Pediatrics FINAL EXAM
A 8 year old post tonsillectomy patient is complaining of pain . During the assessment the nurse is very concerned about which finding? A. The child is saying his throat hurts B. The child is swallowing excessively and spitting up copious amounts of bright red blood C. The child is asking for food D. The childs heart rate is elevated
B. The child is swallowing excessively and spitting up copious amounts of bright red blood
What is the single most important factor to consider when communicating with children? A. Presence or absence of the child's parent B. The child's developmental level C. The child's physical condition D. The child's nonverbal behaviors
B. The child's developmental level
The mother of a 4 month old states she is not immunizing her child because she is afraid of the child will develop Autism .The nurses best response would be ? A. Get some of the vaccines and see how he does B. There is no indication that there is any correlation between vaccines and autism C. I am calling Children's Services this is neglect D. I would do the same thing
B. There is no indication that there is any correlation between vaccines and autism
Ceftriaxone 50 mg/kg/dose IM every 24 hrs is ordered for a 12 week old female that weighs 14 LBS diagnosed with pneumonia . What is correct regarding this medication administration. Select all that apply 318 mg will be administered 700 mg will be administered 25 gauge needle will be used 20 gauge needle will be used
318 mg will be administered 25 gauge needle will be used
Nursing Care Post-Op Cleft lip would include? Select all that apply A. No oral temps B. May use pacifier or straw C. Discourage families from touching infant to decrease risk of infection D. Maintain patent airway. Lung assessment before/after feeding
A. No oral temps D. Maintain patent airway. Lung assessment before/after feeding
Prednisone 12mg is ordered to be given each day available is 15mg/5ml. How many milliliters will be given per day? 1ml 12ml 8ml 4ml
4ml
A 4 year old is admitted with pneumonia the orders read ibuprofen 5mg/kg every 6hours for a temp above 101.2 The medication is labeled 100mg in 5ml. The child has a temp of 102.2 last dose was 8 hours ago patients weight 44 lbs.Please calculate how many milliliters the child will receive. 5ml 4.5ml 6.5ml 10ml
5ml
A 6 month old comes in with otitis media .The PCP prescribes Zithromax 10mg /kg for the first day. Available 100mg/5ml .How many ml will the child get her weight is 22lb 3ml 0.5ml 1ml 5ml
5ml
Augmentin 150mg is to administered every 8 hours po to a child weighing 33lbs Available is 125mg/5ml. How much much would you give per dose? 10ml 5ml 15ml 6ml
6ml
Tamiflu is ordered for a child with influenza symptoms the dose ordered is 45 mg bid available 6mg per ml how many milliliters would the child receive each dose ? 3.5ml 6ml 15ml 7.5ml
7.5ml
Which is an important consideration when the nurse is discussing enuresis with the parents of a young child? Select all that apply A. Organic causes that may be related to enuresis should be considered first B. Enuresis is more common in boys than in girls C. Enuresis is neither inherited nor has a familial tendency. D. Psychogenic factors that cause enuresis persist into adulthood
A. Organic causes that may be related to enuresis should be considered first B. Enuresis is more common in boys than in girls
The nurse is caring for an infant with congestive heart disease (CHD). The nurse should plan which intervention to decrease cardiac demands? A. Organize nursing activities to allow for uninterrupted sleep B. Allow the infant to sleep through feedings during the night C. Wait for the infant to cry to show definite signs of hunger. D. Wake and feed infant every hour
A. Organize nursing activities to allow for uninterrupted sleep
The mother of a 2 month old calls and states her child was in the Emergency room and has been diagnosed with colic . The nurse explains that colic is ? A. Self limiting resolves around 12-16 weeks B. Common in breast fed infants C. Intolerance to soy based formula D. Related to constipation
B. Self limiting resolves around 12-16 weeks
A 15 year-old patient is treated for an asthma attack following exposure to tobacco smoke at a friend's home. The BEST advice the nurse can give is A. "avoidance of known triggers is the best way to prevent attacks." B. "it will be a good practice to take your preventive medications after going to your friend's house the next time." C. "your friend's parents need to be advised that they cannot smoke in their home when you come to visit." D. "take a extra dose of your long acting inhaler before you go over to your friends house"
