Peds - Quizzes 1-6
While caring for a child with leukemia and an Absolute Neutrophil Count of 480, the nurse recognizes that the highest priority nursing care of the child should include: a. Maintaining contact isolation b. Restricting oral fluids c. Using good hand washing technique d. Providing a high protein diet
c. Using good hand washing technique
The nurse is explaining habilitation to the parents of a 6 month-old infant diagnosed with a chronic condition affecting their motor development. The nurse explains that habilitation involves: a. Reteaching the child skills b. Minimizing the child's potential c. Teaching the child new skills d. Increasing the child's life expectancy
c. Teaching the child new skills
The nurse is planning postoperative pain management for a 9 year-old child. Nursing considerations include which of the following? a. The immature nervous system in young children provides them with an increased pain threshold b. A child's behavioral response to pain is affected by age and developmental level c. Opioid analgesic use in children is dangerous because of increased risk of addiction and respiratory depression d. Recovery from a painful procedure occurs at a faster rate in children compared to adults
B. child's response to pain depends on age and developmental level
The nurse is admitting a 5 year-old child to the recovery room after surgical repair of a fractured elbow. The appropriate pain scale for the nurse to use is the: a. FLACC b. OUCHER c. NIPS d. FACES
A. FLACC (post surgery, loopy and might not be able to self-report)
The mother of a one month-old infant tells the nurse that she is worried her baby will get meningitis like her oldest son had when he was an infant. The nurse should base his/her response on which of the following? a. Vaccination for Hib has decreased the frequency of this disease b. Vaccination to treat all types of meningitis is now available c. Often a genetic predisposition to meningitis exists d. Meningitis rarely occurs in children less than one year of age
A. HiB (for influenza type B, which often preceeds meningitis)
The nurse must evaluate possible complications associated with traction. Which of the following assessments indicates a potential CIRCULATORY complication? a. Foot feels cool to touch b. Capillary refill of 2 seconds c. Poor dorsiflexion of the foot d. Numbness and tingling of toes
A. foot feels cool to touch - decreased perfusion
Two nurses are discussing hypoxemia and hypoxia. They remember that hypoxemia a. Results from left to right shunts b. May cause cyanosis c. Is seen as increased tissue perfusion d. Requires supplemental oxygen
A. left to right shunts (blood bypasses lungs -> low O2 in blood)
While assessing a 9 year-old child admitted with sickle-cell anemia, the nurse notes the child's difficulty ambulating, vitals signs within-normal-limits for the child's age, pain of "9", oxygen sat 95%, and slight confusion. The nurse should notify the physician of which finding? a. Slight confusion b. Oxygen sat 95% c. Difficulty ambulating d. Pain of "9"
A. slight confusion - any LOC changes are early signs of something bad!
The nurse is reviewing diabetes management with a 14 year-old who was diagnosed when he was 8 years old. The nurse explains that during adolescence: a. Additional snacks are needed daily throughout adolescence b. Stress increases blood glucose c. Extra insulin is required if consuming alcohol d. Excessive physical activity should be restricted
B. stress inc. blood glucose (alcohol lowers blood sugar, extra insulin would be contraindicated with alcohol use)
The nurse practitioner is discussing fetal heart circulation. She explains that the blood circulates in which of the following patterns? 1. RA 2. RV 3. LA 4. LV 5. PA 6. Aorta a. 1, 2, 5, 3 b. 1, 3, 4, 6 c. 1, 3, 5, 6 d. 1, 2, 4, 6
B. 1, 3, 4, 6 (foramen ovale) RA - LA - LV - Aorta
While preparing to admit a child diagnosed with cellulitis of the lower leg, the nurse understands that cellulitis involves: a. The dermis and muscle b. Suppurative strep or staph infection c. The dermis and underlying connective tissue d. Previous injury to the skin and muscle
c. The dermis and underlying connective tissue
The nurse is admitting a 6 week-old infant to the pediatric unit. The nurse includes "hold the child during feedings" in the plan of care to prevent which of the following common issues with hospitalization in the infant age group? a. Parental separation b. Lack of stimulation c. Delayed response to crying d. Interrupted routine
KNOW it's not A B. Lack of stimulation or D. Interrupted routine
