Peds Exam 1- Module 2 and 3

Which foods would the nurse teach the parents of a child with phenylketonuria(PKU) to avoid? Select all that apply. 1. Hamburger. 2. Hot dog. 3. Ice cream. 4. Juice. 5. Cereal.

1, 2, 3

A chloride level greater than _____________________ is a positive diagnostic indicator of cystic fibrosis (CF).

60

A \[10\]-month-old infant who was seen in the Emergency Department for respiratory distress is admitted to the pediatric unit with a diagnosis of bronchiolitis. Which of these, if assessed in the infant, alerts the healthcare provider the bronchiolitis is worsening? a.) head bobbing b.) drooling c.) vomiting d.) chest pain

a

A child is diagnosed with chicken pox. The nurse collects data regarding the child. Which finding is characteristic of chicken pox? a.Macular rash on the trunk and scalp b.Pseudomembrane formation in the throat c.Maculopapular or petechial rash on the extremities d.Small, red spots with a bluish-white center and red base

a

A nurse is providing dietary teaching to the parent of a child who has cystic fibrosis. Which of the following dietary recommendations should the nurse make? a.) increase the child's protein intake b.) decrease the child's calorie intake c.) increase the child's fiber intake d.) decrease the child's salt intake

a

A nurse is providing dietary teaching to the parent who has cystic fibrosis. Which of the following instructions should the nurse include? a.) provide a high-fat diet for the toddler b.) limit the toddler's dietary intake of sodium c.) increase the toddler's intake of foods high in folic acid d.) allow the toddler to skip meals when he is not hungry

a

A nurse is teaching a group of parents about infectious mononucleosis. Which of the following statements by a parent indicates an understanding of the teaching? a. Mononucleosis is caused by an infection with the Epstein-Barr virus b. Mononucleosis is a bacterial infection requiring 14 days of antibiotics c. A Monospot is a throat culture used to diagnose mononucleosis d. Children who get mononucleosis will need to refrain from sports for 6 months

a

A nurse is teaching the parent of an infant about food allergens. Which of the following is the most common food allergy in children? a.) Cow's milk b.) wheat bread c.) corn syrup d.) eggs

a

A patient is scheduled to take Pancreatin. When will you administer this medication to the patient? A. Right before all meals and snacks B. Right before meals only C. Immediately after meals and snacks D. Immediately after meals only

a

A school nurse is assessing an adolescent who has returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal? a.) potential for sustaining abdominal trauma b.) deficient dietary intake c.) exposing peers to the illness d.) straining sore joints

a

Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child? A.) Pulmonary secretions are abnormally thick. B.) Elevated levels of potassium are found in sweat. C.) CF is an autosomal dominant hereditary disorder. D.) Obstruction of the endocrine glands occurs

a

One of the most important pulmonary treatments in cystic fibrosis is: A) Chest physiotherapy. B) Inhaled beta agonists C) Oral enzymes. D) Inhaled corticosteroids.

a

The nurse is caring for a 15-year-old patient who has been diagnosed with mononucleosis. The patient asks how the infection was obtained. Which information should the nurse include when responding to the patient? a. Drinking from the cup of a person with the infection b. Eating contaminated food c. Eating meat that is undercooked d. Inhaling airborne germs, such as after someone coughs

a

The nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which finding indicates the child is bleeding? a. Frequent swallowing b. A decreased pulse rate c. Complaints of discomfort d. An elevation in blood pressure

a

The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse what time to begin the child's first chest physiotherapy (CPT) each day. Which is the nurse's best response? a. "Thirty minutes before feeding the child breakfast." b. "After deep-suctioning the child each morning." c. "Thirty minutes after feeding the child breakfast." d. "Only when the child has congestion or coughing."

a

Therapeutic management of the child with ringworm infection would include which of the following? a. Administer oral griseofulvin. b. Administer topical or oral antibiotics. c. Apply topical sulfonamides. d. Apply Burow solution compresses to affected area.

a

What can the nurse NOT expect to be ordered on a 2mo old who presents with symptoms that may be consistent with sepsis. a.) chest xray b.) Lumbar puncture c.) blood culture d.) urine culture

a

What is the isolation for a patient with impetigo? a.) contact b.) droplet c.) airborne d.) standard

a

What would the nurse advise the parent of a child with a barky cough that gets worse at night? a. Take the child outside into the more humid night air for 15 minutes. b. Take the child to the ER immediately. c. Give the child an over-the-counter cough suppressant. d. Give the child warm liquids to soothe the throat.