A. "avoidance of known triggers is the best way to prevent attacks."
The nurse reviews the chart for a 4 month-old patient 8.1kg with RSV patient has increased wheezing and mild retractions. Which of the following interventions would be MOST effective? A. Administer albuterol by nebulization. B. Administer Motrin 52mg C. Administer amoxicillin 200mg every 12 hours D. Fluid bolus 20ml/kg D5 NACL bous
A. Administer albuterol by nebulization
Which of the following is a true statement about pertussis? A. Adults caring for children should receive a booster vaccine for pertussis. B. Children with pertussis develop a cough that sounds like a seal barking. C. Pertussis has been almost completely eradicated in the United states D. Pertussis may lead to permanent lung problems
A. Adults caring for children should receive a booster vaccine for pertussis. D. Pertussis may lead to permanent lung problems
A newborn is diagnosed with a cleft lip the student nurse asked about the condition the nurse responds with the following? Select all that apply A. Affects 1 in 800. More common in boys B. Etiology: hereditary, environmental C. Non teratogenic factors D. Surgical closure 18-20 months
A. Affects 1 in 800. More common in boys B. Etiology: hereditary, environmental
The Emergency room nurse is concerned about what findings when a 5 month old infant is assessed? A. Anterior Fontanel is closed B. Child rolls from side to side C. Child is able to lift head D. Rooting reflex has disapeared
A. Anterior Fontanel is Closed
A 12-year-old male has short stature and appears depressed . What should the nurse be the most concerned about? A. Child's self-esteem B. Proper administration of thyroid hormone C. Proper administration of human growth hormones D. Helping child understand that he has not completed growing
A. Child's self-esteem
The father of a 12-year-old child tells the nurse that he is concerned about his son getting "fat." His son is at the 50th percentile for height and the 75th percentile for weight on the growth chart. What is the most appropriate nursing action? A. Explain that this is typical of the growth pattern of boys at this age B. Reassure the father that his child is not fat C. Reassure the father that his child is just growing D. Suggest a low-calorie, low-fat diet
A. Explain that this is typical of the growth pattern of boys at this age
A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session? A. Gay and lesbian adolescents are at a particularly high risk for suicide B. A sense of hopelessness and despair are a normal part of adolescence C. Problem-solving skills are of limited value to the suicidal adolescent. D. Previous suicide attempts are not an indication of risk for completed suicides
A. Gay and lesbian adolescents are at a particularly high risk for suicide
Which is true concerning hepatitis B? Select all that apply A. Hepatitis B can be prevented by HBV vaccine B. Hepatitis B can be transferred to an infant from holding the child. C. Principal mode of transmission for hepatitis B is fecal-oral route D. Principal mode of transmission for hepatitis B is infected body fluids
A. Hepatitis B can be prevented by HBV vaccine D. Principal mode of transmission for hepatitis B is infected body fluids
What statement by a 4 year old mom indicates that further teaching is needed? Select all that apply A. I don't put him in a car seat anymore he cries to much B. I stay with him when he is bathing C. All of our medications are in locked cabinets D. He is able to warm up his food in the microwave
A. I don't put him in a car seat anymore he cries to much D. He is able to warm up his food in the microwave
The mother of an infant who has had a series of hospitalizations related to bronchiolitis asks the healthcare provider why her infant seems to be prone to respiratory infections. Which of these provide the most accurate information about the respiratory systems of infants and young children? Select all that apply A. Respiratory airways of infants and young children are more narrow so they are easily obstructed. B. The metabolic rate and oxygen consumption of infants and young children are faster than older children. C. Please choose from one of the following options.Infants and young children have more rigid chest walls which increases the work of breathing. D. Decreased surfactant in infants and young children makes it harder for them to keep their airways open
A. Respiratory airways of infants and young children are more narrow so they are easily obstructed. B. The metabolic rate and oxygen consumption of infants and young children are faster than older children.
