CMCA LEC QUIZZES AND LONG QUIZ MIDS

D. Mechanical ventilation

A neonate with respiratory distress syndrome is receiving oxygen therapy. Which of the following oxygen delivery methods is the MOST appropriate for this patient? A. Nasal cannula B. Noninvasive positive pressure ventilation C. High-flow nasal cannula D. Mechanical ventilation

B. Hold the newborn's mouth closed, then compress one nostril, then the second

A newborn is showing signs of respiratory distress. How would you assess for choanal atresia? A. Make the newborn cry, then gently compress one nostril, then the second B. Hold the newborn's mouth closed, then compress one nostril, then the second C. Compress both nostrils at the same time and open the newborn's mouth D. Have the newborn suck on a bottle as you compress the nostrils

A. Tachypnea and retractions

A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome? A. Tachypnea and retractions B. Acrocyanosis and grunting C. Hypotension and Bradycardia D. The presence of a barrel chest with grunting

D. Monitoring the child for signs of bleeding and hematoma formation

A nurse is caring for a child who has undergone cardiac catheterization. Which of the following is a priority nursing intervention post-procedure? A. Administering analgesics to manage pain B. Monitoring the child's blood pressure every 4 hours C. Restricting the child's activity to bed rest D. Monitoring the child for signs of bleeding and hematoma formation

B. Rheumatic fever

A nurse is caring for a child with acquired heart disease. Which of the following is a common cause of acquired heart disease in children? A. Atrial septal defect B. Rheumatic fever C. Tetralogy of Fallot D. Patent ductus arteriosus

rumbling sound

Respi is 30 to 40

Stroke

Sickle cell is risk for developing

D. Hives

Which of the following is a symptom of stinging insect hypersensitivity? A. Fever B. Nausea C. Joint pain D. Hives

B. IgE

Which of the following is an immunoglobulin involved in allergic reactions? A. IgM B. IgE C. IgA D. IgG

C. Type C

Which of the following is the most common type of tracheoesophageal fistula? A. Type A B. Type B C. Type C D. Type D

serum sickness

possible complication

true

rubella, can be prevented through vaccines

blood culture

to identify infection

D. Explain the surgery to the child

A child with hydrocephalus is scheduled for surgery to insert a shunt. Which of the following should the nurse include in the preoperative teaching? A. Tell the child they will be awake during the surgery B. Explain that they will have a headache after the surgery C. Teach the child deep breathing exercises D. Explain the surgery to the child

D. All of the above

A child with hydrocephalus may exhibit which of the following symptoms? A. Seizures B. Headache C. Visual disturbances D. All of the above

B. "We should watch for signs of infection and fever and report them immediately."

A nurse is providing education to the parents of a child with a congenital heart defect. Which statement made by the parents indicates an understanding of the teaching? A. "We should restrict our child's physical activity to avoid overexertion." B. "We should watch for signs of infection and fever and report them immediately." C. "Our child's heart defect will likely resolve on its own with time." D. "Our child may need to take a diuretic to increase urine output."

getting temperature

sinus arrythmia; except

B. Palpating skin temperature and assessing capillary filling in fingers and toes

Nursing interventions for a child with Kawasaki disease may include which of the following? A. Maintaining heavy bed coverings and clothing to keep the child warm and comfortable B. Palpating skin temperature and assessing capillary filling in fingers and toes C. Performing range-of-motion exercises to joints hourly to prevent contractures D. Withholding all aspirin-containing medications to prevent platelet agglutination

A. The exchange of fetal and maternal blood in utero

On the third hospital day in the nursery, Mr. and Mrs. Ibarra's newborn baby girl Analyn is diagnosed with Rh incompatibility. Mrs. Ibarra is a gravida 2, para 1, abortion 1. This disease cause blood cell hemolysis that is probably directly due to: A. The exchange of fetal and maternal blood in utero B. Rh-positive fetus and Rh-positive father C. Rh-negative mother, Rh-positive father D. The sin of abortion of the first child

B. How to take the child's pulse accurately to determine pacemaker function

Parents of a child with a pacemaker must be taught: A. The procedure for cardiac defibrillation in case a dysrhythmia occurs B. How to take the child's pulse accurately to determine pacemaker function C. To change the pacemaker battery every year if symptoms indicate the need D. That prolonged hiccupping is a harmless side effect from pacemaker leads

A. Immediately after birth

Surfactant replacement therapy is most effective when given to neonates with respiratory distress syndrome at what point? A. Immediately after birth B. After symptoms develop C. After a week of life D. After two weeks of life