a

When taking a diet history from the mother of a 7-year-old child withphenylketonuria, a report of an intake of which of the following foods should cause thenurse to gather additional information? a. Cola. b. Carrots. c. Orange juice. d. Bananas.

a

Which of the following is usually the only symptom of pediculosis capitis (head lice)? a. Itching b. Vesicles c. Scalp rash d. Localized inflammatory response

a

Which of the following should be considered in the administration of the influenza vaccine? a. The vaccine is contraindicated for individuals who are allergic to eggs or egg products. b. The Live Attenuated Influenza Virus (LAIV) is a safe alternative for children of any age. c. The influenza vaccine is contraindicated in children with asthma and wheezing within the past12 months. d. Since influenza has a bimodal seasonal pattern, children under 18 years of age should receivetwo doses of the vaccine.

a

An adolescent is diagnosed with mononucleosis. Which teaching should the nurse provide to the parents when providing care at home? Select all that apply. a. Encourage ample fluids. b. Avoid all contact sports for 6 to 8 weeks. c. Encourage rest with quiet activities and play. d. Limit the amount of caloric intake until recovered. e. Provide ibuprofen or acetaminophen for elevated temperature.

a, b, c, e

Which of the following are manifestations of epiglottitis? (SATA) a.) tachycardia b.) drooling c.) retractions d.) bradypnea e.) anxiousness

a, b, c, e

Which foods are concerning to a patient with PKU? (SATA) a.) milk b.) meats c.) pineapple d.) eggs e.) wheat products f.) nuts

a, b, d, e, f

Which of the following would the nurse NOT give a child recovering from a tonsillectomy? (SATA) a.) cherry jello b.) blue Italian ice c.) citrus juice d.) ice cream e.) ice chips

a, c, d

The nurse is reviewing the problems that may occur after frequent episodes of otitis media in infants. What complications may be precipitated by this infection? Select all that apply. a. mastoiditis b. heart failure c. hearing loss d. gastroenteritis e. bacterial meningitis

a, c, e

Which of the following are early signs of respiratory distress? (SATA) a.) restlessness b.) grunting c.) lethargy d.) retractions e.) diaphoresis

a, d, e

A 2-year-old toddler has hearing loss caused by recurrent otitis media. What treatment does the nurse anticipate that the practitioner will recommend? a. ear drops b. myringotomy c. mastoidectomy d. steroid therapy

b

A 5-year-old is brought to the ER with a temperature of 99.5°F (37.5°C), a barky cough, stridor, and hoarseness. Which nursing intervention should the nurse prepare for? a. Immediate IV placement. b. Respiratory treatment of racemic epinephrine. c. A tracheostomy set at the bedside. d. Informing the child's parents about a tonsillectomy.

b

A nurse is assessing a 3-year-old child who is 1 day post-op following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain? a.) ask the parents b.) FACES c.) numeric pain scale d.) check the child's temperature

b

A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately? a.) blood glucose 140 mg/dl b.) oxygen saturation 85% c.) RBC 3.2 million/uL d.) serum sodium 156 mEq/L

b

A school-age child has been diagnosed with strep throat. The parent asks the nurse when the child can return to school. Which is the nurse's best response? a. "Forty-eight hours after the first documented normal temperature." b. "Twenty-four hours after the first dose of antibiotics." c. "Forty-eight hours after the first dose of antibiotics." d. "Twenty-four hours after the first documented normal temperature."

b

The nurse reviews the home care instructions with a parent of a 3-year-old with pertussis. Which statement by the parent indicates a need for further teaching? a."I know that my child will make a loud whooping sound." b."I understand this whooping cough is viral and I have to let it run its course." c."I understand that I need to watch for respiratory distress signs with pertussis." d."I can reduce the environmental factors that can trigger coughing, like dust and smoke."

b

What kind of rash is the chicken pox? a.) macular b.) vesicular c.) papular d.) linear

b

When planning care for a 4-month-old child admitted with respiratory distress caused by respiratory syncytial virus (RSV) and bronchiolitis, it is essential to include which of the following? a. Give antibiotics. b. Ensure adequate hydration. c. Administer cough syrup. d. Feed 4 oz of formula every 4 hours.

