Disorders and disease of infant, toddlers and school age, Peds Quiz 2, PEDS Quiz#2/1, PEDS Quiz#2, Peds 2 T3

A nurse is caring for a preschooler who has epiglotitis from a streptococcal infection. Which of the following actions should the nurse take ?

-Apply humidified oxygen via a mask

Therapeutic management of iron deficiency anemia includes administration of what? A) Multivitamins B) Calcium C) Ferrous sulfate D) Iodine

C) Ferrous sulfate

What is the correct way to apply nystatin for a client with oral candidiasis?

Swab the medication inside the babies mouth and the tongue

A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?

- orange ice pop

A nurse is collecting data from a child who has sickle cell disease and is experiencing a vasoocclusive crisi. which of the following findings should the nurse expect?

- pain

After a tonsillectomy. the child begins to vomit bright red blood. which is the inital nursing action?

- turn the child to the side

A nurse is assisting with the care of a school- age child who has respiratory failure due to pneumonia which of the following positions should the nurse encourage allow maximal lung expansions?

- upright

After a tonsillectomy, which of the following fluid or food items would be appropriate to offer to the child?

- yellow jell-o

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse priority?

-Administer antibiotics when available

A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage which of the following statements by the nurse is not an appropriate response

- giver her no more than three baby aspirin every four hours

A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take ?

- have the child sit with her head tilted foward and hold pressure on her nose for 10 min

A nurse is caring for a toddler who has laryngotracheobronchitis. for which of the following findings should the nurse monitor to detect airway obstruction?

- increased heart rate

A nurse is collecting data from an infant who hit her head when she fell off of a dressing table. The nurse should identify which of the following findings as indicating increased intracranial pressure?

- irritability

A nurse is caring for a 3 yr old client who has persistent otitis media, to help identify contributing factors, the nurse should ask the parents which of the following questions?

- Does anyone smoke in the same house as your daughter?

A nurse is caring for an adolescent client who is recieving carbamazepine for partial seizure disorder. Which of the following statements by the adolescents parent is the priority for the nurse to address?

- He seems to be getting a lot more bumps and bruises lately

The nurse is caring for a hospitalized infant with bronchiolitis. diagnostic tests have confirmed respiratory syncytal virus (RSV) on the basis of this finding which should be the appropriate nursing action?

- Plan to move the infant to a room with another child with RSV

A nurse is collecting data from an infant who has development dysplasia of the hip (DDH) which of the following findings should the nurse expect?

- asymmetric thigh folds

A nurse if preparing a 4 yr old child for discharge following a bilateral myringgotomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?

- call the health care clinic to report that the tubes have fallen out

A nurse is assisting with the discharge of a child who has sickle cell anemia and is recovering from an acute sickle cell crisis. Which of the following instructions should the nurse reinforce with the childs parents?

- encourage the child to increase his fluid intake

The nurse is instructing the mother of a child with cystic fibrosis(CF) about the appropriate dietary measures. which meal best illustrates the most appropraite diet for a client with cystic fibrosis?

-Chicken tender and a baked potato with butter

A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophillia. Which of the following statements by the parent indicates a need for further teaching ?

-I will apply warm compress over the site

The nurse reinforces instructions to the mother of a child who has been hospitalized with croup, Which statement made by the mother would indicate the need for further teaching?

-I will give my child cough syrup if a cough develops

A nurse is caring for a 4-yr old child who is 2-days postoperative following the insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority?

-Lethargy

A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. which of the following actions should the nurse take?

-Perform a neurovascular check of the lower extremities

The nurse assists in preparing a teaching plan regarding the administration of ear drops for the parents of a 2 yr old child Which should be included in the plan?

-Pull the ear down and back before instilling the eardrops

A nurse is caring for a child who has kawasaki disease. which of the following systems is primarily affected by this disease?