C. A history of headaches and nosebleeds

Which of the following findings may be noted in a child with coarctation? A. Low blood pressure in upper extremities B. High blood pressure in the lower extremities C. A history of headaches and nosebleeds D. A capillary refill time of less than 5 seconds

C. Left heart failure initially presents with jugular vein distention

Which of the following is TRUE about congestive heart failure? A. Edema is an early symptom of heart failure in children B. Irritability and restlessness may indicate abdominal pain from hepatomegaly C. Left heart failure initially presents with jugular vein distention D. Right heart failure results in pulmonary edema as an initial sign

B. Brain tumor

Which of the following is a common cause of hydrocephalus in infants? A. Stroke B. Brain tumor C. Meningitis D. Traumatic brain injury

B. C-section delivery

Which of the following is a common risk factor for transient tachypnea of the neonate (TTN)? A. Maternal hypertension B. C-section delivery C. Gestational diabetes D. Premature birth

A. Coughing

Which of the following is a common symptom of asthma in children? A. Coughing B. Seizures C. Rash D. Ear pain

C. Sinusitis

Which of the following is a common upper respiratory tract disorder in children? A. Pneumonia B. Bronchitis C. Sinusitis D. Asthma

D. Proper hand hygiene

Which of the following is a health promotion measure to prevent respiratory illness in children? A. Sleeping in a room with closed windows B. Avoiding vaccinations C. Exposure to secondhand smoke D. Proper hand hygiene

A. Administering bronchodilators

Which of the following is a therapeutic technique used in the treatment of asthma in children? A. Administering bronchodilators B. Using a humidifier C. Avoiding physical activity D. Taking hot showers

B. Drinking plenty of fluids

Which of the following is a therapeutic technique used in the treatment of respiratory illness in children? A. Using a peak flow meter B. Drinking plenty of fluids C. Administering bioethics D. Smoking cessation

D. Influenza

Which of the following is a viral infection commonly seen in children? A. Streptococcal pharyngitis B. Tuberculosis C. Urinary tract infection D. Influenza

B. Eczema

Which of the following is an example of an atopic disorder? A. Crohn's disease B. Eczema C. Osteoporosis D. Diabetes

B. Preparing the patient for a cesarean delivery

Which of the following is the most appropriate nursing intervention for a patient suspected of having uterine rupture? A. Monitoring maternal vital signs every hour B. Preparing the patient for a cesarean delivery C. Instructing the patient to push during contractions D. Administering oxytocin to stimulate contractions

C. Exposure to air pollution

Which of the following is the most important risk factor for respiratory illness in children? A. Low socioeconomic status B. Age C. Exposure to air pollution D. Genetic predisposition

A. Fetal bradycardia

Which of the following signs or symptoms is an indication of uterine rupture? A. Fetal bradycardia B. Cervical dilation of 4 cm C. Uninterrupted fetal heart rate D. Normal uterine contractions

D. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

Which structural defects constitute tetralogy of Fallot? A. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy B. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy C. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy D. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

D. Administer factor VIII replacement prior to surgery

A child diagnosed with hemophilia A is scheduled for a tonsillectomy. Which of the following actions should the nurse take? A. Encourage the child to cough and deep breathe postoperatively B. Apply heat to the surgical site to decrease swelling C. Administer aspirin for postoperative pain D. Administer factor VIII replacement prior to surgery

C. Check with the party host about the ingredients in the food

A child with a history of food allergies is attending a birthday party. What should the nurse instruct the child and family to do before attending the party? A. Bring their own food and drinks B. Avoid all food and drinks at the party C. Check with the party host about the ingredients in the food D. Refrain from attending the party

A. Strict hand hygiene

A child with an immune disorder is at increased risk for infections. Which of the following measures is the most important for the family to implement? A. Strict hand hygiene B. Use of antibacterial cleaning products C. Wearing face masks in public places D. Isolation of the child from other family members

D. All of the above

A child with an immune disorder is at risk for which of the following infections? A. Viral infections B. Bacterial infections C. Fungal infections D. All of the above

D. Advise the child to use the medication for a short period of time

A child with atopic dermatitis has been prescribed topical corticosteroids. Which of the following is the appropriate nursing intervention? A. Advise the child to avoid using moisturizers with the medication B. Instruct the child to apply the medication to dry skin C. Encourage the child to apply the medication once a day D. Advise the child to use the medication for a short period of time

C. Reassuring the child and parents that postoperative abdominal pain will subside

A child with coarctation of the aorta might require which of the following nursing interventions? A. Assisting the child and parents with coping with this terminal illness B. Informing females with the condition that pregnancy seldom causes problems C. Reassuring the child and parents that postoperative abdominal pain will subside D. Scheduling the surgery during early infancy to prevent complications