b

Which assessment is of greatest concern in a 15-month-old? a. The child is lying down, has moderate retractions, low-grade fever, and nasal congestion. b. The child is in the tripod position, has diminished breath sounds, and a muffled cough. c. The child is sitting up and has coarse breath sounds, coughing, and fussiness. d. The child is restless and crying, has bilateral wheezes, and is feeding poorly.

b

Which child is in the greatest need of emergency medical treatment? a. 3-year-old who has a barky cough, is afebrile, and has mild intercostal retractions. b. 6-year-old who has high fever, no spontaneous cough, and frog-like croaking. c. 7-year-old who has abrupt onset of moderate respiratory distress, a mild fever, and a barky cough. d. 13-year-old who has a high fever, stridor, and purulent secretions.

b

Which of the following questions can the nurse ask the child who is suspected to have rheumatic fever? a.) "Have you had your tonsils removed?" b.) "Have you had a sore throat in the last couple of weeks?" c.) "When was your last bowel movement?" d.) "Have you noticed any rashes on your skin?"

b

Which of the following would the nurse place the patient in both droplet and contact precautions? a.) pertussis b.) bronchiolitis c.) epiglottitis d.) otitis media

b

Which stage of disease do symptoms begin but they are unspecific to the disease? a.) incubation period b.) prodromal period c.) illness period d.) convalescent period

b

Which statement by the child's parent requires further education in regard to their child's asthma. a.) "I told my child to take their albuterol inhaler to soccer practice with them" b.) "I only have my child take their montelukast when they are having an exacerbation" c.) "I tell my child that because they are taking the budesonide they have to be good about hand washing" d.) "I tell my child that sports are good for them"

b

Which would be an early sign of respiratory distress in a 2-month-old? a. Breathing shallowly. b. Tachypnea. c. Tachycardia. d. Bradycardia.

b

Which of the following are late signs of respiratory distress? (SATA) a.) tachypnea b.) bradycardia c.) head-bobbing d.) lethargy e.) diaphoresis

b, c, d

Viral or bacterial? Impetigo

bacterial

What is the # 1 symptom of Cow's milk allergy?

blood in the stool

19. An 8-year-old boy was just diagnosed with the mumps. The nurse is developing a plan of care for the boy, which should include which of the following interventions? a. Administer intravenous Acyclovir as ordered. b. Drink plenty of fluids, including citrus juices high in Vitamin C. c. Apply ice packs or warm compresses to the neck for comfort and pain relief. d. Place the patient in contact precautions.

c

A 6-month-old infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at the well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which instruction by the nurse is appropriate? a.Monitor the infant for a fever. b.Bring the infant back to the clinic. c.Apply an ice pack to the injection site. d.Leave the injection site alone, because this always occurs.

c

A child with weeping lesions caused by herpes zoster asks the nurse if they can still attend their field trip in two days. Which should the nurse say to the patient in response? a. "There is no reason you can't go on your trip." b. "You should not travel until all of the lesions are healed." c. "Be sure to keep the lesions covered until they crust over." d. "As long as the lesions are kept uncovered, you can travel without any issues."

c

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

A nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction? a.) bradycardia b.) respiratory depression c.) nasal flaring d.) barking cough

c

A nurse in the ER is caring for a toddler who is in acute respiratory distress. Which of the following findings should the alert the nurse to the possibility of epiglottitis? a.) lethargy b.) spontaneous coughing c.) drooling d.) hoarseness

c

The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching? a."We need to encourage adequate fluid intake." b."Coughing spells may be triggered by dust or smoke." c."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." d."Good hand-washing techniques need to be instituted to prevent spreading the disease to others."

c

The period of time when a child begins to have mild signs and symptoms until the main illness appears, and which is associated with increased communicability, is referred to as: a. Transmission. b. Susceptibility. c. Prodromal period. d. Incubation period.

c

When preparing to obtain a neonatal screening test for phenylketonuria (PKU),the neonate must have received which of the following to ensure reliable results? a. A feeding of an iron-rich formula. b. Nothing by mouth for 4 hours before the test. c. Initial formula or breast milk at least 24 hours before the test. d. A feeding of glucose water.

c

Which demonstrates effective teaching for a parent of a preschooler with impetigo? a.) "Impetigo is caused by a virus" b.) "My child has HSV now" c.) "I will wash my child's clothes in hot water" d.) "Impetigo is not contagious"

c

Which information will be most helpful in teaching parents about the primary prevention of foreign body aspiration? a. Signs and symptoms of foreign body aspiration. b. Therapeutic management of foreign body aspiration. c. Most common objects that toddlers aspirate. d. Risks associated with foreign body aspiration.

