EAQ quiz #2/ plus other practice questions

The type of precautions necessary when caring for a toddler with varicella is: a. contact. b. protective. c. airborne infection. d. large droplet infection.

c. airborne infection.

A nurse is teaching a group of parents about communicable diseases. What information about chickenpox should the nurse include? "Chickenpox is communicable until the vesicles have dried." "As long as dry scabs remain, chickenpox is still communicable." "After the high fever has subsided, chickenpox is no longer communicable." "Chickenpox is no longer communicable when the vesicles are intact with a red areola."

"Chickenpox is communicable until the vesicles have dried." When all vesicles are dried, chickenpox is no longer transmissible; dried vesicles do not harbor the varicella virus. Dry scabs do not transmit the virus. Chickenpox is not associated with a high fever unless a bacterial complication, such as pneumonia, is present. Intact vesicles with a red areola are mature vesicles, which occur in successive crops; these vesicles contain the varicella virus.

While performing preoperative teaching a nurse explores a young adolescent's concern about changes in appearance after surgery to correct scoliosis. What is the most appropriate statement by the nurse? "After surgery your back will be much straighter." "You're concerned about how you'll look after surgery." "Many teenagers who have this type of surgery do very well." "Your parents think it's important for you to have this surgery."

"You're concerned about how you'll look after surgery."

Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. 1. Keep the cast clean and dry. 2. Allow the cast 24 to 72 hours to dry. 3. Keep the cast and extremity elevated. 4. Expect tingling and numbness in the extremity. 5. Use a hair dryer set on a warm to hot setting to dry the cast.

1. Keep the cast clean and dry. 2. Allow the cast 24 to 72 hours to dry. 3. Keep the cast and extremity elevated.

While reviewing the admission assessment the nurse finds that a 2-year-old child has not received immunization for measles, mumps, and rubella (MMR). At what age should the child have received this vaccine? 2 months 4 months 6 months 12 months

12 months

Which type of abuse is described as the failure to meet the basic needs of children by those persons responsible for their health and well-being? 1)Physical abuse 2)Physical neglect 3)Emotional abuse and neglect 4)Non assaultive abuse

2

What should the nurse assess prior to administering digoxin (Lanoxin)? 1. Sclera. 2. Apical pulse rate. 3. Cough. 4. Liver function test.

2. Apical pulse rate.

The nurse is assigned to care for a client in traction. The nurse prepares a plan of care for the client and includes which nursing action in the plan? 1. Ensure that the knots are at the pulleys. 2. Check the weights to ensure that they are off of the floor. 3. Ensure that the head of the bed is kept at a 45- to 90-degree angle. 4. Monitor the weights to ensure that they are resting on a firm surface.

2. Check the weights to ensure that they are off of the floor.

The nurse has conducted teaching with a client in an arm cast about the signs and symptoms of compartment syndrome. The nurse determines that the client understands the information if the client states that he or she should report which EARLY symptom of compartment syndrome? 1. Cold, bluish-colored fingers. 2. Numbness and tingling in the fingers. 3. Pain that increases when the arm is dependent. 4. Pain that is out of proportion to the severity of the fracture.

2. Numbness and tingling in the fingers.

The nurse is evaluating the pin sites of a client in skeletal traction. The nurse would be least concerned with which finding? 1. Inflammation 2. Serous drainage 3. Pain at a pin site 4. Purulent drainage

2. Serous drainage

The nurse is preparing a plan of care for a client in skin traction. The nurse should monitor for which priority finding in this client? 1. Urinary incontinence 2. Signs of skin breakdown 3. The presence of bowel sounds 4. Signs of infection around the pin sites

2. Signs of skin breakdown

The nurse is developing a plan of care for a client in Buck's traction. The plan of care should include assessing the client for which finding indicating a complication associated with the use of this type of traction? 1. Hypotension 2. Weak pedal pulses 3. Redness at the pin sites 4. Drainage at the pin sites

2. Weak pedal pulses

The mother asks the nurse about using a car seat for her toddler who is in a hip spica cast. The nurse should tell the mother: 1."You can use a seat belt because of the spica cast." 2."You will need a specially designed car seat for your toddler." 3."You can still use the car seat you already have." 4."You'll need to get a special release from the police so that a car seat won't be needed

2."You will need a specially designed car seat for your toddler."

