Peds Final

When is poisoning most likely to occur?

1-4 years

A couple has a 2 and a half-year-old child that is a confirmed carrier of CF. This was found on the newborn screen when the child was an infant. The parents were referred to genetic counseling in order to educate them on family planning for the future. Their genetic counselor informed them that they are both carriers of CF. The nurse understands their future risk levels of having an infant with CF during each future pregnancy is which of the following?

25%

When assessing a toddler's language development what is the standard against which you measure language in a two-year-old toddler?

the toddler should speak in two-word sentences, "Me-go"

A number of inherited diseases can be detected in utero by amniocentesis. Which disease can be detected by this method?

trisomy 21 (down syndrome)

A nurse is assessing a young child for coarctation of the aorta based on which finding?

unequal upper and lower extremity pulses

A nurse is providing guidance to the parents of a toddler about a way to help the child to achieve the developmental task of autonomy. The nurse determines that the teaching was successful based on which parental statement?

we will let a child pick from two choices for what to wear

An adolescent asks the nurse how to best prevent vulvovaginitis. The nurse's best answer would be to

wipe from front to back

During a health visit, an adolescent client tells the nurse "Why am I having all this ance?" which response by the nurse would be appropriate?

your body is producing hormones called androgen that are responsible for your acne

The nurse is preparing the parents for the death of their child. Which signs will the nurse include in the teaching session? (SATA)

- The skin may feel cool, appear modeled, and cyanotic - Respirations slow and lungs may have more secretions - The child may lose gag reflex and be unable to swallow - Dehydration occurs with mouth and eyelid dryness

The nurse is concerned that a high-school-aged child is developing pneumonia. What did the nurse most likely assess in this client? (SATA)

Rales, Elevated temperature, productive harsh cough

A 3-month-old was admitted to the ED with Tylenol poisoning, what is the antidote?

Acetylcysteine

Which pharmacologic agent should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching their breath?

Albuterol

The nurse is teaching the parent of a child who has chronic renal failure about high-potassium foods that should be restricted. Which foods will the nurse include in this teaching?

Bananas, carrots, nuts, and milk

A nurse is providing care to a child who has had surgery for a ruptured appendix. Which of the following would alert the nurse to the development of peritonitis?

Board-like abdomen

The nurse observes a school-aged child characterized specific desk and clothing items in his hospital room. What cognitive behavior has this child mastered?

Class inclusion

Which of the following is a congenital disorder characterized by incomplete closure of the choroid fissure during eye development and a keyhole-shaped iris on physical exam?

Coloboma

A preschool-aged child is being seen for a rash that occurred after the mother applied a sunscreen prior to permitting the child to swim at the beach. For which type of allergic reaction should the nurse prepare teaching materials for the mother?

Contact dermatitis

What finding would the nurse communicate with a health care provider of late signs of ICP?

Decorticate posturing and fixed pupils

The nurse is aware of the special needs of children related to pain assessment. What is the priority for the nurse to consider when completing a pain assessment?

Developmental age of the child

A child is being evaluated for heart disease. Which of the following would the nurse consider as being the primary diagnostic test used?

Echocardiography

During the preschool years, female children may develop a strong attachment to their fathers what is this attachment called?

Electra complex

Congenital adrenal hyperplasia what is the hallmark sign?

Enlarged clit

30% of a child's body is burned, the burned areas are assessed as partial thickness or second-degree burns when they involve what

Epidermis and part of the dermis

Which drug should be available for emergency treatment of a child who goes into anaphylactic shock?

Epinephrine

The nurse is caring for a child with a cranial injury. Which of the following medications are used to reduce cerebral edema?

Glucocorticoids and diuretics

The parents of a child with acute glomerulonephritis ask the nurse to explain the cause of the disease. What organism should the nurse instruct the parents as being the cause for the disorder?

Group A streptococcus

The terms growth and development are often used interchangeably to which of the following does development refer

He learns to throw a ball overhead

The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which response by the mother would indicate the child is experiencing hypercyanotic spells?

He likes to stop and squat whenever he walks

Seth is a 17-year-old with a diagnosis of hepatitis A. Which problem should be considered when planning care?

