GNP III: FINAL KAHOOT QUESTIONS (PEDS)

True of False: "Anticipatory teaching regarding sleeping in the first year of life must include back to sleep only"

True

True or False: "An infant's ribcage is less prominent than that of adults"

True

"When teaching about asthma, which of the following should you emphasize with the patient?" a. "Eliminate or reduce exposure to known asthma triggers." b. "Measure & record your peak flow meter readings every month." c. "Include taking a nonsteroidal anti-inflammatory agent daily." d. "When you feel an attack is imminent, use your inhaled corticosteroid."

a. "Eliminate or reduce exposure to known asthma triggers."

"Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?" a. "My child is able to stand but is not yet taking steps independently." b. "My child has a vocabulary of approximately 15 words." c. "My child is still sucking his thumb." d. "My child seems to be quite wary of strangers."

a. "My child is able to stand but is not yet taking steps independently."

"Which statement by the mother demonstrates her child is ready for toilet training?" a. "She is waking up dry from a nap for about a couple of weeks now." b. "I'm still changing a wet diaper every 2 hours." c. "She fusses when I sit her on the potty. What can I do?" d. None of the options are correct.

a. "She is waking up dry from a nap for about a couple of weeks now."

"An infant's posterior fontanelle closes by" a. 2-3 mo b. 6-9 mo c. 12-18 mo d. 9-12 mo

a. 2-3 mo

"Inigo is diagnosed with "strep throat." Which clinical manifestation would the nurse expect to the client?" a. A fiery red pharyngeal membrane and fever. b. Pain over the sinus area and purulent nasal secretions. c. Foul smelling breath and noisy respirations. d. Weak cough and high-pitched noise on respirations.

a. A fiery red pharyngeal membrane and fever.

"A 6 year-old is admitted with sickle cell crisis. The patient has a FACE scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4'F. Select all the appropriate nursing interventions for this patient at this time?" a. Administer IV Morphine per MD order b. Administer Oxygen per MD order. c. Keep NPO d. Apply cold compresses e. Start IV fluids per MD order. f. Administer iron supplement per MD order. g. Keep patient on bed rest. h. Remove restrictive clothing or objects from the patient.

a. Administer IV Morphine per MD order b. Administer Oxygen per MD order. e. Start IV fluids per MD order. g. Keep patient on bed rest.

"A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198, and her blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant does not cry when the intravenous line is inserted. The child's parents state that she has not "held anything down" in 18 hours. The nurse obtains a finger-stick blood sugar of 94. Which would the nurse expect to do immediately?" a. Administer a bolus of normal saline. b. Administer a bolus of D10W. c. Administer a bolus of normal saline with 5% dextrose added to the solution. d. Offer the child an oral rehydrating solution such as Pedialyte.

a. Administer a bolus of normal saline.

"in growing children, growth hormone deficiency results in short stature and very slow growth rates. Short stature may result from which of the following?" a. Anterior pituitary gland hypofunction b. Posterior pituitary gland hyperfunction c. Parathyroid gland hyperfunction d. Thyroid gland hyperfunction

a. Anterior pituitary gland hypofunction

"A 3-year-old child, with a history of frequent ear infections, has been diagnosed with mixed hearing loss. For which of the following complications should the nurse carefully assess the child?" a. Delayed language development b. Recurring temporal headaches c. Inflammation of the mandible d. Serosanguineous discharge from the ear

a. Delayed language development

"7-year-old Damon has cystitis; which of the following would the nurse expect when assessing the child?" a. Dysuria b. Costovertebral Tenderness c. Flank pain d. High fever

a. Dysuria

"Marcia, age 4, is brought into the office by her mother. She has a sore throat, difficulty swallowing, copious oral secretions, respiratory difficulty, stridor, and a temperature of 102 F but no pharyngeal erythema or cough. What do you suspect?" a. Epiglottitis b. Group A beta-hemolytic streptococcal infection pharyngitis c. Tonsillitis d. Diphtheria

a. Epiglottitis

"Arvic who is diagnosed with diabetes mellitus type 1 displays symptoms of hypoglycemia; which of the following actions should the nurse instruct the parents?" a. Give the child honey (simple sugar). b. Give the child milk (complex sugar). c. Contact the healthcare provider before doing anything. d. Give the child nothing by mouth.

a. Give the child honey (simple sugar).

