MCN 2

A complication of Acute Lymphocytic Leukemia wherein from invasion of leukemia cells the kidneys enlarge and function impaired A. CNS involvement B. Renal Involvement C. Testicular Invasion D. Wilm's Tumor

B. Renal Involvement

It occurs more often in females as an ascending infection from the perineum because the urethra is shorter in girls: A. Status Asthmaticus B. Urinary Tract Infection C. Asthma D. Acute Allergic Reaction

B. Urinary Tract Infection

The parents of a child with juvenile idiopathic arthritis call the clinic nurse because the child is experiencing a painful exacerbation of the disease. The parents ask the nurse if the child can perform range-of-motion exercises at this time. The nurse should make which response? A. "Avoid all exercise during painful periods." B. "Range-of-motion exercises must be performed every day." C. "Have the child perform simple isometric exercises during this time." D. "Administer additional pain medication before performing range-of-motion exercises.

C. "Have the child perform simple isometric exercises during this time."

The school nurse has provided an instructional session about impetigo to parents of the children attending the school. Which statement, if made by a parent, indicates a need for further instruction? A. "It is extremely contagious." B. "It is most common in humid weather." C. "Lesions most often are located on the arms and chest." D. "It might show up in an area of broken skin, such as an insect bite."

C. "Lesions most often are located on the arms and chest."

It involves lymphoblasts or immature WBC's with rapid proliferation of lymphoblasts, RBC and platelet production fall and invasion of body organs by the WBC's begins: A. Acute Myeloid Leukemia B. Nephroblastoma C. Acute Lymphocytic Leukemia D. Asthma

C. Acute Lymphocytic Leukemia

It tends to occur in children with atopy or those hypersensitive to allergens of inflammation, bronchoconstriction and increased mucus production: A. Status Asthmaticus B. Urinary Tract Infection C. Asthma D. Acute Allergic Reaction

C. Asthma

The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action? A. Hold the next dose of insulin. B. Come to the clinic immediately. C. Encourage the child to drink liquids. D. Administer an additional dose of regular insulin

C. Encourage the child to drink liquids

A complication of Acute Lymphocytic Leukemia wherein the leukemic cells in the testes will not be destroyed by chemotherapy therefore irradiation is done leading to sterility: A. CNS involvement B. Renal Involvement C. Testicular Invasion D. Wilm's Tumor

C. Testicular Invasion

A child with rheumatic fever will be arriving to the nursing unit for admission. On admission assessment, the nurse should ask the parents which question to elicit assessment information specific to the development of rheumatic fever? A. "Has the child complained of back pain?" B. "Has the child complained of headaches?" C. "Has the child had any nausea or vomiting?" D. "Did the child have a sore throat or fever within the last 2 months?"

D. "Did the child have a sore throat or fever within the last 2 months?"

The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever, knowing that which laboratory study would assist in confirming the diagnosis? A. Immunoglobulin B. Red blood cell count C. White blood cell count D. Anti-streptolysin O titer

D. Anti-streptolysin O titer

A pediatrician prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription? A. Obtains a weight B. Takes the temperature C. Takes the blood pressure D. Checks the amount of urine output

D. Checks the amount of urine output

A school-age child with type 1 diabetes mellitus has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do? A. Eat twice the amount normally eaten at lunchtime. B. Take half the amount of prescribed insulin on practice days. C. Take the prescribed insulin at noontime rather than in the morning. D. Eat a small box of raisins or drink a cup of orange juice before soccer practice.

D. Eat a small box of raisins or drink a cup of orange juice before soccer practice

A 7-year-old with type 1 diabetes mellitus is admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note? A. Sweating and tremors B. Hunger and hypertension C. Cold, clammy skin and irritability D. Fruity breath odor and decreasing level of consciousness

D. Fruity breath odor and decreasing level of consciousness

The following are goals in managing asthma, EXCEPT: A. Avoidance of allergen by environmental control, B. Skin testing C. Hypo-sensitization to identified allergens D. Increase fluid intake to flush out the organisms E. Relief of symptoms by pharmacologic agents

D. Increase fluid intake to flush out the organisms

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion? A. Potassium infusion B. NPH insulin infusion C. 5% dextrose infusion D. Normal saline infusion

D. Normal saline infusion

It involves the over proliferation of granulocytes and more frequent in late adolescence. A. Acute Myeloid Leukemia B. Nephroblastoma C. Acute Lymphocytic Leukemia D. Asthma

A. Acute Myeloid Leukemia

A complication of Acute Lymphocytic Leukemia wherein blindness, hydrocephalus, recurrent seizures, nuchal rigidity, headache, irritability: A. CNS involvement B. Renal Involvement C. Testicular Invasion D. Wilm's Tumor

A. CNS involvement

It occurs when children fail to respond to medications during an attack with an extreme emergency because a child may die of heart failure due to a combination of exhaustion, atelectasis and acidosis from bronchial plugging: A. Status Asthmaticus B. Urinary Tract Infection C. Asthma D. Acute Allergic Reaction

A. Status Asthmaticus

The clinic nurse is reviewing the health care provider's prescription for a child who has been diagnosed with scabies. Lindane has been prescribed for the child. The nurse questions the prescription if which is noted in the child's record? A. The child is 18 months old. B. The child is being bottle-fed. C. A sibling is using lindane for the treatment of scabies. D. The child has a history of frequent respiratory infections.

A. The child is 18 months old.

Malignant cancer of the kidney; usually unilateral; encapsulated at the time of diagnosis: A. Acute Myeloid Leukemia B. Nephroblastoma C. Acute Lymphocytic Leukemia D. Asthma

B. Nephroblastoma