c

Which is NOT true bout herpes zoster (shingles)? a.) It is more commonly seen in chemo patients b.) gabapentin can be given to resolve some of the pain c.) aspirin is a common medication that these patients take d.) the vesicles are usually contagious until they are crusted over

c

Which of the following is an important nursing consideration when caring for a child with impetigo contagiosa? a. Apply topical corticosteroids to decrease inflammation. b. Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris. c. Carefully wash hands and maintain cleanliness when caring for an infected child. d. Examine child under a Wood lamp for possible spread of lesions.

c

Which of the following would the pediatric nurse be most concerned to hear from a child post tonsillectomy? a.) "My throat hurts" b.) "I have had six green popsicles today" c.) "My mouth just started really tasting like metal" d.) "My throat feels warm"

c

Which should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching her breath? a. Prednisone. b. Singulair (montelukast). c. Albuterol. d. Flovent (fluticasone).

c

parents of a child ask the nurse what the best intervention is if their child is experiencing an episode of midnight croup. what is the nurses best response a. give warm liquids b. raise the heat on the thermostat c. provide humidified air with cool mist d. take the child into the bathroom with a warm running shower

c

1. Which of the following is a consideration in the administration of immunizations? a. Immunizations can only be administered if a child is free from any illnesses. b. Caregivers should administer aspirin prior to the injection to prevent any side effects. c. Children should be isolated from other children for 24 hours after receiving immunizations. d. Caregivers should be advised that immunizations may cause a mild fever or soreness and redness at the injection site.

d

A 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse's best response? a.) "You can expect your child to develop a barrel-shaped chest." b.) "You can expect your child to develop a chronic productive cough." c.) "You can expect your child to develop bronchiectasis." d.) "You can expect your child to develop wheezing respirations."

d

A 6-year-old boy with Varicella-zoster (chickenpox) and a visible rash is being admitted to the hospital for treatment of dehydration. Which of the following isolation precautions needs to be taken? a. Contact b. Airborne c. Contact and drople d. Contact and airborne

d

A child is diagnosed with infectious mononucleosis. The nurse reinforces homecare instructions to the parents about the care of the child. Which instruction should the nurse provide to the parents? a.Maintain the child on bed rest for 2 weeks. b.Maintain respiratory precautions for 1 week. c.Notify the pediatrician if the child develops a fever. d.Notify the pediatrician if the child develops abdominal or left shoulder pain.

d

A child who has recently been diagnosed with cystic fibrosis is in a pediatric clinic where a nurse is performing an assessment. Which later finding of this disease would the nurse not expect to see at this time? A) Bulky greasy stools B) Meconium ileus C) Positive sweat test D) Moist, productive cough

d

A humidified atmosphere is recommended for a young child with an upper respiratory tract infection because it a. Liquefies secretions. b. Improves oxygenation. c. Promotes less labored ventilation. d. Soothes inflamed mucous membranes.

d

A nurse in the emergency room is assessing a school-aged child who is experiencing an acute asthma exacerbation. Which of the following findings is the priority for the nurse to report to the provider? a.) excessively prolonged expiration b.) increased diaphoresis c.) increased production of frothy sputum d.) sudden decrease in wheezing

d

A nurse is caring for a 2-year-old with cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be appropriate for this child? a.) cutting figures from colored paper b.) drawing stick figures and using crayons c.) riding a tricycle d.) building towers with blocks

d

A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse plan to administer to the child? a.) zafirlukast b.) budesonide c.) montelukast d.) albuterol

d

A nurse is caring for a child with cystic fibrosis who has a pulmonary infection. Which of the following is the nurse's priority? a.) blood streaking of the sputum b.) dry mucous membranes c.) constipation d.) inability to clear secretions

d

A nurse is providing teaching about home care to the parents of an infant who has diaper dermatitis. Which of the following instructions should the nurse include? a.) dry the affected area with a hair dryer on the low setting twice per day b.) use cloth diapers washed in a low-residue detergent c.) wash the genital area vigorously with each diaper change d.) leave the zinc oxide ointment intact and reapply as necessary during diaper changes

d

A nurse on a pediatric unit has just received reports for 4 newly admitted clients. For which of the following children should the nurse plan to initiate droplet precautions? a.) a child who has Rocky Mountain spotted fever b.) a child with roseola c.) a child who has molluscum contagiosum d.) a child who has pertussis

d

A school-age child is admitted to the hospital for a tonsillectomy. During the nurse's post-operative assessment, the child's parent tells the nurse that the child is in pain. Which of the following observations would be of most concern to the nurse? a. The child's heart rate and blood pressure are elevated. b. The child complains of having a sore throat. c. The child is refusing to eat solid foods. d. The child is swallowing excessively.

