peds
The nurse is caring for a child with Turner syndrome admitted to the unit for treatment of a kidney infection. What characteristics associated with this syndrome may the nurse expect to find upon assessment? a. Microcephaly, polydactyly b. Low-set ears, cleft lip c. Short stature, webbed neck d. Gynecomastia, taller than average
C
The nurse is caring for a child with ADHD. Which behavior would the nurse not expect the child to display: 1. moody, morose behavior with pouting 2. interruption and inability to take turns 3. forgetfulness and easy distractibility 4. excessive motor activities and fidgeting
1
The nurse is caring for an adolescent who says, "I'm sick of this. I wish I weren't alive anymore." What is the best response by the nurse? 1. "I often feel sad and sick of things." 2. "Have you thought about hurting yourself." 3. "Are you trying to escape your problems?" 4. "Do your parents know about this feeling?"
2
When trying to manage aggressive or impulsive behaviors in children or adolescents, what is the best nursing intervention? 1. train the child to be assertive 2. provide consistency and limit setting 3. allow the child to negotiate the rules 4. encourage the child to express feelings
2
An adolescent girl who has been receiving treatment for anorexia nervosa has failed to gain weight over the past week despite eating all of her meals and snacks. What is the priority nursing intervention?1. increase the teen's daily caloric tinake by at least 500 calories 2. ensure that the teen's entire fluid intake includes calories 3. supervise the teen for 2h post meals/snacks 4. assess the teen's anxiety level to determine need for medication
3
A 15y/o girl has been making demands all day, exaggerating her every need. She is now crying, saying she has nothing to live for and threatening to kill herself. What is the priority nursing action? 1. ignore her continured exaggerated and melodramatic behavior 2. consult with the physician or NP to increase her antidepressant dose 3. leave the girl alone for a little whle unitl she compses herself 4. take the girl's suicidal threat seriously and provide close supervision
4
A child born with a single transverse palmar crease, a short neck with excessive skin at the nape, a depressed nasal bridge, and cardiac defects is most likely to have which autosomal abnormality? a. Trisomy 21 b. Trisomy 18 c. Trisomy 14 d. Trisomy 13
A
When compared with adults, why are infants and children at an increased risk of head trauma? A. The head of the infant and young child is large in proportion to the body and the neck muscles are not well developed. B. The development of the nervous system is complete at birth but remains immature. C. The spine is very immobile in infants and young children. D. The skull is more flexible due to the presence of sutures and fontanels.
A
A 6-month-old infant is admitted to the hospital with suspected bacterial meningitis. She is crying, irritable, and lying in the opisthotonic position. The priority nursing intervention would be: A Educate the family on ways to prevent bacterial meningitis. B Initiate appropriate isolation precautions and begin intravenous antibiotics. C Assess the infant's fontanels. D Encourage the mother to hold the infant and feed her.
B
A mother brings her 4-day-old infant to the clinic with vomiting and poor feeding. The newborn was healthy at birth. The nurse should suspect: a. Sturge-Weber syndrome b. An inborn error of metabolism c. Trisomy 18 d. Turner syndrome
B
The nurse is caring for a child with Down syndrome. What should the nurse's focus be? a. Teaching hygiene skills to the child in order to increase self-esteem b. Screening for anomalies and teaching about prevention of respiratory infection c. Finding opportunities to increase socialization for the child and family d. Expecting walking at age 1 year and toilet training completion at age 2 years
B
At a well-child visit, hydrocephalus may be suspected in an infant if upon assessment the nurse finds A narrow sutures B sunken fontanels C a rapid increase in head circumference D increase in weight since last visit
C
A 10-year-old child is admitted to the hospital due to history of seizure activity. As his nurse, you are called into the room by his mother, who states he is having a seizure. What would be the priority nursing intervention related to prevention of injury? A Remove the child from his bed. B Place a tongue blade in the child's mouth. C Restrain the child. D Place the child on his side and opening his airway.
D
