PEDS FINAL :)

When educating a teenage girl on her expected weight gain during adolescence the nurse would be correct in stating the average weight gain between 12 and 18 years of age is? 1. 15 to 55 pounds (6.8 to 24.9 kg) 2. 20 to 40 pounds (9.07 to 18.14 kg) 3. 5 pounds (2.27) a year 4. None. With diversity in ethnic groups, there is no national average

1. 15 to 55 pounds (6.8 to 24.9 kg)

Lack of control is one of the most influential aspects of a young child's hospitalization. When a child perceives a decrease in or lack of control of his or her environment the child experiences: 1. A perception of a threat 2. An overload of stimulation 3. A reaction of anger and despair 4. An acceleration of developmental growth

1. A perception of a threat

Which medication is the first line antagonist for a suicide attempt with an overdose with acetaminophen (Tylenol)? 1. Acetylcysteine (Mucomyst) 2. Activated charcoal 3. Ice water gastric lavage 4. Narcotic action

1. Acetylcysteine (Mucomyst)

A RN will instruct a LPN to report which of the following behaviors of a preschool child during chemotherapy treatments? 1. Brushing teeth regularly with a hard toothbrush 2. Rinsing the mouth out with salt and soda mouthwash tid 3. Allowing the nurse to check for mouth sores daily 4. Requesting plain yogurt and oatmeal for breakfast

1. Brushing teeth regularly with a hard toothbrush

The sticky natural substance that is found in the outer ear canal is called? 1. Cerumen 2. Wax 3. Serum 4. Mucus

1. Cerumen

For a child with schizophrenia, neuroleptics may be prescribed. Tardive dyskinesia is a serious side effect of neuroleptics and is characterized by which of the following? 1. Choreoathetoid movements of the facial musculature, limbs and trunk 2. Grand mal seizures without loss of consciousness 3. Copious salivation and drooling 4. Fatigue and lethargy

1. Choreoathetoid movements of the facial musculature, limbs and trunk

When administering medication to an infant in the hospital the best way to ensure medication administration accuracy and safety is to? 1. Double-check all medications and calculations with a second nurse 2. Make sure the parents are present to identify their infant 3. Have a representative from the pharmacy present to double-check medication calculations 4. Document with a black ink pen immediately after the medication administration

1. Double-check all medications and calculations with a second nurse

When reviewing the laboratory findings in a child hospitalized for a third relapse of nephrotic syndrome which of the following results would be expected? 1. Hypoalbuminemia and proteinuria 2. Proteinuria and hyponatremia 3. Hypoalbuminemia and hypernaturemia 4. Hypoalbuminemia and negative proteinuria

1. Hypoalbuminemia and proteinuria

While teaching an 11 year old about rotating injection sites for her insulin the nurse states that complications can occur with using a single site repetitively this is true because of the chance of developing? 1. Infection at the sites of repeated injection 2. Scar tissure that leads to reduced absorption 3. Vasodilation leading to rapid acting insulin effects 4. The development of lipodystrophy

1. Infection at the sites of repeated injection

Attending kindergarten is an important milestone for a young child which immunizations if all prior immunizations are complete would be needed for a 5 year old attending kindergarten? 1. MMR, IPV, and DTP 2. Hib and DTP 3. Hepatitis B 4. Pertussis vaccine

1. MMR, IPV, and DTP

Pediatric heart failure is most common in infants with congenital heart disease but can present in older children because of which of the following? 1. Myocarditis 2. Excessive exercise and a thin body frame 3. Rhinovirus infection 4. Severe nausea and vomiting

1. Myocarditis

The primary intervention the pediatric nurse should perform when a child becomes cyanotic is to? (select all) 1. Provide a source of oxygen 2. Suction 3. Stimulate the child 4. Call the parents to the bedside 5. Call for pharmacy backup

1. Provide a source of oxygen 2. Suction 3. Stimulate the child

Which of the following conditions can occur when a preschooler frequently scratches chicken pox vesicle lesions? 1. Secondary bacterial infections 2. Cellulitis in opposing arm 3. Scabies infection 4.. Neurological sequela

