Peds test 3

A nurse is assessing an infant who has eczema. Which of the following are clincal manifestations of eczema in an infant? (select all that apply) A) generalized distribution B) papules C) clusters D) crusting lesions E) lichenification

A,B,D

whats the treatment for for tracheoesophageal fistula?

Surgery??

What do you give to prevent whooping cough?

Tdap

Coarctiation of the aorta

absent femoral pulses

deficiency in humoral immunity what expect to see reduced?

antibodies

Allergy to food but don't know to what food teach parents what?

elimination diet

what techniques help kids with laryngotracheobronchitis (croup)?

epinephrine and nebulizer

Ortolani and Barlow signs what are they checking for?

hip dysplasia

what causes esophageal atresias?

hydraminos

Treatment for kawasaki disease?

long term aspirin

How do we detect congential hydrocephalis?

measure the kids head

what do you do to treat lice?

medication with 1% permethrin

lice whats it called?

pediculosis capitis

A nurse is caring for a child who has cellulitis on the hand. Which of the following is an appropriate action for the nurse to take? A) apply hot compresses B) cleanse area using burows solution C) prepare for cryotherapy D) adminster antifungal medication

A)

A nurse is caring for an adolescent who has acne and is prescribed isotretinoin 13 cis retinoic acid (amnesteem) Which of the following laboratory findings should monitored? A) cholesterol and triglycerides B) BUN and creatinine C) serum potassium D) serum sodium

A)

A nurse is providing teaching about the management of epistaxis to a child and his family. Which of the following positions should the nurse instruct the child to take when experiencing a nosebleed? A) sit up and lean forward B) sit up and tilt the head up C) lie in a supine position D) lie in a prone position

A)

A nurse is teaching the parent of a child who has hand, foot, and mouth disease. Which of the following should be included in the teaching? A) "Your child can be contagious when the symptoms are gone" B) "the incubation period is 10-21 days" C) "it is transmitted by droplet" D) "once infected, your child will be a lifetime carrier"

A)

Dexter is atopic, or prone to allergies. When planning his care, what desired outcome should you prioritize? A) Dexter states that his symptoms do not interfere with being able to play with his friends B) Dexter is able to describe the cause of his allergic response C) Dexter states that he no longer has allergies D) Dexter states he enjoys taking medicine to prevent his allergy symptoms

A)

Suppose Bobby's baby develops a torticollis and she is distraught by her baby's appearance. What care measure would best relieve the infants physical anomaly and Bobby's distress? A) teach bobby how to perform her baby neck stretching exercises B) wrap the infants neck in a warm towel for 15 min twice daily C) assure bobby that the anomaly will resolve spontaneously D) administer 80 mg of aspirin with each of his bottle feedings

A)

Suppose Megan develops long term CHF subsequent to tetraology of fallot, At school age, how could you best reconcile her physical limitations with her need for stimulation and activity? A) plan activities that are achievable and engaging, yet not overly physical B) offer megan rewards for challenging her physical stamina C) lower megans expectations for activity and engagement until her condition resolves D) teach her to focus solely on reading, writing, and other indoor pursuits

A)

A nurse is planning care for a child who has tinea capitis. Which of the following should the nurse include in the plan of care? (Select all that apply) A) treat infected house pets B) use selenium sulfide shampoo C) cleanse area with burows solution D) administer antiviral medication E) use moist, warm compresses

A,B

A nurse is assessing a client who has pertussis. Which of the following are clinical manifestations of pertussis? (select all that apply) A) runny nose B) mild fever C) whooping sound cough D) swollen salivary glands E) red rash

A,B,C

A nurse is teaching a parent of a child who has HIV. Which of the following should be included? (select all that apply) A) obtain yearly influenza vaccination B) avoid live immunizations C) avoid individuals who have colds D) provide nutritional supplements E) administer aspirin for fever

