exam 2 practice questions

Wallace has a newborn with respiratory distress, the nurse, Oscal Tates, a machine, light heart murmur. Other findings are a wide post pressure, periods of apnea, increase PA CO2, and decrease PO two. The nurse suspects that the newborn has. 1. Pulmonary hypertension. 2. PDA. 3. PSD 4. Bronchopulmonary dysplasia

2

What should the nurse assess before administering digoxin? 1. sclera 2. apical pulse rate 3. cough 4. liver function test

2

Which position would be most comfortable for a child with left-sided pneumonia? 1. Trendelenburg. 2. Left side. 3. Right side 4. Supine.

2

how does the nurse interpret the laboratory analysis of a stool sample containing excess amounts of azotorrhea and steatorrhea in a child with cystic fibrosis? The values indicate that the child is... 1. Not compliant with taking her vitamins. 2. Not compliant with taking her enzymes. 3. Eating too many foods high in fat. 4. Eating too many foods high in fiber.

2

school-age child has been diagnosed with nasopharyngitis. The parent is concerned because the child has had little to no appetite for the last 24 hours. What is the nurses best response? 1. Do not be concerned; it is common for children to have decreased appetite during resp illness. 2. Be sure your child is taking an adequate amount of fluids. The appetite should return soon. 3. Try offering the child some favorite foods. Maybe that will improve the appetite 4. You need to force your child to eat whatever you can; adequate nutrition is essential.

2

three year old brought the ED with coughing and gagging. The patient reports as a child was eating carrots when she began to gag. Which diagnostic evil will be used to determine whether the child has aspirated carrots. 1. Chest x-ray. 2. Bronchoscopy 3. ABG. 4. Speed and culture.

2

what associated manifestation by the nurse occasionally finding a child diagnosed with Wilms tumor? 1. Atrial fib. 2. Hypertension 3. Endocarditis. 4. Hyperlipidemia.

2

when looking through the chart of an infant with CHD of decrease pulmonary blood flow, the nurse should expect which lab finding? 1. Decreased platelet count. 2. Polycythemia. 3. Decreased ferritin level. 4. Shift to the left.

2

which assessment is the greatest concern in a 15 month old? 1. The child is lying down, has moderate retractions, low-grade fever, and nasal congestion. 2. The child is in tripod position has diminished breath sounds and a muffled cough 3. The child of sitting up, has course breath sounds, coughing, and fussiness 4. The child is restless and crying, has bilateral wheezes & is feeding poorly.

2

which child is at the greatest need for an emergency medical treatment? 1. Three-year-old with barking, cough, afebrile, and mild intercostal retractions. 2. Six year old with high fever, no spontaneous, cough and frog like croaking. 3. Seven year old with abrupt onset of Moderat respiratory distress, mild fever, and barking cough. 4. 13 year-old, who has a high fever, strider and purulent secretions

2

which is the nurses best response to parents who ask what impact asthma will have on the child's teacher in sports? 1. As long as your child takes prescribed Asthma medication's the child will be fine. 2. The earlier a child is diagnosed with asthma, the more significant symptoms. 3. The earlier a child is Agnes asthma the better the chance the child has a growing out of the disease. 4. Your charger avoid playing contact sports sports that require a lot of running

2

which lab result will provide the most important information regarding the rest, tori status of a child with an acute asthma exacerbation? 1. CBC 2. ABG 3. BUN 4. PTT

2

which statement about pneumonia is accurate 1. Pneumonia is most frequently caused by bacterial agents. 2. Children with bacterial pneumonia are usually sicker than children with viral pneumonia. 3. Children with our own pneumonia, are usually sicker than those with bacterial pneumonia 4. Children with viral pneumonia must be treated with a full round of ABX.

2

The parent of a child with CF is excited about the possibility of a child, receiving a double lung transplant. What should the parents understand? 1. The transplant will care of the child of CF in a while, the child to lead a long and healthy 2. The transplant will not cure the child of CF but will allow the child to have a longer life 3. The translate will help to reverse the multisystem damage that has been caused by CF. 4. The transplant will be the child on the chance of surviving long enough to graduate from college.

