whaaaaaaattttt

The nurse is reviewing the following ABGs pH 7.33, HCO3 16, PaO2 96, PaCO2 35, what is it A. metabolic acidosis B. respiratory acidosis C. metabolic alkalosis D. respiratory alkalosis

A. metabolic acidosis

A nurse would expect a 4 month old to be able to A. sit alone B. attempt to roll over C. begin to crawl D. pull up to stand

B. attempt to roll over

which is most characteristic of relationship between school age children and their family? A. children desire to equal spend time w/ family & peers B. children are prepared to reject parental ctrl C. group replaces the fam as primary influence D. children need & want restrictions placed on their behavior by family

D. children need & want restrictions placed on their behavior by family

A nurse is assessing a child who is receiving IV chemotherapy. Assessment findings include extravasation of the tissues surrounding the IV insertion site. In which order should the nurse take the following actions? Notify the provider Remove the IV line Stop the infusion Elevate the extremity

Stop the infusion Elevate the extremity Notify the provider Remove the IV line

A child is brought to the emergency department after experiencing a seizure at school. There is no previoushistory of seizures. The father tells the nurse that he cannot believe the child has epilepsy. The nurses best response is: a. Epilepsy is easily treated. b. Very few children have actual epilepsy. c. The seizure may or may not mean that your child has epilepsy. d. Your child has had only one convulsion; it probably wont happen again

c. The seizure may or may not mean that your child has epilepsy.

A nurse is assessing an infant who has untreated congenital hypothyroidism. Which of the following manifestations should the nurse expect? A. constipation B. hyperreflexia C. oily skin D. hyperthermia

A. constipation

The nurse is caring for a child who sustained a head injury from a fall, and prioritizes the following interventions SATA A. elevate the HOB B. perform frequent neuro checks C. encourage cough & deep breath D. place the child in a flat position during sleep E. administer IV fluids at 2x maintenance

A. elevate the HOB B. perform frequent neuro checks

A nurse is caring for an adolescent who has sickle cell anemia. Which of the following manifestations is/are the result of chronic vaso-occlusive phenomena? (select all that apply) A. enlarged heart B. enuresis C. leg ulcers D. extrahepatic cholestasis E. retinal detachment

A. enlarged heart B. enuresis C. leg ulcers E. retinal detachment

A child has a fever, photophobia, Koplik spots, and a red maculopapular rash. The nurse suspects which infectious disease? A. measles B. mumps C. whooping cough D. varicella

A. measles

Child w/ congenital heart disease receiving supplemental oxygen. The nurse understands that in addition to improving O2 sat, oxygen also does what? A. pulmonary vasodilation B. increased pulmonary vascular resistance C. promotes diuresis D. mobilizes secretions

A. pulmonary vasodilation

What information would be included in the parent teaching plan for an infant w/ heart failure? A. encourage larger, less frequent feedings B. begin formula w/ increased calories C. maintain the infant in the supine position D. administer digoxin even if the infant is vomiting

B. begin formula w/ increased calories

When providing care for an infant receiving phototherapy for hyperbilirubinemia, which interventions are indicated? A. feed the infant every 2 - 3 hrs B. count the infant's wet diapers and stools C. check the infant's auxillary temp evert 2-3 hrs D. dress the infant in an undershirt and pants E. cover the infant's eyes and genitals

B. count the infant's wet diapers and stools C. check the infant's auxillary temp evert 2-3 hrs E. cover the infant's eyes and genitals

A nurse is planning care for a preschooler who is immediately postoperative following the placement of a ventriculoperitoneal shunt. Which of the following interventions should the nurse include in the plan? A. monitor the preschooler's pupils every 8 hrs B. lay the preschooler on the nonoperative side C. keep the head of the bed elevated to 30 degrees D. check bowel sounds once per day

B. lay the preschooler on the nonoperative side

A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling, and the nurse notes that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? (select all that apply) A. bradycardia B. nausea C. hypertension D. urticaria E. stridor

B. nausea D. urticaria E. stridor

The nurse knows that the most important nursing intervention immediately following post-operative placement of a centriculperitoneal shunt? A. place the child in reverse trendelenberg position B. place the child on non-operative side C. keep child in sitting position to assist drainage D. pump the shunt intermittently for 8 hrs

B. place the child on non-operative side

Which of the following statements regarding infectious diseases and vaccinations is correct? A. tetanus causes high fever and a characteristic rash B. poliomyelitis is an infection that has been eradicated in the US C. the pneumococcal vaccine prevents an infection that can close the upper airway D. the flu vax can be given to infants older than 1 month of age

B. poliomyelitis is an infection that has been eradicated in the US

Fear of punishment is one of the greatest threats to seriously ill children of what age group? A. toddlers B. preschoolers C. school age children D. adolescents

B. preschoolers

A nurse is caring for a newborn with congenital heart disease (CHD). Which assessment finding indicates the newborn is in distress? A. reduced respiratory rate during feeding B. subcostal retractions at the time of feeding C. fussiness and crying after feeding D. feeding lasting for 15-20 minutes

