Pedia Nursing Quiz 2

How should the nurse prepare a suspension before administration? A. By diluting it with normal saline solution B. By diluting it with 5% dextrose solution C. By shaking it so that all the drug particles are dispersed uniformly D. By crushing remaining particles with a mortar and pestle

C. By shaking it so that all the drug particles are dispersed uniformly

Hydrocortisone cream 1% is given to a child with eczema. The nurse gives instruction to the mother to apply the cream by? A. Apply a thin layer of cream and spread it into the area thoroughly. B. Avoid cleansing the area before the application. C. Apply a thick layer of the cream to affected areas only. D. Apply the cream to other areas to avoid occurrence.

A. Apply a thin layer of cream and spread it into the area thoroughly.

12-year-old Caroline has recurring nephrotic syndrome. Which of the following areas of potential disturbances should be a prime consideration when planning ongoing nursing care? A. Body image B. Sexual maturation C. Muscle coordination D. Intellectual development

A. Body image

The school nurse assesses Brook, a child newly diagnosed with attention deficit hyperactivity disorder (ADHD). Which of the following symptoms are characteristic of the disorder? Select all that apply. A. Constant fidgeting and squirming B. Excessive fatigue and somatic complaints C. Difficulty paying attention to details D. Easily distracted E. Running away F. Talking constantly, even when inappropriate

A. Constant fidgeting and squirming C. Difficulty paying attention to details D. Easily distracted F. Talking constantly, even when inappropriate

Arvic who is diagnosed with diabetes mellitus type 1 displays symptoms of hypoglycemia. Which of the following actions should the nurse instruct the parents? A. Give the child honey (simple sugar) B. Give the child milk (complex sugar). C. Contact the healthcare provider before doing anything. D. Give the child nothing by mouth.

A. Give the child honey (simple sugar)

Nurse Christine is planning a client education program for sickle cell disease (SCD) in children. Which of the following interventions would be included in the care plan? A. Health teaching to help reduce sickling crises B. Avoidance of the use of opioids C. Administration of an anticoagulant to prevent sickling D. Observation of the imposed fluid restriction

A. Health teaching to help reduce sickling crises

Nurse Elizabeth is administering medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is: A. Under age 3 B. Over age 3 C. Critically ill and under age 3 D. Critically ill and over age 3

C. Critically ill and under age 3

Mrs. Johnson tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother? A. Make the child seat with the family in the dining room until he finishes his meal B. Provide quiet environment for the child before meals C. Do not give snacks to the child before meals D. Put the child on a chair and feed him

C. Do not give snacks to the child before meals

Which of the following organisms is responsible for the development of rheumatic fever? A. Streptococcal pneumonia B. Haemophilus influenza C. Group A beta-hemolytic streptococcus D. Staphylococcus aureus

C. Group A beta-hemolytic streptococcus

The nurse is evaluating a female child with acute post streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement? A. Increased urine output B. Increased appetite C. Increased energy level D. Decreased diarrhea

A. Increased urine output

The community nurse visits the home of George, a child recently diagnosed with autism. The parents express feelings of shame and guilt about having somehow caused this problem. Which statement by the nurse would best help alleviate parental guilt? A. "Autism is a rare disorder. Your other children shouldn't be affected." B. "The specific cause of autism is unknown. However, it is known to be associated with problems in the structure of and chemicals in the brain." C. "Sometimes a lack of prenatal care can be the cause of autism." D. "Although autism is genetically inherited if you didn't have testing you could not have known this would happen."

B. "The specific cause of autism is unknown. However, it is known to be associated with problems in the structure of and chemicals in the brain."

Archie is a child with iron deficiency anemia. He is required to receive elemental iron therapy at 6 mg/kg/day in three divided doses. He weighs 44 lbs. How many milligrams of iron should he receive per dose? A. 20 mg/dose B. 40 mg/dose C. 60 mg/dose D. 120 mg/dose

B. 40 mg/dose

Niklaus was born with hypospadias; which of the following should be avoided when a child has such condition? A. Surgery B. Circumcision C. Intravenous pyelography (IVP) D. Catheterization

B. Circumcision

Mandy, age 12, is brought to the clinic for evaluation for a suspected eating disorder. To best assess the effects of role and relationship patterns on the child's nutritional intake, the nurse should ask: A. "What activities do you engage in during the day?" B. "Do you have any allergies to foods?" C. "Do you like yourself physically?" D. "What kinds of food do you like to eat?"

C. "Do you like yourself physically?"

Nurse Charlotte suspects that a child, age 4, is being neglected physically. To best assess the child's nutritional status, the nurse should ask the parents which question? A. "Has your child always been so thin?" B. "Is your child a picky eater?" C. "What did your child eat for breakfast?" D. "Do you think your child eats enough?"

