peds exam 2 questions

The nurse is assessing an infant for epispadias. What signs and symptoms would the nurse assess from the chart and the patient? (Select all that apply) a. Urinary incontinence b. Bowel incontinence c. Curvature of the penis d. Opening of urethra above tip of the penis

a. Urinary incontinence c. Curvature of the penis d. Opening of urethra above tip of the penis

The parent of the child with cystic fibrosis (CF) is excited about the possibility of the child receiving a double lung transplant. What should the parent understand? a. The transplant will cure the child with CF and allow the child to lead a long and healthy life. b. The transplant will not cure the child of CF but will allow the child to have a longer life. c. The transplant will help to reverse the multisystem damage that has been caused by CF. d. The transplant will be the child's only chance at surviving long enough to graduate college.

b. The transplant will not cure the child of CF but will allow the child to have a longer life.

The nurse is working on the pediatric floor, caring for an infant who is very fussy and has a diagnosis of diabetes insipidus. Which parameter should the nurse monitor while the infant is on fluid restrictions? a. Oral intake b. Urine output c. Appearance of mucous membranes d. Pulse and temperature

b. Urine output

The family of a young child has been told the child has diabetes insipidus. What information should the nurse emphasize to the family? a. One caregiver needs to learn to give the injections of vasopressin (Pitressin). b. Children should wear medical alert tags if they are older than 5 years old. c. Diabetes insipidus is different from diabetes mellitus. d. Over time, the child may grow out of the need for medication.

c. Diabetes insipidus is different from diabetes mellitus.

A nurse is developing a teaching plan for the parents of an 8-year-old experiencing nocturnal enuresis. The nurse determines that additional teaching is needed when the parents identify which of the following as an appropriate measure? a. Engaging the child in stress reduction measures b. Giving desmopressin intranasally c. Encouraging fluid intake after dinner d. Practicing bladder stretching exercise.

c. Encouraging fluid intake after dinner

The nurse knows which of the following is a description of peritoneal dialysis when compared to hemodialysis? a. The child must go into a facility to get peritoneal dialysis. b. There are strict diet and fluid restrictions. c. The child can live a more normal lifestyle. d. Therapy is only 3 to 4 pays per week.

c. The child can live a more normal lifestyle.

A 13-year-old with type II DM asks the nurse, "Why do I need to have this hemoglobin A1c test?" The nurse's response is based on which of the following? a. To determined how balanced your diet has been. b. To make sure you are not anemic. c. To determine how controlled your blood sugar has been. d. To make sure your blood ketone level is normal.

c. To determine how controlled your blood sugar has been.

In caring for a child with nephrotic syndrome, which of the following interventions will be included in the child's plan of care? a. Ambulating three to four times a day b. Testing the urine for glucose levels regularly c. Increasing fluid intake by 50 ml an hour d. Weighing on the same scale each day

d. Weighing on the same scale each day

An infant returns to the nursing unit following surgery for an esophageal atresia with tracheoesophageal fistula (TEF). The infant is receiving intravenous (IV) fluids, and a gastrostomy tube is in place. The nurse assisting in caring for the infant should ensure that which action is done to the gastrostomy tube. a. Elevated b. Placed to gravity. c. Attached to low suction. d. Taped to the bed linens.

a. Elevated

A teen was hospitalized for CRF develops symptoms of polyuria, polydipsia, and bone pain. What body mineral might be causing these symptoms? a. Elevated calcium b. Low phosphorus c. Low vitamin D d. High aluminum hydroxide

a. Elevated calcium

The nurse is caring for an infant with a diagnosis of Hirschsprung's disease. The nurse should check for which clinical findings that are consistent with Hirschsprung's disease? Select all that apply. a. Fever b. Constipation c. Failure to thrive d. Intolerance to wheat e. Abdominal distention f. Explosive, watery diarrhea

a. Fever b. Constipation c. Failure to thrive d. Intolerance to wheat e. Abdominal distention f. Explosive, watery diarrhea