-cardiovascular

A nurse is monitoring a child who is postoperative following a tonsillectomy for signs of hemorrhage. Which of the following findings is a sign of this postoperative complication

-frequent swallowing

A nurse is reinforcing discharge instructions with a parent of a child with cystic fibrosis. Which of the following statements by the parent indicates an understanding of the teaching?

-i will make sure my child washes her hands before eating

A nurse is assiting with the care of a child who has spina bifida. Which of the following precaution should the nurse take while caring for this child

-latex precautions

A nurse in a pediatric clinic is caring for a child who has iron....

-offer the medication through a straw

A nurse is caring for an infant who has a congenital heart defect. which of the following defects is associated with increased pulmonary blood flow?

-patent ductus arteriosus

A nurse is attempting to obtain information from a child who is hearing impaired. which of the following actions should the nurse take ?

-speak slowly while facing the child

The nurse selects which time as the best to administer the pancreatic enzyme replacement? A) Before meals and snacks B) Before bedtime C) Early in the morning D) After meals and snacks

A) Before meals and snacks

When assessing the laboratory values of a child with nephrosis,the nurse anticipates which result(s)? (Select all that apply.) A) High levels of protein in the urine B) High serum lipid levels C) Low serum protein levels D) Low hemoglobin E) High white blood cell count

A) High levels of protein in the urine B) High serum lipid levels C) Low serum protein levels D) Low hemoglobin

The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness will hold the child's femurs in: A) abduction. B) adduction. C) flexion. D) extension.

A) abduction

The nurse educates the family of a newly admitted child with cystic fibrosis that the therapy will be centered on: A) chest physiotherapy. B) mucus-drying agents. C) prevention of diarrhea. D) insulin therapy.

A) chest physiotherapy.

An infant with developmental dysplasia of the hip will have blank Gluteal and thigh folds

Asymmetric

Parents of a 6-month-old child who has just been diagnosed with iron deficiency anemia ask why it was not diagnosed earlier.The nurse's best response is: A) "Are you sure your child has iron deficiency anemia?" B) "This happens when the maternal stores of iron are depleted at about 6 months." C) "This anemia is caused by blood loss." D) "The child may not have had it for a long time."

B) "This happens when the maternal stores of iron are depleted at about 6 months."

A new mother asks the clinic nurse if she must continue giving her baby nystatin for thrush since the white lesions on his tongue have disappeared.The nurse replies: A) "No.When the lesions have gone you may stop the nystatin." B) "Yes.You should continue it for the full 7 days." C) "No.Thrush is a self-limiting disorder and nystatin is given for comfort only." D) "Yes.The medication should be refilled for a second week of therapy."

B) "Yes.You should continue it for the full 7 days.

Which additional congenital malformation is expected in 80% of infants with a myelomeningocele? A) Cerebral palsy B) Hydrocephalus C) Meningitis D) Neuroblastoma

B) Hydrocephalus

The nurse instructs the mother of a child with a ventricular septal defect that she can expect the child to become cyanotic when the child does what? A) Experiences an elevation in temperature B) Sleeps on the left side C) Cries vigorously D) Is held upright E) Eats

C) Cries vigorously

The nurse uses a diagram to show that tetralogy of Fallot involves a combination of which four congenital defects? A) Aortic stenosis,atrial septal defect,overriding aorta,left ventricular hypertrophy B) Pulmonary stenosis,ventricular septal defect,overriding aorta,right ventricular hypertrophy C) Aortic stenosis,atrial septal defect,overriding aorta,right ventricular hypertrophy D) Pulmonary stenosis,ventricular septal defect,aortic hypertrophy,left ventricular hypertrophy

B) Pulmonary stenosis,ventricular septal defect,overriding aorta,right ventricular hypertrophy

The nurse teaches the parents of a child with acute epiglottitis that the child could suddenly suffer: A) increased carbon dioxide levels. B) airway obstruction. C) inability to swallow. D) bronchial collapse.

B) airway obstruction.

When speaking to young parents,the nurse states that lead poisoning is one of the most common preventable health problems affecting children.When lead levels exceed the amount that can be absorbed by the bones,it leads to: A) malnutrition. B) anemia. C) bone pain. D) diarrhea.