"The nurse entered the room of a child with hypopituitarism and was asked by the couple about the condition of their child. Which of the following phrases if stated by the nurse best describes the condition?" a. Linear growth retardation with skeletal proportions normal for chronologic age b. A complete normal growth pattern, but with the onset of precocious puberty c. Normal growth for first five years, followed by progressive linear growth retardation d. Growth retardation in which height and weight are equally affected

a. Linear growth retardation with skeletal proportions normal for chronologic age

At a well-child exam, a 3-year-old boy is diagnosed with strabismus. Which of the following clinical manifestations does the nurse interpret as indicative of this disorder? Select all that apply: a. Squinting b. Positioning self close to TV c. Closing one eye to see d. Excessive eye rubbing e. Tilting head to one side to see f. Difficulty doing close work

a. Squinting c. Closing one eye to see e. Tilting head to one side to see

"An adolescent with asthma is prescribed to take Albuterol and Budesonide (Pulmicort) for long-term management of asthma. You observe the patient taking these medications. Which best describes the correct order in how to take these medications." a. The adolescent inhales the Albuterol first and then waits 5 minutes before inhaling the Budesonide. b. The patient inhales the Budesonide first and then waits 5 minutes before inhaling the Albuterol. c. The patient inhales the Albuterol first and then waits 1 minute before inhaling the Budesonide. d. The patient inhales the Budesonide and immediately inhales the Albuterol.

a. The adolescent inhales the Albuterol first and then waits 5 minutes before inhaling the Budesonide.

"Mr. Lopez has a 7-year-old son with growth hormone (GH) deficiency. He shares to the nurse the desire of his son to play ball games. However, his wife feels the child will be in danger since he is smaller than the other children. In planning anticipatory guidance for these parents, the nurse should keep in mind which of the following?" a. The child should be allowed to play because doing so can foster healthy self-esteem. b. The risk for fractures is increased because a GH deficiency results in fragile bones. c. Activity could aggravate insulin sensitivity, causing hyperglycemia. d. Activity would aggravate the child's joints, already over tasked by obesity.

a. The child should be allowed to play because doing so can foster healthy self-esteem.

"Beta-adrenergic drugs like Albuterol are administered primarily to do what?" a. Dilate the bronchioles b. reduce secondary infections c. decrease postnasal drip d. reduce airway inflammation

a. dilate the bronchioles

"Which statement by a school-age girl indicates the need for further teaching about the prevention of urinary tract infections (UTIs)?" a. "I always wear cotton underwear." b. "I really enjoy taking a bubble bath." c. "I go to the bathroom every 3 to 4 hours." d. "I drink four to six glasses of fluid every day."

b. "I really enjoy taking a bubble bath."

"Five year old Joaquin is admitted with asthma complications. During the admission procedures, Joaquin wets the bed. His mother reports "he never does that anymore", and begins to "scold" Joaquin for his accident. Your best response to this mother is:" a. I'm sorry. We should have had him use the bathroom first." b. "It's OK. This can happen sometimes when children are scared." c. "Please talk to Joaquin about this so this doesn't happen again." d. "I'll order a bedside commode to make things easier for all of us."

b. "It's OK. This can happen sometimes when children are scared."

"An adolescent with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations, confides, "I wish I could stay here in the hospital because every time that I go home, I get sick again!" The pediatric nurse's best response is:" a. "I think that you should consider participating on a swim team to improve your pulmonary function." b. "Let's talk about preventing and managing your asthma on a daily basis at home." c. "Why don't I speak with your parents about what they are doing at home to help control your asthma?" d. "Your insurance company does not pay for any additional days of hospitalization that are not medically necessary."

b. "Let's talk about preventing and managing your asthma on a daily basis at home."

"Twelve-year-old Archie's family has been taking good care of his asthma. Which of the following statements indicate a need for further home care teaching?" a. "He should maintain good fluid intake to ensure any secretions are thin." b. "We will make sure he avoids exercise to prevent attacks." c. "He is to use his bronchodilator inhaler before the steroid inhaler." d. "We need to identify what triggers his attacks."

b. "We will make sure he avoids exercise to prevent attacks."