2

The parent of a child with frequent your infections Asa nurses there is anything that can be done to prevent future ear infections. What is the best response? 1. Daily dose of Singulair. 2. Kept away from tobacco smoke 3. Kept away from other children with otitis media. 4. Wear a hat when outside in the cold.

2

A child's parent asks the nurse what treatment the child will need for the diagnosis of strep throat. What is the best response? 1. your child will be sent home on bed rest and recover in a few days without any intervention. 2. your child will need to have the tonsils removed to prevent further strep infections. 3. Your child will need oral penicillin for 10 days and she feel better in a few days 4. Your child need to be admitted to the hospital for five days of IV antibiotics.

3

The parent of a child with CF ask the nurse will be done to relieve the child's constipation. What is the nurses best response? 1. Your child likely has an obstruction and require surgery. 2. Your child will likely be given IV fluids. 3. Your child will likely be given MiraLAX. 4. Your child will be placed on a clear liquid diet.

3

The parents of an infant with CF ask the nurse had to meet the child's increase nutritional needs. Which is the nurses best suggestion? 1. You may need to increase the number of fresh fruits and veggies you give your infant. 2. You may need to advance your infant diet To whole cows milk, because it is higher in fact in formula. 3. You may need to change your event to a higher calorie formula. 4. You may need to increase your infants carb intake.

3

What information should the nurse provide the parent of a child diagnosed with nasopharyngitis? 1. complete entire abx 2. avoid sending child to daycare 3. use comfort measures for the child 4. restrict to clear fluids for 24 hrs

3

What should the nurse administer to provide quick relief to a child with asthma, who is coughing, wheezing, and having difficulty catching her breath? 1. Prednisone. 2. montelukast (singulair) 3. albuterol 4. fluticasone (flovent)

3

apparent ask the nurse how it will be determined whether their child has RSV. Which is the nurse's best response? 1. We will do a simple blood test to determine whether a child has RSV. 2. There's no specific test for RSV. The diagnosis is based on symptoms. 3. we will swap your child's nose and send that specimen for testing. 4. We will send a viral culture to an outside Lab for testing.

3

how old a child with the rest were distress and strider, who is diagnosed with RSV be treated? 1. IV abx 2. IV steroids. 3. Nebulized racemic epinephrine 4. Alternating doses of Tylenol and Motrin.

3

in which CHD would the nurse need to take upper and lower extremity BPs? 1. transposition of the great vessels 2. AS 3. COA 4. TOF

3

infant is not sleeping well, crying frequently, has yellow drainage from the ear and is diagnosed with an ear infection. Which nursing objective is a priority for the family? 1. Educating the parents about signs and symptoms of a ear infection. 2. Providing emotional support for the parents. 3. Providing pain relief for the child. 4. Promoting the flow of drainage from the ear

3

on exam, a nurse hears a murmur at the LSB in a child with diarrhea and fever. The parents ask why the healthcare provider never mentioned the murmur. The nurse explains. 1. The healthcare provider is not a cardiologist. 2. Murmurs are difficult to detect, especially in children. 3. The fever increase the intensity of the murmur. 4. We need to refer the child to an interventional cardiologist

3

parent asks how to care for a child at home who has a diagnosis of viral tonsillitis. Best response? 1. prescribed antibiotics for 10 days. 2. Schedule a follow up for two weeks. 3. Give Tylenol every 4 to 6 hours as needed. 4. You can place warm towels around your child's neck for comfort.

3

what information will be most helpful and teaching parents about primary prevention to foreign body aspiration? 1. Signs and symptoms of foreign body aspiration. 2. Therapeutic management of foreign body aspiration. 3. Most common objects that toddlers aspirate. 4. Risk associated with foreign body aspiration.

3

what is child diagnosed with pneumonia? Would benefit most from hospitalization? 1. 13 year-old, who is coughing, course breath sounds, and it's not sleeping well. 2. 14 year old with a fever of 101.5°F, rapid breathing and decrease appetite 3. 15-year-old who has been vomiting for three days it has a fever of 101.3. 4. 16 year old, who is cough, chills, fever of 101.3 and wheezing.