While explaining Kawasaki disease to the parents of a 5 year-old child. The nurse explains that children are treated primarily to prevent: a. Coronary artery aneurysms and thrombosis b. Fever from lasting longer than 5 days c. Edema of hands and feet d. Development of erythematous rash
a. Coronary artery aneurysms and thrombosis
The nurse is admitting a 10 year-old with a possible head injury. When assessing the child the nurse recognizes that a sign of increased intracranial pressure would be: a. Diplopia and blurred vision b. An increased head circumference c. Left sided weakness and vomiting d. A high-pitched, cat-like cry
a. Diplopia and blurred vision
The nurse is admitting an adolescent to the pediatric floor following laparoscopic surgery for an uncomplicated imperforated appendicitis. Which of the following is a priority for the nurse to include in the plan of care? a. Maintaining bedrest b. Measuring NG tube output c. Auscultating for return of bowel sounds d. Tracking C Reactive Protein levels
c. Auscultating for return of bowel sounds
When assessing 10 year-old child on the cardiac unit, the nurse notes cool mottled skin on the lower extremities, hypertension in the upper extremities, and decreased femoral pulses. The nurse understands that these assessment findings are indicative of: a. Aortic stenosis b. Tetralogy of Fallot c. Coarctation of the aorta d. Ventricular septal defect
c. Coarctation of the aorta
The nurse is conducting discharge teaching with the parent of a 10-year-old with AGN. Which of the following statements by the parent would indicate a correct understanding of the teaching? a. "I should not add salt to any of my child's meals." b. "My child needs to stay home from school for at least 1 more month." c. "I need to recognize symptoms in case my child gets sick like this again." d. "My child will be on antibiotics for at least 2 weeks."
a. "I should not add salt to any of my child's meals."
The nurse is caring for a child receiving continuous IV low dose infusion of morphine for severe postoperative pain. The nurse observes a slow respiratory rate, and the child cannot be aroused. The most appropriate action to increase the child's respiratory rate is for the nurse to: a. Administer naloxone (Narcan) b. Stimulate the child by calling name, shaking gently and telling to breathe deeply c. Discontinue the morphine infusion until the child is fully awake d. Discontinue the intravenous morphine infusion
a. Administer naloxone (Narcan)
The nurse is providing information about age-appropriate toys for a newborn infant. Which of the following toys should be recommended? a. Black and white mobile b. Soft toys c. Rattles d. Picture books
a. Black and white mobile
When reviewing pediatric cardiac medications the student nurse notes that ACE inhibitors; Select one or more: a. Block conversion of angiotensin I to II b. Reduce peripheral resistance c. Cause vasoconstriction d. Enhance cardiac output
a. Block conversion of angiotensin I to II b. Reduce peripheral resistance d. Enhance cardiac output
The nurse is admitting a child diagnosed with Rheumatic Fever. The nurse explains to the parents that the most serious symptom of rheumatic fever is: a. Carditis b. Polyarthritis c. Erythema marginatum d. Chorea
a. Carditis
While assessing a 3 year-old child 12 hours after abdominal surgery the nurse notes that the child appears to be sleeping, temperature is 97.8, heart rate 90, respirations 12, and blood pressure 100/60. Based on the assessment, the nurse concludes that the child is most likely: a. Experiencing respiratory depression most likely secondary to post- op pain medication b. Comfortable and the pain is controlled c. In shock secondary to blood loss during surgery d. Sleeping to avoid pain associated with surgery
a. Experiencing respiratory depression most likely secondary to post- op pain medication
When defining a family the pediatric student nurse recognizes that the definition of family as it is viewed today includes: (Select all) a. Family members share a sense of belonging to their own family b. The family is what the patient considers it to be c. Family members are always genetically related and live in the same household d. The family may be related or unrelated
a. Family members share a sense of belonging to their own family b. The family is what the patient considers it to be d. The family may be related or unrelated
When orienting a new graduate student to the pediatric oncology unit, the preceptor explains that a child with leukemia has a better prognosis if the child: select one or more: a. Is female b. Is between 2 and 10 years old c. Is Hispanic d. Has a white blood cell count >50,000
a. Is female b. Is between 2 and 10 years old c. Hispanic too?????????