"Infants triple their birth weight by:" a. 11 months b. 12 months c. 9 months d. 8 months

b. 12 months

"An infant doubles their birth weight by:" a. 9-10 months b. 5-6 months c. 2-3 months d. 11-12 months

b. 5-6 months

"The normal percentile range for a child is:" a. 25th - 75th b. 5th - 95th c. 50th - 100th d. 15th - 95th

b. 5th - 95th

"An infant should be able to use a pincer grasp well by:" a. 6-8 months b. 8-10 months c. 10-12 months d. 4-6 months

b. 8-10 months

"Baby A was born with hypospadias; which of the following should be avoided when a child has such condition?" a. Surgery b. Circumcision c. Intravenous Pylography d. Catheterization

b. Circumcision

"A 6-month-old infant who was seen in the Emergency Department with wheezing and coughing is admitted to the pediatric unit with a diagnosis of bronchiolitis. During the admission assessment, which of these will alert the nurse the infant's condition is worsening?" a. Respiratory rate of 38 breaths/minute b. Decreased inspiratory breath sounds c. Irritability and crying d. Dysphasia and loss of appetite

b. Decreased inspiratory breath sounds

"What is most likely the underlying physiology of primary enuresis?" a. Psychogenic Stress b. Delayed maturation c. Urinary tract infection d. Vesicoureteral reflux

b. Delayed maturation

"The nurse is caring for a 3-year-old who had an appendectomy 2 days ago. The child has a fever of 101.8°F (38.8°C) and breath sounds are slightly diminished in the right lower lobe. Which action is most appropriate?" a. Teach the child how to use an incentive spirometer. b. Encourage the child to blow bubbles. c. Obtain an order for intravenous antibiotics. d. Obtain an order for Tylenol (acetaminophen).

b. Encourage the child to blow bubbles.

"The nurse is planning care for an 18 month-old child. Which of the following should be included the in the child's care?:" a. Hold and cuddle the child often. b. Encourage the child to feed himself finger food. c. Allow the child to walk independently on the nursing unit. d. Engage the child in games with other children

b. Encourage the child to feed himself finger food.

"When discussing why children get otitis media, the nurse should focus on the significance of what anatomical feature?" a. Nasopharynx b. Eustachian tubes c. External ear canal d. Tympanic membrane

b. Eustachian tubes

"A 14 year-old female has sickle cell anemia. Which factors below can increase the patient's risk for developing sickle cell crisis? Select all that apply:" a. Shellfish b. Infection c. Dehydration d. Hypoxia e. Low Altitudes f. Hemorrhage g. Strenuous exercise

b. Infection c. Dehydration d. Hypoxia f. Hemorrhage

"All of the following are true about infants newborn 6 months of age except:" a. Can roll over from abdomen to back b. Pincer grasp is developed c. Has developed head control d. Infant has doubled their birth weight

b. Pincer grasp is developed

"Three month old Sophia has just been admitted with s/s of respiratory distress. She is currently NPO and is receiving O2 via nasal cannula. RR = 44, HR = 120. All of the following nursing interventions will help support Sophia's growth and development during this hospitalization except:" a. encourage sophia's parents to be in the room. b. Place bright pillow and blankets in Sophia's crib. c. Offer brightly colored toys/rattles to Sophia. d. Offer Sophia a pacifier.

b. Place bright pillow and blankets in Sophia's crib.

"All of the following are appropriate when examining the ear of a 2 y.o. except:" a. Have the child sit on the parent's lap b. Pull the pinna back and up c. Pull the pinna down and back d. Hold the child's chest and cheek against the parent's chest

b. Pull the pinna back and up

"An 8-year-old boy is returned to his room following a tonsillectomy. He remains sleepy from the anesthesia but is easily awakened. The nurse should place the child in which of the following positions?" a. Sims' b. Side-lying c. Supine d. Prone

b. Side-lying

"The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the child, the nurse should monitor for which indication that the child may be experiencing airway obstruction?" a. The child exhibits nasal flaring and bradycardia. b. The child is leaning forward, with the chin thrust out. c. The child has a low-grade fever and complains of a sore throat. d. The child is leaning backward, supporting himself or herself with the hands and arms.

b. The child is leaning forward, with the chin thrust out.

"The treatment of epistaxis includes all of the following except:" a. Squeeze nares just below nasal bone for 10-15 min. b. Tilt head backward c. Sit upright d. Tilt head forward

b. Tilt head backward

"Which type of diabetes mellitus (DM) most likely results from heterogenous risk factors, making it preventable?" a. Type 1 b. Type 2 c. Type 1 & 2 d. Gestational Diabetes

b. Type 2

"What is the rationale for using a spacer with a handheld inhaler?" a. A spacer will generate force for medication delivery b. Using a spacer ensures more medication is delivered to the lungs. c. Sterility of the mouthpiece is maintained by the spacer d. The spacer focuses the medication to the back of the throat

b. Using a spacer ensures more medication is delivered to the lungs.

