final pediatric exam

Which of the following heart defects are classified as an acquired cardiac defect? Coarctation of the Aorta Patent Ductus Arteriosus Rheumatic Heart Disease Atrial Septal Defect

Rheumatic Heart Disease

5-year-old female presents to the emergency room with severe bone pain, significant generalized bruising, pallor and unexplained fever. The nurse suspects which of the following conditions? Leukemia Influenza Wilm's Tumor Lyme Disease

Leukemia

Congenital heart defects that increase pulmonary blood flow (left to right shunts) may result in which of the following? Narrowing of the aorta Inflammation of the heart muscle Pulmonary edema Pulmonary hypertension

Pulmonary hypertension

At what age does a normally developing infant walk with assistance? 18 months 14 months 9 months 11 months

11 months

A child is brought to the emergency department with significant blood in the urine, decreased urine output, and edema to lower legs. The mother states the child has been healthy except for a sore throat a few weeks ago. Based on his symptoms and history, the nurse would suspect which diagnosis? Nephrotic syndrome Urinary tract infection Acute Streptococcal Glomerulonephritis Rheumatic fever

Acute Streptococcal Glomerulonephritis

Which postoperative orders should be questioned for a child post-cardiac catherization. (Select all that apply) Allow child to take a bath in 48 hours. Allow the child to sit in chair 2 hours after cardiac catheterization Assess peripheral circulation on the affected extremity. Check the dressing at the catheterization site for bleeding. Keep the affected leg flexed and elevated.

Allow child to take a bath in 48 hours. Allow the child to sit in chair 2 hours after cardiac catheterization. Keep the affected leg flexed and elevated.

A nurse is caring for an 2 year-old child with measles. Nursing care includes which of the following? (Select all that apply). Assess neurological signs Administer Intravenous Immunoglobulin (IVIG) Place in contact precautions Monitor temperature Administer Vitamin A

Assess neurological signs Monitor temperature Administer Vitamin A

Which of the following does research suggest are causes of autism spectrum disorder (ASD)? (Select all that apply) Early exposure to ototoxic medications Genetic Vaccines Prolonged exposure to continuous noise Environmental

Genetic Environmental

A nurse is assessing a 12-month-old infant during a wellness visit. Which of the following findings would be considered abnormal? (Select all that apply) Has not developed object permanence Walks alone Speaks 2 words with meaning Parachute reflex present Birth weight doubled

Has not developed object permanence Speaks 2 words with meaning Birth weight doubled

The nurse is caring for a child with Ventricular Septal Defect (VSD). Which statement best describes how the blood flow is shunted in the heart of a child with VSD? Right ventricle to pulmonary vein Left ventricle to right ventricle Left ventricle to pulmonary artery Right ventricle to aorta

Left ventricle to right ventricle

The nurse explains which of the following congenital cardiac defects cause increased pulmonary blood flow? (Select all that apply). Ventricular Septal Defect (VSD) Coarctation of Aorta Patent Ductus Arteriosus Atrial septal defects (ASD) Tetralogy of Fallot

Left ventricle to right ventricle Patent Ductus Arteriosus Atrial septal defects (ASD)

A nurse is examining a child who has a fever, nasal discharge, cough, and conjunctivitis. While looking in the child's mouth, the nurse observes blue-white spots on the buccal mucosa. The nurse recognizes that these are symptoms of: Scarlet Fever Varicella Mumps Measles

Measles

The nurse is caring for a 17-year-old Sickle Cell patient diagnosed with Acute Chest Syndrome. The nurse knows that treatment will include which of the following? (Select all that apply). Oxygen as needed IV fluids Incentive spirometer Antibiotics Dornase alfa

Oxygen as needed IV fluids Incentive spirometer Antibiotics

A 6-week-old infant presents to the emergency department with a 2-day history of fever and progressive lethargy. On examination infant has bulging, tense, anterior fontanel and high-pitched cry. The infant is diagnosed with bacterial meningitis. Which of the following, if present, would alert the nurse to late signs of increased intracranial pressure? (Select all that apply). Papilledema Decreased motor response to command Extension posturing Tachycardia Increased sensory response to painful stimuli

Papilledema Decreased motor response to command Extension posturing

The nurse is caring for an infant whose newborn screen came back positive for phenylketonuria. What is the priority intervention for the nurse? Monitor intake and output Recommend exclusive breastfeeding for the infant Notify the provider immediately if the Gower test is negative Place newborn on formula low in phenylalanine

Place newborn on formula low in phenylalanine

The nurse is caring for a 11-month-old infant with heart failure. Which of the following would be appropriate feeding interventions? (Select all that apply) Increase feeding volume and frequency Provide high calorie feedings Keep infant supine while feeding Provide frequent rest periods during feedings. Insert NGT to supplement feedings if necessary

Provide high calorie feedings Provide frequent rest periods during feedings. Insert NGT to supplement feedings if necessary

A nurse is caring for a child with sensorineural hearing loss. Which of the following statements is appropriate to educate about the hearing impairment? It is unlikely that your child's speech will be affected by the hearing loss. Hearing aids will help your child to hear. Sensorineural hearing loss is caused by damage to the inner ear or auditory nerve. Frequent ear infections may have contributed to your child's hearing loss.

Sensorineural hearing loss is caused by damage to the inner ear or auditory nerve.

A 15-year-old male presents to the clinic for pain, swelling, and erythema to scrotal area. The adolescent is diagnosed with Epididymitis. The nurse knows that the most common cause of Epididymitis is: Twisting of spermatic cord Sexually transmitted diseases Injury to testicles Auto-immune response to infection

Sexually transmitted diseases

A child with Sickle Cell Disease is at increased risk for sepsis due to which of the following? Spleen infarction Immune complex disorder Abnormalities in lymphoid cells Deficiency in clotting factors

Spleen infarction

A 4-year-old male is admitted to the ED with Kawasaki Disease. Which of the following statements are true about Kawasaki Disease (KD)? (Select all that apply). KD is caused by an autoimmune response to Group A Streptococcus. Treatment includes long term Penicillin Treatment includes Intravenous immunoglobulin (IVIG) KD causes generalized vasculitis throughout the body KD causes cardiac valve stenosis and scarring

Treatment includes Intravenous immunoglobulin (IVIG) KD causes generalized vasculitis throughout the body