Exam 2: Practice Questions

The mother of a hospitalized two-year-old child with viral laryngotracheobronchitis asks the nurse why the healthcare provider did not prescribe antibiotics. Which response should the nurse make?

"Antibiotics are not indicated unless a bacterial infection is present."

Cranial Nerves

Oh- Olfactory: Some Oh- Optic: Say Oh- Oculomotor: Marry To- Trochlear: Money Touch- Trigeminal: But And- Abducent: My Feel- Facial: Brother A- Auditory: Says Great- Glossopharyngeal: Big Vagina- Vagus: Brains Such- Spinal accessory: Matter Heaven- Hypoglossal: More

Sulfisoxazole 1g PO four times daily is prescribed for an adolescent with a UTI. The medication label reads 500mg tablets. The nurse administers how many tablets per dose?

2 tablets

When do we screen for ASD?

9, 18, 24 and 30 months

When assessing the 9 month old child, the nurse expects which reflex to be present?

Babinski's

Which vaccination is safe to give at birth?

Hep B

The 18 month old toddler diagnosed with cystic fibrosis is admitted to the hospital with a respiratory infection. The nurse should expect to see which characteristic feature of cystic fibrosis?

An altered viscosity of mucus

The 7-year-old child is admitted to the hospital with a diagnosis of idiopathic hypopituitarism. Which clinical manifestation is the nurse most likely to observe?

Delicate features

A mother arrives at the emergency department with her five-year-old child and states that the child fell of his bunk bed. A head injury is suspected and the nurse checks the child airway status and assess the child for early and late signs of increased intracranial pressure. Which is a late sign of IICP?

Bradycardia

The nurse plans care for the infant diagnosed with a myelomeningocele. Which principle of nursing care is most important to apply when caring for this infant?

Asepsis

The mother of an 8-year old child being treated for right lower lobe pneumonia at home calls the clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and that ibuprofen is not effective. Which instruction should the nurse provide to the mother?

"Encourage the child to lie on the right side?"

The nurse is providing medication instuctions to the parents. Which statement by the parent indicates a need for further instruction?

"I should mix the medication in the baby food and give it when I feed my child."

The nurse counsels the parents of a child with Down's Syndrome. Which statement, if made by the parents to the nurse, indicates further teaching is necessary?

"My child's development will become rapid in time"

An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the priority nursing intervention in the preoperative period?

Reposition the infant frequently

The nurse is assigned to care for an 8-year-old child with a diagnosis of a skull fracture. The nurse reviews the healthcare providers prescriptions and should contact the HCP to question which prescription?

Suction as needed

The 1-week-old child is diagnosed with hemophilia A. Neither the mother nor the father has the disease. Which statement, if made by the nurse to the parents, correctly describes the hemophilia trait?

"It is an X-linked recessive trait found primarily in males."

Prior to surgery for myelomeningocele, which action should the nurse perform to care for the area of the defect?

Apply a moist, sterile dressing

The nurse knows DTap vaccine protects against which diseases?

Diptheria, pertusis, tetanus

The home care nurse visits the home of the toddler diagnosed with non-organic failure to thrive (NFTT). The nurse instructs the toddler's mother about mealtime. Which suggestion by the nurse is most appropriate?

Develop a structured routine for bathing, sleeping and playing

The nurse instructs the parents of a 7 year old child diagnosed with cystic fibrosis about required dietary modifications. Which adjustment is likely to be made in a normal diet?

Increased protein

The nurse is reviewing the record of a child with IICP and the notes that the child has exhibits signs of deceberate posturing. On the assessment of the child, the nurse expects to note which characteristic of this type of posturing?

Rigid extension and pronation of the arms and legs

The nurse develops a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which items need to be placed at the child's bedside?

Suctioning equipment and oxygen

The nurse understands that which food is most likely to cause an allergy in a 6 month old infant?

Eggs

Types of Developmental disorders

Learning disorder Syndrome Intellectual disability Autism spectrum disorder

The home care nurse monitors the pediatric client diagnosed with a chronic seizure disorder. The nurse should intervene if which finding is observed?

The parent takes the child's temperature using an oral electronic thermometer

The nurse is developing a plan of care for a child who is at risk for seizures. Which interventions apply if the child has a seizure?

Time the seizure Stay with the child Move furniture away for the child

What is the IQ of an individual with an intellectual disability?

Less than 70-75

The nurse instructs the parent about the appropriate way to instill ear drops in the right ear of the 2 year old child. The nurse determines teaching is effective if the parent makes which statement?

"I should pull my child's ear down and back."

The nurse performs an assessment on the child admitted with a diagnosis of acute asthma. The nurse determines that which observation by the parents is significant to determine the cause of the acute asthma attack?