"Which of the following parameters would the nurse monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal REFLUX (GERD)?" a. Urine b. Vomiting c. Weight d. Stools

b. Vomiting

"Developing a personal identity is a challenge at what stage of development?" a. preschool b. adolescent c. school age d. toddler

b. adolescent

"When preparing a preschool child for an injection, the most appropriate nursing action is:" a. coordinate the child watching a peer receive an injection b. allow the child to administer an injection to a doll c. Have the parents explain the process to the child d. Suggest diversionary activities like singing

b. allow the child to administer an injection to a doll

"A patient received a nebulizer of Albuterol. What is an expected side effect of Albuterol?" a. bradycardia b. tachycardia c. drowsiness d. tachypnea

b. tachycardia

"When evaluating the development of a 2 y.o., you would expect to observe?" a. uses a fork to eat b. uses a cup to drink c. uses a knife for cutting food d. pours own milk into a cup

b. uses a cup to drink

"The mother of a hospitalized 2 year old child with viral laryngotracheobronchitis (croup) asks the nurse why the health care provider did not prescribe antibiotics. Which response should the nurse make?" a. "The child may be allergic to antibiotics." b. "The child is too young to receive antibiotics." c. "Antibiotics are not indicated unless a bacterial infection is present." d. "The child still has the maternal antibodies from birth and does not need antibiotics."

c. "Antibiotics are not indicated unless a bacterial infection is present."

"The nurse admits a child with suspected type 1 DM; which should the nurse ask the parents?" a. "Does the child complain of headache?" b. "How much exercise does the child get?" c. "Has the child experienced nocturia or bedwetting?" d. "How much candy and sweets does your child take daily?"

c. "Has the child experienced nocturia or bedwetting?"

"The nurse is caring for a 5-month-old infant with a diagnosis of intussusception. The infant has periods of irritability during which the knees are brought to chest and the infant cries, alternating with periods of lethargy. Vital signs are stable and within age-appropriate limits. The physician elects to give an enema. The parents ask the purpose of the enema. Select the nurse's most appropriate response." a. "The enema will confirm the diagnosis. If the test result is positive, your child will need to have surgery to correct the intussusception." b. "The enema will confirm the diagnosis. Although very unlikely, the enema may also help fix the intussusception so that your child will not immediately need surgery." c. "The enema will help confirm the diagnosis and has a good chance of fixing the intussusception." d. "The enema will help confirm the diagnosis and may temporarily fix the intussusception. If the bowel returns to normal, there is a strong likelihood that the intussusception will recur."

c. "The enema will help confirm the diagnosis and has a good chance of fixing the intussusception."

"Natasha, age 4, has amblyopia. How do you respond when her mother asks about treatment?" a. "We'll wait until she's 7 years old before starting treatment." b. "Treatment needs to be started now. We'll cover her 'bad' eye." c. "Treatment needs to be started now. We'll cover her 'good' eye." d. "No treatment is necessary. She'll outgrow this."

c. "Treatment needs to be started now. We'll cover her 'good' eye."

"You're educating the parents of a 12 year-old, who was recently treated for sickle cell crisis, on ways to prevent further sickle cell crises in the further. Which statement by the parents demonstrates they understood your instructions?" a. "We will limit fluid intake during the day to 1-2 L a day." b. "Cold showers are best to help with pain associated with sickling." c. "We will avoid traveling to high altitude locations." d. "It is important we refuse all future vaccinations unless absolutely necessary."

c. "We will avoid traveling to high altitude locations."

"Tara is an 11-year-old girl diagnosed with type 1 diabetes mellitus (DM). She asks her attending nurse why she can't take a pill rather than shots like her grandmother does. Which of the following would be the nurse's best reply?" a. "If your blood glucose levels are controlled, you can switch to using pills." b. "The pills correct fat and protein metabolism, not carbohydrate metabolism." c. "Your body does not make insulin, so the insulin injections help to replace it." d. "The pills work on the adult pancreas, you can switch when you are 18."

c. "Your body does not make insulin, so the insulin injections help to replace it."

