Pediatric Final

WHICH OF THE FOLLOWING ORGANISMS ISTHE MOST COMMON CAUSE OF URINARY TRACTINFECTION (UTI) IN CHILDREN?

A. Klebsiella B. Staphylococcus *C. Escherichia coli D. Pseudomonas

THE NURSE IS ASSESSING INFANTILE REFLEXES IN A9-MONTH-OLD BABY; WHICH OF THE FOLLOWING WOULD BE IDENTIFIED AS NORMAL?

A. Persistent rooting *B. Bilateral parachute C. Moro reflex D. Unilateral grasp

THE NURSE IS CARING FOR A 14-YEAR-OLD ADOLESCENT WITH CROHN'S DISEASE.WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE EXPECT TO COMPLETERELATED TO THE COMPLICATIONS ASSOCIATED WITH CROHN'S DISEASE? (SELECTALL THAT APPLY).

*A. Monitor the patient's height *B. Obtain blood for hemoglobin level C. Obtain a blood glucose *D. Monitor the patient for signs of infection *E. Monitor the patient's weight

39. A nurse is caring for a child who is postoperative following the insertion of a ventriculoperitoneal shunt. The nurse should place the child in which of the following positions?

*A. On the nonoperative side B. A 45deg head elevation C. Prone D. Supine

A CHILD WITH DOWN SYNDROME WANTS TO JOIN A SOCCER TEAM WHENHE IS 4 YEARS OLD. WHICH OF THE FOLLOWING STATEMENTS SHOULDTHE NURSE INCLUDE IN EDUCATION ABOUT PARTICIPATION IN SPORTS?

*A. Prior to beginning sports, he needs to get a cervical spine x-ray to check for atlantoaxial instability B. He should not participant in sports due to the risk of musculoskeletal injuries C. It is best to but him on a soccer team with children younger than him due to his developmental delays D. He should only participate in sports if his hearing is normal.

181.A nurse is collecting data from a 3-year-old child. Which of the following findings should the nurse expect?

*A. Stands on one foot for a few seconds B. Has vocabulary of 1,500 words C. Ties shoelaces D. Throws ball over head

A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?

*A. Tugging on the affected ear lobe B. Bluish-green discharge from the ear canal. C. Increase in appetite D. Erythema and edema of the affected auricle

A NURSE IN INSTRUCTED TO GIVE IV POTASSIUM FOR ACHILD IN DKA. WHAT SHOULD THE NURSE CHECK BEFOREGIVING THE MEDICATION? SELECT ALL THAT APPLY.

*A. Urine Output B. CBC C. Weight D. Blood pressure E. Route of Administration

TRUE/FALSE: THE EFFECT OF ILLNESS ON CHILDREN WITHTYPE 1 DIABETES RESULTS IN AN INCREASE IN BLOODGLUCOSE LEVELS.

*• True • False

WHICH OF THE FOLLOWING SYMPTOMS WOULD THE NURSE WOULD EXPECT TO SEE IN A TEENAGE PATIENT WITH OSTEOMYELITIS? SELECT ALL THAT APPLY.

*A. Fever *B. Leukocytosis C. Pallor *D. Tenderness *E. Swelling

118.A nurse in a pediatric clinic nurse is talking with a parent of a toddler. The parent tells the nurse that her toddler drinks a quart of milk a day. The nurse should recognize that the toddler is at risk for which of the following disorders?

*A. Iron-deficiency anemia B. Beriberi C. Diabetes mellitus D. Dehydration

A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and a prescription for pancrelipase capsules. Which of the following instructions should the nurse include in the teaching?

*A. "Administer the medication with meals and snacks." B. "Tell your child to chew the capsules thoroughly." C. "Discontinue the medication when the child's symptoms resolve." D. "Observe for signs of bleeding."

