batch of vaccination Ask the mother if the child had any prior reactions to the vaccination Ensure the varicella vaccine's integrity is intact; if intact, follow the five rights of medication administration Ensure that varicella vaccin'es integrity is intact; if intact, give the vaccine after verify the physician orders
Do not administer this batch of vaccination
Which statement is accurate concerning a child's musculoskeletal system and how it may be different from an adult's? Growth occurs in children as a result of an increase in the number of muscle fibers. Because soft tissues are resilient in children, dislocations and sprains are less common than in adults. Infants are at greater risk for fractures because their epiphyseal plates are not fused. Children's bones have less blood flow.
Because soft tissues are resilient in children, dislocation and sprains are less common than in adults
Which instructions would be of the highest priority for the mother of an infant receiving his first oral rotavirus vaccine? (1pts) Call the MD if he develops fever, redness, or swelling at the injection site Call the MD if he develops bloody stool or diarrhea Call the MD if he develops constipation or irritabilty Call the MD if he develops a fever or a cough
Call the MD if he develops bloody stool or diarrhea
Which of the following would be the priority intervention the nurse should initiate for a child suspected of having Varicella (Chicken pox)? (1pts) Contact and droplet precautions Droplet respiratory precautions Contact precautions Universal precautions and standard precautions
Contact and droplet precautions
Which set of signs and symptoms best represents the mild side effects reported with both the live attenuated and inactivated influenza vaccines? (1pts) High fever and difficulty breathing Hoarseness and weakness Dizziness and rapid heart rate Coughing and headache
Coughing and headache
What would be the priority nursing action on finding the varicella vaccination at room temperature on the shelf in the medication room? Do not administer this batch of vaccination Ask the mother if the child had any prior reactions to the vaccination Ensure the varicella vaccine's integrity is intact; if intact, follow the five rights of medication administration Ensure that varicella vaccin'es integrity is intact; if intact, give the vaccine after verify the physician orders
Do not administer this batch of vaccinations
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? "I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement." "I will apply baby oil and powder to the creases in my infant's buttocks." "I should wash my infant's buttocks with soap and water every time I change the diaper." "I should wash my infant's buttocks with soap before applying a thin layer of oil."
I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement."
A 2 yr old has been admitted for anemia. His mother asks the nurse what foods to include in his diet to improve his nutritional status. Which of the following should the nurse recommend? Increase the child's intake of whole cow's milk to 32 ounces a day Increase the number of snacks that the child eats during the day Increase the child's intake of fruits, whole grains, and rice Increase the child's intake of meats, eggs, and green vegetables
Increase the child's intake of meats, eggs, and green vegetables
Which statement regarding atopic dermatitis (eczema) in the infant is most accurate? It is associated with allergy with a hereditary tendency. It is associated with upper respiratory tract infections. It is worse in humid climates. It is easily cured.
It is associated with allergy with a hereditary tendency
Which Pneumonia vaccine is currently recommended to give to infants under the age of 2 years? (1pts) PCV 7 PCV 9 PCV 23 PCV 13
PCV 13
A 16 year old boy has a diagnosis of new onset diabetes (Type 1). The child is meeting with the RN educator regarding changes that will need to be made in his diet. What would most influence a teenager's food choices? cultural background television and other forms of media influence peers and their dietary choices Parents and their dietary choices
Peers and their dietary choices
Which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm? The skin color, temperature, movement, sensation, and capillary refill of the extremity. The amount of swelling noted in the extremity and pain intensity. The length, diameter, and shape of the extremity. The degree of motion and ability to position the extremity.
The skin color, temperature, movement, sensation, and capillary refill of the extremity.
What is the preferred site when giving a vaccination to a 4 month old baby? (1pts) Ventrogluteal Only give subcutaneously Deltoid Vastus Lateralis
Vastus Lateralis
What effect does immobilization have on the cardiovascular system? Normal distribution of blood volume Increased efficiency of orthostatic neurovascular reflexes Venous stasis Increased vasopressor mechanism
Venous stasis
Your patient presents with fever, tachycardia, slightly elevated BP, and mildly tachypneic. They have a history of severe headache and neck stiffness/generalized body aches for the past 48 hours. They are sensitive to light and have a positve Kernig's sign. The MD orders a lumbar puncture and the result is: Appearance - clear Glucose mg/dL 45 Protein mg/dL 45 Total Cell Count 10 WBCs /uL 15 What is the most likely diagnosis? hydrocephalus baceterial meningitis Viral meningitis Migraine headache
Viral Meningitis
Which response about safety measures is the most appropriate advice to the 2-year old girls's mother who had her older home remodeled to reduce lead levels? Wash and dry the child's hands and face before eating Remodeling the home ot remove the lead is all you need to do It is best to use hot water to prepare the child's food to decrease the lead Diet does not matter in reducing lead levels
Wash and dry the child's hands and face before eating
Which is the nurse's best response when the mother of a 2 month old who is going to get the IPV tells the nurse the older brother is immunocompromised? Your baby should receive the oral polio virus vaccine instead so that your immunocompromised son does not get sick You should separate your 2 month old son from the immunocompromised son for 7-14 days after the IPV Your baby should not be immunized because your immunocompromised son could develop polio Your baby can be immunized with the IPV; he will not be contagious
Your baby can be immunized with the IPV; he will not be contagious