1. Secondary bacterial infections

Erik Erikson's theory of psychosocial development describes the opposing feeling or accomplishment or industry versus a school aged child's feelings of inferiority. According to Erikson the greatest influence to a school aged child's success during this stage of development is? 1. Successful mastery of the first three stages of psychosocial development 2. Acknowledgment of the child's strengths and weaknesses 3. Participation in school activities so that the child can demonstrate "industry" or accomplishment 4. Support from parent son takin on new sports challenges

1. Successful mastery of the first three stages of psychosocial development

All of the following are risk factors associated with the development of osteomyelitis (select all) 1. foreign body 2. bone injury 3. female gender 4. immunosuppression 5. infancy 6. malnutrition

1. foreign body 2. bone injury 4. immunosuppression 5. infancy

A preschooler is requesting to have the same lunch for school every day. An appropriate response to the patient would be? 1. "That is unacceptable and variety is required for sound nutrition." 2. "That is OK; your young child will change his mind soon enough." 3. "Try taking leftovers from last night's dinner." 4. "Try to have the preschooler pack his own lunch the night before."

2. "That is OK; your young child will change his mind soon enough."

What is the current CDC guideline for recognizing when a serum lead level shows potential toxicity in children? 1. 5 mcg/dL 2. 10 mcg/dL 3. 25 mcg/dL 4. 50 mcg/dL

2. 10 mcg/dL

Glomerulonephritis is marked by the deposition of immune complexes which of the following situations gives the most information about the development of this disease? 1. A 1 year old infant with bilateral ear infections 2. A 3year old child, just entering preschool, with high fevers 3. A 7-year-old with croup 4. An 11-year-old with vulvitis

2. A 3year old child, just entering preschool, with high fevers

Which developmental stage would be most affected by periods of alopecia associated with chemotherapy treatment? 1. Late school-aged 2. Adolescence 3. Early school-aged 4. Preschool-aged

2. Adolescence

A child presents with RSV bronchiolitis the team provides treatments and comfort measures to the child what treatments are included? 1. Suctioning, oxygen, and rest 2. Albuterol, oxygen, and steroids 3. Racemic epinephrine, rest, and IV fluids 4. Suctioning, steroids, and rest

2. Albuterol, oxygen, and steroids

At what point in an infant's development would you expect the birth weight to triple? 1. At 6 months 2. At 12 months 3. At 9 months 4. At 18 months

2. At 12 months

The loss of primary teeth and eruption of permanent teeth take place during the early school age years. The pediatric nurse explains to the family that although shedding of the teeth can be quite variable they can expect their child will lose which teeth first? 1. First molars 2. Central incisors 3. First bicuspids 4. Lateral incisors

2. Central incisors

Before surgery priority nursing care for an adolescent boy with scoliosis includes? 1. Teaching the parents how to use an age-appropriate numerical pain scale 2. Discussing with the child how to use a PCA machine 3. Verbilizing what an "advancing diet" will be, starting from NPO and progressing to a regular diet 4. Assessing the child's knowledge base of the pathology of severe scoliosis

2. Discussing with the child how to use a PCA machine

Regression is a common response of a young child to the stressors of hospitalization. Regression can be defined as the? 1. Desire to act as an infant 2. Display of earlier developmental behaviors 3. Anger toward healthy siblings when the family visits 4. Absence of trust toward the health-care team

2. Display of earlier developmental behaviors

While assessing the ears of a 2 year old for possible OM, how would the nurse pull the pinna for maximal visual assessment of the tympanic membrane? 1. Up and out 2. Down and out 3. Do not pull at all 4. Straight out

2. Down and out

While discussing potential complications of chemotherapy treatment for a child with all the nurses would expect the family to describe all of the following except? 1. Anemia 2. Elevated liver enzymes 3. Thrombocytopenia 4. Neutropenia

2. Elevated liver enzymes

Stranger anxiety is a common experience for the toddler. The nurse should practice which of the following to assist in the minimization of stranger anxiety in the hospital? 1. Do not touch the toddler unless absolutely necessary. 2. Establish a positive rapport with the parents before approaching the child. 3. Ask the older sibling to hold the child during measurement of vital signs. 4. Assign as many different nurses as possible to the child's care to get them accustomed to new people.

