PEDS3

1. Which of the following accurately describes one of the goals of HAART therapy?

a. To prevent and correct progressive HIV encephalopathy

Which of the following is not an indication that a child may have a primary immune deficiency?

a. Treatment with antibiotics within a two week period

A nurse is inspecting the skin of a child with atopic dermatitis which of the following with the nurse expect to observe

Dry red scaly rash with lichenification

The nurse is educating the parents of a diabetic child about the importance of establishing glucose control and reducing long-term complications of the disease which of the following would be appropriate management goals?

Promoting optimal serum glucose levels and Near normal hemoglobin A-1 C levels

Which of the following types of Anemia is characterized by the failure of the bone marrow to produce cells?

Aplastic Anemia

1. When caring for a child with wilms tumor, which of the following nursing interventions would be most important?

Avoid palpation of the abdomen

Which of the following is not a clinical manifestation of systemic lupus erythematosus?

Decreased lung sounds

The nurse is assessing a young boy with immunodeficiency, atopic dermatitis, and thrombocytopenia. He has history... diarrhea and petechiae. The most probable diagnosis this child has is?

a. Wiskott Alrdrich syndrome

A newbie diagnosed three years old is admitted with type I diabetes mellitus having just had a class on this you know that it is caused

by a deficiency of insulin secretion due to pancreatic Bcell damage.

1. The urinalysis of a Toddler dx with nephrotic syndrome reveals +4 for protein. The nurse investigate for other signs of nephrotic syndrome include which of the following except:

normal cholesterol

The urinalysis of a Tyler diagnosed with Friday syndrome reveals Plus 4 for protein the nurse investigate for other signs of my frantic syndrome include which of the following except:

normal cholesterol

After teaching a class about cellular immunity, the instructor recognized that further teaching is needed when the class stated that

Cellular immunity recognizes antigens

Which of the following types of Anemia is more prevalent in children between the ages of 6 and 24 months and again at the age of puberty?

IRON DEFICIENCY

A child with juvenile idiopathic arthritis has involvement of five joints symmetrically. What is the name for this type of arthritis?

Polyarticular

1. Which of the following is not a clinical manifestation of systemic lupus erythematosus?

a. Decreased lung sounds

A nurse is reviewing the health history of an infant which of the following are significant findings related to genitourinary disorder?

All of the above (single umbilical artery, maternal polyhydramnios, hydronephrosis)

The mother brings for Euro child in with concerns that his knees touch when he stands up. The nurse explains that this is

A normal variation called genu valgum , or knock knee and will go away as he gets older

The nurse is assessing an 11-year-old girl with Scoliosis. What would the nurse expect to find? Select all answers that apply/

Asymetric shoulder elevation Pronounced one-sided hump on bending over

A 3-year-old is admitted with a fractured femur and a diagnosis if osteogenesis imperfecta. The nurse understands that osteogenesis imperfecta is what type of disorder/

Genetic Disorder

1. Which of the following is not considered a benefit of circumcision? a. Decreased incidence of UTI b. Decreased incidence of sexually transmitted infections c. Decreased incidence of AIDS d. Decrease the urinary retention rates in ,ales with scrotal edema

Decreased incidence of UTI

A 16 yr old boy presents with an annual well-child visit the pediatrician is concerned about the lack of scrotal change and recommends additional testing which of the following would be a possible diagnosis for this condition.

Delayed puberty

1. A child is being assessed for allergic rhinitis and the nurse notes that she has evidence of atopic dermatitis on her arms. What would be most appropriate information to investigate during the health history?

Determine the child has a history of asthma and is there any family history

1. Which of the following best describes precocious puberty?

Development of secondary sexual characteristics in girls before the age of 8 and boys younger than the then 9 years

Which of the following best describes precocious puberty?

Development of secondary sexual characteristics in girls before the age of 8 and boys younger than the then 9 years.

The nurse is assessing a child with pauciarticular-type juvenile arthritis. What would the nurse expect to assess?

Eye inflammation, malaise, poor appetitie, poor weight gain , KNEE complications

The nurse knows all of the following are true about eczema (atopic dermatitis) except:

It Doesn't affect sleeping itching occurs in daytime hours only

The pediatric oncology nurse is aware that pediatric cancers: select all that apply

More commonly found in blood, lymph, brain, bone kidney muscle Arise from primitive embryonal neuroectodermal tissue

When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following?

Ortolani's sign

1. A nurse is caring for a pediatric patient with muscular dystrophy. In the support and education of the family, which should nurse Not advise to do?