A child arrives in the emergency department in diabetic ketoacidosis (DKA). The nurse understands that symptoms of DKA include: Select one or more: a. Kussmaul respirations b. Change in mental status c. Fruity breath odor d. Increased capillary refill
a. Kussmaul respirations b. Change in mental status c. Fruity breath odor
The nurse is observing parents playing with their 10-month-old daughter. Which of the following actions by the child should the nurse recognize as an example that the child is developing object permanency? a. Looks for the toy parents hid under the blanket. b. Recognizes that two blocks are the same color c. Returns the blocks to the same spot on the table d. Picks up cheerios using a pincer grasp
a. Looks for the toy parents hid under the blanket.
The nurse is doing a routine assessment on a 3-month-old child and notes that the posterior fontanel is closed. This should be interpreted as which of the following? a. Normal finding b. Abnormal finding - indicates need for immediate referral to practitioner c. Abnormal finding - indicates need for neurological assessment d. Questionable finding - indicates child should be checked in 1 month
a. Normal finding
The student nurse is reviewing infections and skin integrity for the NCLEX. The student nurse remembers that complications of cellulitis include: a. Osteomyelitis b. Headache and malaise c. Pitting edema d. Fever and chills
a. Osteomyelitis
A four month-old child with a congenital heart defect has a hypercyanotic spell, the nurse's priority action should be (which should be done first)? a. Put child in a knee-chest position b. Administer oxygen c. Administer Morphine d. Notify the child's primary physician
a. Put child in a knee-chest position
The clinic nurse is assessing a child with a suspected urinary tract infection. The nurse explains to the parent that the most important factor influencing the development of urinary tract infections is: a. Urinary stasis b. Bedwetting c. Structural abnormalities d. Poor hygiene
a. Urinary stasis
While caring for a child immobilized due to traction, the nurse recognizes that physiologic effects of immobilization on children include: Select all that apply: a. Venous stasis b. Increased respiratory depth c. Muscle hypertrophy d. Decreased metabolic rate
a. Venous stasis d. Decreased metabolic rate
The nurse is conducting discharge teaching with the parent of a 5-year-old with Nephrotic Syndrome. Which of the following statements by the parent would indicate understanding of your teaching? a. "My child needs to stay home from school for at least 1 more month." b. "I need to recognize symptoms in case my child gets sick like this again." c. "I should not add salt to any of my child's meals for one more week." d. "My child will be on antibiotics for at least 2 weeks."
b. "I need to recognize symptoms in case my child gets sick like this again."
While reviewing appendicitis, the nurse understands that the sequence of symptoms signifying a ruptured appendix is: 1. Pain at McBurney's point 2. Vomiting, diarrhea, and fever 3. Onset of periumbilical pain 4. Sudden relief of pain then increased pain a. 3, 4, 2, 1 b. 3, 1, 2, 4 c. 2, 1, 3, 4 d. 2, 3, 4, 1
b. 3, 1, 2, 4 3. Onset of periumbilical pain 1. Pain at McBurney's point 2. Vomiting, diarrhea, and fever 4. Sudden relief of pain then increased pain
While presenting an in-service on pediatric cognitive development the nurse should explain that which of the following is characteristic of the formal (concrete) operational stage? a. Progression from reflex activity to imitation b. Ability to recognize that a change in shape of an object doesn't change its total mass c. Increasing use of language without understanding the meaning of the words d. Manipulate abstract concepts logically
b. Ability to recognize that a change in shape of an object doesn't change its total mass (object permanence)
The nurse is preparing to ambulate a 7 year-old child who has had an appendectomy with an abdominal incision. In order to have maximum cooperation from the child, prior to ambulating it is important that the nurse: a. Offer the child their favorite fluid b. Administer prescribed analgesics c. Ask the child if they would like to take a walk d. Auscultate for bowel sounds
b. Administer prescribed analgesics
A young girl has just injured her ankle during physical education class. The most appropriate, immediate action by the school nurse is? a. Apply a warm, moist pack to the ankle b. Apply ice to the ankle c. Apply elastic wrap and allow the student to return to class d. Lower the extremity to below the level of the heart
b. Apply ice to the ankle
A child with a subdural hematoma is being admitted to the pediatric intensive care unit. The nurse recognizes that a subdural hematoma is bleeding between the: a. Skull and brain b. Meninges and brain c. Dura mater and brain d. Dura mater and skull
c. Dura mater and brain
The RN is preparing a four-year old child for surgery. Which intervention best demonstrates the RN understands the needs of the preschooler during hospitalization: a. Pulling the curtain while the child changes into a hospital gown to provide the child privacy. b. Asking the child, "Do you want to wear green or blue hospital socks?" c. Insist the child lay in the hospital bed instead of sitting on mom's lap. d. Explaining to the child that surgery will involve just "a small cut in the belly while you are asleep."