C. "What did your child eat for breakfast?"

Nurse Dorothy is caring for a child with Category A Near Drowning; she should do which of the following? Select all that apply. A. Give furosemide as ordered. B. Check for increased intracranial pressure C. Plan for discharge in 12 to 24 hours. D. Check for electrolyte imbalances. E. Keep mechanical ventilation. F. Provide oxygen as ordered.

C. Plan for discharge in 12 to 24 hours. D. Check for electrolyte imbalances. F. Provide oxygen as ordered.

During a well-baby visit, Liza asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first? A. Applesauce B. Egg whites C. Rice cereal D. Yogurt

C. Rice cereal

Spina bifida is one of the possible neural tube defects that can occur during early embryological development. Which of the following definitions most accurately describes meningocele? A. Complete exposure of spinal cord and meninges B. Herniation of the spinal cord and meninges into a sac C. Sac formation containing meninges and spinal fluid D. Spinal cord tumor containing nerve roots

C. Sac formation containing meninges and spinal fluid

Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised? A. GI function B. Locomotion C. Sucking ability D. Respiratory status

C. Sucking ability

When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This finding is associated with: A. Otogenous tetanus B. Tracheoesophageal fistula C. Congenital heart defects D. Renal anomalies

D. Renal anomalies

The following are considered functions of the Urinary System, EXCEPT: A. Vitamin D synthesis B. Regulation of red blood cell synthesis C. Excretion D. Absorption of digested molecules E. Regulation of blood volume and pressure

D. Absorption of digested molecules

A child is diagnosed with Wilms' tumor. During assessment, the nurse in charge expects to detect: A. Gross hematuria B. Dysuria C. Nausea and vomiting D. An abdominal mass

D. An abdominal mass

Which of the following should the nurse include in the insulin administration instruction for the parents of a child being discharged on insulin? A. Insert the needle and aspirate prior to injecting B. Inject insulin into the extremity to be exercised to enhance absorption C. The muscles in the abdomen and thigh are the easiest to use for self-administration D. Clean the site of injection with soap and water and avoid alcohol

D. Clean the site of injection with soap and water and avoid alcohol

Benjamin was rushed to the emergency department with possible increased intracranial pressure (ICP); which of the following is an early clinical manifestation of increased ICP in older children? A. Macewen's sign B. Setting sun sign C. Papilledema D. Diplopia

D. Diplopia

You have learned that in babies and children with developmental dysplasia (dislocation) of the hip (DDH), the hip joint has not formed normally. Which of the following is the most common form of DDH? A. Acetabular dysplasia B. Dislocation C. Preluxation D. Subluxation

D. Subluxation

Reye's syndrome is a rare and severe illness affecting children and teenagers. Its development has been linked with the use of aspirin and which of the following? A. Meningitis B. Encephalitis C. Strep throat D. Varicella

D. Varicella

A nurse prepares to administer an intramuscular injection to a 6-month-old infant. The nurse selects which site to administer the medication? A. Rectus femoris B. Dorsal gluteal C. Ventrogluteal D. Vastus lateralis

D. Vastus lateralis

When administering an I.M. injection to an infant, the nurse in charge should use which site? A. Deltoid B. Dorsogluteal C. Ventrogluteal D. Vastus lateralis

D. Vastus lateralis

Mrs. Baker was instructed by the nurse on foods to encourage her child's diet concerning the latter's iron deficiency anemia. which of the following if stated by the mother would indicate the need for further instruction? A. Fish B. Lean meats C. Whole-grain breads D. Yellow vegetables

D. Yellow vegetables

Sickle cell disease (SCD) primarily affects: A. children of African descent and Hispanics of Caribbean ancestry. B. children of Middle-Eastern and Indian descent. C. children of Asian descent. D. both African descent and Hispanics of Caribbean ancestry and Middle-Eastern and Indian descent.

D. both African descent and Hispanics of Caribbean ancestry and Middle-Eastern and Indian descent.

Match the traction methods to their corresponding descriptions: Sort elements Buck's traction Russell's traction Bryant's traction hips flexed 90 degrees, both legs leg extended, knee flexed legs in an extended position

hips flexed 90 degrees, both legs leg extended, knee flexed legs in an extended position

Patient S is a sexually active adolescent. Which of the following instructions would be included in the preventive teaching plan about urinary tract infections? A. Drinking acidic juices B. Avoiding urinating before intercourse C. Wearing nylon underwear D. Wiping back to front

A. Drinking acidic juices

Katie is admitted to the intensive care unit of Nurseslabs Medical Center for diabetic ketoacidosis. Which of the following is of primary importance when caring for the child? A. Giving I.V. NPH insulin in high doses B. Evaluating the child for cardiac abnormalities C. Limiting fluids to prevent aggravating cerebral edema D. Monitoring and recording the child's vital signs for hypertension

B. Evaluating the child for cardiac abnormalities

Nurse Gloria questions the parents of a child with oppositional defiant disorder about the roles of each parent in setting rules of behavior. The purpose of this type of questioning is to assess which element of the family system? A. Anxiety levels B. Generational boundaries C. Knowledge of growth and development D. Quality of communication

B. Generational boundaries

Mrs. Lodge's child requires the use of a Pavlik harness. Which of the following would Nurse Betty do to best assess the mother's ability to care for her child? A. Demonstrate to the mother how to remove and reapply the device. B. Have the mother remove and reapply the harness before discharge. C. Have the mother verbalize the purpose of using the device. D. Request a home health care nurse visit after discharge.