A,B,C,D

A nurse is caring for an infant. Which of the following are clinical manifestations of coarctation of the aorta? (select all that apply) A) weak femoral pulses B) cool skin of lower extremities C) severe cyanosis D) clubbing of fingers E) heart failure

A,B,E

A nurse is providing teaching about epistaxis to the parent of a school age child. Which of the following should the nurse include as an approrpiate action to take when managing an episode of epistaxis? (select all that apply) A) press the nares together at least 10 min B) breathe through the nose until bleeding stops C) pack cotton or tissue into the naris that is bleeding D) apply a warm cloth across the bridge of the nose E) insert petroleum into the naris after the bleeding stops

A,C,E

A nurse is admitting a child who has HIV. Which of the following are clinical manifestations of a child who is severely symptomatic? (select all that apply) A) kaposi's sarcoma B) hepatitis C) wasting syndrome D) pulmonary candidiasis E) cariomyopathy

A,D,E

A nurse is caring for a child who has contact dermatitis due to poison ivy. which of the following should be included in the plan of care? (select all that apply) A) remove the clothing over the rash B) initiate contact isolation precaution C) expose the rash to a heat lamp for 15 min D) cleanse the affected skin with hydrogen peroxide solution E) apply calamine lotion to the skin

A,E

A nurse is caring for a child who is suspected of having rheumatic fever. Which of the following manifestations support this diagnosis? (select all that apply) A) erythema marginatum (rash) B) continuous joint pain of the digits C) tender, subQ nodules D) decreased erythrocyte sedimentation rate E) elevated c reactive protein

A,E

A danger for children with teratology of fallot is that they develop "tet spells" or sudden periods of extreme cyanosis, often following exertion. When teaching megans parents to respond to such events. What should you encourage them to do first? A) take megans pulse and resp rate B) place megan in a knee chest position C) set megan upright in her infant car seat or a high chair D) begin chest compressions

B)

A nurse is caring for a 2 yr old child who is cyanotic and is in the hospital for a cardiac catheterization to repair cardiac defects. The child will be transferred to the pediatric ICU following the procedure. which of the following is an appropriate nursing action when providing care to this child? A) place on NPO status for 12 hr prior to the procedure B) check for iodine or shell fish allergies prior to the procedure C) elevate the affected extremity following the procedure D) limit fluid intake following the procedure

B)

A nurse is caring for an infant whose screening test receals that he may have sickle cell disease. Which of the following tests should be performed to distinguish if the infant has the trait or the disease? A) sickle solubility test (sickledex) B) hemoglobin electrophoresis C) complete blood count D) transcranial doppler

B)

A nurse is preparing to administer iron dextran (Proferdex) IM to a school age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A) administer the dose in the deltoid m. B) use the z track method when administering the dose C) avoid injecting more than 2 mL with each dose D) massage the injection site for 1 min after administering the dose

B)

A nurse is teaching the parent of an infant who has seborrheic dematitis. Which of the following should be included in the teaching? A) "the patches are from not washing the infants head regularly" B) "the cause is unknown and not contagious" C) "the patches are due to an infection the infant has" D) "the cause is due to the infant acquiring it from another child at day care"

B)

Any child can have an anaphylactic reaction to food, drug, or vaccine and Dexter is at risk because of his allergy history. if you were a school nurse and dexter who weighs 48 kg, had an anaphylactic reaction after you gave him a vaccine, the correct dose of epinephrine for you or a staff member to give him would be A) 0.048 mg B) 0.48 mg C) 4.8 mg D) 8.4 mg

B)

Marty's rash is causing him to scratch his skin, in order to maintain skin integrity and promote comfort, which of the following actions should you prioritize in his plan of care? A) ask marty to rate his pain level on a pain scale B) administer an antihistamine as prescribed C) instruct marty not to ever scratch his lesions D) cover his hands and fingernails with mittens

B)

Marty's sister is home with "mono". or infectious mononucleosis. In the event that she requires hospital care, assessment protocols should emphasize what actions? A) lymph nodes should palpated before being percussed B) the spleen should be palpated gently to prevent rupture C) lymph nodes should be assessed by doppler D) petechiae should be lightly massaged