He will become fatigued easily

The nurse is preparing educational materials for a group of new parents about allergic reactions. Which specific immunoglobulin should the nurse emphasize as being responsible for these types of reactions?

IgE

A young client comes to the clinic with multiple symptoms of an infection. The nurse realizes that the client has been seen in the clinic every month for the past 6 months for the same problems. Which body system does the nurse suspect is malfunctioning in this client?

Immune system

A 7-year-old has myringotomy tubes placed. He asks how and when the tubes will be removed. What is the nurse's best response?

The tubes remain in place for most 12 months before they come out by themselves

A parent is stressed to learn that her school-aged child is diagnosed with type 2 diabetes and asks the nurse how this could happen because no one in the family has diabetes. What instruction is most accurate?

This disorder is associated with being overweight and eating a diet high in fats and carbs

What lab test for a 3-year-old with acute lymphoblastic leukemia (ALL), which result are you going to see?

Thrombocytopenia (low platelets)

Tetralogy of Fallot is a combination of which of the following defects?

VSD, pulmonary stenosis, overriding aorta, and right ventricular hypertrophy

A 4-year-old girl with a UTI is scheduled to have a voiding cystourethrogram (VCUG). When preparing her for this procedure the nurse would want to prepare her to?

Void during the procedure

Infant development is best described by which statement?

development proceeds cephalocaudally

The nurse caring for an 18-month-old infant with Merkel diverticulum knows that the most common clinical manifestation of this condition is?

painless rectal bleeding and dark tarry stools

The nurse is counseling an adolescent being treated for syphilis. The most common symptom of first-stage syphilis is?

painless ulceration on the labia or vagina

While inspecting the skin of a child the nurse notes small reddish-purple spots called macules appearing on the skin. When notifying the health care provider the nurse would identify the client's skin as having what?

petechiae

Which technique would be the most effective in encouraging preschoolers to take fluids by mouth?

playing tea party and drinking tea with imaginary friends

The nurse is conducting a presentation for a group of nurses who work with adolescents. The group of nurses discusses dysmenorrhea. Which statement is most accurately related to dysmenorrhea?

A contributing factor is the increased secretion of prostaglandins

The nurse prepares a couple to have a karyotype performed. What describes a karyotype?

A visual presentation of the chromosome pattern of an individual

retinoblastoma s/s

One pupil appears white

Bobby is diagnosed with otitis media, when interpreting the documentation in Bobby's electronic medical record, the nurse should recognize that this diagnosis differs from otitis externa in what way?

Otitis media involves the middle ear otitis externa involves the outer canal

The nurse is helping parents enhance the developmental task of initiative in their preschool-aged child. Which activity would the nurse suggest the parents implement?

Allow the child to experiment with modeling clay

When you send in a child for radiation, what kind of medication are you going to give them?

Antiemetic

How do you diagnose scoliosis in a child?

Assessment (bend forward and feel back) and X-ray

The nurse is planning care for a two-and-a-half-year-old child knowing this client is in which stage of development?

Autonomy vs. Shame and Doubt

When assessing a newborn identified genetically as 47 xy 21+ (down-syndrome) What can the nurse expect the note of the assessment findings? (SATA)

Poor muscle tone, palmar crease, protruding tongue

A 12-year-old is diagnosed with hyperthyroidism. What problem would the nurse anticipate the child may have in school?

Inability to submit neat handwriting assignments

The developmental task of a school-aged period according to Erikson is gaining a sense of?

Industry vs. Inferiority

The nurse is caring for a 10-year-old boy with growth hormone deficiency. Which therapy will you anticipate being prescribed for him?

Injections of growth hormone

A nurse is conducting an information session for a group of parents for children who have varying levels of intellectual disabilities. One of the parents asked what causes this to happen. Which information would the nurse include as potential causes (SATA)

Lack of oxygen at birth, chromosomal abnormality, uterine infection during pregnancy

The nurse volunteered their time to work at a camp for high schoolers. During one of the education sessions discussed were various types of tick bites. The nurse states that deer ticks are carried by white-hooded mice and white-tailed deer and can carry the organism that causes which disease?

Lyme Disease

The nurse is preparing to discuss the most frequent causes of death in adolescents with a group of high school students. On which area should the nurse focus during this discussion?