A. Poison ivy

A child with contact dermatitis should avoid which of the following? A. Poison ivy B. Mold C. Dust D. All of the above

B. How to monitor the baby's breathing

A nurse is providing discharge teaching to the parents of a newborn with tracheoesophageal fistula. Which of the following should be included in the teaching plan? A. How to change the baby's diaper B. How to monitor the baby's breathing C. How to perform physical therapy exercises D. How to administer medication

C. Elevate the child's head and turn him or her on his or other side

If bleeding occurs in a child following a tonsillectomy, the nursing action would be to: A. Elevate the child's feet and turn him or her in a prone position B. Place the child in a Trendelenburg position C. Elevate the child's head and turn him or her on his or other side D. Place the child in a prone position

B. Avoid all foods that contain peanuts

What should the nurse include in the plan of care for a child who is allergic to peanuts? A. Educate the child on the benefits of consuming peanuts B. Avoid all foods that contain peanuts C. Provide peanut-based diet D. Encourage the child to eat peanuts in moderation

A. Common variable immunodeficiency

Which of the following is an example of an immunodeficiency disorder? A. Common variable immunodeficiency B. Allergic rhinitis C. Asthma D. Atopic dermatitis

D. Notify the physician immediately and prepare for intubation

Which of the following would the nurse do first for a 3-year-old boy who arrives in the emergency room with a temperature of 105 degrees, inspiratory stridor, and restlessness, who is learning forward and drooling? A. Auscultate his lungs and place him in a mist tent B. Have him lie down and rest after encouraging fluids C. Examine his throat and perform a throat culture D. Notify the physician immediately and prepare for intubation

B. Supine

Which position should the nurse place the newborn with hydrocephalus in to decrease intracranial pressure? A. Prone B. Supine C. Trendelenburg D. Side-lying

100, 000 bpm

breaths per day

meconium respiration

ttn after birth is caused by

rabies

zoonotic

C. Oxygen supplementation

A preterm infant is born at 28 weeks gestation and is diagnosed with respiratory distress syndrome. Which of the following interventions is the most appropriate for this infant? A. Intravenous fluid restriction B. Caffeine administration C. Oxygen supplementation D. Antibiotic therapy

D. Avoiding the drug completely

A child is diagnosed with a drug allergy. What is the most important nursing intervention? A. Administering the drug as prescribed B. Monitoring vital signs C. Providing a balanced diet D. Avoiding the drug completely

B. Administering folic acid supplements

A child with a diagnosis of thalassemia minor is asymptomatic. Which of the following nursing interventions is most appropriate for this child? A. Administering iron supplements B. Administering folic acid supplements C. Encouraging a high-iron diet D. Providing education on genetic counseling

A. Give the child antihistamines

A child with a food allergy has a reaction after eating a meal at a restaurant. What is the most appropriate action for the family to take? A. Give the child antihistamines B. Encourage the child to drink water C. Wait and observe for symptoms to develop D. Administer epinephrine immediately

Autoimmune Disease

This occurs when the immune system fails to distinguish OWN TISSUE from FOREIGHT tissue.

To drain

hydrocephalus shunt drain purpose?

C. Keep a bee sting kit on hand at all times

A child has a history of anaphylaxis to bee stings. What should the family be instructed to do to prevent future stings? A. Avoid wearing brightly colored clothing or perfume B. Keep the child indoors during bee season C. Keep a bee sting kit on hand at all times D. Apply insect repellent before going outside

Mother

Diagnose with hemophilia., Carrier?

C. Surgery

The most common treatment for hydrocephalus is: A. Medication B. Radiation therapy C. Surgery D. Physical therapy

D. Notify the healthcare provider

A child with hydrocephalus experiences a sudden change in level of consciousness. What is the priority nursing intervention? A. Administer pain medication B. Place the child in a side-lying position C. Elevate the head of the bed D. Notify the healthcare provider

B. Relieve hypoxia and cyanosis

A 5-month old child is admitted to your unit with bronchiolitis, temperature: 102°F, apical pulse 154, respirations 68 and irritability. Oxygen therapy is ordered to: A. Liquefy secretions B. Relieve hypoxia and cyanosis C. Promote rest D. Decrease coughing

D. "Keep the child in a separate room until the rash has completely healed."

A 5-year-old child has been diagnosed with chickenpox, a viral infectious disease. The child's parents ask the nurse what they can do to prevent the spread of the infection to their other children. Which of the following is the most appropriate response by the nurse? A. "Allow the child to go to school if they feel well enough, but inform the school nurse of the diagnosis." B. "Avoid having the child come into close contact with other children until all scabs have fallen off." C. "Have all family members receive the chickenpox vaccine to prevent infection." D. "Keep the child in a separate room until the rash has completely healed."