2. Establish a positive rapport with the parents before approaching the child.

Which of the following is considered incorrect when performing chest compressions on children? 1. For an infant, the chest must be compressed 1/2 to 1 in. with a compression rate of at least 120 bpm 2. For a neonate, the chest must be compressed 1/2 in. with a compression rate of at least 100 bpm 3. For a toddler, the chest must be compressed 1/2 to 1 in. with a compression rate of at least 100 bpm 4. For a 10-year-old child, the chest must be compressed 1 in. with a compression rate of at least 100 bpm

2. For a neonate, the chest must be compressed 1/2 in. with a compression rate of at least 100 bpm

Which of the following would the pediatric nurse see as the reason for a preschooler describing her teddy bear as being in the hospital because she was naughty? 1. Separation anxiety 2. Magical thinking 3. Intuitive thought processing 4. Egocentrism

2. Magical thinking

A young child presenting to the emergency room with moderate dehydration associated with 5 days of vomiting may demonstrate clinical signs and symptoms of? 1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis

2. Metabolic alkalosis

While assisting the pediatric health care team of an orthopedic clinic the licensed vocational nurse knows that the highest priority in caring for a child with a newly placed spica cast is to? 1. Report any changes in discomfort 2. Report any changes in circulation, sensation, and movement 3. Confirm parents' understanding of the purpose and care of the cast 4. Determine if the fracture was caused by intentional injury

2. Report any changes in circulation, sensation, and movement

Two forms of pediatric pain assessment tools are used to collect information about a child's pain experience. These two forms are: 1. Numerical and visual 2. Subjective and objective 3. Physical and emotional 4. Objective and parent's descriptions

2. Subjective and objective

A new preschool teacher calls the pediatric clinic for guidelines on how to care for a child who presents with a large impetigo lesion. The pediatric nurse would explain that the most important action to prevent the spread is to? 1. Keep the lesion covered with a large adhesive bandage 2. Teach the child and family to use good handwashing techniques 3. Cover the wound with a thick layer of zinc oxide to prevent the spread 4. Tell the family they will need to keep the child at home until the lesion is healed

2. Teach the child and family to use good handwashing techniques

While talking to a father of a child who has been admitted for IV antibiotics for methicillin restraint. Staphylococcus aureus (MRSA) positive pneumonia the father asks about the term incubation period. Your reply? 1. The incubation period relates to the severity of the illness presented by the child 2. The incubation period is the time between exposure to the infection and the first symptom 3. The incubation period is the process of growing the child's blood culture sample 4. The incubation period is the time between first exposure and recovery

2. The incubation period is the time between exposure to the infection and the first symptom

One of the first steps in confirming that a child has experienced abuse is which of the following? 1. The nurse hears the stories of abuse from a. younger sibling. 2. The nurse identifies there is a discrepancy between the injury present and the reported history of the injury. 3. The nurse identifies a history of substance abuse in one of the parents. 4. The nurse assesses a history of a difficult and prolonged labor for the mother of the child.

2. The nurse identifies there is a discrepancy between the injury present and the reported history of the injury.

The term menarche is used to describe which of the following? 1. The time period of sexual development 2. The teen's first menstrual period 3. The time period between each menstrual period 4. Tanner's fifth stage of sexual maturity

2. The teen's first menstrual period

Parents and caregivers are instructed no to give aspirin to a child who presents with a rash caused by a viral agent because of ? 1. The need to not mask a fever to best monitor if the child's condition is improving 2. To prevent the potentially serious risk of Reye's syndrome 3. To prevent the child from developing Kawasaki's disease 4. The encourage the child's fever to provide a natural pyrogenic effect that kills viruses

2. To prevent the potentially serious risk of Reye's syndrome

While providing anticipatory guidance to the parents of a 4 month old during a routine scheduled well child visit, the nurse would explain which psychosocial stage is the infant expected to accomplish during the first year of life? 1. Sensorimotor 2. Trust versus mistrust 3. Autonomy versus shame and doubt 4. Oral fixation