Which form of abuse is least reported to authorities? 1)Elder abuse 2)Sexual abuse 3)Child sexual abuse 4)Child maltreatment

3

Infants less than 1 year of age who present with apnea, seizures, lethargy, respiratory difficulty, coma, or death should be suspected of: 1) Maltreatment. 2)Physical abuse. 3)Shaken baby syndrome. 4)Child neglect.

3)Shaken baby syndrome.

Which would the nurse expect to assess on a 3-week-old infant with developmental dysplasia of the hip (DDH)? Select all that apply. 1. Excessive hip abduction. 2. Femoral lengthening of an affected leg. 3. Asymmetry of gluteal and thigh folds. 4. Pain when lying prone. 5. Positive Ortolani test

3. Asymmetry of gluteal and thigh folds. 5. Positive Ortolani test

The nurse is assessing the casted extremity of a client. Which sign is indicative of infection? 1. Dependent edema. 2. Diminished distal pulse. 3. Presence of a "hot spot" on cast. 4. Coolness and pallor of the extremity.

3. Presence of a "hot spot" on cast.

A client has been placed in Buck's extension traction. The nurse can provide for countertraction to reduce shear and friction by performing which action? 1. Using a footboard 2. Providing an overhead trapeze 3. Slightly elevating the foot of the bed 4. Slightly elevating the head of the bed

3. Slightly elevating the foot of the bed

A nurse is caring for a child with congenital heart disease who is being treated with digoxin (Lanoxin). Which is included in the family's discharge teaching? 1. Make sure the medication is taken with food. 2. Repeat the dose if the child vomits. 3. Take the child's pulse prior to administration. 4. Weigh the child daily.

3. Take the child's pulse prior to administration.

The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be MOST concerned with which findings? 1. Redness around the pin sites. 2. Pain on palpation at the pin sites. 3. Thick, yellow drainage from pin sites. 4. Clear, watery drainage from pin sites.

3. Thick, yellow drainage from pin sites.

An infant is receiving digoxin (Lanoxin) for congestive heart failure. The baby's apical heart rate is assessed at 80 beats/minute. What intervention should the nurse implement? A. Call for a portable chest radiograph. B. Obtain a therapeutic drug level. C. Reassess the heart rate in 30 minutes. D. Administer digoxin immune Fab (Digibind) stat.

B. Obtain a therapeutic drug level.

What are the goals of treating abuse? 1)Maximize client's safety 2)Support the client 3)Empower the client to take control 4)All of the above

4

A 6-year-old child with sickle cell disease is admitted with a vaso-occlusive crisis (painful episode). What are the priority nursing concerns? Select all that apply. Nutrition Hydration Pain management Prevention of infection Oxygen supplementation

Hydration Pain management Oxygen supplementation

Which should the nurse stress to the parents of an infant in a Pavlik harness for treatment of developmental dysplasia of the hip (DDH)? 1. Put socks on over the foot pieces of the harness to help stabilize the harness. 2. Use lotions or powder on the skin to prevent rubbing of straps. 3. Remove harness during diaper changes for ease of cleaning diaper area. 4. Check under the straps at least two to three times daily for red areas.

4. Check under the straps at least two to three times daily for red areas.

Which statement by a parent of an infant with congestive heart failure (CHF) who is being sent home on digoxin (Lanoxin) indicates the need for further education? 1. "I will give the medication at regular 12-hour intervals." 2. "If he vomits, I will not give a make-up dose." 3. "If I miss a dose, I will not give an extra dose." 4. "I will mix the digoxin in some formula to make it taste better."

4. "I will mix the digoxin in some formula to make it taste better."

