Peds final question collection
Parents are told their infant has a hypoplastic left heart. What is the type of education that would be included for this family? A - This is a problem where the left side of the heart did not develop properly. B - This is a problem where the right side of the heart did not develop properly. C - The infant will have immediate surgery to completely correct the heart defect. D - There are no surgeries that can help the child live with this heart defect.
A - This is a problem where the left side of the heart did not develop properly.
The nurse has recieved the morning report on a group of pediatric clients. Which pediatric client will the nurse see first? A - child reporting dark brown urine and a fine sandpaper rash B - child experiencing a rash with honey-colored crusts on the mouth C - child with a positive monospot test reporting pharyngitis D - child exposed to a Zika virus reporting HA, fever, and arthralagia
A - a child reporting dark brown urine and a fine sandpaper rash
The nurse is administering digoxin as prescribed and the child vomits the dose. What should the nurse do? A - administer next dose as prescribed in 12 hours B - contact the HCP C - offer a snack and administer another dose D - administer another dose
A - administer next dose as prescribed in 12 hours
Which nursing action should be included in the care plan to promote comfort in a 4-year-old child hospitalized with menengitis? A - avoid making noise when in the child's room B - have the child's 2-year-old brother stay in the room C - Keep the lights on brightly so that he can see his mother D - rock the child frequently
A - avoid making noise when in the child's room
The nurse knows that the heads of infants and toddlers are large in proportion to their bodies, placing them at risk for what problem? A - head trauma B - congenital hydrocephalus C - positional plagiocephaly D - intracranial hemorrhanging
A - head trauma
A school-aged child is admitted to the hospital with a vaso-occulusive sickle cell crisis. Which measure in the child's care plan should be given priority? A - maintaining fluids through an IV line B - seeing that the child ingests a protein rich diet C - encouraging the child to take deep breaths hourly D - beginning active ROM exercises
A - maintaining fluids through an IV line
A nurse is teeaching the parents of a child diagnosed with cystic firbrosis about medication therapy. Which would the nurse instruct the parents to administer orally. A - pancreatic enzymes B - recombinant human DNase C - bronchodilators D - Anti-inflammatory agents
A - pancreatic enzymes
A parent brings an infant in for poor feeding and listlessness. Which assessment data would most likely indicate a coarctation of the aorta? A - pulses weaker in lower extremities compared to upper extremities B - pulses weaker in upper extremities compared to lower extremities C - cyanosis with crying D - cyanosis with feeding
A - pulses weaker in lower extremities compared to upper extremities
A child with a cardiac structural defect is receiving oxygen therapy. In which position should the child be placed to promote optimal benefits? A - semi fowler B - prone C - side-lying D - lithotomy
A - semi fowler
A nurse is caring for a newborn with congenital heart disesase (CHD). Which finding would the nurse interpret as indicating distress? A - subcostal retraction at the time of feeding B - feeding lasting for 15-20 minutes C - reduced respiratory rate during feeding D - perspiration on body after feeding
A - subcostal retraction at the time of feeding
A 16yo boy reports to the school nurse with HAs and a stiff neck. Which sign or symptoms would alert the nurse the child may have bacterial meningitis? A - sunlight is "too bright" B - fixed and dilated pupils C - sunset eyes D - frequent urination
A - sunlight is "too bright"
The nurse is preparing to administer albuterol to a 14yo client for the first time. Prior to administration, which adverse reaction is priority for the nurse to educate the client? A - tachycardia B - inc appetite C - bronchial muscle relaxation D - hypoactivity
A - tachycardia
The pediatric nurse practitioner (PNP) records "positive Gowers' sign" after finishing the assessment of a young boy. How will the student nurse reading the PNP's note interpret this? A - the boy rises from the floor by walking his hands up his legs B - the boy had a large tan skin lesion on his torso C - the head is held tilted with limited side-to-side motion D - severe lordosis is evident in the lumbar spine
A - the boy rises from the floor by walking his hands up his legs
The nurse is positioning an infant who has just had his left-sided cleft lip repaired. What positions are acceptable for this infant? SATA A - right-side lying B - supine C - high fowler D - prone E - left-side lying
A, B Right-side lying; supine