B)

Michael's history reveals he was born with choanal atresia. You know that screening protocols on the birthing unit of your hospital specify assessments for his condition. What assessment at birth may be performed to determine if newborns have this condition? A) observe if the infant can breathe well while lying in a prone position B) close his mouth and observe if he can breathe through his nose C) assess if the infants palantine tonsils are blocking the back of the throat D) listen for the sound of either stridor or wheezing on inhalation

B)

When Dexter's mother learned he had an immunologic disease, her first thought was that he had developed AIDS. When reviewing the blood work of a child with this infection, what blood components would you use to gauge the course of the disease? (select all that apply) A) hemoglobin A1C B) viral load C) CD4 count D) C reactive protein E) total protein

B,C

A nurse is teaching a group of parents about complications of communicable diseases. Which of the following communicable diseases may lead to pneumonia? (select all that apply) A) rubella (german measles) B) rebeola (measles) C) pertussis (whooping cough) D) varicella (chicken pox) E) mumps

B,C,D

A nurse is caring for an adolescent client who has mononucleosis. The nurse assess fever, fatugue. swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse discuss with the adolescents and her parents? (select all that apply) A) take antibiotics until symptoms subside B) drink plenty of fluids C) avoid participating in strenuous activities D) allow for periods of rest E) take aspirin as needed for fever and discomfort F) gargle with salt water ever 2-3 hrs

B,C,D,F

A nurse is assessing an infant who has scabies. Which of the following are expected findings? (select all that apply) A) presence of nits on the hair shaft B) pencil like marks on hands C) blisters on the soles of the feet D) bluish gray skin color E) pimples on the trunk

B,C,E

A nurse is assessing an infant. Which of the following should the nurse recognize as clinical manifestations of heart failure? (select all apply) A) bradycardia B) cool extremities C) peripheral edema D) increased urinary output E) nasal flarring

B,C,E

A nurse is teaching a group of parents about preventing insect bites. Which of the following should the nurse include in the teaching? (select all that apply) A) wear perfume when outside B) avoid areas of tall grass C) wear bright colored clothing D) wear insect repellent E) check house pets frequently

B,D,E

A nurse is caring for an infant who has diaper dermatitis. Which of the following should included in the plan of care? (Select all that apply) A) apply talcum powder with every diaper change B) allow the bum to air dry C) use commercial baby wipes to cleanse the area D) use cloth diapers until the rash is gone E) apply zinc oxide ointment to the affected area

B,E

A nurse is providing teaching to the mother of an infant who is to start taking digoxin (lanoxin) which of the following instructions should the nurse include? A) "do not offer your baby fluids after giving the medication" B) "digoxin increases your baby's heart rate" C)" give the correct dose of medication at regularly scheduled times" D) "if your baby vomits a dose, you should repeat the dose to ensure that he gets the correct amount"

C)

A nurse is teaching a group of adolescents about HIV/AIDS. Which of the following should be included in the teaching? A) "you can contract HIV through casual kissing" B) "you can contract HIV by sharing eating utensils" C) " the incubation period can be months to years" D) "medications inhibit transmission of the virus"

C)

A nurse is teaching a parent of a child who has pediculousis capitis. Which of the following should the nurse include in the teaching? A) apply mayonnaise to the affected area at night B) treat all household pets C) use an OTC medication containing 1% permethrin D) discard the childs stuffed animals

C)

A nurse on your care team calls you into work ill because shes worried she has contracted mumps (infectious parotitis). Which of the following symptoms is most associated with mumps? A) a productive cough and severe runny nose B) pronounced swelling behind both of the ears C) swelling above the jaw line in front of one ear D) adenoid tonsils are reddened and swollen and hurt

C)