A nurse is assessing a male child who is having severe scrotal pain. Which of the signs and symptoms below would indicate a possible testicular torsion? (Select all that apply) a. High riding testicle b. Scrotal swelling c. Difficulty passing urine d. Tender scrotum

a. High riding testicle b. Scrotal swelling d. Tender scrotum

The nurse is taking care of a 9-month-old male who is postoperative from an orchiopexy. What education will give the parents prior to discharge? (Select all that apply) a. Pain control b. Signs and symptoms of infection c. Avoid vigorous sports activities. d. Avoid toys that are straddled for 2-4 weeks.

a. Pain control b. Signs and symptoms of infection c. Avoid vigorous sports activities. d. Avoid toys that are straddled for 2-4 weeks.

1A toddler is admitted to the pediatric floor for hypopituitarism following the removal of a craniopharyngioma. The toddler has polyuria, polydipsia, and dehydration. What part of the brain was most affected by the surgery? a. Posterior pituitary. b. Anterior pituitary. c. Autonomic nervous system. d. Sympathetic nervous system

a. Posterior pituitary.

What does the therapeutic management of cystic fibrosis (CF) patients include? Select all that apply). a. Providing a high-protein, high-calorie diet. b. Providing a high-fat, high-carbohydrate diet. c. Encouraging exercise. d. Minimizing pulmonary complication. e. Encouraging medication compliance.

a. Providing a high-protein, high-calorie diet. c. Encouraging exercise. d. Minimizing pulmonary complication. e. Encouraging medication compliance.

A child diagnosed acute glomerulonephritis will most likely have a history of which of the following? a. Recent illness with strep throat b. Hemorrhage or history of bruising easily c. Sibling diagnosed with the same disease. d. Hearing loss with impaired speech development

a. Recent illness with strep throat

A nurse is doing teaching with the parents of a 1-week-old infant diagnosed with PKU. What are the outcomes if the infant does not maintain the recommended low protein diet and drink the medical formula? a. Seizures b. Brain damage c. Intellectual disability d. Autism

a. Seizures b. Brain damage c. Intellectual disability

The nurse is scaring for a child admitted with acute glomerulonephritis. Which of the following clinical manifestations would likely have been notes in the child with the diagnosis? a. Smoky colored urine b. Jaundiced skin c. Strawberry red tongue d. Loose, dark stools

a. Smoky colored urine

Testicular torsion is a serious condition due to the rotation of the testis and consequent strangulation of the blood supply. If not promptly addressed, what are some of the outcomes of testicular torsion? (Select all that apply) a. Venous obstruction b. Progressive edema c. Testicular infarction d. Removal of testicle e. Delayed puberty

a. Venous obstruction b. Progressive edema c. Testicular infarction d. Removal of testicle

A school-age child has been diagnosed with nasopharyngitis. The parent is concerned because the child has had little or no appetite for the last 24 hours. Which is the nurse's best response? a. "Do not be concerned; it is common for children to have a decreased appetite during a respiratory distress." b. "Be sure your child is taking an adequate amount of fluids. The appetite should return soon." c. "Try offering the child some favorite food. Maybe that will improve the appetite." d. "You need to force your child to eat whatever you can; adequate nutrition is essential."

b. "Be sure your child is taking an adequate amount of fluids. The appetite should return soon."

A 6-week-old is admitted to the hospital with influenza. The child is crying, and the father tells the nurse that his son is hungry. The nurse explains that the baby is not to have anything by mouth. The parent does not understand why the child cannot eat. Which is the nurse's best response to the parent? a. "We are giving your child intravenous fluids, so there is no need for anything by mouth." b. "The shorter and narrower airway of infants increases their chances of aspiration so your child should not have anything to eat now." c. "When your child eats, he burns too many calories: we want to conserve the child's energy." d. "Your child has too much nasal congestion: if we feed the child by mouth, the distress will likely increase."

b. "The shorter and narrower airway of infants increases their chances of aspiration so your child should not have anything to eat now."