3

what should be included in instructions to the parent of a child prescribed amoxicillin to treat an ear infection? 1. Continue the amoxicillin until the symptoms subside 2. Administer an over-the-counter antihistamine with the antibiotic. 3. Administer the amoxicillin until all the medication is gone. 4. Allow the child to administer his own dose of amoxicillin.

3

which drug should not be used to control, secondary hypertension, in a sexually active adolescent female, who uses intermittent birth control? 1. beta blockers. 2. Calcium channel blockers. 3. Ace inhibitors. 4. Diuretics.

3

which is the nurses best response to the parent of infant diagnosed with the first otitis media who wanders about long-term effects? 1. The child could suffer hearing loss. 2. The child gets off her speech delays. 3. The child cuts off for recurrent ear infections. 4. The child that require ear tubes.

3

which plane will be appropriate and helping to control CHF in an infant? 1. Promoting fluid restriction 2. Feeding low-salt formula. 3. Feeding in semi fowler position. 4. Encouraging breastmilk.

3

which statement by the parents of a toddler with repeated otitis media indicates they need additional teaching? 1. If I quit smoking, my child may have decreased chance of getting ear infections. 2. As my child gets older, he should have your ear infections because his immune system will be more developed 3. My child will have fewer ear infections if he has his tonsils removed. 4. My child may need a speech eval.

3

A child with severe cerebral palsy is admitted to the hospital with aspiration pneumonia. What is the most beneficial education information of the nurse can provide parents 1. Signs and symptoms of aspiration pneumonia. 2. Treatment plan for aspiration ammonia. 3. Risks associated with recurrent aspiration pneumonia 4. Prevention of aspiration pneumonia.

4

A four month old infant presents with history of cold symptoms, low-grade fever, and paryoxsmal coughing followed by vomiting, primarily at night for several weeks. The parents miss infant sauce, too well child checks, so immunization is delayed. Most likely diagnosis is 1 bronchiolitis 2 bronchitis 3. Pneumonia. 4. Pertussis.

4

The nurse is caring for a child who has undergone a cardiac catheterization. During recovery, the nurse notices, addressing a saturated with bright red blood. Nurses first action is to. 1. Call the interventional cardiologists. 2. Notify the cardiac catheterization lab that the child will be returning. 3. Apply a bulky pressure dressing over the present dressing. 4. apply pressure 1 inch above the puncture site.

4

The nurse is reviewing discharge instructions with the parents of a child, who are the tonsillectomy a few hours ago. The parents tell the nurse at the child is a big eater, and they want to know what foods to get the charger for the next 24 hours. What is the best response by the nurse 1. Diet should not be restricted at 2. Diet should be restricted to clear liquids. 3. Diet should be researched ice cream and cold liquids 4. Diet should be restricted to soft foods

4

indomethacin may be given to close which CHD in newborns?

PDA patent ductus arteriosus

a 10 year old child is recovering from a severe sore throat. The parent states that the child complains of chest pain. The nurse observes at the child has swollen joints, nodules on the fingers, a rash on the chest. The likely cause is

Rheumatic fever

The nurse is caring for a nine month old who has a CHD. Assessment reveals A heart rate of 160, capillary refill of four seconds, bilateral crackles in sweat on the scalp. These are signs of.

congestive heart failure

which child is at highest for acquiring hospitalization to treat RSV? 1. A two month old, he was born at 32 weeks. 2. 16 month old with a trach. 3. Three year old with congenital heart defect. 4. Four year old, who is born at 30 weeks.

1

which statement indicates the parents need further teaching on how to prevent his other children from contracting RSV? 1. I should make sure that both my children receive Palivizumab injections for the remainder of this year 2. I should be sure to keep my infected child away from his brother until he has recovered. 3. I shouldn't sister of you come in contact with my children, thoroughly wash your hands before playing with them. 4. I shouldn't say is there anyone with a respiratory illness avoid contact with my children until well.

