quiz

diabetic keto acidosis

a patient has a high glucose level (hyperglycemia), ketonuria, and an acidic PH (<7.35) what do they most likely have?

congenital hypothyroidism

a thickened tongue and an umbilical hernia are indicative of:

albuterol

rescue drug for acute asthma attacks

DI is high (sodium) and dry (dehydration)

saying to remember diabetes insipidus

hypopituitarism

short stature is indicative of:

B

A child has been admitted to the hospital with a diagnosis of "rule out nephrotic syndrome." The nurse would anticipate which of the following symptoms? A. petechial rash B. edema C. hematuria D. dehydration

c

A child is diagnosed with hemolytic uremic syndrome. Review of the child's laboratory test results reveals which finding? A. decreased BUN and creatinine B. hypernatremia and hypokalemia C. decreased platelet count D. respiratory acidosis

D

A child is diagnosed with hemolytic uremic syndrome. Review of the child's laboratory test results reveals which finding? A. decreased BUN and creatinine B. hypernatremia and hypokalemia C. respiratory acidosis D. decreased platelet count

D

A child presents to the emergency department with burns on the lower arm from hot water. They appear to be white with red blisters, do not blanch, and the child can feel pressure, but not pain, with palpation. How would the nurse describe these burns? A. Superficial partial-thickness burns B. Full-thickness burns C.Superficial burns D. Deep partial-thickness burns

A

A child presents to the emergency department with fever and evidence of dehydration. Labwork reveals an elevated sodium level. What is the most likely cause of the child's illness? A. diabetes insipidus B. diabetes mellitus C. hemolytic uremic syndrome D. syndrome of inappropriate antidiuretic hormone

D

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first? A. Budesonide (Pulmicort) B. Fluticasone (Flovent) C. Montelukast (Singulair) D. Albuterol (ProAir)

bronchiolitis

A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. The nurse should recognize these findings are associated with which of the following diagnoses?

A

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take? A. Place the child in an upright position B. Transport the child to radiology for a throat x-ray. C. Visualize the epiglottis with a tongue depressor. D. Obtain a throat culture

B

A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following? A. "I will put the enzyme crystals in his applesauce" B. "I will give my son the enzymes between meals" C. "The enzymes probably won't cause many adverse effects" D. "The enzymes help him digest fat"

C

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as a definitive indication of this condition? A. Patchy areas of hair loss B. Itching and scratching of the head C. Firmly attached white particles on the hair D. Thick, honey-colored crusted lesion on a red base

B

The mother of a child with chronic renal insufficiency asks the nurse why her son is getting an injection of erythropoietin. In response, the nurse explains which rationale? A. to correct acidosis B. to stimulate red blood cell growth C. to stimulate growth in stature D. to treat low calcium levels

D

The nurse is taking a health history of a child with suspected acute poststreptococcal glomerulonephritis. Which response would alert the nurse to a risk factor for this condition? A. "She has been very healthy up until now." B. "My child sometimes needs reminding about going to the bathroom." C. "My child's favorite activity is playing at the neighborhood splash pad." D. "He just got over a being sick with pharyngitis."

B

The parent of a 6 year old child with type 1 Diabetes calls the clinic to report that her child has been running a low grade fever and not eating well since yesterday. What information should the nurse include in her education? A. Increase the frequency of blood glucose checks but stop giving insulin until the fever resolves. B. Monitor the glucose more frequently than usual while she is sick. C. Decrease her baseline insulin dosing because the fever will cause her to be more hypoglycemic than usual. D. Push fluids and continue to check her glucose on the same schedule as you do every day.

D

Which comment from the parents of a child with congenital hypothyroidism would alert the nurse that the parents need more teaching? A. "His cry is always hoarse, but we know that's part of his illness." B. "He's not a great feeder, but he is gaining weight slowly." C. "I think he needs something for constipation." D. "We mix his medication in his soy milk formula, and he takes it really well."

D

Which comment from the parents of a child with congenital hypothyroidism would alert the nurse that the parents need more teaching? A. "I think he needs something for constipation." B. "He's not a great feeder, but he is gaining weight slowly." C. "His cry is always hoarse, but we know that's part of his illness." D. "We mix his medication in his soy milk formula, and he takes it really well."

D

Which of the following does not support a diagnosis of diabetic ketoacidosis? A. serum glucose 355mg/dL B. ketonuria C. venous pH 7.2 D. hemoglobin A1C of 5.5

hyperpituitarism

acromegaly is a sign of:

congenital adrenal hyperplasia

ambiguous genitalia is indicative of:

pharyngitis (Strep)

history of what would make sense for a patient with poststreptococcal glomerulonephritis?

whooping cough (pertussis)

what condition is a paroxysmal (sudden attack/violent) cough present in?

hemorrhage

what is frequent swallowing post tonsillectomy indicative of?

lice

what is pediculosis capitis?

soy milk formula

what should you not mix medication with for a patient with congenital hypothyroidism?

A

which of the following does not support a diagnosis of diabetic ketoacidosis? A. hemoglobin A1C of 5.5 B. venous pH 7.2 C. ketonuria D. serum glucose 355mg/dL

B

while presenting a panel discussion to a group of parents about urinary tract infections in children, one of the parents asks, "Why would my daughter be more at risk than my son?" Which response by the nurse would be most accurate? A. "Girls have smaller bladders than boys." B. "A girl's urethra is closer to the rectal opening than a boy's." C. "Girls are more likely to take bubble baths than boys." D. "A girl's urethra is longer than a boy's."