B. subcostal retractions at the time of feeding

The common symptoms of brain tumors in children are which of the following? A. ataxia and alopecia B. seizures & decreased appetite C. headache and vomiting D. fever & and poor fine motor skills

C

explain to parents that FLACC scale estimates level of pain using A. vital signs B. parents perceptions C. behavioral & physical responses D. numeric scale 0-5

C. behavioral & physical responses

the most effective therapeutic modalities in treating lead poisoning are: A. chemotherapy, developmental stimulation & psychological counseling B. nutrition, anticonvulsants, lead removal from the body C. chelation, radiation and removal of lead sources from envl D. nutrition, chelation, and envl assessment & intervention

C. chelation, radiation and removal of lead sources from envl

A nurse is teaching the guardian of a school age child who has diabetes mellitus how to recognize diabetic ketoacidosis (DKA) Which of the following findings should the nurse identify as a manifestation of this complication? A. slow heart rate B. protruding eyeballs C. deep, rapid respirations D. decreased urinary output

C. deep, rapid respirations

Diabetic ketoacidosis in children w/ type 1 diabetes: A. is the most common chronic complication B. is a result of too much insulin C. is a life-threatening complication D. rarely requires hospitalization

C. is a life-threatening complication

A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan? A. apply cold compresses to the child's extremities B. administer meperidine every 4 hr until the crisis has resolved C. maintain the child on bed rest D. decrease the child's fluid intake for 8 hr

C. maintain the child on bed rest

A toddler is being admitted to the hospital w/ a diagnosis of bacterial meningitis. Select the best room assignment for the patient. A. a semiprivate room with a roommate who also has bacterial meningitis B. semiprivate room w/ a roommate who has bacterial meningitis but has received IV abx for 24 hrs C. private room that is dark & quiet w/ minimal distractions D. private room that is bright and colorful w/ developmentally appropriate activities

C. private room that is dark & quiet w/ minimal distractions

a child is having a seizure that lasts 30 minutes or more. This seizure is most characteristic of which of the following? A. absence seizure B. partial seizure C. status epilepticus D. atonic seizure

C. status epilepticus

A nurse on a pediatric oncology unit is helping the parents of a child who is terminally ill to prepare for the impending loss of their child. Which of the following statements should the nurse make? A. the nursing staff will bathe your child and take care of his daily needs B. your child will be most comfortable in a low-stimulation environment C. would you like assistance in planning where your child will die? D. would you like hospice to continue providing curative care in your home?

C. would you like assistance in planning where your child will die?

What is the appropriate nursing intervention when caring for an infant with with an upper respiratory tract infection and elevated temperature? A. give tepid water baths to reduce fever B. encourage food intake to maintain caloric needs C. have child wear heavy clothing to prevent chilling D. give small amounts of favorite fluids frequently to prevent dehydration

D. give small amounts of favorite fluids frequently to prevent dehydration

the nurse is speaking to the mother of an adolescent recently diagnosed with type 1 diabetes mellitus. the mother asks the nurse how her son's basketball training will affect his blood sugar. Which is the best response by the nurse? A. you son will need to make sure his blood sugar is under ctrl for at least 6 months prior to resuming training B. your son will need to check his blood sugar prior to training, over 300 is fine to exercise C. exercising will increase blood sugar so check his blood sugar every 15 minutes during training D. when exercising, your son should add an extra snack containing 15 - 30 g of carbs for each 45 to 60 min of exercise

D. when exercising, your son should add an extra snack containing 15 - 30 g of carbs for each 45 to 60 min of exercise

glycosolated hemoglobin is Fn

HgbA1c - ctrl of diabetes

A client begins to experience a tonic-clonic seizure. The nurse takes which of the following actions? A. restrain the client B. turn the client to the side C. maintain the client's airway D. place a padded tongue blade into mouth E. loosen restrictive clothing the client is wearing F. protect the client from injury and guide movements

B. turn the client to the side C. maintain the client's airway E. loosen restrictive clothing the client is wearing F. protect the client from injury and guide movements

A child is bleeding and in hypovolemic shock. What indicates the child is compensating for blood loss? A. tachycardia B. hypotension C. bradypnea D. cyanosis

A. tachycardia

Pancreatic enzymes are administered to the child with CF. Nursing considerations should include the following? A. do not administer pancreatic enzymes if child is receiving antibiotics B. the amount of pancreatic enzymes given is based on the number of stools the child has per day C. administer pancreatic enzymes before meals and snacks D. pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal

B. the amount of pancreatic enzymes given is based on the number of stools the child has per day D. pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal

As the pediatric charge nurse, you are working w/ a newly grduated RN who has been on orientation on the unit for 2 months. Which pt would you assign to new RN? A. 2 yr old w/ VSD whom is showing symptoms of digoxin toxicity B. 5 yr old w/ pulmonary banding and has just been transferred in from the PICU C. 10 yr old w/ endocarditis whose parents need teaching about IV abx administration and PICC line care D. 12 yr old w/ heart transplant who was admitted w/ low grade fever tachycardia