b. Asking the child, "Do you want to wear green or blue hospital socks?"
While preparing medication to give to a 4 year-old child, the nurse recognizes a priority safety concern is: a. Explaining the medication to the parents b. Calculating and administering safe doses c. Determining which fluid to give with the medication d. Crushing pills for children under 7 years of age
b. Calculating and administering safe doses
The nurse is reviewing opioid medications and remembers that a significant, common side effect that occurs with opioid administration is: a. Allergic reaction b. Constipation c. Euphoria d. Diuresis
b. Constipation
When assessing perfusion on a 6 month-old infant admitted to the pediatric unit, the nurse understands that perfusion: a. Reflects the child's heart rate during activities b. Depends on a functioning respiratory and cardiac system c. Presents problems primarily in children with chronic disorders d. Is accomplished by pulmonary ventilation
b. Depends on a functioning respiratory and cardiac system
When reviewing pharmacokinetics of a medication, the nurse expects to review how a medication is: Select one or more: a. Digested b. Eliminated c. Absorbed d. Metabolized
b. Eliminated c. Absorbed d. Metabolized
The nurse is preparing a 2 year-old for chemotherapy. The mother is upset that the child was sick with nausea and vomiting after the previous chemotherapy. The appropriate nursing intervention would be to: a. Keep the child NPO for 2 hours b. Give antiemetics at the start of the treatment and on a fixed schedule c. Administer IV fluids for 4 hours d. Offer fluids frequently to combat dehydration
b. Give antiemetics at the start of the treatment and on a fixed schedule
The nurse is explaining hyperlipidemia to the parents of an obese child. The nurse explains that cholesterol is transported from the bloodstream to the liver by: a. Low-density lipoproteins b. High-density lipoproteins c. Triglycerides d. Phospholipids
b. High-density lipoproteins
While reviewing pediatric fractures for the NCLEX, the student nurse remembers that: a. Healing occurs faster in older children b. Pliable bones of growing children are less dense than those of adults c. Periosteum of a child's bone is thicker, weaker with less osteogenic potential d. Fractures rarely occur at the growth plate
b. Pliable bones of growing children are less dense than those of adults
The nurse is discussing Nephrotic Syndrome with the parents of a 2 year-old child with Nephrotic Syndrome. The nurse explains that the cause of the frothy urine is: a. Presence of urobilinogen b. Protein in the urine c. Slough from the collecting tubules d. Presence of red blood cells
b. Protein in the urine
The clinic nurse is explaining the difference between a sprain and a strain to the parents of a child who is being seen for an ankle injury. The nurse explains that a sprain is a: a. Muscle injury due to overuse b. Stretch or tear of a ligament c. Weakness in tendon attachment d. Problem before the growth plate closes
b. Stretch or tear of a ligament
When reviewing pharmacodynamics of a medication, the nurse expects to review: a. Organs involved in elimination of the drug b. The drugs mechanism of action c. How the drug is absorbed d. The most effective route for administration
b. The drugs mechanism of action
While reviewing the pathophysiology of Nephrotic Syndrome the student nurse understands that Nephrotic Syndrome is: a. Infarction of renal vessels b. The increased glomerular permeability to albumin c. The sudden onset of hematuria d. An immune complex formation and glomerular disposition
b. The increased glomerular permeability to albumin
During the assessment of a 3 year-old child admitted with Kawasaki Disease, the nurse notes bilateral conjunctivitis, thick nasal discharge, a strawberry tongue, and dry, cracked lips. The nurse recognizes all findings as related to Kawasaki Disease except: a. Dry, cracked lips b. Thick nasal discharge c. Bilateral conjunctivitis d. Strawberry tongue
b. Thick nasal discharge
While reviewing the top 10 leading causes of death the student nurse understands that the number one cause of death in the pediatric population 1 year and older is: a. Congenital anomalies b. Unintentional injuries c. Homicide d. Respiratory infections
b. Unintentional injuries
The nurse is reviewing discharge instructions with the parents of a 5 year-old admitted with periorbital cellulitis. Which statement by the parents indicates they require further explanation of the discharge instructions? a. "Warm compresses should be applied according to the physician's directions" b. "We need to continue giving her the prescribed antibiotics" c. "We should continue her low-calorie diet" d. "We should schedule a follow-up visit"