A school-aged child has been diagnosed with strep throat. The parent asks the nurse when the child can return to school. What is the nurse's best response? a. "Forty-eight hours after the first documented normal temperature." b. "Twenty-four hours after the first dose of antibiotics." c. "Forty-eight hours after the first dose of antibiotics." d. "Twenty-four hours after the first documented normal temperature."

b. "Twenty-four hours after the first dose of antibiotics."

The nurse is obtaining the medical history of an 11-year-old diagnosed with hypopituitarism. An important question for the nurse to ask the parents is which of the following? a. "Is the child receiving vasopressin intramuscularly or subcutaneously?" b. "What time of day do you administer growth hormone?" c. "Does your child have any concerns about being taller than the peer group?" d. "How often is your child testing blood glucose?"

b. "What time of day do you administer growth hormone?"

The nurse prepares to administer a pancreatic enzyme powder to the child with cystic fibrosis. Which food item should the nurse mix with the medication? a. Tapioca b. Applesauce c. Hot Oatmeal d. Mashed potatoes

b. Applesauce

A 4-year-old child is hospitalized for severe gastroenteritis. The child is crying and clinging to the mother. The mother becomes very upset and is afraid to leave the child. Which nursing intervention would be the most appropriate to alleviate the child's fears and the mother's anxiety? a. Reassure the mother that the child will be fine after she leaves. b. Ask the mother if she would like to stay overnight with the child. c. Give the mother the telephone number of the pediatric unit and tell the mother to call at any time. d. Tell the mother to bring the child's favorite toys the next time she comes to the hospital to visit.

b. Ask the mother if she would like to stay overnight with the child.

A 3-year-old brought to the ER with coughing and gagging. The parent reports that the child was eating carrots when she began to gag. Which diagnostic evaluation will be used to determine if the child has aspirated carrots? a. Chest x-ray b. Bronchoscopy c. Arterial Blood gas (ABG) d. Sputum culture

b. Bronchoscopy

The nurse is taking care of a child with an undescended testicle. The possible types are abdominal, canalicular, and ectopic. What is the name of this condition? a. Hydrocele b. Cryptorchidism c. Epispadias d. Hypospadias

b. Cryptorchidism

You obtain a history from the mother of a child with glomerulonephritis about how he became ill. Which of the following would you expect her to tell you she noticed? a. Headache, loss of appetite b. Dark brown urine c. Loss of weight, oliguria d. Diuresis and pallor

b. Dark brown urine

A 6-year-old white girl comes with her mother for evaluation of her acne, breast buds, axillary hair, and body odor. What information should the nurse explain to them? a. This is a typical age for girl to go into puberty. b. Encourage the girl to dress and act appropriately for her chronological age. c. She should be on birth control as she is fertile. d. She may be short if her epiphyses close early.

b. Encourage the girl to dress and act appropriately for her chronological age.

During the summer, many children are more physically active. What changes in the management of the child with type 1 diabetes mellitus should be expected as a result of more exercise? a. Increased risk of hyperglycemia b. Increased food intake c. Decreased risk of insulin shock d. Decreased food intake

b. Increased food intake

The nurse is assigned to care for a child who is scheduled for an appendectomy. Which prescriptions should the nurse anticipate being prescribed? (Select all that apply) a. Administer a Fleet enema. b. Initiate an intravenous line. c. Maintain nothing-by-mouth status. d. Administer intravenous antibiotics. e. Administer preoperative medications.

b. Initiate an intravenous line. c. Maintain nothing-by-mouth status. d. Administer intravenous antibiotics. e. Administer preoperative medications.

Most urinary tract infections seen in children are caused by which of the following? a. Hereditary causes b. Intestinal bacteria c. Dietary insufficiencies d. Fungal infections

b. Intestinal bacteria

A mother of an infant diagnosed with Hirschsprung's disease asks the nurse about the disorder. The nurse plans to base the response on which information? a. It is complete small intestinal obstruction. b. It is a congenital aganglionosis or megacolon. c. It is severe inflammation of the gastrointestinal tract. d. It is a condition that causes the pyloric valve to remain open.

b. It is a congenital aganglionosis or megacolon.