Which nursing intervention(s) are appropriate for the plan of care designed for a child diagnosed with hemophilia who is experiencing an episode of active bleeding? SATA A - encouraging self performance of active ROM exercises B - applying splints to extremities C - administering acetaminophen as prescribed for pain D - scheduling physical therapy for 48 hours after bleeding stops E - performing passive ROM exercises
A, B, C, D
Which collaborative action(s) will the nurse perform when caring for an infant with transposition of the great arteries scheduled for surgical repair of the defect? Select all that apply. A - Provide education to the parents B - Keep oxygen saturation above 80% C - Administer indomethacin IV D - Auscultate lung sounds frequently E - Apply a continuous pulse oximeter
A, B, C, D Provide education to the parents; Auscultate lung sounds frequently; Apply a continuous pulse oximeter; Keep pxygen saturation above 80%
The nurse is caring for a 6 month old with a cleft lip and palate. The mother of the child demonstrates understanding of the disorder with which statements? SATA A - it really worries me that my baby may have some other disorders that haven't been detected yet B - thankfully there are doctors that specialize in correcting this type of disorder C - i know my baby takes a lot longer to feed than most children this age D - my smoking during pregnancy didnt have anything to do with this disorder. Smoking primarily cause LBW E - i wonder if my baby will develop speech problem when language development begins
A, B, C, E
A HCP and other health team members are discussing congenital heart disorders that increase pulmonary blood flow. Which disordcders are topics for this dicussions? SATA A - patent ductus arterious B - coarctation of the aorta C - ventricular septal defect D - atrioventricular canal defect E - pulmonary stenosis
A, C, D
The student nurse is preparing a presentation on ways to prevent medication errors in children. What information should the student include? SATA A - utilize the Joint Commission's "Do Not Use" abbreviation list B - document the child's weight in pounds and ounces C - Double-check medications calculation prior to administration D - verify orders for dosages that are unusually large or small E - Use 2 client identifiers prior to administering medications
A, C, D, E
A child is being treated for leukemia is diagnosed with neutropenia. What nursing instruction directly prevent client infections? Select all that apple. A - Avoid large crowds B - Inc the intake of fresh fruit & vegtables C - Inspect the skin daily for scratches or scrapes D - Remove house plants, flowers, and goldfish from the home environment E - Stay away from people who have obvious colds, rashes, or other infections
A, C, D, E Avoid large crowds; Inspect the skin daily for scratches or scrapes; Remove house plants, flowers, and goldfish from the home environment; Stay away from people who have obvious colds, rashes, or other infection
A nurse is developing the plan of care for a 7yr old child diagnosed with congential heart disease and a history of hypercyanotic spells. Which interventions would the nurse include in the child's plan of care to address these spelles? SATA A - give parenteral morphine sulfate B - encourage increased activity C - administer oral fluids as prescribed D - provide supplemental oxygen E - place the child in the orthopneic position
A, D Give parenteral morphine sulfate; Provide supplemental oxygen
The nurse is caring for a child with a skin disorder. The child presented with papules that progressed to vesicles with honey-colored exudate. What treatment would the nurse expect to be ordered to treat this disorder? SATA A - regular hygiene measures B - oral cephalexin C - warm compresses after washing with soap and water several times a day D - cool compresses to assist in removing crusts on vesicles E - topical mupirocin ointment
A, D, E
The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which response by the mother could indicate that the child is experiencing hypercyanotic spells? A - "He walks very quickly and never stops moving" B - "He likes to stop and squat wherever he walks" C - "He takes one nap a day and is fairly active" D - "He does not seem to have difficulty breathing"
B - "He likes to stop and squat wherever he walks"
A group of nursing students are reviewing the medications used to treat asthma. The students demonstrate understanding of the information when they identify which agent as appropriate for an acute episode of bronchospasm? A - Ipratropium B - Albuterol C - Cromolyn D - Salmeterol
B - Albuterol
A nurse is taking care of a teenager who reports involuntary discharge of semen while sleeping. The nurse observes that the client is confused and does not know about the pubertal changes that are taking place in his body. Based on this information, what is the highest priority area that should be reviewed? A - Review about sexually transmitted infections B - Educate the client about the changes that occur during adolesence C - Inform him that involuntary discharge of semen during sleeping needs immediate attention of the HCP D - Provide information about sex and sexuality