2. Trust versus mistrust

Parents must be taught to bathe their infant who has severe eczema with? 1. Soap and cool water twice daily during and exacerbation 2. Warm water only once a day with gentle pat drying 3. Bath water as hot as the child can tolerate to sooth the skin 4. Cool water soaks at least three times a day with air drying

2. Warm water only once a day with gentle pat drying

A teenage boy is brought into the hospital in severe pain to be tested for testicular torsion. He had been working out in the weight room at his high school. The parents express concern about their son's ability to be fertile after the procedure the health care team explains that? 1. With a delay in treatment, the son may be infertile because of tissue ischemia 2. With prompt surgical correction, the teen should be fertile. 3. Because of the removal of the testicles during surgery, infertility is an assumption 4. Without experiencing a relapse, the teen should remain fertile.

2. With prompt surgical correction, the teen should be fertile.

Symptoms of pyloric stenosis may include the following (select all) 1. severe abdominal pain 2. projectile vomiting 3. bilious vomiting 4. FTT 5. lower intestinal cramping

2. projectile vomiting 4. FTT

Oxygenated blood mixes in the fetal heart through a shunt between the pulmonary artery and the aorta. What is the name of the shunt? 1.Hepato-aortic shunt 2.Ductus arteriosus 3.Ductus venosus 4.Foramen ovale

2.Ductus arteriosus

The number of words mastered by a toddler by the third birthday is? 1. 50 2. 1,000 3. 300 4. 750

3. 300

The licensed vocational nurse is working with a pediatric registered nurse who is giving care to a child suspected of having meningitis. The LVN must immediately report which of the following symptoms to the RN? 1. A headache described with a pain scale score of 4 2. A sudden increase in thirst 3. A change in energy level 4. An abrupt eruption of a purplish rash or petechial rash

3. A change in energy level

Obesity has reached epidemic proportions influencing factors associated with most cases of childhood obesity include? 1. Genetics, a sedentary lifestyles and a high-fat diet 2. Genetics, a high-calorie food intake, and minimal exercise 3. A high-calorie food intake, a sedentary lifestyle, and genetics 4. Depression, social isolation, and a high calorie diet

3. A high-calorie food intake, a sedentary lifestyle, and genetics

The predominant challenge in providing pain management for hospitalized children is? 1. Obtaining a physician's order for narcotics 2. Administering opioids to young children orally 3. Assessing children accurately in their pain level 4. Educating family members concerning their children's pain experience

3. Assessing children accurately in their pain level

After an infant returns from surgery to correct hirschsprung's disease the nurse should avoid? 1. Introducing fluids when bowel sounds are definitively identified 2. Positioning the infant supine 3. Assessing the temperature rectally 4. Providing a quiet environment to heal

3. Assessing the temperature rectally

What is the name of the visual appearance of the retina in children with a conformed retinoblastoma? 1. Opacity reflex 2. Cataract opacity 3. Cat's eye reflex 4. Cloudy reflex

3. Cat's eye reflex

Select the disease state that increases the risk of developing a baby with a congenital heart defect? 1. Chronic hypertension 2. Anorexia 3. Diabetes 4. Renal disease

3. Diabetes

Child abuse or maltreatment of a child is defined in most states in the United States as? 1. Lack of economic resources within a home 2. Domestic violence between family members 3. Intentional harm directed at a child 4. Negligence in providing safe living conditions

3. Intentional harm directed at a child

When reinforcing parental teaching about febrile seizures, the pediatric nurse includes the following? 1. It is considered a seizure disorder and will require anticonvulsant therapy. 2. It is associated strongly with genetic predisposition; all other siblings should be monitored. 3. It relates to how rapidly the child's fever rises during and infectious process. 4. It is considered a one-time event and requires no further medical attention or treatments.