c. "We should continue her low-calorie diet"
After teaching the mother of a young girl about measures to help prevent urinary tract infections, which of the following statements by the mother indicates successful teaching? a. "We'll let her soak in the bathtub for 30 minutes every day" b. "She'll love the idea of taking more bubble baths" c. "We'll buy some of her favorite juice so she'll drink more" d. "We'll try to get her not to go to the bathroom too frequently"
c. "We'll buy some of her favorite juice so she'll drink more"
The nurse is receiving morning shift report on the four children she will be caring for today. The nurse determines that the child she should assess first is: a. A 3 year-old with Kawasaki disease admitted yesterday for IVIG infusion b. A 15 month-old post-op VSD repair scheduled for discharge tomorrow c. A 2 year-old with two hypercyanotic spells during the night shift d. A 5 year-old admitted two days ago for treatment of heart failure
c. A 2 year-old with two hypercyanotic spells during the night shift
The nurse is explaining the neurological assessment to the parents of a 4 year-old child admitted with a severe concussion. The nurse explains that the Glasgow Coma Scale score is an assessment of the child's: a. Motor skills and verbal development b. Pupil reactivity and motor response c. Eye opening, motor responses and verbal responses d. Brainstem function and language development
c. Eye opening, motor responses and verbal responses
The nurse is reviewing the pain assessment on a 7 month-old infant. The nurse recognizes that components of the FLACC scale include: Select one or more: a. Activity b. Color c. Facial expression d. Leg position
c. Facial expression d. Leg position
Parents bring their 2 year-old child to the clinic with a history of vomiting twice during the past 12 hours. The child is alert, has normal skin turgor and capillary refill, and the vital signs are within normal range. The nurse would instruct the parents to: a. Bring the child back to the clinic if the temperature is over 99 degrees b. Bring the child to the local emergency department to be admitted c. Give the child frequent, small amounts of liquids d. Allow the child to eat a regular diet
c. Give the child frequent, small amounts of liquids
The cardiologist is planning on meeting with the parents of a 3 month-old child to discuss the plan to medically close the child's Patent Ductus Arteriosus. Which medication should the nurse have information on for the parents? a. Digoxin b. Amiodarone c. Indomethacin d. Prostaglandin
c. Indomethacin
The nurse is planning care for a 14 year-old child admitted with bacterial meningitis. Which of the following should be included in the plan of care? a. Have child move head from side to side every 2 hours b. Measure head circumference to assess developing complications c. Keep environmental stimuli to a minimum d. Avoid giving pain medications that could dull sensorium
c. Keep environmental stimuli to a minimum
The nurse is assessing a child who was just admitted to the pediatric unit for observation after a head injury. Which of the following is the most essential part of the nursing assessment to detect early signs of a worsening condition? a. Posturing b. Vital signs c. Level of consciousness d. Focal neurological signs
c. Level of consciousness
A child with increased intracranial pressure is scheduled for surgical placement of a ventriculoperitoneal shunt. Which of the following interventions should the nurse include in the child's routine postoperative care? a. Lower body temperature quickly, if a fever b. Allow the child out of bed when awake and alert c. Maintain head in a neutral position d. Resume regular feeding schedule when awake
c. Maintain head in a neutral position
The nurse is discussing pain management with the parents of a child with chronic pain. The nurse explains that management will include interdisciplinary care to promote: a. Fewer behavioral problems b. Medication compliance c. Maximum functioning d. Eliminating the pain
c. Maximum functioning
While discussing neurological development with the parents of 4 month-old infant, the nurse explains to the parents that: a. The skull expands up until puberty b. Newborn reflexes disappear by 2 months of age c. Newborn reflexes are due to incomplete myelination d. The nervous system is fully developed at birth