B) anemia

The mother of a child who has pneumonia is asking what could have been done to prevent the infection.The nurse teaches the mother that children older than 2 years: A) are still protected by antibodies from the mother. B) can be inoculated against pneumococcal pneumonia. C) may have nutritional deficits that make them vulnerable. D) are frequently sedentary,which makes them susceptible to infections.

B) can be inoculated against pneumococcal pneumonia.

When caring for a 7-week-old infant with hypothyroidism,the nurse explains that the administration of oral thyroid replacement therapy is critical for this child to prevent: A) excessive growth. B) cognitive impairment. C) damage to the nervous system. D) damage to the urinary system.

B) cognitive impairment.

The nurse is caring for a newborn with a myelomeningocele.Before surgery,the nursing interventions should include: A) leaving the lesion uncovered and placing the infant supine. B) covering the lesion with a sterile,saline-soaked gauze. C) applying lotion to the lesion to keep it moist. D) covering the lesion with a dry,sterile gauze.

B) covering the lesion with a sterile,saline-soaked gauze

When assessing a child admitted with intussusception,the nurse discovers the hallmark sign of intussusception,which is: A) mucus-like stools. B) currant jelly-like stools. C) tarry,black stools. D) green,soft stools.

B) currant jelly-like stools.

The mother brings the child to the nurse because of exposure to varicella.The nurse explains that early signs of the disease are: A) high fever over 101° F. B) general malaise. C) increased appetite. D) crusty sores.

B) general malaise.

A 2-year-old child with laryngotracheobronchitis (LTB)is fussy and restless in the oxygen tent.The oxygen level in the tent is 25%,and blood gases are normal.The nurse should: A) restrain the child in the tent and notify the physician. B) increase the oxygen concentration in the tent. C) take the child out of the tent and into the playroom. D) ask the mother for help in comforting the child.

B) increase the oxygen concentration in the tent.

The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining remission of the disease.The nurse informs them that the most effective therapy would be: A) surgery to remove enlarged lymph nodes. B) long-term chemotherapy. C) nutritional supplements to enhance blood cell production. D) blood transfusions to replace ineffective red cells.

B) long-term chemotherapy.

The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain.The nurse explains that the child's pain is caused by: A) inflammation of the vessels. B) obstructed blood flow. C) overhydration. D) stress-related headaches.

B) obstructed blood flow.

The nurse instructs the parents of a child who has had a myringotomy to position the child: A) supine. B) on the affected side. C) on the unaffected side. D) in a Trendelenburg position.

B) on the affected side

The parents of a child diagnosed with sickle cell anemia ask what to do to avoid a sickle cell crisis.The nurse explains that the medical management of sickle cell crisis includes: A) information for the parents including home care. B) providing adequate hydration and pain management. C) pain management and administration of iron supplements. D) adequate oxygenation and factor VIII.

B) providing adequate hydration and pain management.

An adolescent female asks the nurse about taking retinoic acid (Accutane).The nurse instructs that the medication: A) should be used only for 10 weeks. B) requires that sexually active females use contraception. C) lowers hemoglobin very quickly. D) has few side effects.

B) requires that sexually active females use contraception.

When selecting nursing diagnoses for the 4-year-old child with nephrosis,the nurse places priority on risk for: A) impaired body image. B) skin impairment. C) nutritional deficit. D) injury.

B) skin impairment.

Following surgical repair of a cleft palate,when soft food is introduced,the nurse modifies the care plan to include feeding safety based on the knowledge that to avoid injury to the suture line,it is best to avoid the use of a: A) feeding dropper. B) spoon. C) syringe. D) cup.

B) spoon.

The nurse teaches parents that the severity of infant respiratory distress syndrome (RDS)is most influenced by: A) poor cough and gag reflex. B) the gestational age at birth. C) administering high concentrations of oxygen. D) the sex of the infant.