A. Seat the child in the front row

A 5-year-old child with hydrocephalus is attending kindergarten. Which of the following accommodations should the nurse suggest to the teacher? A. Seat the child in the front row B. Assign the child to a different classroom C. Provide extra time for tests D. Assign extra homework

B. It involves gradually increasing exposure to the allergen over time

A child with a history of allergies is being evaluated for possible allergy desensitization therapy. What should the nurse inform the family about this therapy? A. It is a one-time treatment that will cure the allergy B. It involves gradually increasing exposure to the allergen over time C. It is not effective in preventing allergic reactions D. It is only available for certain types of allergies

B. Teach the child how to use the auto-injector

A child with a history of anaphylaxis has been prescribed an epinephrine auto-injector. Which of the following is the appropriate nursing intervention? A. Tell the child to share the auto-injector with friends if they experience an allergic reaction B. Teach the child how to use the auto-injector C. Advise the child to use the auto-injector only if symptoms are severe D. Instruct the child to keep the auto-injector in the refrigerator

B. Administer a rescue inhaler and call in the emergency hotline

A child with a history of asthma has an acute exacerbation while at school. What is the most appropriate nursing intervention for the child? A. Encourage the child to drink water B. Administer a rescue inhaler and call in the emergency hotline C. Have the child lie down and rest quietly D. Notify the parents and send the child home

D. Administer epinephrine immediately.

A child with a known stinging insect hypersensitivity has been stung by a bee. Which of the following is the appropriate nursing intervention? A. Give the child an antihistamine B. Wait to see if symptoms develop before administering epinephrine C. Apply ice to the sting site D. Administer epinephrine immediately

D. Give the child an antibiotic before surgery

A child with common variable immunodeficiency is scheduled for surgery. Which of the following is the appropriate nursing intervention? A. Encourage the child to eat a high-fat diet before surgery B. Administer live vaccines before surgery C. Encourage the child to stay up late the night before surgery D. Give the child an antibiotic before surgery

A. Meconium aspiration

A neonate is born via C-section and develops TTN shortly after birth. What is the likely cause of TTN in this neonate? A. Meconium aspiration B. Maternal fever C. Delayed cord clamping D. Prolonged labor

A. The need for ongoing oxygen therapy at home

A neonate with TTN is being discharged from the hospital. What teaching should the nurse provide to the parents? A. The need for ongoing oxygen therapy at home B. The importance of monitoring for signs of infection C. The need for frequent suctioning to prevent mucus buildup D. The likelihood of recurrence of TTN in future pregnancies

D. Limit the amount of oxygen delivered

A neonate with TTN is receiving oxygen via nasal cannula. Which nursing intervention is important to prevent oxygen toxicity? A. Administer oxygen continuously B. Increase the amount of oxygen delivered C. Use a non-rebreather mask for delivery of oxygen D. Limit the amount of oxygen delivered

C. Ensure the baby is NPO (nothing by mouth) for several hours before surgery

A newborn with tracheoesophageal fistula is being prepared for surgery. Which of the following is the priority nursing intervention? A. Administer antibiotics to prevent infection B. Check the baby's vital signs C. Ensure the baby is NPO (nothing by mouth) for several hours before surgery D. Administer medication to keep the baby calm

B. Preparing the child and family for cardiac catheterization

Nursing care of the child with an atrial septal defect would involve which of the following? A. Reporting splitting of the second heart sound immediately as a serious complication B. Preparing the child and family for cardiac catheterization C. Monitoring the diastolic murmur over the apical area that is diagnostic of the condition D. Teaching parents about the lifelong medications required to control the condition

B. Respiratory depression

After reviewing the client's maternal history of magnesium sulfate during labor, which condition would the nurse anticipate as a potential problem in the neonate? A. Tachycardia B. Respiratory depression C. Jitteriness D. Hypoglycemia

B. Hemolysis

It is the excessive destruction of red blood cells. A. Hydrolysis B. Hemolysis C. Oxylolysis D. Dialysis

fowler position

BEST POSITION FOR RDS

Position the infant with the head of the bed elevated

Baby Selina is about 21 hours old and has become respiratory compromised after an eventful delivery and "normal" newborn assessment. The nurse's initial response would be to: Obtain blood gas levels and position the infant prone Increase the flow of oxygen and position the infant in the Trendelenburg position Position the infant on her abdomen and lower the head of the bed Position the infant with the head of the bed elevated