"A child's parent asks the nurse what treatment the child will need for the diagnosis of strep throat. Which is the nurse's best response?" a. Your child will be sent home on bedrest and should recover in a few days without any intervention." b. "Your child will need to have the tonsils removed to prevent future strep infections." c. "Your child will need oral penicillin for 10 days and should feel better in a few days." d. "Your child will need to be admitted to the hospital for 5 days of intravenous antibiotics."

c. "Your child will need oral penicillin for 10 days and should feel better in a few days."

"A 3-year-old admitted to the hospital with croup has the following vital signs: heart rate 90, respiratory rate 44, blood pressure 100/52, and temperature 98.8°F (37.1°C). The parents ask the nurse if these vital signs are normal. The nurse's best response is:" a. "Your son's blood pressure is elevated, but the other vital signs are within the normal range.." b. "Your son's temperature is elevated, but the other vital signs are within the normal range.." c. "Your son's respiratory rate is elevated, but the other vital signs are within the normal range." d. "Your son's heart rate is elevated, but the other vital signs are within the normal range."

c. "Your son's respiratory rate is elevated, but the other vital signs are within the normal range."

"An infant's anterior fontanelle closes by:" a. 2-3 mo b. 4-6 mo c. 12-18 mo d. 6-9 mo

c. 12-18 mo

"A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel is sunken. The nurse notes the infant does not produce tears when crying. Which task will help confirm the diagnosis of dehydration?" a. Urinalysis obtained by bagged specimen. b. Urinalysis obtained by sterile catheterization. c. Analysis of serum electrolytes. d. Analysis of cerebrospinal fluid.

c. Analysis of serum electrolytes.

"A nurse is preparing to care for 5 year old Chloe who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child?" a. Large picture books b. A radio c. Crayons and coloring books d. A sports video

c. Crayons and coloring books

"A nurse is developing a teaching plan for the parents of an 8 year old experiencing nocturnal enuresis. The nurse determines that additional teaching is needed when the parents identify which of the following as an appropriate measure?" a. Engaging the child in stress reduction measures b. Giving desmopressin intranasally c. Encouraging fluid intake after dinner d. Practicing bladder-stretching exercises

c. Encouraging fluid intake after dinner

"The Hib vaccine decreases the incidence of which of the following conditions?" a. Bronchiolitis b. Laryngo-trachea-bronchitis (LTB) c. Epiglottitis d. Pneumonia

c. Epiglottitis

"Which of the following is always a medical emergency?" a. Asthma b. Cystic Fibrosis c. Epiglottitis d. Laryngo-trachea-bronchitis (LTB)

c. Epiglottitis

"Which of the following organisms is the most common cause of urinary tract infection (UTI) in children?" a. Klebsiella b. Staphylococcus c. Escherichia coli d. Pseudomonas

c. Escherichia coli

"A probable sign of bleeding post-op tonsillectomy is:" a. Pain b. frequent cough c. Frequent swallowing d. Increased mucus production

c. Frequent swallowing

"While Andres is being assessed at the clinic, the nurse observed that the child appears to be small, with an immature face and chubby body build. Her parents stated that their child's rate of growth of all body parts is somewhat slow, but her proportions and intelligence remain normal. The nurse knows that the child has a deficiency of which of the following?" a.Antidiuretic hormone (ADH) b. Parathyroid Hormone (PTH) c. Growth Hormone (GH) d. Melanocyte-stimulating hormone (MSH)

c. Growth Hormone (GH)

"The nurse is caring for a child who failed to pass meconium within the first 24 hours after birth; this may indicate which of the following?" a. Celiac Disease b. Intussusception c. Hirschbrung's Disease d. Abdominal Wall Defect

c. Hirschbrung's Disease

"A 7-month-old has a low-grade fever, nasal congestion, and a mild cough. What should the nursing care management of this child include?" a. Maintaining strict bedrest. b. Avoiding contact with family members. c. Instilling saline nose drops and bulb suctioning. d. Keeping the head of the bed flat.

c. Instilling saline nose drops and bulb suctioning.

"Which of the following aspects for health teaching regarding conjunctivitis is the most important information to be emphasized to a group of preschool parents?" a. Preventable cause of blindness b. Importance of early medical diagnosis c. Mode of transmission d. Pain management

c. Mode of transmission

"Infant injury prevention strategies should include:" a. Swaddling/wrapping the infant tightly for good sleep at night. b. Child should be able to sit before leaving them unattended in the bath tub. c. Obtaining approved car seats for travel. d. Proper selection of blankets for the crib.

c. Obtaining approved car seats for travel.