1

treatment of a child, with pertussis includes 1. Erythromycin. 2. Azithromycin 3. clindamycin. 4. Amoxicillin.

2

which finding my delay, a cardiac catheterization procedure on a one year-old? 1. 30th percentile for wt 2. severe diaper rash 3. allergy to soy 4. oxygen sat of 91% on room air

2

which breathing exercises should the nurse have a 3 year old child with asthma do the increase expiratory phase ? 1. using incentive spirometer 2. Breathe into a paper bag. 3. Blow a pin wheel 4. Take several deep breaths.

3

2 year old has just been diagnosed with CF. The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurses best response 1. Develop a barrel shaped chest. 2. Develop a chronic, productive cough. 3. develop bronchiectasis 4. Develop wheezing respirations.

4

The parent of a nine month old cause the ED because his child is choking on a marvel. The parents ask her to help his child while waiting emergency medical services. Best response? 1. You should admin five abdominal thrust, followed by five back blows. 2. Trying to retrieve the object by inserting your finger in your child's mouth 3. Perform the Heimlich maneuver. 4. Administer five back blows followed by five chest thrust

4

A six month old who has episodes of cyanosis after crying should have the CHD of decreased pulmonary blood flow called

TOF

for a child with hypoplastic left heart syndrome, which drug may be given to allow the PDA to remain open until surgery?

prostaglandin E

a child who has red and eyes with no discharge, red and swollen and peeling palms and soles of feet, dry and cracked lips and a strawberry tongue most likely has

Kawasaki Disease (KD)

what is a nurses best response to the parent of a child diagnosed with epiglottitis, who asked for the treatment will be 1. complete the course of IV antibiotics. 2. Surgery to remove tonsils. 3. 10 days of aerosolized ribavirin 4. No intervention.

1

A 16-year-old being treated for hypertension has a history of asthma. Which drug class should be avoided in treating this client's hypertension? 1. Beta blockers 2. Calcium channel blockers. 3. Ace inhibitors 4. Diuretics.

1

The nurse is caring for a child with Katie. Is it a nurse who is on the unit? Ask if they are medication to treat this disease. The nurses best response to the student nurse is 1. Immunoglobulin G and aspirin. 2. Immunoglobulin G and ACE inhibitors 3. Immunoglobulin E and heparin. 4. Immunoglobulin E and ibuprofen.

1

The parent of a four month old was CF asked the nurse what time to begin the child's first CPT each day which is the nurses best response? 1. 30 minutes before feeding the child breakfast. 2. After deep suctioning the child each morning. 3. 30 minutes after feeding the child breakfast. 4. Only when the child has congestion and coughing.

1

appropriate nursing care management of a child with a diagnosis of mono? 1. Only family visitors. 2. Bedrest. 3. Clear liquids 4. Limit daily fluid intake.

1

what are the most serious complications for a child with KD? Select all that apply. 1. Coronary thrombosis 2. Coronary stenosis. 3. Coronary artery aneurysm. 4. Hypercoagulability. 5. Decrease sedimentation rate. 6. Hypoplastic left heart syndrome.

1,2,3

Hypoxic spells in the infant with CHD can cause which of the following? Select all that apply. 1. Polycythemia. 2. Blood clots. 3. CVA. 4. Developmental delays. 5. Viral pericarditis. 6. Brain damage. 7. Alkalosis.

1,2,3,4,6

TOF involves which defects? SATA 1. VSD 2. right ventricular hypertrophy 3. left ventricular hypertrophy 4. PS 5. pulmonic atresia 6. overriding aorta 7. PDA

1,2,4,6

CHDs are classified by which of the following? Select all that apply. 1. Cyanotic defect. 2. Acyanotic defect. 3. Defects with increased pulmonary blood flow. 4. Defects with decreased pulmonary blood flow. 5. Mixed defects. 6. Obstructive defects. 7. Pansystolic murmurs.

1,2,4,7

What can an ECG detect? SATA 1. ischemia 2. injury 3. CO 4. dysrhythmias 5. SVR 6. occlusion pressure 7. conduction delay

1,2,4,7

what does therapeutic management of CF patients include? Select all that apply. 1. Providing high-protein high calorie diet. 2. Providing high fat high carb diet. 3. Encourage exercise 4. Minimize pulmonary complications 5. Encourage med compliance.