c. Newborn reflexes are due to incomplete myelination
The nurse is preparing to do a physical assessment on a 2 year-old child at a local clinic. The approach most likely to gain the child's cooperation and enable an accurate assessment is: a. Explain in simple terms what you are doing b. Give the child a gown to wear c. Offer to let the child inspect the stethoscope d. Insist the child sit on the examining table
c. Offer to let the child inspect the stethoscope
The nurse is assessing for ischemia in a child with a fractured tibia. Which of the following findings requires notifying the physician? a. Pulses b. Posturing c. Paresthesia d. Petaling
c. Paresthesia
When reviewing heart failure in the pediatric population, the nurse understands that right sided heart failure in children is often seen as: a. Increased left atrial pressure b. Decreased work of breathing c. Peripheral edema d. Pulmonary edema
c. Peripheral edema
The nurse is discussing Glomerulonephritis (AGN) with the parents of a 2 year-old child with AGN. The nurse explains that the cause of the smoky, brown-colored urine is: a. Slough from the collecting tubules b. Presence of urobilinogen c. Presence of red blood cells d. Protein in the urine
c. Presence of red blood cells
While orienting newly hired nursing aides on a rehabilitation unit, the nurse explains that the major goals of therapy for children with cerebral palsy include: a. Prevent spread to individuals in close contact with the child b. Reverse degenerative processes that have occurred c. Recognize the disorder early and promote optimum development d. Cure underlying defect causing the disorder
c. Recognize the disorder early and promote optimum development
The nurse is caring for a toddler who was just diagnosed with Duchenne Muscular Dystrophy. Which of the following should the nurse include in her discussion with the young parents? a. Explain this is a non-progressive disorder b. Suggest ways for the child to limit use of his muscles c. Recommend genetic counseling if they are considering having other children d. Assist the family in finding a nursing facility to provide the child's care
c. Recommend genetic counseling if they are considering having other children
The nurse is admitting a child with diarrhea and vomiting. The nurse notes that the child is lethargic with hyperpnea, an extremely rapid pulse and sunken eyes. The nurse recognizes these as signs of: a. Mild dehydration b. Moderate dehydration c. Severe dehydration d. Hypovolemic shock
c. Severe dehydration
The nurse is planning an assessment on a child just admitted to the pediatric unit for a skin infection. The nurse could assess all of the following information under general appearance except: a. Coordination b. Fine motor skills c. Skin temperature d. Parent/child bonding
c. Skin temperature
A 2 year-old starts to have a seizure while in a crib in the hospital. The child's teeth are clamped shut. The most important nursing action at this time is to: a. Restrain the child to prevent injury b. Prepare the suction equipment c. Stay with the child and observe his respiratory status d. Place a padded tongue blade between the child's teeth
c. Stay with the child and observe his respiratory status
The new graduate nurse is admitting an 11 month-old child with a fractured femur to the pediatric unit. The nurse understands that this is: a. Seen in physically active families b. A common fracture for children who walk early c. Difficult fracture to heal d. A possible sign of child abuse
d. A possible sign of child abuse
While planning the care of a child admitted with a head injury following a motor vehicle accident, an appropriate nursing intervention to include would be which of the following? a. Monitor fluid intake and output carefully to maintain a positive fluid balance b. Give tepid sponge baths to reduce fever, since antipyretics are contraindicated c. Elevate the HOB to a minimum of 45 degrees d. Administer medications to provide comfort and pain relief
d. Administer medications to provide comfort and pain relief
During a well-child visit, a parent expresses concern that his 2 year old child is not getting the proper nutrition because the child does not eat much at mealtime. The nurse should explain how toddlers: a. Self-regulate their intake b. Don't need a nutritious diet at this age c. Would rather play with their food d. Are often too busy to eat much at meals
d. Are often too busy to eat much at meals-- busy little tots (physiologic anorexia)