While educating a mom about diet restriction for her daughter diagnosed with Celiac Disease the nurse knows further education is needed by which statement? A. She can eat anything but wheat bread B. I will read labels closely since gluten can be hidden in many foods C. She can drink milk but I will read the labels on ice cream D. Fresh vegetables are ok but I will read the label on any dressings that may be added
A. She can eat anything but wheat bread
What statements are true regarding the back to sleep campaign to prevent Sudden Infant Death Syndrome? Select all that apply A. The back to sleep campaign has dramatically reduced the incidence of SIDS B. the child should be placed prone C. the child should be placed supine D. With the back to sleep campaign the child is at greater risk for plagiocep
A. The back to sleep campaign has dramatically reduced the incidence of SIDS C. the child should be placed supine D. With the back to sleep campaign the child is at greater risk for plagiocep
A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained.The child's color becomes blue and respiratory rate increases to 44 bpm.Which of the following actions would the nurse do first? A. The child is having a TET spell place the child in knee-to-chest position B. The child is having a temper tantrum and needs to be in time out C. The child needs to be restrained D. Give the child 2mg Valium IV
A. The child is having a TET spell place the child in knee-to-chest position
The mother of a 2 year old is concerned that her child is a picky eater .He is gaining weight and is in the 75th percentile on the growth chart ? The nurse would respond with the following statement A. This is normal development for a 2 year old B. I will set up a appointment with a nutrition expert C. Force him to eat all the food on his plate D. You need to follow up with a gastroenterologist
A. This is normal development for a 2 year old
Which factor is most important in predisposing toddlers to frequent infections? A. Toddlers have a short, straight ear canal and large lymph tissue B. Defense mechanisms are less efficient than those during infancy. C. Respirations are abdominal D. Pulse and respiratory rates are slower than those in infancy.
A. Toddlers have a short, straight ear canal and large lymph tissue
A 4 week old infant is not feeding well and when examined there is white coating in the oral in the mouth .The nurse suspects thrush the mom asked how is this treated the nurse answers by stating which of the following ? Select all that apply A. Wash and sterilize nipples and pacifiers B. The child has yeast infection oral nystatin will be used C. Amoxicillin to the oral mucosa D. Antibiotics to the mothers breast if nursing
A. Wash and sterilize nipples and pacifiers B. The child has yeast infection oral nystatin will be used
The nurse is presenting a case study to new grads about a patient the with a Anorectal Malformations.The nurse includes which of the following? Select all that apply A. anal dimpling may be present B. passage of meconium is a sign of the malformation C. Meconium may appear from perianal fistula or in urine D. The nurse should take rectal temperature for a definite diagnosis
A. anal dimpling may be presen C. Meconium may appear from perianal fistula or in urine
Which of the following manifestations distinguishes croup from other respiratory disorders? A. barking cough and stridor. B. cough and nasal drainage. C. nasal flaring and grunting. D. wheezing and retracting.
A. barking cough and stridor
While giving discharge instructions to the father of a child that was diagnosed with Asthma the nurse reviews all the following to prevent exacerbation ? Select all that apply A. get yearly flushot B. Keep rescue inhalers available at all times C. Remove molds and dust mites from the home. D. avoid flu shot if symptomatic
A. get yearly flushot B. Keep rescue inhalers available at all times C. Remove molds and dust mites from the home.
The nurse is providing information on how to prevent burns in young children she will include? Select all that apply A. keep covers on outlets B. keep pot handles pointed back of stove when cooking C. Set water heaters at 160 degrees F D. use sunscreen on toddlers
A. keep covers on outlets B. keep pot handles pointed back of stove when cooking D. use sunscreen on toddlers
A child complains of abdominal pain,and rebound tenderness, increased WBC's and left shift .The nurse knows the patient presents with the most common reason for abdominal surgery in children? Bowel obstruction Crohn's disease Appendicitis Irritable bowel syndrome
Appendicitis
The nurse is assessing a 3 year old what would be appropriate action to prepare the child for the exam ? A. Don't allow the child to hold a toy it may annoy the doctor B. allow the child to sit on parents lap C. Use medical terminology so the child doesn't understand the exam D. Separate the child from the parent
B. allow the child to sit on parents lap
The nurse is providing care to the family of a preschool-age child who is diagnosed with sickle cell disease. Which statement made by the sibling would initiate a teaching session is needed? Select all that apply A. "I like it when my brother is not sick ." B. "I am afraid that I caused my brother to get sick again because I was mad at him." C. "I never get to go over to my friends' houses because we are always taking my brother to the doctor." D. When I lied to my parents, I was punished for a week and my brother never gets punished."