B) the gestational age at birth

The nurse explains that gastroesophageal reflux (GER)usually begins within the first week of life in infants and is usually treated by: A) making the infant NPO. B) thickening the food with cereal. C) placing the infant in an upright position. D) feeding the infant in a car seat.

B) thickening the food with cereal

When caring for a child with coarctation of the aorta,the nurse assesses for the most common clinical manifestation,which is: A) clubbing of the digits. B) upper extremity hypertension. C) pedal edema and portal congestion. D) loud systolic ejection murmur.

B) upper extremity hypertension

A newborn has talipes and has been casted.The nurse explains that the casts must be changed: A) daily. B) weekly. C) bi-weekly. D) monthly.

B) weekly

A child with Duchenne's muscular dystrophy rises from the floor by walking up the thighs with the hands.The nurse records this observation as: A) hand-assistance. B) leg crawling. C) Gowers' sign. D) Bright's sign.

C) Gowers' sign.

When conducting a class for parents about sudden infant death syndrome (SIDS),the nurse instructs the class that new information suggests not placing the infant in which position? A) Right side-lying B) Left side-lying C) Prone D) Supine

C) Prone

When interacting with the parents of a SIDS infant,one of the things the nurse attempts to assist with is: A) referring the parents to a psychologist. B) encouraging the parents to remain stoic. C) allaying feelings of guilt and blame. D) learning how the event could have been prevented.

C) allaying feelings of guilt and blame.

The nurse caring for a 6-year-old child with acute glomerulonephritis anticipates that the most difficult part of the care will be implementing: A) forced fluids. B) increased feedings. C) bed rest. D) frequent position changes.

C) bed rest

When reviewing the pathophysiology of cystic fibrosis,the nurse recognizes that it is characterized by: A) multiple upper respiratory infections. B) an underproduction of exocrine glands. C) excessive,thick mucus. D) an overproduction of thin mucus.

C) excessive,thick mucus

When discussing long-term complications of a child with cleft lip and palate,the nurse tells the parents that one of the complications is: A) cognitive impairment. B) altered growth and development. C) faulty dentition. D) physical abilities.

C) faulty dentition.

The nurse instructs parents about the signs of otitis media,which include: A) earache,wheezing,vomiting. B) coughing,rhinorrhea,headache. C) fever,irritability,pulling on ear. D) wheezing,cough,drainage in ear canal.

C) fever,irritability,pulling on ear

A child has developed a diaper rash,and the parents are using zinc oxide to treat it.The nurse is instructing the parents about removal of the ointment and suggests using: A) mild soap and water. B) a cotton ball. C) mineral oil. D) alcohol swabs.

C) mineral oil.

When assessing a child for classical signs of meningeal irritation,the nurse records: A) positive Kernig's sign,diarrhea,and headache. B) negative Brudzinski's sign,positive Kernig's sign,and irritability. C) positive Brudzinski's and Kernig's signs and photophobia. D) negative Kernig's sign,vomiting,and fever.

C) positive Brudzinski's and Kernig's signs and photophobia.

A teenage girl has been placed in a body cast for the treatment of scoliosis,the most common skeletal deformity of adolescence.When the family asks what they can do to be more supportive,the nurse suggests: A) enrolling her in a health club. B) taking her to the mall in a wheelchair. C) purchasing clothes to disguise the cast. D) spending a majority of their time with her.

C) purchasing clothes to disguise the cast

The nurse is assisting the parents of a child born with a cleft lip and palate to deal with the deformity.An appropriate nursing diagnosis for the parents is: A) parental role conflict. B) risk for delayed growth and development. C) risk for impaired attachment. D) anticipatory grieving.

C) risk for impaired attachment.

When a 2-year-old child is admitted with a diagnosis of Hirschsprung's disease,the nurse explains that the causative factor of this disease is: A) frequent evacuation of solids,liquid,and gases. B) excessive peristaltic movement. C) the absence of parasympathetic ganglion cells in a portion of the colon. D) one portion of the bowel telescoping into another.