1,3,4,5

which of the following are examples of acquired heart diseases? 1. Infective endocarditis 2. Hypoplastic left heart syndrome. 3. RF. 4. Cardiomyopathy 5. KD 6. Transposition of the great vessels.

1,3,4,5

which interventions decreased cardiac demands in an infant with CHF? Select all that apply. 1. Allow parents to Hold & rock the child. 2. Feed only when infant is crying 3. Keep the child not covered to promote low body temp. 4. Making frequent position changes 5. Feed the child on sucking the fists 6. Change bed linens only when necessary. 7. Organize nursing activities.

1,4,5,6,7

A chloride level, greater than what is a positive diagnostic indicator of cystic fibrosis

60 mEq/L

The blank serves as the septal opening between the atria of the fetal heart

foramen ovale

School-age child has been diagnosed with strep throat. The parents asked the nurse when a child can return to school. Which is the best response 1. 48 hours after the first documented normal temp. 2. 24 hours after the first dose of ABX. 3. 48 hours after the first dose of ABX. 4. 24 hours after the first documented normal temp.

2

which statement by the parent of a child using albuterol inhaler, leads, the nurse to believe that further education is needed on how to administer the medication? 1. I shouldn't miss her two quick puffs of albuterol using a spacer 2. I should always use a spacer when administering albuterol inhaler. 3. I should be sure that my child is an upright position when administering inhaler. 4. I should always shake inhaler before administering.

1

Which child with asthma should the nurse see first? 1. A 12-month-old who has a mild cry, is pale in color, has diminished breath sounds, and has an oxygen saturation of 93%. 2. A 5-year-old who is speaking in complete sentences, is pink in color, is wheezing bilaterally, and has an oxygen saturation of 93%. 3. A 9-year-old who is quiet, is pale in color, and is wheezing bilaterally with an oxygen saturation of 92%. 4. A 16-year-old who is speaking in short sentences, is wheezing, is sitting upright, and has an oxygen saturation of 93%.

1

Who is highest priority to receive the flu vaccine? 1. healthy eight month old who attends daycare. 2. Three-year-old who is undergoing chemo. 3. Healthy seven year old, who attends public school. 4. 18 year old, who lives in college dorm.

1

child diagnosed with CHF is receiving maintenance doses of digoxin & furosemide . She's rubbing her eyes when she's looking at the light in the room and her heart rate is 70 bpm. The nurse expects which lab finding? 1. hypokalemia 2. Hypomagnesemia 3. Hypocalcemia. 4. Hypophosphatemia

1

five week old , full-term infant presents with a persistent cough, tachypnea, no fever. Which would be an important question to ask the mother. 1. Did you have a vaginal infection when your baby was born? 2. Did you have a breathing problem when your baby was born? 3. Did you receive any ABX during your labor? 4. Did you ever have wheezing?

1

what is a child with the flu most infectious? 1. 24 hours before and after the onset of symptoms. 2. 24 hours after the onset of symptoms. 3. One week after the onset of symptoms. 4. One week before the onset of symptoms.

1

what would the nurse advise the parent of a child with a barky cough that gets worse at night? 1. Take the child outside into the more humid night air for 15 minutes. 2. Take the child to the ED immediately. 3. Give over-the-counter cough suppressant. 4. Give warm liquids to sooth throat.

1

which is the nurses best response to a parent who ask what can be done at home to help an infant with URI symptoms and a fever get better? 1. Give your child small amounts of fluid every hour to prevent dehydration. 2. Give your child Robitussin at night to reduce his cough and help him sleep. 3. Give your child baby aspirin every 4 to 6 hours to help reduce fever. 4. Give your child an over-the-counter cold medicine at night.

1

Which is diagnostic for epiglottitis? 1. Blood test. 2. Throat swab. 3. Lateral neck x-ray of the soft tissue. 4. Signs and symptoms.