"Oliver is a 4 y.o. who is being admitted for the placement of myringotomy tubes in both ears. To help Oliver through this hospitalization, which of the following would be the most important to implement?" a. Give clear instructions about the details of the procedure b. Ensure privacy during all health care. c. Offer common medical equipment for Oliver to play with. d. Enable Oliver to meet other kids who have had the same procedure.

c. Offer common medical equipment for Oliver to play with.

"The nurse is about to perform a procedure related to the genitourinary system (GU) on a pediatric patient. Which of the following groups would find this type of procedure especially stressful?" a. Infants b. Toddlers c. Preschoolers d. School-aged

c. Preschoolers

" The mother of 3 year old Sam tells the clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to:" a. Punish sam every time he says "no" to change the behavior. b. Allow the behavior because this is normal at this age. c. Set limits on Sam's behavior. d. Ignore Sam when this behavior occurs.

c. Set limits on Sam's behavior.

"A client is beginning a regimen of ferrous sulfate or iron. As you prepare to administer the medication, it is important for you to advise the client that:" a. Her urine will turn a dark orange b. Her appetite will be diminished c. She may become constipated and her stools may be dark and tarry. d. Her vision will become slightly blurred

c. She may become constipated and her stools may be dark and tarry.

"Which statement about how sickle cell anemia is passed to offspring is correct?" a. This disease is an x-linked recessive disease. b. Sickle Cell Anemia is an autosomal dominant disease. c. Sickle Cell Anemia is an autosomal recessive disease. d. Sickle Cell Anemia is rarely passed to offspring, and is an autosomal x-linked dominant disease.

c. Sickle Cell Anemia is an autosomal recessive disease.

"Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised?" a. G.I. Function b. Locomotion c. Sucking ability d. Respiratory status

c. Sucking ability

"When preparing to examine a preschooler the nurse should do all the following except:" a. Ask the child if they'd like to sit on their parent's lap during the exam. b. Give reassurance and feedback to the child during the exam. c. Suggest the child act like the big kids when examined. d. Be sure to be on eye level with the child when speaking to them.

c. Suggest the child act like the big kids when examined.

"The nurse is assessing a 9-month-old boy for a well-baby check up. Which of the following observations would be of most concern?" a. The baby cannot say "mama" when he wants his mother. b. The mother has not given him finger foods. c. The child does not sit unsupported. d. The baby cries whenever the mother goes out.

c. The child does not sit unsupported.

"Anticipatory guidance for parents regarding feeding in the first year should NOT include:" a. The introduction of solid foods b. Teaching no bottles given to child in the crib c. The introduction of whole milk d. Weaning from bottle or breast milk.

c. The introduction of whole milk

"The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?" a. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than breastfed babies. b. The newborn's stomach capacity is small, and peristalsis is slow. c. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children. d.Breastfed babies tend to take longer to complete a feeding than formula-fed babies.

c. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children.

"The best home treatment for croup in a 2 year old is:" a. antibiotics prescribed by his physician. b. aspirin if there is a fever. c. cool mist humidifier or steam therapy. d. over-the-counter cough syrups and decongestants.

c. cool mist humidifier or steam therapy.

"The nurse in a preschool is assessing the vision and hearing of the 3- and 4-year-old children. Which of the following findings would indicate that a child may have amblyopia? The child is unable to:" a. hear sounds at high frequency levels. b. hear music played at low decibel levels. c. see clearly out of one eye. d. see objects at far distances.

c. see clearly out of one eye.

"Which age group has the greatest potential to demonstrate regression when sick?" a. adolescent b. school age c. toddler d. infant

c. toddler

"The nurse evaluates the parents' understanding of the teaching about an inguinal hernia as successful when they say which of the following?" a. "There are no risks associated with waiting to have the hernia reduced; surgery is done for cosmetic reasons." b. "It is normal to see the bulge in the baby's groin decrease with a bowel movement." c. "We will wait for surgery until the baby is older because narcotics for pain control will be required for several days." d. "It is normal for the bulge in the baby's groin to look smaller when the baby is asleep."

d. "It is normal for the bulge in the baby's groin to look smaller when the baby is asleep."