A. 2 yr old w/ VSD whom is showing symptoms of digoxin toxicity

A hospice nurse is conducting a support group for parents of toddlers who have a terminal illness. Which of the following pieces of information should the nurse include in the teaching? A. toddlers will react to the parent's anxiety and sadness B. toddlers view death as punishment for bad behavior C. toddlers view death as permanent and irreversible D. toddlers have a realistic concept of death

A. toddlers will react to the parent's anxiety and sadness preschoolers see death as a punishment, not toddlers

In caring for a child w/ nephrotic syndrome, which intervention will be included in the child's plan of care? A. weighing on the same scale B. ambulating 3 - 4 times a day C. increasing fluid intake by 50 mL/hr D. testing the urine for glucose levels regularly

A. weighing on the same scale

A school-age child is admitted in vasoocclusive sickle cell crisis (pain episode). The childs priority care should include which therapeutic interventions? A. correction of metabolic acidosis B. hydration and pain management C. pain management and administration of heparin subcutaneously D. oxygenation and administration of factor VIII infusion

B. hydration and pain management

Which of the following is an important nursing consideration when caring for an infant with non-organic failure to thrive? A. allow many caregivers to feed the pt B. encourage the parent to room in to provide the child's care and praise their efforts when appropriate C. place in an infant seat during feedings to prevent overstimulation D. limit sensory stimulation and play activities to promote weight gain

B. encourage the parent to room in to provide the child's care and praise their efforts when appropriate

when caring for a child w/ anaphylaxis, most important action is A. counteract HTN B. facilitate breathing C. reverse sympathetic nervous system responses D. enhance action of histamine

B. facilitate breathing

The nurse is developing a teaching plan for an 11 year old to prevent obesity. Which is most important to include in plan? A. eliminating sugary drinks B. getting the family involved C. baking foods instead of frying them D. coordinating a meeting w/ a dietitian

B. getting the family involved

8 yr old boy needs industry A. child choose medication time B. give homework teacher sent C. allow child to assist w/ bath D. allow child to help w/ dressing change

B. give homework teacher sent

A school nurse is providing dietary teaching for an adolescent who has type 1 diabetes mellitus. Which of the following responses by the adolescent indicates an understanding of the teaching? (select all that apply) A. I should eat extra food on busy days when I am more active B. I should wait for 2 hr after eating before going swimming with my friends C. I should increase my intake of sugar free fluids when I am sick D. I should eat a snack 30 min before my baseball games start E. I should have a 16 oz sports drink if I start feeling weak or shaky

A. I should eat extra food on busy days when I am more active C. I should increase my intake of sugar free fluids when I am sick D. I should eat a snack 30 min before my baseball games start

Which of the following is an example of Erik Erikson's developmental task for infant? A. infant cries & caregiver picks child up B. infant cries when they have a wet diaper C. infant smiles as people walk past crib D. infant plays peek a boo

A. infant cries & caregiver picks child up

The nurse is caring for a 15 year old client with myelogenous leukemia whose platelet count is 26,000/mcl. Which nursing interventions would be included in the plan of care? A. instruct the client not to use a razor for shaving B. plan to infuse packed red blood cells C. encourage the client to eat foods high in iron D. assess the client for pain in the joints E. encourage vigorous exercise to improve muscle strength

A. instruct the client not to use a razor for shaving B. plan to infuse packed red blood cells D. assess the client for pain in the joints

A child is receiving chemotherapy for a diagnosis of acute lymphocytic leukemia (ALL). The nurse monitors the child for which of the following side effects? A. malaise B. alopecia C. priapism D. anorexia E. epitaxis

A. malaise B. alopecia D. anorexia

Which nursing diagnosis is most relevant in the first 12 hours of life for a neonate born with myelomeningocele? A. risk for infection B. constipation C. impaired physical mobility D. delayed growth & dev

A. risk for infection

Common long term complications that children with spina bifida cystica may face in their future includes: A. skin breakdown and poor growth B. malabsorption of nutrients and cognitive impairment C. constipation and impaired hearing D. musculoskeletal problems and renal dysfunction

A. skin breakdown and poor growth

When caring for a child w/ congenital heart defect, which assessment finding may be a sign the child is experiencing heart failure? A. tachycardia B. inability to sweat C. bradycardia D. splenomegaly

A. tachycardia

A nurse is providing teaching to a 12 year old client who is recovering from an acute episode of hemophilia A. Which of the following statements should the nurse include in the teaching? A. have your parent stretch and move your legs for you B. apply heat to joints that become painful, stiff, and swollen C. take aspirin at the first sign of a headache D. you will be able to participate in physical exercise

D. you will be able to participate in physical exercise passive ROM not done after a bleeding episode because rebleeding can happen. Active motion allows the child to tailor activity around pain level.