20. A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which of the following responses should the nurse make?

*A. "Children who are hospitalized often regress. The toileting skills will return when your child is feeling better." B. "I know this can be embarrassing. I have kids myself so I understand, and it doesn't bother me." C. "Why is she wetting the bed in the hospital? She must wet the bed at home." D. "I will discuss your child's loss of bladder control with the provider."

159.A nurse is caring for a 2-week old infant whose mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make?

*A. "You should place your baby on her back when sleeping to decrease the risk of SIDS." B. "SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines." C. "SIDS rates have been rising over the last 10 years." D. "Sleep apnea is the main cause of SIDS."

AT WHAT AGE WOULD THE NURSE EXPECT ACHILD TO HAVE MASTERED THE NEAT PINCER GRASP?

*A. 10 months B. 7 months C. 5 months D. 3 months

216.A nurse in an urgent care clinic is collecting data from an adolescent who experienced a blunt trauma to the abdomen. Which of the following findings should the nurse report to the provider?

*A. Blood pressure 92/50 mm Hg B. Heart rate 72/min C. Client report of abdominal pain as 4 on a scale of 1 to 10 D. Temperature 37.0° C (98.6° F)

A nurse is caring for a child who is 2hours postoperative tonsillectomy. Which of the following fluid items should the nurse offer this child at this time?

*A. Crushed Ice B. Orange Juice C. Vanilla Milkshake D. Cranberry Juice

A CHILD FAILED TO PASS MECONIUM WITHIN THE FIRST 24 HOURS AFTER BIRTH; THIS MAY INDICATE WHICH OF THE FOLLOWING? SELECT ALL THAT APPLY

*A. Cystic Fibrosis B. Hyperthyroidism C. Intussusception D. Celiac Disease *E. Hirschsprung's disease

N WHICH CONDITION IS GOWER'S SIGN SEEN?

*A. Duchenne's muscular dystrophy B. Cerebral Palsy C. Epilepsy D. Developmental Dysplasia of Hip (DDH)

3.A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps into the box onthe right, placing them in the selected order of performance. Use all the steps.)

1 E. Trust vs. mistrust 2 A. Autonomy vs. shame and doubt 3 D. Initiative vs. guilt 4 B. Industry vs. inferiority 5 C. Identity vs. role confusion

A PATIENT IS ADMITTED TO THE PEDIATRIC UNIT WITH SUSPECTED RHEUMATIC FEVER. WHEN OBTAINING THE CHILD'S HISTORY, THE NURSE CONSIDERS WHICH INFORMATION TO BE MOST IMPORTANT?

A. History of three-day fever B. Lack of interest in food *C. A recent episode of pharyngitis D. Vomiting for 2 days

A NURSE IS TEACHING A PARENT WHOSE CHILD HAS A LIQUIDIRON PRESCRIPTION. WHICH STATEMENT INDICATESUNDERSTANDING?

A. I should mix the iron with formula to improve taste B. My child should avoid eating citrus fruits while taking supplements C. I should give the iron with milk to prevent an upset stomach *D. My child should take the supplement through a straw

139.A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These findings are associated with which of the following diagnoses?

A. Influenza *B. Bronchiolitis C. Croup D. Epiglottitis

14.The mother of a 4-year-old child tells a nurse that her child is reluctant to go to bed at night. Which of the following responses should the nurse make?

A. "Allow your child an additional 30 minutes of play time before bed." B. "Let your child sleep in your bed with you." *C. "Keep a night light on in your child's room." D. "Stay with your child until he is asleep if he begins to cry."

WHICH OF THE FOLLOWING STATEMENTS MADE BY A PARENT OF A 4-MONTH-OLD WOULD INDICATE THAT THE CHILD MAY HAVE CEREBRAL PALSY?

A. "He holds his left leg so stiff that I have a hard time putting on his diapers." *B. "My baby won't lift his head up and look at me; he's so floppy." C. "My baby's left hip tilts when I pull him to standing position." D. "I'm very worried because my baby has not rolled all the way over yet."