B. "I am afraid that I caused my brother to get sick again because I was mad at him." C. "I never get to go over to my friends' houses because we are always taking my brother to the doctor." D. When I lied to my parents, I was punished for a week and my brother never gets punished."
A Nurse is providing teaching about expected changes during puberty to a group of parents of of early adolescent girls. Which statement indicates that the parents understand what was taught ? Select all that apply A. ''Breast development usually occurs after menarche" B. ''Breast development is usually the first manifestation of puberty" C. ''Girls may gain up to 75lbs before puberty D. '" Girls stop growing about 2 years after menarche""
B. ''Breast development is usually the first manifestation of puberty" D. '" Girls stop growing about 2 years after menarche""
A mom cries out that her daughter is will not wake up and has stopped breathing. The nurse goes in the room the 7 month old HR is 80 the nurse has hit the button for help.What does she do next? A. Administer oxygen via face mask 4liters B. Administer 100% oxygen via bag valve mask C. administer oxygen via nasal canula 2liters D. give a albuterol treatment
B. Administer 100% oxygen via bag valve mask
The nurses is providing a health promotion course to a group of pre school moms.The focus is accidental poisoning the nurse educated them to ? A. Tell the child not to touch medications B. All medications should be in a locked cabinet C. Place medications on counters the children can't reach D. place medications in containers the children would not play with
B. All medications should be in a locked cabinet
A 7 month child that was full term is in a clinic for a well child visit . A early intervention consult would be indicated for which of the following findings? Select all that apply A. Pincer grasp B. Head lag C. Does not roll over D. Stranger anxiety
B. Head lag C. Does not roll over
A 9 month old is in for there well child visit the child has met all milestones. The nurse will provide additional health and safety information and educates her on foods to avoid until 1 yr of age. What would she include? Select all that apply A. Strained Banana B. Honey C. Peanuts D. Strained Carrots
B. Honey C. Peanuts
A nurse is caring for a preschooler. Which of the following is an expected behavior of this age group? A. Understanding causes off illness B. Magical Thinking C. Understands all the function of the body D. Is self conscience of body image
B. Magical Thinking
A child with epiglottitis is worsening the nurse would do which of the following ? A. Administer antibiotics STAT B. Notify the most experienced provider for intubation C. Exam the child's throat and get a culture D. Give the patient a stat albuterol treatment
B. Notify the most experienced provider for intubation
A 12 month old child is in the being sent up from the Emergency Room with a fever and cough for 2 days the nurse suspects influenza .The charge nurse is following best practice by? A. Allow child to go to the playroom as long as they wash there hands B. Place child in a private room C. Place child in a room with another child that has the same symptoms D. Place child in a warm mist tent
B. Place child in a private room
The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot? A. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy B. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy C. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy D. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
B. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
The nurse is assisting the family of a child with a history of encopresis. Which should be included in the nurse's discussion with this family? A. Suggest the use of stimulant laxatives daily. B. Reassure the family that most problems are resolved successfully, with some relapses during periods of stress. C. Instruct the parents that the child will probably need to have daily enemas. D. Instruct the parents to sit the child on the toilet at twice-daily routine intervals.
B. Reassure the family that most problems are resolved successfully, with some relapses during periods of stress.
A nurse is caring for a 3 month old infant diagnosed with respiratory syncytial virus (RSV). Which of the following manifestations concerns the nurse the most? A.congested moist cough. B. expiratory wheezing than decreased air moment C. intercostal space retractions. D. respiratory grunting.