d

Cystic fibrosis is an autosomal recessive genetic disorder. Which option below best describes what most likely happens for a child to develop this condition? A. One parent, who is a carrier of the mutated gene, has to pass it to the child B. One of the parents has to have cystic fibrosis in order to pass it to their offspring C. Both of the parents must have cystic fibrosis in order for the child to develop it D. Both parents, who are carriers of the mutated gene, each pass one mutated gene to the child

d

Small red spots in the mouth with a bluish-white center, also known as Koplik spots, are a characteristic sign of: a. Roseola b. Rotavirus c. Rubella d. Rubeola

d

The nurse is admitting a new client who has been diagnosed with pertussis. The nurse know that which of the following symptoms are associated with this diagnosis? a.) A dry cough and wheeze b.) Chronic, productive coughing c.) A barking cough that sounds like a seal d.) Paroxysmal coughing followed by a "whooping" sound

d

The parent of a child with croup tells the nurse that her other child just had coop and it cleared up in a couple of days without intervention she asked the nurse why this child is exhibiting were symptoms and needs to be hospitalized which is the nurses best response a. some children just react differently to viruses it is best to treat each child as an individual b. Younger children have wider airways that make it easier for bacteria to enter and colonize c. Younger children have short and wide eustachian tube's making them more susceptible to respiratory infections d. Children younger than three years usually exhibit were symptoms because their immune system's are not as developed

d

What is the gold standard in which cystic fibrosis is diagnosed by: A) Echocardiogram B) Chest X-ray C) Complete blood panel D) Chloride sweat test

d

What is the most important piece of information that the nurse must ask the parent of a child in status asthmaticus? a. "What time did your child eat last?" b. "Has your child been exposed to any of the usual asthma triggers?" c. "When was your child last admitted to the hospital for asthma?" d. "When was your child's last dose of medication?"

d

In which order should a nurse care for a patient with cystic fibrosis? 1.) CPT 2.) albuterol treatment 3.) pancreatic enzyme medication 4.) feed

2, 1, 3, 4

What is the most common cause of bronchiolitis?

RSV

which symptom is most characterstic of a child with croup a. barking cough b. fever c. high HR d. respiratory distress

a

Which of the following are manifestations of chicken pox? (sata) a.) fatigue b.) fever c.) macules on the trunk d.) tiny white spots in the mouth

a, b, c

Ringworm, frequently found in schoolchildren, is caused by which of the following? a. Virus b. Fungus c. Allergic reaction d. Bacterial infection

b

What is the treatment for pertussis? a.) fluids b.) antibiotic therapy c.) Tdap booster e.) no treatment

b

Viral or Bacterial? Pertussis

bacterial

A nurse is assessing a preschooler who has influenza and a new onset of a sore throat and difficulty swallowing. Which of the following findings is priority for the nurse to report to the provider? a.) the Childs temperature is 39 degrees Celsius (102F) b.) the child's skin is sallow c.) the child is drooling d.) the child's voice is hoarse

c

Which of the following precautions would the nurse implement for a patient with mumps? a.) standard b.) airborne c.) droplet d.) contact

c

What is the common name for laryngotracheobronchitis?

croup

Which physical finding would be of most concern in an infant with respiratory distress? a. Tachypnea. b. Mild retractions. c. Wheezing. d. Grunting.

d

he nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever, knowing that which laboratory study would assist in confirming the diagnosis? a. Immunoglobulin b. Red blood cell count c. White blood cell count d. Anti-streptolysin O titer

d

What precautions for a child with rubeola?

droplet and contact

What gland is affected in mumps?

parotid gland

Infants under 3 months old are at an increased risk for _________ due to decreased immune systems.

sepsis

T/F: The pancreatic duct is blocked in patients with cystic fibrosis due from thick mucous, leading to pancreatic deficiency and steatorrhea

true

T/F: Infants get the pertussis vaccine at 6mo

true

Is croup viral or bacterial?

viral

Viral or Bacterial? Influenza is ________

viral