A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?

A. "I am scared and I want to go home." B. "I am hungry and thirsty." C. "I'm tired and want to take a nap." *D. "My belly doesn't hurt anymore."

234.A nurse is caring for a 7-year-old client who an upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

A. "I will encourage him to drink a half a cup of water or sugar-free fluid every 30 minutes." B. "I will report a changes in breathing or signs of confusion." C. "I will notify the doctor if his temperature is not controlled with acetaminophen." *D. "I will continue to check his blood sugar two times every day."

119.A nurse at a pediatric hotline receives a call from a mother who plans to administer aspirin to a toddler for a fever and wants to know the dosage. Which of the following statements by the nurse is an appropriate response?

A. "You'll have to call your physician." B. "Give her no more than three baby aspirin every 4 hours." *C. "Give her acetaminophen, not aspirin." D. "Follow the directions on the aspirin bottle for her age and weight."

WHEN CREATING A TEACHING PROGRAM FOR THE PARENTS OF A CHILD DIAGNOSED WITH PULMONIC/PULMONARY STENOSIS (PS), THE NURSE WOULD KEEP IN MIND THAT THIS DISORDER INVOLVES WHICH OF THE FOLLOWING?

A. A single vessel arising from both ventricles B. Obstruction of blood flow from the left ventricle *C. Obstruction of blood flow from the right ventricle D. Return of blood to the heart without entry to the left atrium

THE NURSE IS CARING FOR A CHILD WITH KAWASAKI DISEASE, WHICH OF THE FOLLOWING MEDICATIONS WOULD THEY EXPECT TO ADMINISTER

A. Acetaminophen B. Prednisone C. Albuterol *D. Aspirin

IN CHILDREN DIAGNOSED WITH SICKLE CELL DISEASE(SCD), TISSUE DAMAGE RESULTS FROM WHICH OFTHE FOLLOWING?

A. Air hunger and respiratory alkalosis due to deoxygenated red blood cells. B. Hypersensitivity of the central nervous system (CNS) due to elevated serum bilirubin levels C. A general inflammatory response due to an autoimmune reaction from hypoxia *D. Local tissue damage with ischemia and necrosis due too obstructed circulation

WHICH OF THE FOLLOWING DISORDERS LEADS TOCYANOSIS FROM DEOXYGENATED BLOOD ENTERINGTHE SYSTEMIC ARTERIAL CIRCULATION?

A. Aortic stenosis (AS) B. Coarctation of aorta C. Patent ductus arteriosus (PDA) *D. Tetralogy of Fallot

175.A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?

A. Broth B. Cherry gelatin C. Apple juice *D. Pedialyte

157.A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?

A. Chickenpox *B. Whooping cough C. Mumps D. Fifth disease

THE NURSE IS EVALUATING A CLIENT'S FLUID INTAKEAND OUTPUT RECORD. FLUID INTAKE AND URINEOUTPUT SHOULD RELATE IN WHICH WAY?

A. Fluid intake should double the urine output *B. Fluid intake should be approximately equal to the urine output C. Fluid intake should be half the urine output D. Fluid intake should be inversely proportional to the urine output

WHICH OF THE FOLLOWING WOULD THE NURSE SUPPOSE TO REGARD AS A CARDINAL MANIFESTATION OR SYMPTOM OF DIGOXIN TOXICITY TO A PATIENT DIAGNOSED WITH HEART FAILURE?

A. Headache B. Respiratory distress *C. Extreme bradycardia D. Constipation

THE NURSE IS AWARE THAT THE MOST COMMONASSESSMENT FINDING IN A CHILD WITH ULCERATIVECOLITIS IS:

A. Intense abdominal cramps *B. Profuse diarrhea C. Anal fissures D. Abdominal distention

108.A nurse is caring for a child who has nosebleed. Which of the following actions should the nurse take?