A. Keep Bethany in bed for a week or more with quiet games and books.

Bethany, age 6, has been diagnosed with infectious mononucleosis. This nurse should do which of the following? A. Keep Bethany in bed for a week or more with quiet games and books. B. Encourage Bethany to return to school and normal physical activity after 10 days C. Limit Bethany's fluids to decrease the workload of the spleen D. Push on Bethany's upper stomach daily and report any complaints of tenderness.

bacteria

Causes of strep

rub the back

Clinical prac to promote breathing

A. 6 months

Congenital immunodeficiency appears after how many months of life? A. 6 months B. 8 months C. 3 months D. At birth

A. X-ray

How is tracheoesophageal fistula diagnosed? A. X-ray B. Blood test C. Urine test D. CT scan

C. Results as a secondary manifestation of another disease

Hypertension in children most commonly A. Manifests frequent severe symptoms B. Cannot be treated with diet and daily exercise C. Results as a secondary manifestation of another disease D. Will resolve before adolescence without treatment if it is primary hypertension

True: Statement 1

I. Allergic disorders are causes by overactivity of immune system. II. Atopic disorders are type of allergy disorders that affect respiratory system.

macrosomia

Infant, diabetic mother.

B. "TTN is a common respiratory condition that usually resolves within a few days."

The mother of a newborn with TTN is concerned about her baby's condition. Which statement by the nurse is accurate regarding TTN? A. "TTN is a serious respiratory illness and may cause long-term damage to your baby's lungs." B. "TTN is a common respiratory condition that usually resolves within a few days." C."TTN can only be diagnosed with advanced imaging techniques, such as a CT scan." D. "TTN is caused by a bacterial infection and requires antibiotics to treat."

D. Cardiac arrhythmia

The nurse is assessing a child postcardiac catheterization. Which complication might the nurse anticipate? A. Congestive heart failure B. Hypostatic pneumonia C. Rapidly increasing blood pressure D. Cardiac arrhythmia

A. Expectorants and coughing to clear secretions

The plan of care for a child with bronchitis should include: A. Expectorants and coughing to clear secretions B. Shallow inspiration to decrease chest pain C. Keeping room air cool and dry D. Bed rest and miniminal oral fluid intake

A. An abnormal connection between the trachea and esophagus

What is a tracheoesophageal fistula? A. An abnormal connection between the trachea and esophagus B. A blockage in the esophagus C. An abnormal connection between the lungs and stomach D. A blockage in the trachea

A. Moisturizing the skin regularly

What is the most appropriate nursing intervention for a child with atopic dermatitis (eczema)? A. Moisturizing the skin regularly B. Encouraging physical activity C. Providing a balanced diet D. Administering antibiotics

A. Rhinitis

What is the most common allergic reaction associated with asthma? A. Rhinitis B. Eczema C. Anaphylaxis D. Urticaria

C. Respiratory failure

What is the most frequent cause of cardiac arrest in children? A. Kidney failure B. Immunity failure C. Respiratory failure D. Reproductive failure

C. Immature lung development

What is the primary cause of respiratory distress syndrome in premature infants? A. Respiratory infections B. Overdeveloped alveoli C. Immature lung development D. High levels of surfactant

A. Helps the lungs remain expanded after the initiation of breathing

Which action best explains the main role of surfactant in the neonate? A. Helps the lungs remain expanded after the initiation of breathing B. Promotes clearing mucus from the respiratory tract C. Assists with ciliary body maturation in the upper airways D. Helps maintain a rhythmic breathing pattern

B. Decreased oxygen saturation levels

Which laboratory test result would be indicative of TTN? A. Elevated white blood cell count B. Decreased oxygen saturation levels C. Increased carbon dioxide levels D. Abnormal blood glucose levels

B. Monitor vital signs

Which nursing intervention should be the priority for caring a neonate with TTN? A. Administer oxygen B. Monitor vital signs C. Provide suctioning D. Maintain fluid and electrolyte balance

C. Tetralogy of Fallot

Which of the following cardiac disorders is characterized by a blue tinge to the skin due to inadequate oxygenation of the blood? A. Rheumatic fever B. Aortic stenosis C. Tetralogy of Fallot D. Congestive heart failure

D. All of the above

Which of the following complications can occur with tracheoesophageal fistula? A. Pneumonia B. Sepsis C. Malnutrition D. All of the above