B - Educate the client about the changes that occur during adolesence
What characteristic is true of cerebral palsy? A - It results in intellectual disability B - It appears at birth or during the first 2 years of life C - It's progressive D - It's reversible
B - It appears at birth or during the first 2 years of life
A 6-month-old boy is brought to the doctor's office with a high fever. The physician diagnoses the child as having a viral infection of some kind and recommends acetaminophen to reduce the fever. After 3 days, the mother returns with the child. The fever is gone, but a rash of discrete, rose-pink macules approximately 2 to 3 mm and flat with the skin surface appears. Which condition should the nurse suspect? A - rubella (German measles) B - Roseola C - Measles (Rubeola) D - Chickenpox (varicella)
B - Roseola
Cystic fibrosis is an example of which type of inheritance? A - Autosomal dominant B - Autosomal recessive C - Multifactorial D - X-linked recessive
B - autosomal recessive
The nurse is planning to teach the parents of a child with newly diagnosed muscular dystrophy about the disease. Which definition should the nurse use to best describe this condition? A - upper motor neuron lesions B - degeneration of muscle fibers C - a demylinating disease D - lesions of the brain cortex
B - degeneration of muscle fibers
When assessing a neonate with a ventricular septal defect (VSD), the nurse notes crackles and retrations. The nurse obtains the following vital signs: temp 100.2 F (38 C), pulse 134bpm, respirations 64 breaths/minute, oxygen saturation 97% on room air. What wil the nurse do first? A - advise the mother to bottle feed B - give furosemide IV C - apply oxygen 10 liters/min (LPM) via oxyhood D - administer acetaminophen rectally
B - give furosemide IV
The nurse is providing education to the parents of a child diagnosed with pinworms. Which statement is most important for the nurse to include in the teaching? A - after applying this special cream, leave it on for about 8-10 hours B - make sure your child washes hands before eating C - be sure your child waears shoes at all times D - seal the child's clothing in a plastic bag for at least 10 days
B - make sure your child washes hands before eating
The nurse is working with a group of caregivers of children diagnosed with asthma. Which statement made by a caregiver is most accurate regarding the triggers that may cause an asthma attack? A - one person told me that asthma is caused by using antibiotics for infection B - my sister and her family love animals, and when we go to their house my daughter always has an asthma attack C - my neighbor told me that asthma attacks are caused by hot weather D - I always thought that a lack of exercise caused my child's asthma
B - my sister and her family love animals, and when we go to their house my daughter always has an asthma attack
The nurse is caring for a school-age child with reports of generalized joint pain and a pharyngitis. During assessment, the nurse notes a cardiac murmur. Which action by the nurse is priority? A - Assess skin for a rash B - Swab throat for culture C - Evaluate C-reactice protein D - Adminsiter penicillin
B - swab throat for culture
To decrease childhod mortality, pediatric nurses need to consistently engage in what activity throughout all age groups? A - provide guidance regarding proper nutrition B - teach injury prevention and proper safety practices C - advocate for more research into control of environmental toxins D - help integrate exercise practices and programs into the lfiestyles of individuals and communities
B - teach injury prevention and proper safety practices
A child enters the acute care setting following a burn injury. The nurse should check for which immunization booster? A - pertussis B - tetanus C - diphtheria D - meningitis
B - tetanus
The nurse is providing staff education regarding the use of the Broselow tape for pediatric emergencies. What would the nurse include in the education plan? A - the tape is ideal for estimating the childs age when the information is needed quickly B - the tape is useful to estimate the childs weight based on the length C - one disadvantage is the tape doesn't include medication dose information D - the child should be measured while in a sitting position
B - the tape is useful to estimate the childs weight based on the length
The nurse is implementing the plan of care for a child with acute rheumatic fever. What treatment(s) would the nurse expect to administer if prescribed? SATA A - digoxin B - penicillin C - corticosteroids D - NSAIDs E - IV immunoglobulin
B, C, D
The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor. Which statement should the nurse post? A - "No IM injections" B - "No milk or milk products allowed" C - "Do not palpate abdomen" D - "No blood sampling in lower extremities"
C - "Do not palpate abdomen"