3. It relates to how rapidly the child's fever rises during and infectious process.

The nurse is preparing a young school aged child to go to surgery as the nurse is completing the preoperative checklist, special attention should be given to which of the following? 1. The presence of braces 2. An allergy band 3. Loose teeth 4. Assent to the procedure

3. Loose teeth

To help prevent diarrhea for a child taking oral antibiotics the nurse would expect to also give? 1. Pedialyte orla boluses 2. A high-fiber diet 3. Macrobiotic granules 4. An NPO status and bowel rest

3. Macrobiotic granules

Hospitalized adolescents concerns focus on all of the following except? 1. Restricted independence and loss of choices 2. Separation from peers 3. Need for parental approval 4. Illness as a punishment

3. Need for parental approval

A newborn infant has been diagnosed with undescended testes the health care team assures the father that? 1. Surgery is a safe option to bring the testicles down into the scrotal sac 2. Manual manipulation, although producing discomfort, is an option 3. No interventions are conducted at his time and the child will be reassessed 4. During circumcision, the neonatologist can perform a small procedure

3. No interventions are conducted at his time and the child will be reassessed

A mother informs the nurse that her 2 year old daughter does not want to engage in play activities with her peers. The nurse explains that it is normal for the child to participate in which form of play? 1. Cooperative 2. Associative 3. Parallel 4. Solitary

3. Parallel

SBAR is a system that a nurse can follow to prepare for and implement an effective phone call to a primary care provider. The components of SBAR include all of the following except? 1. Situation of the child and the background of the concern 2. Assessment of the child's current status 3. Parents' presence in the child's room 4. Recommendation of the pediatric nurse

3. Parents' presence in the child's room

A cardinal sign of a young diapered toddler having intestinal parasite is? 1. Nausea and vomiting 2. Frequent diarrhea 3. Persistent anal itching 4. Perineal rash with satellite lesions

3. Persistent anal itching

Precocious puberty is a term used to describe which of the following? 1. Puberty that occurs at least 2 years after what is the national average 2. Puberty that occurs when a child has experimented with drugs and alcohol 3. Puberty that occurs as young as 8 years 4. Puberty that occurs as young as 10 years

3. Puberty that occurs as young as 8 years

The pediatric nurse should explain to the parents of a preschooler that they can expect their 3 year old child to be able to accomplish which of the following skills? 1. Tie tennis shoe's laces 2. Boogie board small waves 3. Ride a tricycle 4. Use a jump rope

3. Ride a tricycle

A 22 month old toddler squats intermittently when walking she is irritable, cyanotic, and is now appearing listless and progressively more unresponsive. The most likely cardiac malformation is? 1. Tricuspid atresia 2. TGA 3. TOF 4. Pulmonary stenosis

3. TOF

While teaching young parents about the importance of vaccines for their infant the nurse explains that vaccines reduce childhood morbidity. The term morbidity is defined by the nurse as? 1. The incidence of infectious diseases in the nation. 2. The top three causes of death in each childhood level. 3. The prevalence of an illness, disease, or infection within a population. 4. The number of children with a particular infectious disease within a given institution.

3. The prevalence of an illness, disease, or infection within a population.

While providing care at a summer camp for children, the nurse is approached by a counselor who asks about the process of puberty. The nurse explains that while puberty is considered the time when a child's sexual development is complete and the child is now able to reproduce, prepubescence is considered? 1. The time period of initial sexual organ development 2. The time period of intense emotional fluctuation 3. The time period just before sexual maturity

3. The time period just before sexual maturity

A high priority assessment for a child admitted into the hospital for complications associated with substance abuse is? 1. Dynamics of family and parent interactions 2. Child's social structure 3. Thoughts of suicide 4. Academic performance

3. Thoughts of suicide

The most important aspect of care of an infant according to Erik Erikson, is to develop a sense of what? 1. Belonging 2. Family 3. Trust 4. Warmth

3. Trust

Which cranial nerve would be assessed if a child who was in a MVA was brought in with a facial drop? 1. III 2. V 3. VII 4. XII