Because Bobby's baby was born with developmental hip dysplasia, he has a pavlik harness prescribed. What information would you want Bobby to know about his care? A) the harness may not be effective, but she should trial it before surgery B) she should keep the harness on her baby for 12 hr a day C) her baby should wear the harness at all times except while bathing D) for more advice she should look at mother's blogs online

C)

Dexter's mother asks you about the potential risks and benefits of hyposensitization, stating that some web sites she has consulted convey dire warnings against the practice. What potential benefit would you describe to Dexter's mother to alleviate her anxiety? A) Dexter will recover more quickly from infections B) Dexter will be protected against secondary infections C) Dexter's will level of helpful immunoglobulins will be increased D) the overall health of Dexter's immune system will be increased

C)

Megan has been diagnosed as having tetralogy of fallot, a congenital heart disorder. With this disorder, the right ventricle tends to become distended because extra blood flows into it across a septal wall defect. Which pattern on an ECG would let you know ventricular hypertrophy has occurred? A) A long, slow P wave B) an elongated T wave C) a high and wide R wave D) a flat but wide P-R interval

C)

Michael as had to streptococcal pharyngitis infections in the past. You would want your team members to know to remind parents of children with streptococcal pharyngitis to give the full course of prescribed antibiotic because, without this, a few children develop a complication such as: A) lymphedema or epiglottitis B) dental abscess C) heart or kidney disease D) lung abscesses or emphysema

C)

Suppose you are preparing to enter Marty's room. because his infection involves potential airborne transmission, what isolation precautions should you use? A) goggles and nonsterile gloves B) gown and nonsterile gloves C) mask, gown, and nonsterile gloves D) no precautions provided marty wears a mask

C)

The primary health care provider for Bobby's baby asks you to observe him for signs that he is developing increased intracranial pressure while he waits for surgery. What vital sign changes should most prompt you to report the findings to the primary care provider? A) decreased temp and increased BP B) increased resp and decreased pulse C) increased temp and decreased pulse rate D) decreased BP and increased temp

C)

You position Bobby's baby on his side to keep pressure off his back. She asks you why you're not positioning a baby with diaphragmatic hernia in the same way. Before surgery, what would be the best position for a new born with left sided diaphragmatic hernia? A) on his left side to support his left lung B) on his stomach with his head turned sideways C) on his left side elevated in an infant chair D) on his right side so his left lung can expand

C)

You want to teach Michaels 3 yr old about peak flow testing during the diagnostic test, what instruction should you provide? A) "hold your breath until I say, and then cough forcefully" B) "when i put the meter in your mouth take a big deep breath" C) "i need you to blow out through the meter as hard and fast as you can" D) "breathe like you usually do when i put the meter against your mouth"

C)

A nurse is admitting a child who has HIV. Which of the following are clinical manifestations of a child who is mildly symptomatic? (select all that apply) A) herpes zoster B) anemia C) dermatitis D) hepatomegaly E) lymphadenopathy

C,D,E

A nurse is caring for a child who has AIDS. Which of the following isolation should the nurse implement? A) contact B) airborne C) droplet D) standard

D)

A nurse is providing teachin to the parent of a child who has a new prescription for liquid oral iron supplements. Which of the following statements by the parent indicates an understanding of the teaching? A) "i should tak emy child to the ER if his stools become dark" B) "my child should avoid eating citrus fruit while taking the supplements" C) "i should give the iron with milk to help prevent an upset stomach" D) "my child should take the supplement through a straw"

D)

A nurse is teaching a group of parents about communicable disease. which of the following is the most appropriate method to prevent a communicable disease? A) hand washing B) avoiding persons with active disease C) covering your cough D) obtaining immunization

D)

Bobby tells you her baby was born on an unlucky day because the baby born before hers had his bowel outside his body, What is the most important nursing consideration at birth in the care of a baby with gastroschisis? A) position the infant on his/her stomach so the intestine is well contained B) wrap the intestines with chilled gauze to prevent intestinal swelling C) keep the infant seated upright under a radiant warmer for warmth D) contain the intestine in a warmed, sterile saline-lined bowel bag