B. expiratory wheezing than decreased air moment D. respiratory grunting.
A nurse is caring for a 3 month old infant diagnosed with respiratory syncytial virus (RSV). Which of the following manifestations concerns the nurse the most? Select all that apply A. congested moist cough. B. expiratory wheezing than decreased air moment C. respiratory rate of 34 D. respiratory grunting.
B. expiratory wheezing than decreased air moment D. respiratory grunting.
A child has gastroenteritis the diet that is recommended after clear liquids is ? Bananas, rice ,applesauce and toast milk and cookies prunes ,cottage cheese ,hamburger Chicken nuggets and fries
Bananas, rice ,applesauce and toast
A nurse is assessing a family's structure. Which describes a family in which a mother, her children, and a stepfather live together? Blended Nuclear Extended Binuclear
Blended
The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that they will be back to visit at 6 PM. When the child asks the nurse when his parents are coming, the nurse's best response is? A. "They will be here soon." B. "Let me show you on the clock when 6 PM is." C. "They will come after dinner." D. "I will tell you every time I see you how much longer it will be."
C. "They will come after dinner."
Which approach would be best to use to ensure a positive response from a toddler? A. Stand by the toddler, addressing him or her by name B. Call the toddler's name while picking him or her up C. Assume an eye-level position and talk quietly D. Call the toddler's name and say, "I'm your nurse"
C. Assume an eye-level position and talk quietly
A 12 month old is at her well child visit .What abnormal finding needs to be reported to the provider? A. Birth length Birth length has increased by 50% B. 8 teeth have erupted C. Birth weight has doubled D. Child is able to take 3 steps
C. Birth weight has doubled
An infant gains head control before sitting unassisted. The nurse recognizes that this is which type of development? A. Proximodistal B. Sequential C. Cephalocaudal D. Mass to specific
C. Cephalocaudal
An 18 month-old child with RSV is admitted to the pediatric unit. The admitting nurse reviews the instructions from the healthcare provider. Which order should the nurse question? A. Encourage oral fluids B. Albuterol treatments every 3 hours C. Child may go to the playroom D. Chest physiotherapy twice a day
C. Child may go to the playroom
The nurse is assessing vital signs on a 12 month old the respiratory rate is 30 breaths per minute .Based on these findings the nurse? A. Administers oxygen B. administers a breathing treatment C. Documents findings D. Notifies the doctor
C. Documents findings
A nurse is developing a plan of care for an infant with nonorganic failure to thrive. What is the most important aspect of care to be incorporated into the plan? A. Periodically changing the seating arrangement during meals B. Force the child to eat everything on there plate C. Following a structured routine throughout the day D. Maintaining silence while feeding the infant
C. Following a structured routine throughout the day
The nurse is doing a assessment on a 4 year old with a viral infection and temperature 103.2 she recognizes a opportunity to educate the parents by which statements? Select alll that apply A. I will give her children's Motrin B. I will increase her fluids and make sure she is not dehydrated C. I will give her the adult tylenol it is cheaper D. I will wrap her up in blankets to help break her fever. That what my grandma said to do
C. I will give her the adult tylenol it is cheaper D. I will wrap her up in blankets to help break her fever. That what my grandma said to do
CPR is initiated in a 6 year old child with a non palpable blood pressure. The nurse was unable to start a IV .What would the nurse expect to occur NEXT? A. Intramuscular needle access B. no access needed C. Intraosseous Needle access D. Subcutanous needle access
C. Intraosseous Needle access
A mom is concerned that that her child with a upper respiratory infection is not eating very well for 2 days .Which is the nurses best response? A. Don't worry he is fine B. Give them there favorite foods C. Make sure they are getting adequate amounts of fluid D. Force them to eat
C. Make sure they are getting adequate amounts of fluid
Which drug is usually the best choice for a hospitalized child receiving a patient-controlled analgesia (PCA) in the immediate postoperative period? A. Methadon B. Meperidine C. Morphine D. Codeine
C. Morphine
Which is descriptive of bulimia during adolescence? A. Feelings of elation after the binge-purge cycle B. Profound lack of awareness that the eating pattern is abnormal C. Weight that can be normal, slightly above normal D. Strong sense of control over eating behavior
C. Weight that can be normal, slightly above normal
A single mom states she is very tired and the baby cries she is afraid she is "going to lose it" the nurses best response would be? A. just stick it out things will get better B. drink some coffee and hold the baby C. place the baby in the crib let her cry and call a family member or friend to help care for the baby D. have a few drinks to relax
C. place the baby in the crib let her cry and call a family member or friend to help care for the baby
The nurse is correctly educating a patient on the use of his inhalers when she tells the patient to A. hold his/her breath for 60 seconds after inhaling the medication. B. only take his long acting steroid inhaler when he has symptoms. C. take his bronchodilating (albuterol) inhaler first. D. wait 2 seconds between puffs.