C) the absence of parasympathetic ganglion cells in a portion of the colon.

The physician is treating a child with meningitis with a course of antibiotic therapy.The nurse assures the parents that the child will be out of isolation when: A) the course of antibiotics is complete. B) a negative CNS culture is obtained. C) the antibiotics have been initiated for 24 hours. D) the child has no symptoms of the disease.

C) the antibiotics have been initiated for 24 hours.

The nurse measures intake and output for an infant with dehydration by: A) attaching a urine collecting bag. B) wringing out the diaper. C) weighing the diaper. D) inserting a catheter.

C) weighing the diaper

When working with pediatric patients experiencing nausea what were you provide the patient?

Call, clear liquids

What is an important key point when working with bucks traction

Check that the rope nuts are away from the pulleys

When a child has a tonsillectomy, the nurse should offer what to the client?

Clear cold fluids to reduce the swelling and the pain in the operative site such as an ice pop

The nurse assessing an infant who has been diagnosed with hypertrophic pyloric stenosis anticipates: A) a history of diarrhea following each feeding. B) gastric pain evidenced by vigorous crying. C) poor appetite due to a poor sucking reflex. D) an olive-shaped mass at the midline.

D) an olive-shaped mass at the midline.

A school-age child has been rehydrated following a bout of diarrhea.The nurse offers foods that are nonirritating to the bowel,including: A) apricots and peaches. B) chocolate milk. C) applesauce and milk. D) bananas and rice.

D) bananas and rice.

The nurse caring for a 4-year-old child with cerebral palsy recognizes that the priority nursing interventions are designed to: A) assist with referral to specialized education. B) support the child with independent toileting. C) assist the child to develop effective communication. D) encourage the child to ambulate independently.

D) encourage the child to ambulate independently.

When reviewing laboratory results for a child with hemophilia,the nurse anticipates finding an abnormal: A) prothrombin time. B) bleeding time. C) platelet count. D) partial thromboplastin time.

D) partial thromboplastin time.

The mother of a child with acute laryngotracheobronchitis (LTB)asks why her child must be kept NPO.The nurse explains that: A) the epinephrine given causes nausea and vomiting. B) the child is being hydrated with IV fluids. C) swollen respiratory passages make eating difficult. D) the child's rapid respirations pose a risk for aspiration.

D) the child's rapid respirations pose a risk for aspiration.

It is important to promise a child patient that you will keep all her secrets of abuse a secret true or false

False report any child abuse and let the child know any abuse the experience is not their fault

Spiral fracture's occur when a child falls off the bed true or false

For spiral fracture spiral fracture are due to twisting of a limb

Why is a patient with Tonsillectomy that is frequent swallowing an emergency

Frequent swallowing indicates there is blood in the throat and is in need of medical attention

Projectile vomiting followed by hunger and children is indicated above what disease?

Hi lyric stenosis must have child be seen as soon as possible and by MD

An infant with tetralogy and fall out experiences fatigue due to

In adequate oxygenation to support energy metabolism

An infant tugging at their ear lode is indication of what disease?

Otitis media

Children who are hospitalized usually have blank and have incidents such as bed wetting

Regression

Allergies to common irritants such as blank can trigger chronic otitis media

Smoke

A patient receiving a blood transfusions begins to develop hives what is your next line of action?

Stop the infusion

Right sided heart failure causes peripheral Adema true or false

True

Patient with cystic fibrosis have high risk of infection it is important to have the child to work before eating?

Wash hands

When the mother of a child with gastroesophageal reflux calls the clinic nurse to report that her baby is vomiting small amounts of blood,the nurse explains that the esophagus has been irritated by _______ ________.

gastric acid

The nurse anticipates that the cerebrospinal fluid (CSF)taken from a child with bacterial meningitis would have a low __________ level.

glucose

The nurse reassures the anxious mother of a child with pyloric stenosis who is to have surgery that the surgical procedure,called a __________,is quickly done and the child recovers almost immediately.

pyloromyotomy