D)

Children with CHF are often prescribed digoxin. knowing that this drug possesses a high risk of adverse effects, you have provided education materials to Megan's parents. Which statement by Megan's mother would alert you that she has not received all the education that she needs? A) "I know the drug will slow down megan's heart rate" B) "Its important i give the exact dose every time" C)"if i happen to miss a dose, I'll make sure not to double-dose afterward" D) "nausea and vomiting are expected side effects to the first few weeks of treatment"

D)

Dexter is at his primary care provider's office and you've been asked to assist with his physical examination. What safety intervention should you use with Dexter because he's known to have many allergies? A) assess his BP using a new BP cuff B) distract him by showing him a tropical fish tank C) spot check his oxygen saturation using pulse ox D) use nonlatex gloves to conduct the exam

D)

It is important that all members of the care team be certified to perform CPR. What action should you perform first if you have to administer CPR? A) ready a defibrillator and place it on standby B) take and record her carotid or apical pulse C) blow to strong breaths of air into her mouth D) begin chest compressions at a rate of 100 per min

D)

Marty, who has scarlet fever is missing his school friends so is eager to return to school. Because he received an antibiotic when should you inform the school nurse that is would be safe for him to return to school? A) whenever he feels that he is strong enough B) 48 hrs his spleen has returned to usual size C) as soon as his fever is within normal range D) 24 hrs after began antibiotics

D)

Michael has a barking cough, sore throat, and fever. You want to see if his throat looks sore and swollen. what is the safest and most accurate way of performing this assessment? A) gag him with a tongue blade so you can inspect his tonsils B) ask him to press down on his tongue with one of his fingers C) elicit a gag reflex using only one of your gloved fingers D) ask him to open his mouth and inspect his throat visually

D)

Michael's 4 yr old roommate in the care unit is scheduled for a tonsilectomy later today. In order to ensure that your nursing care is empathetic and patient centered, what food would be best to offer the roommate following his surgery? A) grilled cheese sandwich B) tomato juice and crackers C) potato chips and dip D) a cold green ice pop

D)

Pharyngitis causative agent?

adenovirus

asthma meds

albuterol, terbutaline, atrovent, solu-medrol or prednisone

treatment for bronchiolitis?

antipyretics, adequate hydration, and maintaining a watchful eye for progression of a more serious illness

allergic rhinitis and contact dermatitis how do you identify and treat it?

avoidance of allergen (example sunscreen)

Know how to assess a child with meningomyelocele

check voiding pattern

esophageal atrasia with tracheal esophageal fistula what would you find on assessment?

coughing and choking

cystic fibrosis diet?

diet high in protein and calories, give 3 meals a day with snacks encourage oral fluids

worms out the hiney?

pin worms

tetralogy of fallot tell parents what if child become cyanotic or dyspneic?

put them in the knee chest position

erythmia infectiosum (5th disease) what do you see in these children?

red cheek, rash

cardiac cath is usually which vein?

right femoral vein

Whats the position you put a kid in with HF?

semi fowlers

cystic fibrosis meds?

short acting beta 2 agonists- proventil cholinergic antagonists- atrovent or advair Antibiotics- tobramycin, ticarcillin or gentamicin

What do you do for epitaxis?

sit up right and apply pressure

action of digoxin?

slows and strengthens the heart rate

know causative agent for exanthema?

strep

what is hydrocephalus child going to be showing?

sun setting sign (white sclera showing) is common in which the whites of the eyes are visible above the iris

test for cystic fibrosis?

sweat test

assessment for a kid with kawasaki disease?

they have a strawberry tongue

how do you assess a child with asthma?

usually wheezing on expiration

how do you prevent a toddler from reinfecting himself with pin worms?

wash hands and keep his hands out of his mouth

Torticollis when are they getting better?

when they can turn towards affected side, muscle

What will you see when assessing ductus arteriosus?

wide pulse pressure