"My child slept on a new pillow last night"

The 3 year old child is seen in the local clinic for croup. The child's parents ask the nurse what to do for the child at home to alleviate symptoms. Which suggestions by the nurse is most appropriate?

"Stand with your child in front of an open freezer"

The woman delivers a healthy 8-lb, 2-oz infant. She mentions to the nurse that her baby's "soft spot" seems very large. Which statement, if made by the nurse, is most appropriate?

"The baby's anterior "soft spot" will remain for approximately 1 1/2 years."

A brace is ordered for the adolescent to correct a scoliosis deformity. Which statement, if made by the parent to the nurse, indicates teaching is successful?

"The brace should be worn 23 hours a day."

The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunizagtion schedule for the child. Which statement should the nurse make to the parent?

"The child will receive the recommended basic series of immunizations along with the yearly flu vaccine."

The young child diagnosed with autism is admitted to the pediatric unit with a tracheotomy after swallowing a small toy. The unlicensed assistive personnel reports to the nurse that the child does not maintain eye contact. Which response by the nurse is best?

"The inability to maintain eye contact is a characteristic of autism."

A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 0.07mg/kg/day and clients weight is 7.2kg. The prescription is for twice daily. The nurse prepares how much digoxin to administer to client at each dose?

0.25mg

After an aspirin overdose, it is MOST important for the nurse to assess for which problem?

Bleeding

The child with attention deficit hyperactive disorder (ADHD) is taking methylphenidate. The nurse knows that methylphenidate is prescribed for this child for which effect?

Central nervous system stimulant.

A 4 year old is brought to the emergency room with a diagnosis of acute epiglottis. Which assessment finding, if made by the nurse, is most significant?

Drooling of saliva

Three parts of the glasgow comma scale

Eye opening- spontaneously, to verbal commands, to pain or no response Verbal response- oriented and converses, disoriented and talks, inappropriate words, incomprehensible sounds or no response Motor response- obeys, localizes pain, withdraws from pain stimuli, abnormal flexion, extension or no response

The nurse counsels the mother of the child diagnosed with attention deficit disorder. Which statement by the nurse is most appropriate?

Hug your child after a task is correctly performed

The nurse cares for the infant immediately after insertion of a shunt due to hydrocephalus. Which observation by the nurse should be reported to the health care provider immediately?

Infants pupils are dilated

A child with croup (laryngotracheobronchitis) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying and trying to climb out of the tent. Which is the most appropriate nursing action?

Let the mother hold the child and direct the cool mist over the childs face.

Which lab test result is most important for the nurse to follow when monitoring the care of the client with an acetaminophen overdose?

Liver function test

The nurse knows MMR is a vaccine for which diseases?

Measles, mumps, rubella.

Absolute indicators of ASD

No babbling by 12 months No gesturing by 12 months not turning head to name. No single words by 16 months No 2 word spontaneous phrases by 24 months Any loss of any language or social skills at any age

Which implementation is the best way for the nurse to maintain an adequate fluid intake for a toddler with nausea, vomiting, and diarrhea?

Offer oral rehydration solutions (ORS) to rehydrate.

The nurse cares for the newborn diagnosed with developmental dysplasia of the hip (DDH). The nurse expects which method of treatment to be used for the newborn?

Pavlik harness

The emergency department nurse is caring for a child diagnosed with epiglottitis. In assessing the child the nurse should monitor for which indication that the child may be experiencing airway obstruction?

The child is leaning forward, which the chin thrust out.

The nurse performs a home care visit for the child diagnosed with cystic fibrosis. The nurse should intervene if which finding is observed?

The child takes the pancreatic enzymes one hour after eating.

An infant is found to have an excessive amount of oral secretions after birth. During the first feeding the infant has a chocking episode accompanied by cyanosis. The nurse knows that these symptoms are indicative of which problem?

Tracheoesophageal defect

Which artery should the nurse use to assess the pulse rate of an infant during cardiopulmonary resuscitation?

Brachial artery

The parent of the child diagnosed with frequent acute otitis media asks the nurse why this keeps happening to the child. The nurses' response should be based on which explanation?

Children have a shorter auditory, or Eustachian, tube

A 10-year child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which signs, knowing that it indicates a worsening of the condition?

Decreased wheezing

An 8 month old child present with stunted growth, and chromosomal studies show that the child has only 45 chromosomes. The nurse should identify that the child's condition is due to which diagnosis?

Turners syndrome

The nurse prepares to administer an intramuscular injection to a four-month-old infant. Which site is the best for the nurse to administer the inection?

Vastus lateralis

The 3 day old infant is born with a myelomeningocele The nurse caring for the neonate should place the infant in which position?

prone