3. Lateral neck x-ray of the soft tissue. A lateral neck x-ray is a definitive test to diagnose epiglottitis. The child is at risk for complete airway obstruction and should always be accompanied by a nurse to the x-ray department.

BP screenings to detect end organ damage should be done routinely beginning at what age? 1. Birth 2. Three years. 3. Eight years. 4. 13 years.

2

Early signs of respiratory distress in a two month old? 1. shallow breathing 2. tachypnea 3. tachycardia 4. bradycardia

2

A six week old is admitted to the hospital with the flu. The child is crying in the father tells the nurse that his son is hungry. The nurse explains that the baby is not to have anything by mouth. The parent doesn't understand all the child can I eat. Which is the nurses best response? 1. We are having to give your child IV fluids, so there is no need for anything by mouth. 2. The shorter and narrow airway of infants increases the chances of aspiration, so your child should not have anything to eat now 3. When your child eats he burns too many calories, so we should conserve the child's energy. 4. Your child has too much nasal congestion so if we feed the Child by mouth, the distress will increase.

2

5 year old is brought to the ED with a temp of 99.5, a barking cough, stridor and hoarseness. Which nursing intervention should the nurse prepare for? 1. Immediate IV placement 2. Respiratory treatment of racemic epinephrine 3. A tracheostomy at the bedside. 4. Inform the parents about the vital signs.

2

A 10-year-old has undergone a cardiac catheterization. At the end of the procedure, the nurse should first assess: 1. Pain. 2. Pulses. 3. Hemoglobin and hematocrit levels. 4. Catheterization report.

2

Who would benefit most from having your tubes placed? Select all that apply. 1. Nine month old who has had one ear infection. 2. 13 month old with recurrent ear infections. 3. Two year old with five previous ear infections. 4. Three-year-old who sibling has had four ear infections. 5. Seven year old who has had two year infections this year.

2 & 3

which should the nurse instruct children to do to stop the spread of flu in the classroom? Select all that apply. 1. Stay home if they have a runny nose and cough. 2. Wash hands after using bathroom. 3. Wash hands after sneezing. 4. Annual your flu shot 5. Drink lots of water during the day.

2, 3

Which statement by the mother of a child with RF shows she has good understanding of the care of the child? Select all that apply. 1. I will apply heat to his swollen joints to promote circulation. I will apply heat to swollen joints to promote circulation 2. I will have him do gentle stretching exercises to prevent contractures. 3. I will give him his ordered anti-inflammatory medication for pain and inflammation 4. I will apply cold packs to his swollen joints to reduce pain. 5. I will take my child every month to the health care providers office for his penicillin shot.

3, 5

A seven month old has a low-grade fever, nagel, congestion, and a mou cough. What should the nursing care management of this child include? Select all that apply. 1. Maintaining strict bedrest. 2. Avoid contact with family members. 3. Instilling saline nose drops, and bulb suctioning 4. keeping the head of the bed flat 5. Providing humidity in propping the head of the bed up.

3,5

The parent of a child with croup tells the nurse that her other child just had a group and it cleared up in a couple of days without intervention. She asked the nurse why this child is exhibiting more symptoms and needs to be hospitalized. Best response? 1. Some children react differently to viruses. It is best to treat each child as an individual. 2. Younger children have water, always make it easier for bacteria to enter and colonize. 3. Younger children have short and wide Estacion tubes, making them more susceptible to respiratory infections. 4. Children younger than three years usually exhibit were symptoms because they're immune systems are not as developed.

4

The parents of a five week old I've just been told that their child has CF the mother had a sister who died of CF when she was 19 years old. The parents are sad and ask the nurse about their child protective life expectancy. What is the best response? 1. The life expectancy for CF patients has improved significantly in recent years. 2. Your child might not follow the same course that the mother sister did 3. The healthcare provider will come to speak to you about treatment options 4. The nurse answers the questions briefly, listens to their concerns, and is available later after they process information.