The nurse is presenting an in-service on pain management to a group of new graduates. The nurse explains that the most accurate tool for assessment of pain in infants on the pediatric unit is: a. parental report b. Self-report c. Physiologic d. Behavioral
d. Behavioral
When reviewing lab work on a child recently diagnosed with leukemia the nurse recognizes that the term reflecting the number of immature white blood cells is: a. Basophils b. Monocytes c. Neutrophils d. Blast cells
d. Blast cells
While caring for a child during the recovery/management phase of burn treatment, the nurse recognizes the most common complication seen in children is: a. Metabolic acidosis b. Asphyxia c. Shock d. Burn wound infection
d. Burn wound infection
While reviewing for the NCLEX the student nurse remembers that Duchenne Muscular Dystrophy is: a. Diagnosed in later childhood during the growth spurt b. Characterized by muscle hypertrophy c. Inherited as an autosomal dominant disorder d. Characterized by mildly delayed infant milestones
d. Characterized by mildly delayed infant milestones
When developing a plan of care for a 14 year-old child with external skin traction the nurse should include which of the following? a. Allow the child to determine a position of comfort b. Remove the traction device for a pain level > 9 c. Allow the child to sit up in the med for meals d. Check the traction weight and pulleys for proper position
d. Check the traction weight and pulleys for proper position
While assessing a child admitted with Tetralogy of Fallot, the nurse notes clubbing of the child's fingers. The nurse understands that the cause of clubbing is usually due to: a. Chronic low doses of Digoxin b. Chronic activity intolerance c. Chronic low doses of Lasix d. Chronic hypoxemia
d. Chronic hypoxemia
The nurse is reviewing a nursing care plan for a 7 year-old child admitted with a vaso-occlusive crisis. Which of the following nursing interventions should receive priority attention? a. Blood replacement with adult hemoglobin b. Subcutaneous administration of heparin c. Intramuscular administration of Demerol d. Fluid replacement with oral and IV fluids
d. Fluid replacement with oral and IV fluids
The nurse is discussing Rheumatic Heart Disease with the parents of a child in the clinic. The nurse explains that rheumatic heart disease usually occurs: a. Among un-immunized children b. As a sequelae to a viral upper respiratory illness c. In children attending day care d. Following a Group A beta-hemolytic strep infection
d. Following a Group A beta-hemolytic strep infection--often follows StrepA
While reading the history on a child being admitted to the pediatric unit, the nurse notes that the seizures involve both hemispheres of the brain. The nurse understands that the child experiences which of the following type of seizures? a. Absence b. Acquired c. Complex partial d. Generalized
d. Generalized
When reviewing sickle cell anemia, the student nurse remembers that children with sickle cell anemia are usually asymptomatic for the first 4-6 months of life due to: a. Increased production of HgS b. Symptoms become noticeable when the child becomes mobile c. Children younger than 6 months are less prone to dehydration d. High levels of fetal hemoglobin
d. High levels of fetal hemoglobin
When assessing the musculoskeletal system on a newborn infant the nurse notes that the newborn is sleeping prone with his legs in a "frog leg" position. The nurse recognizes this as: a. Normal muscle tone for a newborn b. Immature muscle development c. Indicative of hyperthyroidism d. Hypotonia
d. Hypotonia
The nurse is discussing growth and development with a group of new parents. The nurse explains that the child's physical development during the second year occurs primarily: a. Proximal to distal b. In muscle size c. Cephalocaudal d. In length of legs
d. In length of legs
The clinic nurse is assessing a 1 year-old diagnosed with iron deficiency anemia. The nurse explains to the parent that iron deficiency anemia in this age group is most often caused by: a. Increased intestinal absorption b. End of the growth spurt c. High formula intake d. Inadequate iron intake
d. Inadequate iron intake
When performing discharge teaching with a father and his preschooler who sustained partial thickness burns on his hands as a result of touching a hot pan, the nurse should: a. Delay the teaching until both parents are present b. Go into the hallway with the parent to do the teaching c. Be sure the child has learned a lesson and won't repeat the action d. Include the child in the teaching process