Which assessment finding by the nurse would warrant immediate action? A - a child with cellulitis has a temporal temp of 101 F (38.3 C) B - a child with impetigo has honey-colored drainage noted on the skin area C - a child with periorbital cellulitis reports changes in vision and pain with eye movement D - a child has a red, warm, edematous area over and old spider bite
C - a child with periorbital cellulitis reports changes in vision and pain with eye movement
The student nurse is collecting data on a child diagnosed with cystic fibrosis & notes the child has a barrel chest & clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptoms to be: A - impaired digestive activity B - high sodium chloride concentration in the sweat C - chronic lack of oxygen D - dec respiratory capacity
C - chronic lack of oxygen
A nurse is caring for a child with Kawaski disease. Which assessment finding would the nurse expect to see? A - irritability and dry mucous membranes B - low BP and dec HR C - peeling hands and feet; fever D - dec HR and impalpable pulse
C - peeling hands and feet; fever
The nurse is examining an 8-year-old boy with tachycardia & tachypnea. The nurse anticipates which test as most helpful in determining the extent of the child's hypoxia? A - peak expiratory flow B - pulmonary function test C - pulse oximetry D - chest radiography
C - pulse oximetry
The nurse is caring for a 2yo boy with cerebral palsy (CP). The medical record indicates "hypertonicity & permanent contractures affecting both extremities on one side." Based on these findings, the nurse identifies this type of CP as: A - ataxic B - mixed C - spastic D - atetoid or dyskinetic
C - spastic
Which child(Ren) will the nurse avoid immunizing with a live-virus vaccine? SATA A - 2 month old infant B - toddler with a sever acute illness C - preschool-age child receiving radiation therapy D - school-age child with fractured arm E - toddler with consitpation
C, E
The nurse is caring for children at a local hospital. Which child warrants immediate attention from the nurse? A - 1yo child with a temporal temp of 101 F (38.3 C) B - 6 month old infant with edema on the face and presacral area C - 2yo child with clubbing noted on the fingers D - 1 week old newborn whose oxygenation is not improving with oxygen
D - 1 week old newborn whose oxygenation is not improving with oxygen
The nurse is conducting a physical exam of a child with suspected developmental dysplasia of the hip (DDH). Which finding would help confirm this diagnosis? A - The thigh and gluteal fold are symmetric B - High-pitched 'click' is heard with hip flexion or extension C - Abduction occurs to 75 degrees & adduction to within 30 degrees (with stable pelvis) D - A distinct 'clunk' is heard with Barlow & Ortolani maneuvers
D - A distinct 'clunk' is heard with Barlow and Ortlani maneuvers
The nurse is observing an infant who may have acute bacterial meningitis. Which finding might the nurse look for? A - Jaundice, drowsiness, and refusal to eat B - Flat fontanel (fontanelle) C - Negative Kernig sign D - Irritability, fever, and vomiting
D - Irritability, fever, and vomiting
Which condition is a part of normal newborn screening? A - Down syndrome B - Cystic fibrosis C - Sickle cell anemia D - Phenyleketonuria
D - Phenyleketonuria
A 16 yo child is admitted to the hospital for treatment after a motor vehicle crash. Review of the child's record reveals that the child is an emancipated minor. What does this mean? A - the nurse needs to check with the child to determine which parent has custoday B - the nurse must contact the child's guardian for consent to treatment C - a court-appointed guardian is needed to ensure that the child's rights are maintained D - The child has the legal right to consent to and make decisions for treatment
D - The child has the legal right to consent to and make decisions for treatment
When examining a child with congenital heart disease, an organ in the upper right quadrant of the abdomen can be palpated at 4 cm below the rib cage. What would most likely explain this assessment finding? A - The spleen size increase due to frequent infection B - The spleen size increases due to increased destruction of red blood cells C - The liver size increases due to cardiac medications D - The liver size increases in right-sided heart failure
D - The liver size increases in right-sided heart failure
The nurse is performing a physical examination on a sleeping newborn. Which body system should the nurse examine last? A - Heart B - Abdomen C - Lungs D - Throat
D - Throat
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses in the group make the following statements. Which statement is most accurate regarding the diagnosis of rhyematic fever? A - the onset and progression of this disorder is rapid B - being up to date on immunizations is the best way to prevent this disorder C - this disorder is caused by genetic factors D - children who have this diagnosis may have had strep throat
D - children who have this diagnosis may have had strep throat