A client with a hip fracture asks the nurse why Buck's (extension) traction is being applied before surgery. The nurse provides a response based on which purpose of Buck's (extension) traction? 1. Allows bony healing to begin before surgery 2. Provides rigid immobilization of the fracture site 3. Lengthens the fractured leg to prevent severing of blood vessels 4. Provides comfort by reducing muscle spasms and provides fracture immobilization

4. Provides comfort by reducing muscle spasms and provides fracture immobilization

A client who has been taking high doses of acetylsalicylic acid (ASA, or aspirin) to relieve pain from osteoarthritis now has more generalized joint pain and an elevated temperature. The nurse should assess for which complication to determine whether the client has other signs of aspirin toxicity? 1. Diarrhea 2. Constipation 3. Double vision 4. Ringing in the ears

4. Ringing in the ears

A toddler with a history of enlarged lymph nodes, prolonged fever that is unresponsive to antibiotics, erythema of the extremities, and a rash is admitted to the pediatric unit with a diagnosis of Kawasaki disease. What does the nurse suspect was essential in confirming this diagnosis? An increased antistreptolysin O (ASO) titer A combination of signs A low-grade temperature An increased sedimentation rate

A combination of signs

Three days after the application of a spica cast a toddler has a temperature of 101.4° F (38.6° C). What clinical finding does the nurse anticipate? A foul odor from the cast An irregular respiratory pattern Itching around the top of the cast Complaints of tingling in the toes

A foul odor from the cast

A patient with a recent diagnosis of heart failure has been prescribed furosemide (Lasix) in an effort to physiologically do what for the patient? A. Reduce preload. B. Decrease afterload. C. Increase contractility. D. Promote vasodilation

A. Reduce preload.

John is a 6-year-old child scheduled for a cardiac catheterization. Preoperative teaching should be which of the following? a. Directed at his parents because he is too young to understand b. Adapted to his level of development so that he can understand c. Done several days before the procedure so he will be prepared d. Provide details about the actual procedures so he will know what to expect

ANS: B Preoperative teaching should always be directed to the child's stage of development. The caregivers also benefit from these explanations. The parents may ask additional questions, which should be answered, but the child needs to receive the information based on developmental level. This age-group will not understand in-depth descriptions. School-age children should be prepared close to the time of the cardiac catheterization.

A chest x-ray examination is ordered for a child with suspected cardiac problems. The child's parent asks the nurse, "What will the x-ray show about the heart?" The nurse's response should be based on knowledge that the x-ray film will do which of the following? a. Show bones of chest but not the heart b. Evaluate the vascular anatomy outside of the heart c. Show a graphic measure of electrical activity of the heart d. Provide information on heart size and pulmonary blood flow patterns

ANS: D Chest x-ray films provide information on the size of the heart and pulmonary blood flow patterns. The bones of the chest are visible on the chest x-ray film, but the heart and blood vessels are also seen. Magnetic resonance imaging is a noninvasive technique that allows for evaluation of vascular anatomy outside of the heart. A graphic measure of electrical activity of the heart is provided by electrocardiography.

The nurse is planning care for a preschooler with Kawasaki disease. Which intervention should the nurse plan to implement? Restricting fluids, especially fruit juices Ensuring bright lighting in the room during assessments Administering penicillin G benzathine (Bicillin) as prescribed Administering intravenous immune globulin (IVIG) as prescribed

Administering intravenous immune globulin (IVIG) as prescribed

A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. On assessment of the child, the nurse expects to note which clinical manifestation of the acute stage of the disease? a) cracked lips b) a normal appearance c) conjunctival hyperemia d) desquamation of the skin

Answer: C In the acute stage, the child has a fever, conjunctival hyperemia, red throat, swollen hands, rash, and enlargement of the cervical lymph nodes. In the subacute stage, cracking lips and fissures, desquamation of the skin on the tips of the fingers and toes, joint pain, cardiac manifestations, and thrombocytosis occur. In the convalescent stage, the child appears normal, but signs of inflammation may be present.