A. Place the child in a sitting position and tilt her head back. B. Apply ice at the opening of the nares for 5 min and then re-check for bleeding. C. Place the child in a supine position with a pillow under her head. *D. Have the child sit with her head tilted forward and hold pressure on her nose for 10 min.

92. A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?

A. Polyuria *B. Periorbital edema C. Orange-tinged urine D. Hypertension

AN INFANT WITH A PATENT DUCTUS ARTERIOSUS IS ADMITTED TO THE PEDIATRIC UNIT WARD. THE NURSE ANTICIPATES WHICH OF THE FOLLOWING MEDICATIONS WILL BE GIVEN TO THE INFANT?

A. Prednisone *B. NSAID (Indomethacin) C. Penicillin D. Albuterol

WHICH OF THE FOLLOWING WOULD THENURSE EXPECT TO SEE ON LABORATORYFINDINGS IN A CHILD WITH NHL?

A. Reed-Sternberg Cells *B. Low WBC C. High RBC D. Normal platelets

WHEN EDUCATING PARENTS REGARDING KNOWN ANTECEDENT INFECTIONS IN ACUTE GLOMERULONEPHRITIS, WHICH OF THE FOLLOWING SHOULD THE NURSE COVER?

A. Scabies *B. Impetigo C. Herpes simplex D. Varicella

A 5-YEAR-OLD GIRL WAS RECENTLY DIAGNOSED WITH KAWASAKI DISEASE. APART FROM THE IDENTIFIED SYMPTOMS OF THE DISEASE, SHE MAY ALSO LIKELY DEVELOP WHICH OF THE FOLLOWING?

A. Sepsis B. Meningitis C. Mitral Value Disease *D. Aneurysm formation

A HOSPITALIZED CHILD WITH NEPHROTIC SYNDROME IS RECEIVING PREDNISONE AND CYTOXAN. WHAT NURSING GOAL IS MOST APPROPRIATE FOR THIS CHILD?

A. Stimulate appetite *B. Minimize risk of infection C. Promote adherence to the antibiotic regimen D. Restrict water intake

ASSESSMENT OF A CHILD REVEALS LANGUAGE DELAYS ASWELL AS FAILURE OF THE CHILD TO INTERACT WELL WITHOTHER CHILDREN. THE CHILD TENDS TO ENGAGE INREPETITIVE BEHAVIORS SUCH AS ARRANGING ANDREARRANGING TOYS. BASED ON THIS ASSESSMENT, THENURSE WOULD SUSPECT WHICH DISORDER?

A. Tourette syndrome *B. Autism spectrum disorder C. Cognitive impairment D. Attention deficit hyperactivity disorder

WHICH OF THE FOLLOWING IS AN EXAMPLE OF A SEX CHROMOSOME ANEUPLOIDY? SELECT ALL THAT APPLY.

A. Trisomy 21 *B. Klinefelter Syndrome C. Cystic Fibrosis *D. Turner Syndrome

Safe food for 2 year old

Banana

Corticosteroids being taken with white exudate on tongue

Candidasis

increased ketones

DKA

ED assessing infant thats dehydrated

Iritability

NGN Questions

NSAIDS

3 month old that cant lift up head - head lag

Report head lag to provider

Traction properly assembled whenq

buttock slightly elevated on the bed

Epiglottis

droplet precautions 24 hours after antibiotics and intubation trach IV access

RSV

droplet precautions and use stethoscope thermometer in toddler room

Caring for 10 year old child

encourage them to go to school and catch up with school work

Addison disease

hypoglycemia

3 year old with drooling and high fever

intubation trach

myelomeningocele

keep sac moist and baby prone

College student needs

mennigococcal

Health info to adolescent

need to increase sleep

Home safety

non circular food tie all items in plastic bag fitted mattress

Patient has sickle cell; the nurse should also

observe for hypokalemia

6 month old with dehydration

seeing 2ml of urine

4 year old with type 1 diabetes

use doll and needless syringe