Promote periods of bed rest

The nurses care for a pediatric patient with muscular dystrophy. In the support and education of the family which will the nurse advice against.

Promote periods of bed rest

Which of the following is important to stress to a diabetic adolescent that has complications control diabetes: select all that apply

Retinopathy Nephropathy Dyslipidemia

1. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following? a. Symmetrical gluteal folds b. Absence of leg length discrepancy c. Positive barlow and ortolani sign with hip "clunk" d. Limp

Symmetrical gluteal folds

1. A mother brings her 4 year old child in with concern that "his knees touch when he stands up and his ankles are...". Explains that:

This is a normal variation called Genu Valgum or "knock knees" and will go away as he gets older

1. A young child is in vaso-occlusive crisis secondary to sickle cell anemia. Which statement made by the child parents indicates that need for ...nurse?

a. "We will apply ice to the painful areas on his hands and feet next time a crisis occurs"

1. A nurse is reviewing the health history of an infant which of the following are significant findings related to genitourinary disorder?

a. All of the above (single umbilical artery, maternal polyhydramnios, hydronephrosis)

You are expecting an admission of a patient who is being admitted with asthma, the staff nurse asks you which type of anemia is associated with an adverse reaction to medication and causes the failure of bone marrow to procedure cells? Best answer:

a. Aplastic

1. A nurse is caring for an infant with bladder exstrophy. As part of the infants preoperative plan of care, the nurse monitors for abdominal skin excoriation, which action would be most appropriate for promoting healing and preventing further skin breakdown? a. Cleaning the area well with a scented diaper wipe b. Applying a barrier/healing cream or paste on skin c. Keeping the bladder moist and covered with a sterile bag d. Covering the area with sterile gauze pads after tub baths

a. Applying a barrier/healing cream or paste on skin

1. The nurse is assessing an 11 year old girl with scoliosis. What would the nurse expect to find? Select all

a. Asymmetric shoulder deviation b. Pronounced one-sided hump on bending over

1. A 16 yr old boy presents with an annual well-child visit the pediatrician is concerned about the lack of scrotal change and recommends additional testing which of the following would be a possible diagnosis for this condition

a. Delayed puberty

1. A nurse is inspecting the skin of a child with atopic dermatitis which of the following with the nurse expect to observe

a. Dry red scaly rash with lichenification

Which of the following statements regarding atopic dermatitis is true?

a. Fish in the diet before 9 months and exclusive breastfeeding for 4 months reduce the risk of eczema and prevent eczema

1. The nurse is conducting a physical examination of a 10 year old boy with a suspected neuromuscular disease, which findings is a sign of Duchenne?

a. Gower's sign

1. A child with growth hormone deficiency is receiving growth hormone. What result would the nurse as indicating effectiveness of this therapy?

a. Height increase of 4 inches

1. Physical examination of an older child revealed and increased rate of growth, weight loss despite an excellent appetite... following diagnoses best described the condition ?

a. Hyperthyroidism

1. The nurse knows all of the following are true about eczema (atopic dermatitis) except:

a. It Doesn't affect sleeping itching occurs in daytime hours only

1. The pediatric oncology nurse is aware that pediatric cancers: select all a. More commonly found in blood, lymph, brain, kidney, muscle b. has minimal environmental factors c. Arise from primitive embryonal neuroectodermal tissue d. Account for the most pediatric deaths from disease in children older than 1 yrs old

a. More commonly found in blood, lymph, brain, kidney, muscle b. has minimal environmental factors

1. A 12 year old is admitted with sickle cell crisis. Which of the following is the priority nursing diagnosis?

a. Pain related to tissue ischemia

1. The 3 P's that stand for the symptoms of diabetes are which of the following? a. Polyphagia, polydipsia, polyuria b. Polyphagia, proteinuria, polyuria ??

a. Polyphagia, polydipsia, polyuria

1. The nurse is educating the parents of a diabetic child about the importance of establishing glucose control and reducing long-term complications of the disease which of the following would be appropriate management goals?

a. Promoting optimal serum glucose levels and Near normal hemoglobin A-1 C levels

1. A pathogen lives and multiples in a ...and transfers from one host to another by a .... Select an answer that best fill in:

a. Reservoir, mode of transmission

1. Acute Glomerulitis?

a. Strep throat and cocacola

1. Your pt is being sent for VCUG (voiding cytourethrogram). The patient asks you why this is the test being done on their child. Your best response would be

a. The test is to determine if the child has a blockage or a backup of urine into the kidney, which can cause many...

1. A client with anemia may be tired due to a tissue deficiency pf which of the following substance

oxygen?