A client with a fracture is found to have compartment syndrome. Which interventions will be contraindicated? Select all that apply. Splitting the cast in half Applying cold compresses Reducing the traction weight Loosening the client's bandage Elevating the extremity above heart level

Applying cold compresses Elevating the extremity above heart level Compartment syndrome is a condition Cold compresses and elevating above the heart level are contraindicated for compartment syndrome. in which swelling and increased pressure within a limited space (a compartment) press on and compromise the function of blood vessels, nerves, and tendons that run through that compartment. compartment syndrome. Application of cold compresses could result in Elevating the extremity above heart level could lower vasoconstriction and exacerbate venous pressure and slow arterial perfusion. Splitting the cast in half decreases syndrome. Reducing traction weight is beneficial because it decreases pressure and is beneficial in treating compartment external circumferential pressure. Loosening the bandage is beneficial because it decreases pressure.

The nurse administers a second dose of inactivated polio vaccine (IPV) to a 4-month-old child. When does the child receive the third dose of IPV? At 6 months of age At 4 to 6 years of age At 8 to 9 years of age At 12 to 14 years of age

At 6 months of age

How should a nurse turn a 10-year-old child in a spica cast? By log-rolling the body as one unit By using the crossbar between the legs By asking the child to sit up when changing position By teaching the child how to assist by using the overhead trapeze

By log-rolling the body as one unit

A 2-year-old child who is hospitalized for repair of tetralogy of Fallot is seen squatting in the playroom. In response to this behavior, what should the nurse do? Administer oxygen through a mask. Call the respiratory therapist for a nebulizer treatment. Continue to observe the child if there are no other signs of distress. Notify the healthcare provide that the child's condition is deteriorating.

Continue to observe the child if there are no other signs of distress. Squatting is a physiologic adaptation for children with tetralogy of Fallot.

After assessing a 5-year-old child, the nurse suspects the child has mumps. Which symptoms present in the child may support the nurse's suspicion? Select all that apply. Skin rash Sore throat Fever (100° F-104° F [37.8°-40° C]) Difficulty swallowing Swelling of the parotid gland

Fever (100° F-104° F [37.8°-40° C]) Difficulty swallowing Swelling of the parotid gland

An appropriate intervention to provide comfort for a child itching from chickenpox is to: a. encourage frequent warm baths b. give acetaminophen (Tylenol) c. give an antipruritic medication such as diphenhydramine (Benadryl) d. apply a thick coat of Caladryl lotion over open lesions

c. give an antipruritic medication such as diphenhydramine (Benadryl)

The mother of an infant with a congenital heart defect who was admitted to the pediatric unit with heart failure asks why her baby must be weighed each morning. The nurse explains that the baby's treatment is based on changes in the daily weight. What complication can be prevented if treatment is successful? Renal failure Digitalis toxicity Fluid retention Protein malnutrition

Fluid retention

A nurse is teaching the parents of a toddler with a recent diagnosis of hemophilia about the disease. What area of the body should the nurse include as the most common site for bleeding? Brain Correct Joints Kidneys Abdomen

Correct Joints

An infant who has a congenital heart defect with left-to-right shunting of blood is admitted to the pediatric unit. What early sign of heart failure should the nurse identify? Cyanosis Restlessness Decreased heart rate Increased respiratory rate

D- Because the lungs are stressed by pulmonary edema, a quicker respiratory rate is the first and most reliable indicator of early heart failure in infants. Cyanosis is a late sign of heart failure; with early failure there is still adequate perfusion of blood. Infants with early heart failure do not move about; they become fatigued quickly, especially when feeding, because of a decrease of oxygen to body cells. The heart rate of an infant in early heart failure increases, not decreases, in an attempt to increase oxygen to body cells.

The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart failure (HF). The nurse would become concerned with the possibility of digitalis toxicity if the patient reported which symptom(s)? A. Muscle aches B. Constipation C. Pounding headache D. Anorexia and nausea

D. Anorexia and nausea

An infant with congenital heart disease is to be discharged with prescriptions for digoxin and furosemide. The nurse discusses the danger signs of digoxin toxicity with the parents. What danger sign requires a call to the healthcare provider? Difficulty feeding with vomiting Cyanosis during periods of crying Daily naps lasting more than 3 hours A pulse rate faster than 100 beats/min

Difficulty feeding with vomiting A- Vomiting and feeding issues are early signs of digoxin toxicity. Cyanosis is expected in a crying infant with heart disease because the energy expenditure exceeds the body's ability to meet the oxygen demand. Long naps are expected; infants routinely require several naps, and an infant with heart disease requires long rest periods. The pulse rate of an infant receiving digoxin should remain faster than 100 beats/min.