A nursing instructor is teaching the students about the standard and transmission-based precautions. What type of precaution require placing a client in an isolated room wiht limited access, wearing gloves during contact with the client and all body fluids or contaminated items, wearing two layers of protective clothing, and avoiding sharing equipment between clients? A - standard B - droplet C - airborne D - contact
D - contact
The nurse is collecting data on a child admitted with a respiratory concern. The nurse notes that the child is anxious and sitting forward with the neck extended to breathe. The signs the nurse noted indicate the child likely has: A - cystic fibrosis B - asthma C - tuberculosis (TB) D - epiglottitis
D - epiglottitis
The nurse is caring for a 12yo with cerebral palsy who is unable to communicate verbally. Which pain assessment tool is the most appropriate for the nurse to use when assessing pain in this client? A - adolescent pediatric pain tool (APPT) B - numeric rating scale C - pain diary D - face, leg, activity, cry, and consolability (FLACC) descriptors
D - face, leg, activity, cry, and consolability (FLACC) descriptors
The nurse is monitoring a playgroup of children on the pediatric unit. The nurse predicts the school-age child will most likely be participating in which activity? A - pretending to be mommies and daddies in the playhouse B - playing with the plastic vacuum cleaner, pushing it around the room C - watching a movie with other children their age D - painting pictures in the art corner of the room
D - painting pictures in the art corner of the room
A 6 month old infant is admitted with a diagnosis of bacterial meningitis. Which room is appropriate for this infant? A - multibed room with other infants who have bacterial meningitis B - room with a 12-month-old infant who has a UTI C - room with an 8-month-old infant with failure to thrive D - private room near the nurses' station
D - private room near the nurses' station
The nurse is administering meperidine as ordered for pain management for a 10-year-old boy in sickle cell crisis. The nurse would be alert for: A - Priapism B - Leg ulcers C - Behavioral addiction D - Seizures
D - seizures
The nurse is teaching a growth and development class to parents of school-age children. What does the nurse teach the parents about the cognitive abilities of their children? A - they have devloped the ability to reason abstractly B - they can make judgements based on scientific facts C - they make judgements on what they reason D - they are able to classify objects
D - they are able to classify objects
A child has an order for an erthrocyte sedimentation rate (ESR). The child's mother asks what the purpose of this test is. What is the best response by the nurse? A - this test will tell if your child has allergies B - this is a test to determine if your child has a skin infection C - this test will tell if your child has a fungus somewhere in their body D - this test will tell if your child has an infection or inflammation somewhere in the body
D - this test will tell if your child has an infection or inflammation somewhere in the body
The nurse is reinforcing teaching with a group of caregivers of children diagnosed with asthma. Which statement best indicates an understanding of the management and treatment for this diagnosis? A - The medications she takes are all in one place, ready for her to take at any time B - he knows how and even when he needs to use his peak flow meter C - Even the babysitter helps us keep up the diary with her symptoms D - we have taken the carpet out of our house and let my mom take our dog
D - we have taken the carpet out of our house and let my mom take our dog
A nurse is reviewing blood work for a child with a cyanotic heart defect. What result would most likely be seen in a client experiencing polycythemia? A - Inc RBC B - Dec RBC C - Inc WBC D - Dec WBC
A - Increased RBC
A nurse is providing care to a child diagnosed with cerebral palsy who is experiencing painful muscle spasms. The HCP has prescribed baclofen 40mg/day PO in three divided doses. How many milligrams should the nurse administer in each dose? Record your answer using one decimal place
13.3
A health care provider has prescribed cephalexin 30 mg/kg PO daily in 4 divided doses for a child diagnosed with impetigo. The child weighs 30 lb (14 kg). How many milligrams should the child receive each day?
420
The nurse is reinforcing teaching with a group of caregivers of children diagnosed with iron-deficicnecy anemia. One of the caregivers tells the group, "I give my child ferrous sulfate." Which statement made by the caregivers is correct regarding giving ferrous sulfate? A - "My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vit C" B - "When I give my son ferrous sulfate I know he also need potassium supplements" C - "I always give the ferrous sulfate with meals" D - "We watch closly for any diarrhea since that usually happens when he takes ferrous sulfate"
A - "My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vit C"