Motor vehicle safety

The digestive process begins in which region of the GI system?

Mouth

A child needs to collect urine for 24 hours and the nurse explains that this test assesses glomerular filtration rate (GFR) and how the kidneys are functioning. What would be indicative of this type of test?

creatinine clearance

A nurse is teaching a group of family members about complications of communicable diseases. Which of the following communicable diseases can lead to pneumonia? (SATA)

Rubeola, pertussis, varicella

A child is admitted to the pediatric unit with osteomyelitis. The child is to be placed on antibiotics The nurse expects antibiotic coverage to include which of the following is the most common cause of osteomyelitis?

Staphylococcus aureus

A child is brought to the emergency department late one evening and is diagnosed with croup. The child was noted to have a shrill, harsh respiratory sound when breathing in like air trying to move through a compressed straw. This symptom is referred to as?

Stridor

Which milestone would the nurse expect an infant to accomplish by 8 months of age?

sitting without support

The nurse discusses types of treatment used when working with children with orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down and on either one or both legs while leaving the feet open

spica cast

When caring for a child with a cognitive impairment what is a primary factor for the nurse to consider regarding the approach for the interaction with the child?

the developmental stage is based on developmental tasks achieved

To determine if ascites increasing in a male child with nephrotic syndrome which measurements would be most appropriate?

abdominal circumference

When teaching a mother about amblyopia it would be most important to explain

amblyopia is correctable if the child is properly treated before the age of 6 years

The nurse plans to try a cream with lidocaine and prilocaine to decrease the pain of an injection. What would be the best technique?

apply it at least one hour before the procedure

A baby is born with ambiguous genitalia when discussing this with her parents you could accurately answer them that?

child's true sex can be determined by a genetic karyotype

The child with CF is noted to have a barrel chest and clubbing of the fingers. What do these findings indicate?

chronic lack of oxygen

A 10-year-old boy develops bacterial conjunctivitis of the right eye. The eye is inflamed and drains a thick yellow discharge. An important measure you would want to teach him is?

clean the discharge away from the inner to outer canthus

The nurse is concerned that a school-aged child has iron-deficiency anemia. What did the nurse assess in this client?

craving for ice cubes (pica)

The nurse is teaching a child with type 1 diabetes mellitus to administer insulin. The child is receiving a combination of short-acting and long-acting insulin. The nurse knows that the child has appropriately learned the technique when the child does which of the following?

draws up the short-acting insulin into the syringe first

A 5-year-old child was diagnosed with a greenstick fracture of the left ulna. He is being discharged home from the ED in a fiberglass cast. Which of the following actions should the nurse take at this time?

educate the parents to monitor the temperature and color of the child's left hand

A preschooler has celiac disease. Her mother is preparing a gluten-free diet. The nurse knows that the mother understands the diet when she prepares which breakfast foods

eggs and orange juice

The nurse is giving home instructions to a 6-year-old and parents about how to prevent the spread of infection in their children. What is the best suggestion the nurse can offer to these parents?

encourage frequent handwashing

A boy with hemophilia A is scheduled for surgery. Which precaution would you institute with him?

handle him gently when moving him to a stretcher

The parents of a terminally ill child do not want the child to die in the hospital. What can the nurse suggest to help the parent's needs?

have hospice providing through home care

In the exam room, the father shows the nurse a rash. The nurse suspects the rash to be varicella because of which characteristics?

lesions present at various stages at the same time

The nurse has documented the following on the medical record of 4 children. When caring for the client assignment for which child would the nurse initiate additional abuse screening?

linear abrasions on ankles and wrists

A 7-year-old is diagnosed with having type 1 diabetes. One of the first symptoms usually noticed by parents when this illness develops is?

loss of weight

Does the nurse anticipate that a 15-year-old girl with infectious mononucleosis (kissing disease) will be instructed to avoid strenuous activities and contact sports too?

prevent splenic rupture

Which combination below is essential to maintain ductal patency in a ductal-dependent lesion?

prostaglandins to keep the PDA open

The nurse is caring for a child who has been admitted with a possible diagnosis of tuberculosis. Which lab or diagnostic tool would most likely be used to help diagnose this child?

purified protein derivative (PPD)