4

The parents of a six-year-old who has a new diagnosis of asthma ask the nurse what to do to make their home and more allergy free environment. Best response? 1. Use a humidifier in child's room. 2. Have your carpet clean chemically once a month 3. Wash household pets weekly. 4. avoid purchasing upholstered furniture

4

a toddler who has been hospitalized for vomiting because of gastroenteritis is sleeping and difficult to wake up. Assessment reveals vital signs of a regular heart rate of 220 bpm, respiratory rate of 30 per minute, blood pressure of 84/52 in capillary refill three seconds. Which is dysrhythmia does the nurse suspect in the child? 1. Rapid pulmonary flutter. 2. Sinus bradycardia. 3. Rapid atrial fibrillation 4. Supraventricular tachycardia.

4

during a well child check up for an infant with TOF, the child develops severe respiratory distress & becomes cyanotic. The nurses first action should be to 1. Play the child flat to promote hemostasis. 2. Play the child fight with legs elevated to increase blood flow to the heart. 3. Set the child on the parents live with legs dangling to promote Venus pooling 4. Hold the child in knee to chest position to decrease venous blood return

4

mother is crying and tells the nurse that she should have brought her son and yesterday when he said his throat was sore. Which is the nurses best response to this parent who's child is diagnosed with epiglottis, in severe distress and is in need of intubation. 1. Children's age rarely get this, so you should not blame yourself. 2. It is always better to have your child evaluated at the first sign of illness rather than wait until symptoms worsen 3. Epiglottitis is slowly, progressives early intervention may have decreased the extent of your son symptoms. 4. Epiglottitis rapidly progressive so you could not have predicted his symptoms would worsen so quickly.

4

school-age child is Admit to the hospital for a tonsillectomy. During the nurses postop assessment, the child's parents tell the nurses at the child is in pain, which of the following observations would be the most concern to the nurse? 1. The child's heart rate and blood pressure is elevated. 2. Child complains of having a sore throat. 3. Child refuses to eat solid foods. 4. Child is swallowing excessively.

4

what is the most important piece of information of the nurse must ask the parent of a child in status asthmaticus? 1. What time did your child eat last? 2. How's your child been exposed to any of the usual asthma triggers 3. When was your child last admitted to the hospital for asthma? 4. When was your child's last dose of meds?

4

what should be the nurses first action with a child who has a high fever, dysphasia, drooling, tachycardia, and tachypnea 1. immediate Iv placement. 2. Immediate respiratory treatment. 3. Thorough physical assessment. 4. Lateral neck radiographs.

4

which intervention is most appropriate to teach the mother of a child diagnosed with a URI and a dry, hacking cough that prevents him from sleeping? 1. Give cough suppressant at night. 2. Give an expectorant every four hours. 3. Give cold and flu meds every eight hours. 4. Give half a teaspoon of honey 4 to 5 times a day.

4

which physical finding would be most concerned in infant with respiratory distress? 1. Tachypnea. 2. Mild retractions. 3. Wheezing. 4. Grunting.

4

which statement buy a pair of an infant with CHF, who is being sent home on digoxin indicates a need for further education? 1. I will get the medication at regular 12 hour intervals. 2. If you vomit, I will not give a make up dose 3. If I miss a dose, I will not give an extra dose. 4. I will make the digoxin and some formula to make it taste better.

4

which would the nurse explained to parents about that inheritance of cystic fibrosis? 1. Cf. is an autosomal, dominant trait passed on from the child's mother. 2. Cf. is an autosomal, dominant trait passed on from the child's father. 3. The child of parents who are both carriers of the gene for CF, have a 50% chance of acquiring CF. 4. The child of a mother who has CF in a father, who is a carrier of the gene for CF has a 50% chance of acquiring CF.

4

A child is complaining of propane. Which statement by the mother indicates that she needs more education regarding the care and treatment of the child's pharyngitis? 1. I will have my child gargle with salt water three times a day. 2. I will offer my child ice chips several times a day. 3. I will give my child Tylenol every 4 to 6 hours as needed. 4. I will ask the nurse practitioner for some amoxicillin.

4.

nb diagnosed with chd. test results reveal that the lumen of the duct between the aorta and pulmonary artery remains open. the defect is known as?

patent ductus arteriosus