PEDS exam 2 review questions

Which statement by the parents would indicate the need for further education regarding caring for their child post cleft lip surgery?

"I will feed my child applesauce with a spoon for the first 2 weeks"

A nurse is reinforcing discharge teaching about oral rehydration with the parent of a preschooler who has dehydration. Which of the following statements by the parent indicates an understanding of the teaching?

"i will offer my child a cup of oral rehydration fluid every time he has diarrhea"

Ordered: 500ml of Normal Saline over 4 hours. What would you set on your pump for the rate and volume to be infused.

125 ml/hr and VTBI 499 ml

A child weighs 18.6 kg pre illness and now they weigh 17.8 kg How many mL per kg have they lost? What level of dehydration do they have?

24 mL per kg Mild

Eight hours ago, an infant with Hirschsprung's disease had surgery to create a colostomy. Which finding should alert the nurse to notify the provider immediately?

3 cm increase of abdominal circumference

The nurse assesses a child after heart surgery to correct tetralogy of Fallot. Which finding would the nurse report to the health care provider as an indication that the client has low cardiac output?

Altered level of consciousness and thready pulse

What medication order would you question for an infant with a cardiac disorder?

Administer Digoxin while infants HR is 82

The infant you are caring for begins to have excessive frothy salvia, unexplained episodes of apnea, O2 destaurations, and episodes of cyanosis, what would your first action be.

Call the provider

The nurse assesses an 8 month old infant admitted with severe diarrhea. Which finding does the nurse recognize as being the most significant?

Depressed anterior fontanelle

For a child with CHD, what forms of education could you use to help parents begin to understand their child's diagnosis

Glossary of medical terms Provide a photo or diagram of the heart Adjust education to the developmental age of the child

Ribbon like stools are associated with which of the following:

Hirschprung's Disease

A child is brought to the ED with recurrent vomiting and diarrhea. Their parent states that they have not tired to maintain hydration with chicken broth, but their child is not improving. The nurse anticipates the child has what type of dehydration.

Hypertonic

A child admitted to the hospital with an unknown illness manifesting with a high fever. While in the hospital the nurse notes inflammation of the oropharynx and periungual desquamation. What treatment does the nurse anticipate being ordered?

IVIG and aspirin

What medication can be administered to try and close a patent ductus arteriosus (PDA)

Indomethacin

Your 4 y/o patient presents to the hospital with the following symptoms: sudden abdominal pain, abdominal distention, lethargy, and jelly- like stools. What diagnosis do you expect the patient to receive.

Intussusception

Which of the following should the nurse consider when preparing a school-aged child and the family for heart surgery?

Let the child hear the sounds of a cardiac monitor, including alarms

Which of the following is true regarding GER?

Repeated reflux of gastric contents can damage delicate esophageal mucosa.

AN 10 y/o presents to the ED with sudden aimless irregular movements of the extremities speech disturbances and pink rah on the trunk and extremities. The nurse notes a recent history of pharyngitis. Which diagnosis does the nurse anticipate being made

Rheumatic Fever

The nurse admits an infant with pyloric stenosis to the hospital. Which aspect of the plan of care should the nurse implement first.

Weigh the infant

An infant weighing 7.34kg has the following wet diapers during your 12 hour shift: 33 mL, 45 mL, 43 mL, 58 mL Is this sufficient?

Yes

The nurse assesses an infant who has had surgery to correct intussusception and is now at risk for the development of a paralytic ileus postoperatively. Which assessment should the priority?

auscultation of bowel sounds

A cardiac defect that allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side can result in:

congestive heart failure

A parent of a 7-year-old girl with a repaired ventricular septal defect (VSD) calls the cardiology clinic and reports that the child is just not herself. Her appetite is decreased, she has had intermittent fevers around 38o C (100.4o F), and now her muscles and joints ache. Based on this information you advise the mother to:

immediately bring the child to the clinic for evaluation

A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first?

place the child in knee-to-chest position

An child undergoes rehydration therapy after having diarrhea. A nurse is teaching the child's parents at discharge about dietary management after rehydration. The nurse understands that the teaching plan has been successful when the parents tell the nurse they will follow which type of diet.

regular