C. take his bronchodilating (albuterol) inhaler first.
Which is a common, serious complication of rheumatic fever? Seizures Cardiac arrhythmias Pulmonary hypertension Cardiac valve damage
Cardiac valve damage
The healthcare provider is teaching the parents of an 8-month-old child with bronchiolitis how to take their child's temperature. Which of these statements provides the most accurate information? A. "Axillary temperatures are more accurate than oral temperature or rectal temperatures." B. Rectal temperatures tend to be lower than oral or axillary temperatures." C. "When taking a rectal temperature, advance the thermometer slightly past where resistance is felt." D. "For a tympanic temperature, pull the pinna down and back before inserting the probe into the ear."
D. "For a tympanic temperature, pull the pinna down and back before inserting the probe into the ear."
A patient on an intravenous opioid analgesic has become apneic. The nurse should implement which interventions FIRST ? A. Call parents to wake child B. Administer epinephrine C. Prepare to calm the child as analgesia is reversed D. Administer the prescribed naloxone (Narcan) dose by slow IV push.
D. Administer the prescribed naloxone (Narcan) dose by slow IV push
Which is probably the most important criterion on which to base the decision to report suspected child abuse? A. Inappropriate parental concern for the degree of injury B. Inappropriate response of child C. Absence of parents for questioning about child's injuries D. Incompatibility between the history and injury observed
D. Incompatibility between the history and injury observed
A child with autism spectrum disorder (ASD) is admitted to the hospital with pneumonia. The nurse should plan which priority intervention when caring for the child? A. Take the child frequently to the playroom to play with other children. B. Maintain frequent touch and eye contact with the child. C. Place child in a room with a roommate of the same age. D. Maintain a structured routine and keep stimulation to a minimum
D. Maintain a structured routine and keep stimulation to a minimum
The parents of a 3 month old are instructed to have all family members and caregivers to have there tdap and dtap booster vaccines to prevent the potentially fatal illness? A. Rubella B. Mumps C. Measles D. Pertussis
D. Pertussis
A first time mother wants to start her 6 month old on solid foods . The nurse would educate the parent that she should begin with what food choices? A. any food the family is eating B. Strained meats C. Rice cereal mixed with whole cows milk D. Rice cereal for infants mixed with formula
D. Rice cereal for infants mixed with formula
Umbilical Hernia is seen in a 2 month old boy the mom wants to know what will be done the nurse responds by stating ? A. Push on his umbilicus every 4 hours to promote closure B. Place a coin on his umbilicus and wrap it tight C. He will be scheduled for surgery next week D. Spontaneous closure usually occurs 3-4 (most by 1yr.)