An 8-year-old child is being discharged after recovery from a sickle cell vaso-occlusive (painful crisis) episode. The nurse teaches the parents the do's and don'ts of the child's care. What statement by the parents satisfies the nurse that they understand the principles of care? Have the child schooled by a private tutor Restrict the child's fluid intake during the nigh Permit the child to play with just one peer at a time Encourage the child to engage in low-intensity activities

Encourage the child to engage in low-intensity activities

A 12-month-old infant has become immunosuppressed during a course of chemotherapy. What information regarding the measles, mumps, and rubella (MMR) vaccine should the nurse, preparing for the infant's discharge, give the parents? It should not be given until the infant reaches 2 years of age. Infants who are receiving chemotherapy should not be given these vaccines. It should be given to protect the infant from contracting any of these diseases. The parents should discuss this with their healthcare provider at the next visit.

Infants who are receiving chemotherapy should not be given these vaccines.

A school nurse is screening children for scoliosis. In what age group is it usually identified? Adolescence Preadolescence Early school years Middle school years

Middle school years

A 1-month-old infant with a ventricular septal defect (VSD) is examined in the cardiology clinic. What sign related to this disorder does the nurse expect to find when assessing this infant? Bradycardia at rest Activity-related cyanosis Bounding peripheral pulses Murmur at the left sternal border

Murmur at the left sternal border

A nurse is planning care for a child who is admitting with mumps. Which of following is appropriate action for nurse to take? a. initiate standard precautions b. initiate airborne precautions c. initiate droplet precautions d. initiate contact precautions

c. initiate droplet precautions

A newborn is diagnosed with a congenital heart defect (CHD). The test results reveal that the lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as _____________________. VSD PDA ASD

PDA

An infant with a congenital heart defect is returned to the unit after cardiac catheterization. The nurse manager is observing a nurse newly assigned to the unit. Which nursing intervention should the nurse manager interrupt? Offering fluids and foods as tolerated Performing range-of-motion exercises Monitoring the apical pulse for rate and rhythm Assessing the pulses distal to the catheterization site

Performing range-of-motion exercises

A 12-year-old child with sickle cell anemia is admitted during a vaso-occlusive crisis. What is the priority of care for this child? Relieving pain Exercising joints Increasing urine output Improving respirations

Relieving pain

A 14-year-old girl in whom scoliosis has been diagnosed undergoes spinal fusion. On the first postoperative day her face is red, she is rigid, and she is crying because she is in pain. She has prescriptions for morphine sulfate for severe pain and an acetaminophen-codeine compound for moderate pain. What information should influence the nurse's choice of analgesic? One dose of morphine may be given, but the drug should be restricted thereafter because it is addictive Adolescents tend to exaggerate their discomfort, particularly when they are immobilized by surgery or injury. Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective analgesic. The acetaminophen-codeine compound is preferred because morphine can cause respiratory depression or respiratory arrest.

Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective analgesic.

The parents of a 12-year-old child with juvenile idiopathic arthritis ask a nurse why their child is not receiving steroid therapy when it is so effective for adults with rheumatoid arthritis. Which reason that steroids are avoided at this time takes priority in the nurse's explanation? Steroids could affect growth Body image is adversely affected. Steroids could lead to flat emotions. Steroids have adverse effects on sexuality.