Which of the following hormones does the anterior pituitary secrete? (Select all that apply) a. Thyroxine. b. Luteinizing hormone. c. Prolactin d. ACTH e. Epinephrine f. Cortisol

b. Luteinizing hormone. c. Prolactin d. ACTH

How does the nurse interpret the laboratory analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis (CF)? The values indicate the child is __________________________. a. Not complaint with taking her vitamins. b. Not complaint with taking her enzymes. c. Eating too many foods high in fat. d. Eating too many foods high in fiber.

b. Not complaint with taking her enzymes.

A mother brings her 5-month-old daughter into the pediatrician's office with complaints that the child has been vomiting during feedings. The mother also states that the child is sometimes very fussy. Which should be the nurse's initial action? a. Assess the child's growth status. b. Obtain a complete history of the child's feeding habits. c. Assess whether any other children in the family have had the same problem. d. Explain to the mother that the primary health care provider will prescribe a barium swallow and upper gastrointestinal (GI) series.

b. Obtain a complete history of the child's feeding habits.

An 8-year-old with type 1 diabetes is complaining of a headache and dizziness is visibly perspiring. The nurse caring for the child should do which of the following. a. Administer glucagon intramuscularly. b. Offer the child 8 oz of milk. c. Administer rapid-acting insulin (lispro). d. Offer the child 8 oz of water or calorie-free liquid.

b. Offer the child 8 oz of milk.

The nurse is reviewing the record of a child with a diagnosis of pyloric stenosis. Which data should the nurse expect to note as having been documented in the child's record? a. Watery diarrhea b. Projectile vomiting c. Increased urine output d. Vomiting large amounts of bile

b. Projectile vomiting

A 5-year-old is brought to the ER with a temperature of 99.5 degrees F, a barky cough, stridor, and hoarseness. Which nursing intervention should the nurse prepare for? a. Immediate IV placement. b. Respiratory treatment with racemic epinephrine. c. A tracheostomy set at the bedside. d. Informing the child's parents about a tonsillectomy.

b. Respiratory treatment with racemic epinephrine.

To prevent further urinary tract infections in a preschooler, what measure would you teach her mother? a. Teach her to take frequent tub baths to clean her perineal area. b. Teach her to wipe her perineum front to back after urinating. c. Suggest she drink less fluid daily to concentrate urine. d. Encourage her to be more ambulatory to increase urine output.

b. Teach her to wipe her perineum front to back after urinating.

A 17-year-old with type 1 diabetes mellitus tells the school nurse about recently starting to drink alcohol with friends on weekends. The most appropriate intervention by the nurse is to ________________. a. Tell the adolescent not to drink alcohol. b. Teach the adolescent about the effects of alcohol on type 1 diabetes mellitus and how to prevent problems associated with alcohol intake. c. Recommend counseling so that the adolescent understands the reasons for drinking. d. Ask the adolescent about the reasons for drinking alcohol.

b. Teach the adolescent about the effects of alcohol on type 1 diabetes mellitus and how to prevent problems associated with alcohol intake.

The mother of a child diagnosed with pyelonephritis asks if the kidneys were damaged because of this. What is the best response by the nurse? a. Yes, all children who get pyelonephritis have renal scarring. b. The child's risk for renal scarring is increased with pyelonephritis. c. As long as IV antibiotics are started, there is no risk for renal damage. d. No, if the child is urinating normally, the kidneys were not damaged.

b. The child's risk for renal scarring is increased with pyelonephritis.

At the 6-month follow-up visit for an 8-year-old who is being evaluated for short stature, the nurse again measures and plots the child's height on the growth chart. Which explanation should the nurse give the child and family? a. "We want to make sure you were measured accurately the last two visits." b. "We need to calculate how tall you will be when you grow to adult height." c. "We need to see how many inches you have grown since your last visit." d. "We need to know your height so that a dosage of medication can be calculated for you."

c. "We need to see how many inches you have grown since your last visit."