3. VII

A father brings his 13 year old son to the pediatric clinic concerned that the teen has menial body hair and a high voice. The most appropriate response the nurse should say to the father is? 1. "Your son will need a visit to the lab for a venipincture" 2. "Your son is very delayed in puberty and will need testosterone injections" 3."There is no concern at this time. Teens progress through puberty at various times" 4. "A computed tomography (CAT) scan for the brain to assess his pituitary gland will be ordered for your son"

3."There is no concern at this time. Teens progress through puberty at various times"

While answering questions from the parents of a child with a new diagnosis of JRA the pediatric nurse is asked why the child has so much pain. The nurse would be correct in stating that? 1. "Adhearance to anti-inflammatory medications will reduce overall pain" 2. "The pain is directly related to the child's developmental stage; the older the child, the more pain the diagnosis will cause" 3. "The severe pain is related to immobility because the child will hold their affected joint still for an extended period of time" 4. "The rheumatic process leads to the destruction of the child's synovial tissue layers, which secrete a lubricating material for ease of joint motion"

4. "The rheumatic process leads to the destruction of the child's synovial tissue layers, which secrete a lubricating material for ease of joint motion"

A parent comes into the clinic with a toddler for a well-child appointment. The topic of food preferences and refusal has been brought up as a concern that the child is not eating enough and is refusing to consume what the rest of the family eats for dinner the nurse's best response is? 1. "This is unacceptable and the child should be kept in the high chair until dinner is consumed." 2. "This is normal because the toddler is experiencing strong food preferences." 3. This is worrisome because the toddler experiences exponential growth and requires more calories at this time." 4. "This is normal and food lags should be expected during this time of slowed growth."

4. "This is normal and food lags should be expected during this time of slowed growth."

Which test would be performed to demonstrate a definitive diagnosis of childhood leukemia? 1. A CBC with differential 2. Serum titer levels 3. Serum IgG levels 4. A bone marrow aspiration

4. A bone marrow aspiration

Medications may be ordered to help treat addiction in children. While helping the pediatric health-care team assess a child with a known substance abuse problem, the nurse knows that all of the following are true except? 1. Naltrexone may be given for alcohol or opiate dependency 2. Bupropion may be given for marijuana or tobacco abuse 3. Methadone may be given for heroin addiction 4. Antabuse may be given for methamphetamine addiction

4. Antabuse may be given for methamphetamine addiction

When working on a pediatric hospital unit the nurse teaches the family about the RRT. When describing who is allowed to activate the RRT, the nurse would be correct in stating? 1. Only the medical team who is asking for further team assistance 2. The immediate family 3. The nursing team who finds the child in distress 4. Anyone who identifies the need to request help for the child

4. Anyone who identifies the need to request help for the child

Priority assessments of a young child suspected of being a victim of child abuse include? 1. Tests for STDs in a child with suspected sexual abuse 2. Developmental assessments to determine the level of cognitive processing 3. Skeletal radiographs of a child with a suspected glove burn 4. Assessment of relationships with siblings and the order of birth

4. Assessment of relationships with siblings and the order of birth

What findings on a 2-year-old child would be most indicative that the child has experienced physical abuse? 1. A scalding burn on his anterior trunk with an irregular shape 2. Bilateral shin bruises in various stages of healing 3. A black eye where bruising extends from the outer eye to just under the eye 4. Bruises on the back or abdomen

4. Bruises on the back or abdomen

Which of the following medications causes photosensitivity and an increased chance of severe sunburn? 1. Lorazepam (Ativan) 2. Doxycycline (Acticlate) 3. Lithium (Lithobid) 4. Chlorpromazine (Thorazine)

4. Chlorpromazine (Thorazine)

What is one difference between the use of the terms enteric contact precautions and contact precautions? 1. Enteric precautions refer to PPE and behaviors used to prevent the spread of diarrhea 2. Contact precautions are used exclusively for diapered infants who presents with diarrhea 3. There is no difference between contact precautions and enteric precautions 4. Contact precautions are used when there is a likelihood of infection transmission through direct or indirect contact with a patient or his or her care items

4. Contact precautions are used when there is a likelihood of infection transmission through direct or indirect contact with a patient or his or her care items