Steroids could affect growth

A 4-year-old child is found to have mucocutaneous lymph node syndrome (Kawasaki disease). The child is admitted to the pediatric unit, where the nurse performs an initial assessment. What clinical finding supports the diagnosis? Strawberry tongue Copious discharge from the eyes Insidious onset of low-grade fever Maculopapular rash on the extremities

Strawberry tongue The characteristic "strawberry tongue" is a result of sloughing of the normal coating of the tongue that leaves the papillae exposed. There is bilateral congestion of the ocular conjunctiva without an exudate. The fever associated with Kawasaki disease is high and is abrupt in onset; it is unresponsive to antibiotics and antipyretics. A maculopapular rash on the extremities does not occur; peripheral edema and erythema occur with desquamation of the palms and soles.

A 10-year-old child is found to have hemophilia. The nurse is explaining how hemophilia is inherited. What is the best explanation of the genetic factor that is involved? It follows the Mendelian law of inherited disorders. The mother is a carrier of the disorder but usually is not affected by it. It is an autosomal dominant disorder in which the woman carries the trait. A carrier may be male or female, but the disease occurs in the sex opposite that of the carrier.

The mother is a carrier of the disorder but usually is not affected by it.

A preterm infant is started on digoxin and furosemide for persistent patent ductus arteriosus. Which nursing assessment provides the best indication of the effectiveness of the furosemide? Pedal edema is reduced. Digoxin toxicity is prevented. Fontanels appear depressed. Urine output exceeds fluid intake.

Urine output exceeds fluid intake. Urine output exceeding fluid intake is the expected outcome. Output exceeding intake indicates that furosemide is causing diuresis. Although it is important to determine whether pedal edema is reduced, this could be influenced by other factors. Furosemide can cause hypokalemia, which may precipitate digoxin toxicity; it is not given to prevent digoxin toxicity. Depressed fontanels are not the desired outcome; this finding indicates dehydration, which may occur with excessive diuresis.

A toddler is found to have coarctation of the aorta. What does the nurse expect to identify when taking the child's vital signs? Irregular heartbeat Weak femoral pulse Thready radial pulses Increased temperature

Weak femoral pulse

Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease? a.Susceptibility to respiratory infection b. Bleeding tendencies c. Frequent vomiting and diarrhea d. Seizure disorder

a.Susceptibility to respiratory infection

9. What can you expect with scoliosis? Select all that apply a) Back pain b) Uneven shoulder and hip c) U-shaped curvature of the spine d) Both sided rib bump e) All of the above

a) Back pain b) Uneven shoulder and hip

If progressive scoliosis is untreated it can lead to the following complication(s). Select all that apply a) Heart and lung complications b) Nausea/Vomiting c) Back pain and fatigue d) Death e) Disability

a) Heart and lung complications b) Nausea/Vomiting e) Disability

Which of the following symptoms would the nurse expect to possibly see in the child with Duchenne's muscular dystrophy? Select all that apply. a) Waddling gait b) Gower's sign c) Lumber Lordosis d) Calf muscle hypertrophied e.)Frequent falling and clumsiness

a) Waddling gait b) Gower's sign c) Lumber Lordosis d) Calf muscle hypertrophied e.)Frequent falling and clumsiness

The best example of medical asepsis is: a) hand washing b) use of sterile instruments c) drawing medication into syringe d) autoclaving

a) hand washing

Charles, an 8 year old boy, one of several siblings, is kept home by his mother because he has a temp of 100.2 & a history of hacking cough for 2 weeks. A definite whoop has been heard & doctor made diagnosis of whooping cough. Nurse is to instruct the mother in proper care of this patient. This young boy should be: a) kept in warm, dry room b) placed in a sunny room c) kept in a room with a temperature of 60F d) allowed free run of the house

a) kept in warm, dry room

The diagnosis of pertussis is confirmed by which of the following tests? a) nose and throat culture b) nasopharyngeal culture c) "rapid" culture of nose and throat organism d) sputum culture

a) nose and throat culture

The mother of a newborn asked the nurse, "When will my baby get the hepatitis B vaccine?" The nurse bases a response on the knowledge that the first dose of Comvax should be given to infants born to a hepatitis B-positive mother within _____ after birth. a. 12 hours b. 2 weeks c. 1 month d. 2 months

a. 12 hours

Which of the following structural defects constitute tetralogy of Fallot? (PROV) a. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy b. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy c. Aortic stenosis, ventricular septal defect, overriding aorta, left ventricular hypertrophy d. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy

a. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy

Seventy-two hours after cardiac surgery, a young child has a temperature of 38.4o C (101.1° F). The nurse should do which of the following? a. Report findings to practitioner. b. Apply a hypothermia blanket. c. Keep child warm with blankets. d. Record temperature on assessment flow sheet.

a. Report findings to practitioner.