A parent asks the nurse how it will be determined if their child has respiratory syncytial virus(RSV). Which is the nurse's best response? a. "We will do a simple blood test to determine whether your child has RSV." b. "There is no specific test for RSV. The diagnosis is made based on the child's symptoms." c. "We will swab your child's nose and send the specimen for testing." d. "We will have to send a viral culture to an outside lab for testing."

c. "We will swab your child's nose and send the specimen for testing."

A parent asks how to care for a child at home who has the diagnosis of viral tonsillitis. What is the best response? a. "You will need to give your child a prescribed antibiotic for 10 days." b. "You will need to schedule a follow-up appointment in 2 weeks." c. "You can give your child Tylenol every 4-6 hours as needed for pain." d. "You can place warm towels around your child's neck for comfort."

c. "You can give your child Tylenol every 4-6 hours as needed for pain."

The parent of an infant with cystic fibrosis (CF) asks the nurse how to meet the child's increased nutritional needs. Which is the nurse's best suggestion? a. "You may need to increase the number of fresh fruits and vegetables you give your child." b. "You may need to advance your child's diet to whole cow's milk because it is higher in fat than formula." c. "You may need to change your child to a higher-calorie formula." d. "You may need to increase your child's carbohydrate intake."

c. "You may need to change your child to a higher-calorie formula."

A child's parent asks the nurse what treatment the child will need for the diagnosis of strep throat. Which is the nurse's best response? a. "Your child will be sent home on bedrest and should recover in a few days without any intervention." b. "Your child will need to have the tonsils removed to prevent future strep infections." c. "Your child will need oral penicillin for 10 days and should feel better in a few days." d. "Your child needs to be admitted to the hospital for 5 days of intravenous antibiotics."

c. "Your child will need oral penicillin for 10 days and should feel better in a few days."

The nurse reviews the record of an infant who is seen in the clinic. The nurse notes that a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF) is suspected. a. Incessant crying b. Coughing at nighttime. c. Choking with feedings. d. Sever projectile vomiting.

c. Choking with feedings.

The nurse is caring for a child with nephrotic syndrome. The child is noted to have edema. The edema would most likely be seen where first on this child? a. Sacrum b. Abdomen c. Eyes d. Fingers

c. Eyes

The nurse is reviewing the health record of an infant diagnosed with gastroesophageal reflux. Which signs/symptoms of this disorder can the nurse expect to be documented in the record? a. Excessive oral secretions b. Bowels sounds heard over the chest. c. Hiccupping and spitting up after a meal. d. Coughing, wheezing, and short periods of apnea.

c. Hiccupping and spitting up after a meal.

The nurse should recognize that when a child develops diabetic ketoacidosis (DKA), treatment will be instituted as described in which of the following statements? a. No treatment is required because it is an expected outcome of type 1 diabetes. b. It is best treated at a practitioner's office or clinic. c. Immediate treatment is required as it is a life-threatening situation.

c. Immediate treatment is required as it is a life-threatening situation.

How will a child with respiratory distress and stridor and who is diagnosed with RSV be treated? a. Intravenous antibiotics. b. Intravenous steroids. c. Nebulized racemic epinephrine. d. Alternating doses of acetaminophen and ibuprofen.

c. Nebulized racemic epinephrine.

In the diagnostic work up of a child for central precocious puberty, one of the etiologies associated with this disease is ________________. a. Primary hyperthyroidism b. Preterm menarche c. Neoplasm d. Albright syndrome

c. Neoplasm

An infant returns to the nursing unit after the surgical repair of a cleft lip located on the right side of the lip. Which is the best position to place this infant at this time? a. A flat position b. A prone position c. On his or her left side d. On his or her right side

c. On his or her left side

Test results reveal elevated growth hormone levels in an adolescent male. Based on this finding, the nurse suspects that the child may have ______________. a. Gigantism b. Diabetes mellitus c. Pituitary adenoma d. Diabetes insipidus

c. Pituitary adenoma

A 12-year-old with type II DM presents with a fever and a 2-day history of vomiting. The nurse obtaining the history observes that the child's breath has a fruity odor and breathing that is deep and rapid. The nurse should do which of the following? a. Offer the child 8 oz of clear non-caloric fluid. b. Test the child's urine for ketones. c. Prepare the child for an IV infusion. d. Offer the child 25 grams of carbs.

c. Prepare the child for an IV infusion.