d. Include the child in the teaching process
The nurse is assigned to a child being admitted for a sickle-cell crisis. The nurse remembers that the pain of a sickle-cell crisis is due primarily to: a. Functional asplenia b. Decreased RBC destruction c. Increased RBC production d. Local hypoxia and tissue ischemia
d. Local hypoxia and tissue ischemia
The nurse is explaining cerebral palsy to a group of parents. The nurse determines that the parents understand the term cerebral palsy when they describe it as a term applied to impaired movement resulting from: a. Inflammatory brain disease caused by metabolic imbalance b. Inherited malformed blood vessels in the ventricles c. Injury to the cerebrum caused by a viral infection d. Non-progressive brain damage in developing brain
d. Non-progressive brain damage in developing brain
The RN is reviewing non-pharmacologic pain management with a group of nursing students and explains that non-pharmacologic pain management includes all of the following except: a. Parental presence b. Relaxation c. Distraction d. Nutritive sucking
d. Nutritive sucking
The father of a 5 year-old child asks for ideas to get his child to take a medication that she is refusing. Which of the following should the nurse suggest the father try? a. Tell the child the medicine will make her feel better b. Have the father take the medication first c. Reassure the child the medicine does not taste bad d. Offer to give the child's favorite drink after she takes the medicine
d. Offer to give the child's favorite drink after she takes the medicine
A 2 year-old child with diarrhea and moderate dehydration is being admitted to the pediatric unit. The nurse should plan to begin therapeutic management with which of the following? a. Parenteral fluids b. BRAT diet c. The child's favorite fluid d. Oral rehydration fluids
d. Oral rehydration fluids
While discussing the progression of play with a group of parents, the nurse describes the play that is typical of an toddler as: a. Solitary b. Associative c. Competitive d. Parallel
d. Parallel
While assessing a 4 year-old child scheduled to receive Digoxin for heart failure, the nurse notes that the child has an apical heart rate of 68. The mother reports that the child was vomiting earlier. The nurse should: a. Give the medication with only a sip of water b. Ask if the child is still nauseous before giving the medication c. Give half the dose and make a note that the pulse is lower than normal d. Recognize these are possible signs of toxicity and withhold the medication
d. Recognize these are possible signs of toxicity and withhold the medication
When assessing a 11 year-old child with cellulitis of the right leg, which finding should the nurse expect to observe? a. Cold, red skin that is not painful to touch b. Small, localized blackened area of skin c. Painful skin that is swollen and pale in color d. Red, swollen skin with inflammation spreading to surrounding tissue
d. Red, swollen skin with inflammation spreading to surrounding tissue
The student nurse is assessing the vital signs on a 7 month-old child who is crying while being held by the mother. The student nurse recognizes that the blood pressure is high for the child's age. The next step the student nurse should take is: a. Report the blood pressure to the instructor b. Repeat the blood pressure with the child in the crib c. Repeat the blood pressure on the other leg d. Repeat the blood pressure when the child is quiet
d. Repeat the blood pressure when the child is quiet
A 16 year-old high school student gets tackled and bangs the back of his head on the ground during football practice. Knowing that the student suffered a mild concussion the previous week, the school nurse suspects that the student may experience: a. Post concussion syndrome b. Migraines c. A severe traumatic brain injury d. Second-injury syndrome
d. Second-injury syndrome
While discussing pain scales with a student nurse the RN explains that an important consideration when using the FACES pain rating scale with children is that the: a. children color the face with the color they choose to best describe their pain b. scale is not appropriate for use with adolescents c. scale can be used with most children as young as 3 years d. FACES scale is useful in pain assessment but not as reliable as physiologic indicators
not D? (self-report, ages 4-12 so A? book says as young as 3yo c. scale can be used with most children as young as 3 years
