Prep U Random Quizzes

The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which response by the mother could indicate that the child is experiencing hypercyanotic spells? A. "He likes to stop and squat wherever he walks." B. "He walks very quickly and never stops moving." C. "He takes one nap a day and is fairly active." D. "He does not seem to have difficulty breathing."

"He likes to stop and squat wherever he walks."

The nurse has just admitted a 17-year-old diagnosed with bacterial meningitis. The parents of the adolescent tell the nurse, "We just don't understand how this could have happened. Our child has always been healthy and also just received a booster vaccine last year?" How should the nurse respond? A. "Maybe your child's immune system isn't strong enough to fight off the infection, even with having received the vaccine." B. "Your child was likely exposed to a strain of bacteria not covered with the meningitis vaccine received." C. "I understand your frustration. Unfortunately immunizations are not 100% effective in preventing the infection." D. "Are you sure your child received a vaccine for meningitis? Maybe it was a flu vaccine."

"I understand your frustration. Unfortunately immunizations are not 100% effective in preventing the infection."

The nurse is assessing the heart rate of a healthy 6-month-old. In which range should the nurse expect the infant's heart rate? A. 60 to 68 bpm B. 70 to 80 bpm C. 80 to 105 bpm D. 90 to 160 bpm

90 to 160 bpm

Coarctation of the aorta demonstrates few symptoms in newborns. What is an important assessment to make on all newborns to help reveal this condition? - Recording an upper extremity blood pressure - Assessing for the presence of femoral pulses - Auscultating for a cardiac murmur - Observing for excessive crying

Assessing for the presence of femoral pulses

What information would be included in the care plan of an infant in heart failure? A. Encourage larger, less frequent feedings. B. Begin formulas with increased calories. C. Maintain child in the supine position. D. Administer digoxin even if the infant is vomiting.

Begin formulas with increased calories.

What is the leading cause of neonatal sepsis and death? A. Cytomegalovirus infection B. Group B streptococcus C. Epstein-Barr virus infection D. Nisseria meningitidis

Group B streptococcus

The nurse in a pediatric cardiovascular clinic is talking with the father of a 5-year-old child who underwent cardiac surgery for a heart defect at the age of 3. The father reports that the child has been having increased shortness of breath, tires easily after playing, and has been gaining weight. The nurse is aware that the child is most likely demonstrating symptoms of which acquired cardiovascular disorder? A. Heart failure B. Infective endocarditis C. Cardiomyopathy D. Kawasaki Disease

Heart failure

A 6-year-old child is being treated for a parasitic infection. When reviewing results from the child's white blood cell count, which finding would be anticipated? A. Elevated monocytes B. Reduced neutrophil levels C. Increased eosinophils levels D. Reduced basophil levels

Increased eosinophils levels

A nurse suspects a child is experiencing cardiac tamponade after heart surgery. What would be the priority nursing intervention? A. Elevate the head of the bed. B. Notify the doctor immediately. C. Administer epinephrine. D. Observe vitals every two hours.

Notify the doctor immediately.

The student nurse is discussing the plan of care for a child admitted to the hospital for treatment of an infection. Which action should be taken first? A. Initiate intravenous therapy B. Obtain urine specimen for analysis C. Initiate antibiotic therapy D. Obtain blood cultures

Obtain blood cultures

While assessing a child, the nurse notes a runny nose, temperature 100.4°F (38°C), and a whoop sound when the child coughs. On which diagnosis will the nurse anticipate providing education for this family? A. Pertussis B. Tuberculosis C. Influenza D. Nasopharyngitis

Pertussis

The nurse is caring for a 6-year-old with a congenital heart defect. To best relieve a hypercyanotic spell, what action would be the priority? A. Place the child in a knee-to-chest position. B. Use a calm, comforting approach. C. Provide supplemental oxygen. D. Administer propranolol (0.1 mg/kg IV).

Place the child in a knee-to-chest position.

When reviewing the record of a child with tetralogy of Fallot, what would the nurse expect to discover? A. Leukopenia B. Polycythemia C. Increased platelet level D. Anemia

Polycythemia

A newborn has been diagnosed with congenital heart disease. Which congenital heart disease is associated with cyanosis? A. Coarctation of aorta B. Tetralogy of Fallot C. Pulmonary stenosis D. Aortic stenosis

Tetralogy of Fallot

A nurse is interviewing a mother who is about to give birth. Which response would alert the nurse for a higher potential for a heart defect in the newborn? A. The mother states she has lupus. B. The mother states she took acetaminophen while pregnant. C. The mother has seizures but did not take medication while pregnant. D. The mother states she slept all the time while pregnant.

The mother states she has lupus.

Which of these age groups has the highest actual rate of death from drowning? A. School-aged children B. Preschool children C. Toddlers D. Infants

Toddlers

A 3-year-old girl was in the hospital for a week following open-heart surgery. By the end of the week, she had contracted an infection. The nurse recognizes this type of infection as a: A. fungal infection. B. bacterial infection. C. viral infection. D. healthcare-associated infection (HAI).

healthcare-associated infection (HAI).

A nurse is reviewing blood work for a child with a cyanotic heart defect. What result would most likely be seen in a client experiencing polycythemia? A. Increased WBC B. Decreased WBC C. Decreased RBC D. Increased RBC

increased RBC

Dexamethasone is often prescribed for the child who has sustained a severe head injury. Dexamethasone is a(n): A. diuretic. B. antihistamine. C. anticonvulsant. D. steroid

steroid