The nurse is caring for a patient with a diagnosis of hyperthyroidism. An important nursing intervention is which of the following? a. Encourage an increase in physical activity. b. Do preoperative teaching for thyroidectomy. c. Promote opportunities for periods of rest. d. Do dietary planning to increase caloric intake.

c. Promote opportunities for periods of rest.

The nurse is collecting data on a 6-year-old child admitted with a possible urinary tract infection. Which of the following vital signs might indicate the possibility of an infection? a. Respirations 22 per minute b. Blood pressure 100/70 c. Pulse rate 135 bpm d. Pulse oximetry 93% on room air

c. Pulse rate 135 bpm

A 2-year-old child diagnosed with constipation due to encopresis. Which description is a characteristic of this disorder? a. Anorexia in the evening. b. Incomplete development of the anus. c. The infrequent and difficult passage of dry stools. d. Invagination of a section of the intestine into the distal bowel.

c. The infrequent and difficult passage of dry stools.

A nurse notices that a newborn has a swelling in the scrotal area. The nurse interprets this swelling as indicative of hydrocele if which of the following occurs? a. The swollen bulge can be reduced. b. The increase in scrotal size is bilateral. c. The scrotal sac can be transilluminated. d. The bigger appears during crying.

c. The scrotal sac can be transilluminated.

What information should the nurse provide to the parent of a child diagnosed with nasopharyngitis? a. Complete the entire prescription of antibiotics. b. Avoid sending the child to day care. c. Use comfort measures for the child. d. Restrict the child to clear liquids for 24 hours.

c. Use comfort measures for the child.

The nurse is collecting data on an infant with a diagnosis of suspected Hirschsprung's disease. Which questions to the mother will most specifically elicit information regarding this disorder? a. "Does your infant have diarrhea?" b. "Is your infant constantly vomiting. c. "Does your infant constantly spit up feedings vomiting?" d. "Does your infant have foul-smelling, ribbon-like stools?"

d. "Does your infant have foul-smelling, ribbon-like stools?"

A mother is crying and tells the nurse that she should have brought her son in yesterday when he said his throat was sore. Which is the nurse's best response to this parent whose child is diagnosed with epiglottis and is in severe distress and in need of intubation? a. "Children this age rarely get epiglottis; you should not blame yourself." b. "It is always better to have your child evaluated at the first sign of illness rather than wait until symptoms worsen." c. "Epiglottis is slowly progressive, so early intervention may have decreased the extent of your son's symptoms." d. "Epiglottis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly."

d. "Epiglottis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly."

A child is complaining of throat pain. Which statement by the mother indicates that she needs more education regarding the care and treatment of her daughter's pharyngitis? a. "I will have my daughter gargle with salt water three times a day." b. "I will offer my daughter ice chips several times a day." c. "I will give my daughter Tylenol every 4 to 6 hours as needed." d. "I will ask the nurse practitioner for some amoxicillin."

d. "I will ask the nurse practitioner for some amoxicillin."

The nurse is reviewing discharge instructions with the parents of a child who had a tonsillectomy 24 hours ago. The parents tell the nurse that the child is a big eater, and they want to know what foods to give the child for the next 24 hours. What is the nurse's best response? a. "The child's diet should not be restricted at all." b. "The child's diet should be restricted to clear fluids." c. "The child's diet should be restricted to ice cream and cool liquids." d. "The child's diet should be restricted to soft foods."

d. "The child's diet should be restricted to soft foods."

A 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse's best response? a. "You can expect your child to develop a barrel-shaped chest." b. "You can expect your child to develop a chronic productive cough." c. "You can expect your child to develop bronchiectasis." d. "You can expect your child to develop wheezing respirations."

d. "You can expect your child to develop wheezing respirations."