While the pediatric health-care team is teaching parents of a child who has just been diagnosed with cystic fibrosis, the mother asked if there was something she did to cause this illness. The team would be correct in responding that: 1. There is no known cause for the condition of cystic fibrosis 2. The development of cystic fibrosis is directly related to the child's immune system 3. Cystic fibrosis is a trait passed on to the child by the father's genes exclusively 4. Cystic fibrosis is an autosomal recessive trait from both parents' genes

4. Cystic fibrosis is an autosomal recessive trait from both parents' genes

What medication would the nurse expect to have on hand to respond to a blood transfusion reaction? 1. Acetaminophen and diphenhydramine 2. Morphine and acetaminophen 3. Steroidal anti-inflammatory drugs and morphine 4. Diphenhydramine and epinephrine

4. Diphenhydramine and epinephrine

A term newborn is diagnosed with TGA which priority nursing intervention should be instituted immediately? 1. Administering an echocardiogram 2. Providing oxygen via nasal cannula at 2L per minute 3. Preparing for intubation and placement on a ventilator 4. Establishing IV access and initiating a PGE1 drip

4. Establishing IV access and initiating a PGE1 drip

The pediatric nurse is teaching a 17 year old teen about his injections for type 1 diabetes. The nurse is correct in teaching the teen that laboratory test will be drawn every few months to check on his adherence and compliance with insulin coverage. The laboratory analysis is called? 1. Insulin serum levels 2. Trending of blood glucose levels 3. Pancreatic enzyme levels 4. Glycosylated hemoglobin

4. Glycosylated hemoglobin

What is the best way to measure the height of a hospitalized 16-month old toddler? 1. Plastic tape measure 2. Horizontal measuring board 3. Asking the parents about the results of the last height measurement 4. Having the child stand on the unit scale and using the measuring arm

4. Having the child stand on the unit scale and using the measuring arm

While providing anticipatory guidance to the family of a 9 month old the immunization record should demonstrate that the child has received which of the following? 1. Hepatitis B series only 2. Measles, mumps, and rubella (MMR), diphtheria, tetanus, and pertussis (DTP), and PCV 3. Measles, mumps, and rubells (MMR), hepatitis B, and Hib 4. Hepatitis B, diphtheria, tetanus, and pertussis (DTP), Hib, IPV, and PCV

4. Hepatitis B, diphtheria, tetanus, and pertussis (DTP), Hib, IPV, and PCV

A 3 year old presents to the emergency department with signs of respiratory distress. The child has epiglottitis associted with high fever, is apprehensive, and is drooling. It is imperative that the nurse avoid which of the following? 1. Listening to the childs lungs 2. Assessing the child's vital signs 3. Weiging the child 4. Inspecting the child's mouth and throat with a tongue blade

4. Inspecting the child's mouth and throat with a tongue blade

An infant presents to the urgent care clinic with tachycardia, no tears, sunken fontanels, and a serum sodium level of 139 mEq/L which type of dehydration is this? 1. Osmotic dehydration 2. Hypotonic dehydration 3. Hypertonic dehydration 4. Isotonic dehydration

4. Isotonic dehydration

Ensuring that a young child hospitalized with nephrotic syndrome consumes adequate nutrition the pediatric nurse monitors which type of diet? 1. Low-sodium, low-protein 2. High-sodium, high-protein 3. Low-potassium, low-sodium 4. Low-sodium, high-protein

4. Low-sodium, high-protein

In many states, the adolescent is allowed to give consent for physical examinations and treatments of which of the following? 1. Emergency treatment of a fractured arm 2. Required prefootball physical clearance 3. Treatment for staph infection of the skin 4. Medical treatment for a confirmed STI

4. Medical treatment for a confirmed STI

A mother brings her toddler into the pediatric public health clinic stating that his personality has changed. The mother states the child has regressed developmentally and is at times, hyperactive and very emotional. The pediatric nurse should include the possibility of which of the following? 1. Intentional child abuse with a possible head injury 2. Early signs of an emotional or cognitive disturbance 3. Meningitis or another brain infection 4. Possible exposure to lead