B. Have the mother remove and reapply the harness before discharge.

Martin Sanchez is a nine (9)-year-old child admitted to a psychiatric treatment unit accompanied by Mr. and Mrs. Sanchez. To establish trust and position of neutrality, which action would the nurse take? A. Encourage Mr. and Mrs. Sanchez to leave while Martin is being interviewed. B. Interview Martin with his parents together, observing their interaction. C. Provide diversion for Martin, and interview Mr. and Mrs. Sanchez alone. D. Review the clinical record prior to interviewing Mr. and Mrs. Sanchez.

B. Interview Martin with his parents together, observing their interaction.

Nurse Nancy is teaching Mr. and Mrs. Diaz about the early signs and symptoms of lead poisoning. Which of the following if stated by the couple would indicate the need for further understanding of the case? A. Anemia B. Seizures C. Irritability D. Anorexia

B. Seizures

Which of the following parameters would Nurse Max monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)? A. Urine B. Vomiting C. Weight D. Stools

B. Vomiting

Tara is an 11-year-old girl diagnosed with type 1 diabetes mellitus (DM). She asks her attending nurse why she can't take a pill rather than shots like her grandmother does. Which of the following would be the nurse's best reply? A. "If your blood glucose levels are controlled, you can switch to using pills." B. "The pills correct fat and protein metabolism, not carbohydrate metabolism." C. "Your body does not make insulin, so the insulin injections help to replace it." D. "The pills work on the adult pancreas, you can switch when you are 18."

C. "Your body does not make insulin, so the insulin injections help to replace it."

Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fracture using fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old? A. 1-2 weeks B. 2-4 weeks C. 3-8 weeks D. 10-12 weeks

C. 3-8 weeks

Which of the following is not true regarding the varicella vaccine? A. It is administered subcutaneously. B. Children 13 years and older (With no history of chickenpox or have not previously vaccinated) need two doses given at least 28 days apart. C. Give aspirin for any injection-related pain. D. The most common mild side effects are pain, redness, or swelling at the injection site.

C. Give aspirin for any injection-related pain.

The long-term complications seen in thalassemia major are associated to which of the following? A. Anemia B. Growth retardation C. Hemochromatosis D. Splenomegaly

C. Hemochromatosis

Nurse Karen is providing postoperative care for Dustin who had a cleft palate (CP) repair; the nurse should position the child in which of the following? A. In an infant seat B. In the supine position C. In the prone position D. On his side

C. In the prone position

Which behavioral assessment in a child is most consistent with a diagnosis of conduct disorder? A. Arguing with adults B. Gross impairment in communication C. Physical aggression toward others D. Refusal to separate from caretaker

C. Physical aggression toward others

A child with known hemophilia A was brought to the emergency room with complaints of nose bleeding and some bruises in the joints. Which of the following should the nurse anticipate to be given to the child? A. Oral iron supplement B. Cyclosporine C. Factor X D. Factor VIII

D. Factor VIII

Justine is admitted to the pediatric unit due to the occurrence of diabetic ketoacidosis signaling a new diagnosis of diabetes. The diabetes team explores the cause of the episode and takes steps to prevent a recurrence. Diabetic ketoacidosis (DKA) results from an excessive accumulation of which of the following? A. Sodium bicarbonate from renal compensation B. Potassium from cell death C. Glucose from carbohydrate metabolism D. Ketone bodies from fat metabolism

D. Ketone bodies from fat metabolism

A child was brought to the emergency department with complaints of nausea, vomiting, fruity-scented breath. The resident on duty diagnosed the child with diabetes ketoacidosis. Which of the following should the nurse expect to administer? A. Potassium chloride IV infusion. B. Dextrose 5% IV infusion. C. Ringer's Lactate. D. Normal saline IV infusion.

D. Normal saline IV infusion.

A spica cast was put on Baby Betty after an unfortunate incident to immobilize her hips and thighs. Which of the following is the priority nursing action immediately after application? A. Keep the cast dry and clean. B. Cover the perineal area. C. Elevate the cast. D. Perform neurovascular checks.

D. Perform neurovascular checks.

Stephen was diagnosed with minimal-change nephrotic syndrome; which of the following signs and symptoms are characteristics of the said disorder? A. Hypertension, edema, hematuria B. Hypertension, edema, proteinuria C. Gross hematuria, fever, proteinuria D. Poor appetite, edema, proteinuria

D. Poor appetite, edema, proteinuria

Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following? A. "Currant jelly" stools B. Regurgitation C. Steatorrhea D. Projectile vomiting

D. Projectile vomiting