A nurse is collecting data from a client who was bitten by a tick. The nurse should check the client for the common early manifestations of Lyme disease, including flu-like symptoms, fever, and a. an expanding circular rash b. swollen, painful joints c. sore throat d. diffuse maculopapular rash

a. an expanding circular rash

A nurse is providing care to a group of children at a pediatric clinic. Which of following clients meets the criteria to receive a varicella vaccine? a. child who has a cold and runny nose b. child who recently received a blood transfusion c. child currently receiving chemotherapy d. child receiving fluticasone propionate (Flovent)

a. child who has a cold and runny nose

A nurse is assessing a pt who has pertussis. Which of following are clinical manifestations of pertussis? Select all that apply. a. runny nose b. mild fever c. whooping sound cough d. swollen salivary glands e. red rash

a. runny nose b. mild fever c. whooping sound cough

Nursing care of the child with Kawasaki disease is challenging because of: a. the child's irritability. b. predictable disease course. c. complex antibiotic therapy. d. the child's ongoing requests for food.

a. the child's irritability.

The mother of a child with tetralogy of Fallot asks the nurse why her child has clubbed fingers. The nurse bases the response on the understanding that clubbing is due to which of the following? a) Anemia. b) Peripheral hypoxia. c) Delayed physical growth. d) Destruction of bone marrow.

b

A child who is diagnosed with scoliosis should have a diet that includes the following. a) Increased Sodium b) Diet high in Calcium and Vitamin D c) Saturated fats d) Sugar

b) Diet high in Calcium and Vitamin D

How do you position a client with left hip fracture in Buck's traction? a) head of bed raised at 45 degree angle b) left calf on pillow from knee to ankle c) position the left on affected side with pillows between legs d) position the left in the center of the bed with the leg extended

b) left calf on pillow from knee to ankle

The nurse is caring for a child with Kawasaki disease in the acute phase. Which of the following clinical manifestations would the nurse expect to observe? a. Osler nodes b. Cervical lymphadenopathy c. Strawberry tongue d. Chorea e. Erythematous palms f. Polyarthritis

b. Cervical lymphadenopathy c. Strawberry tongue e. Erythematous palms

The nurse should recognize that congestive heart failure (CHF) is which of the following? a. Disease related to cardiac defects b. Consequence of an underlying cardiac defect c. Inherited disorder associated with a variety of defects d. Result of diminished workload imposed on an abnormal myocardium

b. Consequence of an underlying cardiac defect

Ventricular septal defect has the following blood flow pattern: a. Mixed blood flow b. Increased pulmonary blood flow c. Decreased pulmonary blood flow d. Obstruction to blood flow from ventricles

b. Increased pulmonary blood flow

Which of the following should the nurse consider when preparing a school-age child and the family for heart surgery? a. Unfamiliar equipment should not be shown. b. Let child hear the sounds of a cardiac monitor, including alarms. c. Explain that an endotracheal tube will not be needed if the surgery goes well. d. Discussion of postoperative discomfort and interventions is not necessary before the procedure.

b. Let child hear the sounds of a cardiac monitor, including alarms.

A cardiac defect that allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side can result in: a. cyanosis. b. congestive heart failure. c. decreased pulmonary blood flow. d. bounding pulses in upper extremities.

b. congestive heart failure.