"Which of the following infants is least probable to develop sudden infant death syndrome (SIDS)?" a. A baby who is a premie b. A baby whose sibling dies of SIDS c. A baby with prenatal drug exposure d. A baby who sleeps on their back

d. A baby who sleeps on their back

"All of the following are true when communicating with a toddler except:" a. Say the name of objects and tell them what you are doing b. Offer 2 choices when possible c. Give clear, short and simple instructions d. Always ask the child if they are ready before starting any task

d. Always ask the child if they are ready before starting any task

"You're providing seminar teaching to a group of nurses about sickle cell anemia. Which of the following is NOT a treatment for this condition?" a. Blood transfusion b. Intravenous fluid c. Iron supplements d. Antibiotics e. Morphine

d. Antibiotics

"Which of the following should be included when developing a teaching plan to prevent urinary tract infection? Select all that apply." a. Avoiding urination before and after intercourse b. Wearing underwear made of synthetic material such as nylon c. Keeping urine alkaline by avoiding acidic beverages d. Avoiding bubble baths and tight clothing e. Teach the importance of wiping back to front when toileting. f. Teach the importance of retracting the foreskin in the uncircumcised male when bathing or practicing hygiene.

d. Avoiding bubble baths and tight clothing f. Teach the importance of retracting the foreskin in the uncircumcised male when bathing or practicing hygiene.

"A 4 mo old has a head circumference of 32 cm and a chest circumference of 30 cm. The nurse draws what conclusion?" a. Expect the chest circ. to be larger than the head circ b. Re-evaluate the findings in 2 weeks c. Report the findings to the nurse practitioner d. Consider this normal

d. Consider this normal

"A 10-year-old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, and then reports the pain is relieved, and calls the nurse. Which should be the nurse's next action?" a. Cancel the ultrasound, and obtain an order for oral Zofran (ondansetron). b. Cancel the ultrasound, and prepare to administer an intravenous bolus. c. Prepare for the probable discharge of the patient. d. Immediately notify the physician of the child's status as the appendix may have ruptured.

d. Immediately notify the physician of the child's status as the appendix may have ruptured.

"When discussing appropriate food choices with a patient who has iron-deficiency anemia and follows a low-cholesterol diet, the nurse will encourage the patient to increase the dietary intake of:" a. eggs and muscle meats b. Nuts and cornmeal c. Milk and milk products d. Legumes and dried fruits

d. Legumes and dried fruits

"All of the following are important when conducting an exam of an adolescent except:" a. Ensure modesty and privacy b. Offer as many choices as possible during the exam. c. Reassure of normalcy of body and its functions d. Make sure a parent is present to answer any questions you may have

d. Make sure a parent is present to answer any questions you may have

"The parents of 9 month old Macy express concerns about her growth and development. All of the following are developmentally appropriate findings for Macy except:" a. Uses pincer grasp to pick up Cheerios. b. Crawls on the floor to move around. c. Does not walk holding onto furniture d. Positive root and moro reflexes

d. Positive root and moro reflexes

"A child newly diagnosed with diabetes mellitus has been stabilized with insulin injections daily. A nurse prepares discharge teaching plan regarding the insulin. The teaching plan should reinforce which of the following concepts?" a. Always keep insulin vials refrigerated b. Increase the amount of insulin before exercise c. Ketones in the urine signify a need for less insulin d. Systematically rotate injection sites

d. Systematically rotate injection sites

"According to developmental theories, which important event is essential to the development of the toddler?" a. The child learns to feed self. b. The child develops friendships. c. The child learns to walk. d. The child participates in being potty-trained.

d. The child participates in being potty-trained.

"When teaching about conjunctivitis in children, which of the following statements indicates further teaching is needed?" a. It is often also referred to as "pink eye". b. Staph & Strep are the most common causes of bacterial conjunctivitis c. Hand -to- eye contact is how conjunctivitis most commonly spreads. d. The discharge in viral conjunctivitis is most commonly yellow or green.

d. The discharge in viral conjunctivitis is most commonly yellow or green.

"Mrs. Baker was instructed by the nurse on foods to encourage her child's diet concerning the latter's iron deficiency anemia; which of the following if stated by the mother would indicate the need for further instruction?" a. Fish b. Lean meats c. Whole grain breads d. Yellow vegetables

d. Yellow vegetables

True or False: "When examining a toddler or preschooler, it is always best to start at the hands or feet"

true

True or False: Enuresis can be related to diabetes.

true