4. Possible exposure to lead

What are the most common causes of ROP? 1. Bright lights and prematurity 2. Bright lights and oxygen therapy 3. Oxygen therapy and loud noises 4. Prematurity and oxygen therapy

4. Prematurity and oxygen therapy

Child neglect is defined as all of the following except? 1. Lack of physical care to the child, such as inadequate food and feedings 2. Absence of emotional care and stimulation that allows a child to develop normally 3. Denial of education to a child, such as not enrolling a young child into an appropriate school 4. Preventing a child from participating in extracurricular activities within a school setting

4. Preventing a child from participating in extracurricular activities within a school setting

The nurse is caring for a preschool aged child with a sickle cell vaso occlusive crisis which of the following physician orders should the nurse question? 1. Apply oxygen via nasal cannula for 24 hours after all surgical procedures 2. Offer warm packs to place on painful joints 3. Give pain medication around the clock as needed based on the pain scale score 4. Restrict oral fluids

4. Restrict oral fluids

What form of stool would the nurse explain to the parents of a child admitted with intussusception to expect? 1. Ribbonlike brown stool in normal quantity 2. Watery, light brown stool in large quantity 3. Thick, greenish stool 4. Scant stool appearing like red jelly

4. Scant stool appearing like red jelly

What physical examination sign/symptom is most worrisom in terms of degree of airway compromise? 1. Fever 2. Wheezing 3. Cough 4. Stridor

4. Stridor

An LVN must use the chain of command to immediately report any change in a patient's clinical status to the next appropriate person. In the hospital setting who should the LVN report a patient's clinical status changes to? 1. The hospitalist on duty 2. The nursing supervisor 3. The ED attending doctor 4. The RN working on the unit

4. The RN working on the unit

Bedtime fears are a very real experience for the toddler. Which of the following creates the greatest fears? 1. The unreasonable thought that their security item will become lost 2. The fear of monsters under the bed 3. The loss of time with older siblings who get to stay up later 4. The fear of separation from parents at bedtime

4. The fear of separation from parents at bedtime

The nurse has been notified that she will be admitting to the pediatric floor a child with complications associated with legg-calve-perthes disease. In preparing for the admission the nurse knows that this diagnosis is congenital and involves? 1. Bilateral phalanges 2. A slipped femoral head 3. The entire vertebral column 4. The head of the femur

4. The head of the femur

Infants and young children has a higher risk for OM because of? 1. Their genetic immune dysfunction 2. The natural sugars that are present in milk, formula, and breast milk 3. The anatomical location of the Eustachian tubes 4. The natural slant of the Eustachian tube

4. The natural slant of the Eustachian tube

Vaccines are able to produce a desired effect of increasing a child's antibodies to protect him or her from infection if the child is exposed to a communicable disease. How would the nurse describe the effectiveness of childhood vaccines? 1. They are considered 100% effective in protecting children across the developmental period 2. They are only effective if started in infancy and the entire immunization schedule is followed exactly as recommended 3. They cannot be "caught up" if doses are missed 4. They are useful in the prevention of childhood communicable diseases but are not always 100% effective

4. They are useful in the prevention of childhood communicable diseases but are not always 100% effective

The developmental time period when a nurse should be concerned about the development of anemia associated with too large quantities of milk is? 1. Late infancy 2. Adolscence 3. Early school-aged 4. Toddlerhood

4. Toddlerhood

The anatomical site used for an infection of the hepatitis B vaccine would be? 1. Abdomen 2. Deltoid 3. Gluteal region 4. Vastus lateralis

4. Vastus lateralis

A mother of a 10 year old boy asks about her son's warts located on several of the fingers on his right hand. The pediatric nurses best response to her questions would include? 1. Warts are precancerous lesions that need to be surgically removed by a physician 2. Warts are benign, not contagious, and will not spread anywhere else on your son's body 3. Warts are caused by a variety on infectious organisms including fungi, viruses, and bacteria 4. Warts are caused by the papillomavirus, can spread to other body parts and other people, and are treated with acids or freezing nitrogen

4. Warts are caused by the papillomavirus, can spread to other body parts and other people, and are treated with acids or freezing nitrogen