The causative agent for erythema infectiosum, fifth disease, is: a. paramyxovirus b. parvovirus B19 c. human herpes virus types 1 and 2 d. group A β-hemolytic streptococci.

b. parvovirus B19

What is the first sign noted in a child with Duchenne's Muscular Dystrophy? a) Contraction of ankles and hips b) Separation anxiety c) Delayed motor development d) walks with a limp

c) Delayed motor development

The school nurse is performing screening on 11yrs old girl which position is correct for the screening? a) Downward position b) Upright position c) Standing and Bending forward

c) Standing and Bending forward

The organism causing whooping cough is: a) hemolytic streptococcus b) hemophilus influenza c) hemophilus pertussis d) streptococcus albus

c) hemophilus pertussis

A client has Buck's extension traction applied to the right leg. The nurse plans which of the following interventions to prevent complications from the device? a) provide pin care once a shift b) massage the skin of the right leg with lotion every 8 hours c) inspect the skin on the right leg at least once every 8 hours d) release the weights on the right leg for range of motion exercises daily

c) inspect the skin on the right leg at least once every 8 hours

One of the first signs of mumps is: a) pain in the back b) diarrhea c) pain in the region of the parotid gland d) otitis media

c) pain in the region of the parotid gland

A nurse is caring for a 6 month old child. The child's provider has ordered DTaP vaccine to be administered. Which of following should cause nurse to question the administration of this vaccine? a. afebrile otitis media b. evidence of sensitivity to egg antigens c. temperature of 104.9 after last DTaP d. new onset of seizure disorder in the child's sibling

c. temperature of 104.9 after last DTaP

A client's leg is placed in Buck extension to immobilize a fracture until surgery can be performed. When planning caring for this client, the nurse considers that Buck extension is which type of traction? Skeletal traction Cutaneous traction Halter transfixation Balanced suspension

cutaneous

What does a right sided obstruction mean? cyanosis acyanotic shunt heart failure

cyanosis

Buck's extension traction is applied to an older client following a hip fracture. The nurse explains to the client that this type of traction is: a) traction involving the use of a cast b) skeletal traction involving the use of surgically inserted pins c) circumferential traction involving the use of a belt around the body d) skin traction involving the use of traction attached to the skin and soft tissues

d) skin traction involving the use of traction attached to the skin and soft tissues

A parent is concerned because her son was exposed to varicella at preschool. The nurse would tell this parent that the incubation period for varicella is _____ days. a. 2 to 10 b. 4 to 14 c. 3 to 32 d. 14 to 21

d. 14 to 21

The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is "too wet." The nurse finds the bandage and bed soaked with blood. The most appropriate initial nursing action is which of the following? a. Notify the physician. b. Place child in Trendelenburg position. c. Apply a new bandage with more pressure. d. Apply direct pressure above catheterization site.

d. Apply direct pressure above catheterization site.

A 3-month-old infant has a hypercyanotic spell. The nurse's first action should be which of the following? a. Assess for neurologic defects. b. Prepare family for imminent death. c. Begin cardiopulmonary resuscitation. d. Place child in the knee-chest position.

d. Place child in the knee-chest position.

The physician suggests that surgery be performed for patent ductus arteriosus (PDA) to prevent which of the following complications? a. Hypoxemia b. Right-to-left shunt of blood c. Decreased workload on left side of heart d. Pulmonary vascular congestion

d. Pulmonary vascular congestion

A child was sent to the school nurse because of a rash. The nurse noted the rash was present on the trunk, extremities, and face. The child's cheeks were bright red. The nurse is aware this type of rash is consistent with: a. measles. b. roseola. c. varicella. d. fifth disease.

d. fifth disease.

The infant with congestive heart failure (CHF) has a need for: a. decreased fat. b. increased fluids. c. decreased protein. d. increased calories.

d. increased calories.

what does left sided obstruction mean? heart failure cyanosis anatomic

heart failure

A 3-month-old infant with tetralogy of Fallot is admitted for a diagnostic workup in preparation for corrective surgery. The morning after cardiac catheterization the infant suddenly becomes cyanotic and begins breathing rapidly. In what position should the nurse immediately place the infant? Supine Lateral Knee-chest Semi-Fowler

knee chest

What are the 5P's of compartment syndrome?

pain, paralysis, pallor, pulselessness, paresthesia's