The parent of a 9-month-old calls the ER because his child is choking on a marble. The parent asks how to help his child while awaiting Emergency Medical Services. Which is the nurse's best response? a. "You should administer five abdominal thrusts followed by five back blows." b. "You should try to retrieve the object by inserting your finger in your child's mouth." c. "You should perform the Heimlich maneuver." d. "You should administer five back blows followed by five chest thrusts."

d. "You should administer five back blows followed by five chest thrusts."

A school nurse is trying to prevent post streptococcal glomerulonephritis in children. Which of the following would be the best way to prevent this? a. Prophylactic antibiotics after strep throat are important. b. Tell parents to give ibuprofen if their child has a sore throat. c. All children in the child's class should be tested for strep throat if there is a positive. d. Encourage the child to take all the antibiotics if diagnosed with strep throat.

d. Encourage the child to take all the antibiotics if diagnosed with strep throat.

3-year-old child is seen in the health care clinic, and a diagnosis of encopresis is made. The nurse reviews the record, expecting to note which sign of evidence of this disorder. a. Diarrhea b. Malaise anorexia c. Nausea and vomiting d. Evidence of fecal soiled clothing

d. Evidence of fecal soiled clothing

A school aged child recently diagnosed with type 1 diabetes asks the nurse if playing soccer, playing baseball, and swimming are still possible. The nurse's response should be based on the knowledge that _______________. a. Exercise is not restricted by either health conditions. b. The level of activity depends on the type of insulin required. c. Exercise is contraindicated in the type 1 diabetic. d. Exercise is encouraged to lower blood glucose levels.

d. Exercise is encouraged to lower blood glucose levels.

The child with nephrotic syndrome who has ascites and difficulty breathing is probably most comfortable sleeping in which position? a. Supine b. Sims' position c. Prone d. Fowler's

d. Fowler's

What key information should be explained to the family of a 3-year-old who has short stature and abnormal laboratory test results? a. Due to the diurnal rhythm of the body, growth hormone levels are elevated following the onset of sleep. b. Exercise can stimulate growth hormone secretion. c. The initial screening tests need to be repeated for accuracy. d. Growth hormone levels in children are so low that stimulation testing must be done.

d. Growth hormone levels in children are so low that stimulation testing must be done.

The nurse is assessing a male neonate and notes that the urethral opening is on the ventral aspect of the penis. The nurse documents this finding as which of the following? a. Bladder exstrophy b. Patent urachus c. Epispadias d. Hypospadias

d. Hypospadias

The nurse is assisting a primary health care provider with an assessment of a child with a diagnosis of suspected appendicitis. In assessing the intensity and progression of the pain, the primary health care provider palpates the child at McBurney's point. What response does the nurse expect the child to have during the assessment? a. Pain in the upper right side b. Pain when extending the leg. c. Pain when n the right thigh is drawn up. d. Pain in the lower right side between the umbilicus and the iliac crust.

d. Pain in the lower right side between the umbilicus and the iliac crust.

A school-age child is admitted to the hospital for a tonsillectomy. During the nurse's post-operative pain, the child's parent tells the nurse that the child is in pain. Which of the following observations would be of most concern of the nurse? a. The child's heart rate and blood pressure are elevated. b. The child complains of having a sore throat. c. The child is refusing to eat solid foods. d. The child is swallowing excessively.

d. The child is swallowing excessively.

The nurse provides feeding instructions to a mother of an infant diagnosed with gastroesophageal reflux (GERD). To assist in reducing the episodes of emesis, which instruction should the nurse provide the mother? a. Provide less frequent, larger feedings. b. Burp less frequently during feedings. c. Thin the feedings by adding water to the formula d. Thicken the feedings by adding rice cereal to the formula.

d. Thicken the feedings by adding rice cereal to the formula.

The nurse is caring for a 1-year-old following a cleft palate repair. Which solution should the nurse use after feedings to cleanse the child's mouth? a. Sterile water b. Diluted hydrogen peroxide c. A soft lemon glycerin swab d. Half-strength povidone-iodine solution

a. Sterile water