D. Spontaneous closure usually occurs 3-4 (most by 1yr.)
A child is diagnosed with failure to thrive. The nurse understands that the criteria for this includes? A. Weight below 35th percentile for height and age B. Weight below 25th percentile for height and age C. Weight below the 15th percentile for height and age D. Weight below 5th percentile for height and age
D. Weight below 5th percentile for height and age
The nurse demonstrates understanding of family-centered care by? A. expecting the child to perform self-care in activities of daily living B. assuming total care for the child C. limiting visitation to three time periods per day D. encouraging family visitation
D. encouraging family visitation
A 19 year old just delivered a baby in the Emergency room. She stated that she did not know she was pregnant and did not receive prenatal care.The child is cyanotic ,sunken abdomen and bowel sounds are heard in the chest .The nurse is concerned the child may have what condition? Hiatal Henia Diaphragmatic Hernia Abdominal Hernia Umbilical Hernia
Diaphragmatic Hernia
The nurse is teaching nursing students about shock that occurs in children. What is one of the most frequent causes of hypovolemic shock in children? Congestive heart failure Sepsis Diarrhea and vomiting Anaphylaxis
Diarrhea and vomiting
The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What nursing care should be included?. Elevate the head but give nothing by mouth Feed glucose water only. Elevate head after feeding Don't Suction Infant
Elevate the head but give nothing by mouth
Which physical sign is indicating respiratory failure in a child with RSV? Tacypnea Rales Wheezing Grunting
Grunting
A 6-month old client with ventralseptal defect is receiving digitalis why would the nurse notify the doctor? Heart rate of 60 bpm Blood pressure of 126/80 Respiratory rate of 30 bpm Blood glucose of 110
Heart rate of 60 bpm
A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following? Hirschsprung disease Celiac diseasec Colic Intussusception
Hirschsprung disease
Which is the leading cause of death during the toddler period Injuries Congenital disorders Infectious diseases Childhood diseases
Injuries
A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. He is still vomiting and lethargic. What should therapeutic management of this child begin with? Water only Oral replacement fluids Intravenous (IV) fluids NACL Administration of antidiarrheal medication
Intravenous (IV) fluids NACL
What is the name of one segment of bowel within another called? Herniatnion Atresia Stenosis Intussusception
Intussusception
Which is the most frequent source of acute childhood lead poisoning? Unglazed pottery Lead-based paint Cigarette butts and ashes Chewing on lead pencils
Lead-based paint
Which laboratory result would be the most important piece of information regarding respiratory status? PH 7.21 WBC 6.0 HCT 39 BUN 16
PH 7.21
Which drug is used to maintain the patency of the patent ductus arteriosus in infants with transposition of the great vessels? Prostaglandin E. Digoxin Antibiotics Diuretics
Prostaglandin E.
A infant just had blood drawn the nurse has determined that he is in pain by the following observations ? Rigid body Silent withdrawn Smiling
Rigid body
Which pathogen that frequently causes acute diarrhea in very young children if they are not immunized ? Rotavirus Shigella organisms Influenza Giardia organisms
Rotavirus
A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect? Shaken-baby syndrome Unintentional injury Congenital neurologic problem Sudden infant death syndrome (SID
Shaken-baby syndrome
Which therapeutic management treatment is implemented for children with Hirschsprung disease? Daily enemas Surgical removal of affected section of bowel Permanent colostomy Low-fiber diet
Surgical removal of affected section of bowel Low-fiber diet
What advise would the nurse give a mother with a child that has a barky cough? Take the child outside to the cool air Go to the ER Give the child some adult cough medicine give them some hot tea
Take the child outside to the cool air
What is the source used to classify sexual development of an child? Tanner Staging Target Staging Ericson Staging Freud Staging
Tanner Staging
A 4-month-old infant has gastroesophageal reflux (GERD) but is thriving without other complications. Which should the nurse suggest to minimize reflux? Select all that apply Place in Trendelenburg position after eating. Thicken formula with rice cereal Feed baby more often Give continuous nasogastric tubes fee
Thicken formula with rice cereal Feed baby more often
The nurse is administering a intramuscular injection (IM) to a 1 year old .What site should the nurse use? ventrogluteal Deltoid Vastus lateralis Dorsal gluteal
Vastus lateralis
A 8 year old has a 3 day history of vomiting and diarrhea he is difficult arouse BP 76/48 this would be classified as ? normal blood pressure hypertension bradycardia hypotension
hypotension
A 20 month-old presents for treatment of stridor associated with croup. The nurse anticipates a STAT order from the physician for acetaminophen (Tylenol) levalbuterol (Xopenex) prednisone (Prelone) racemic epinephrine (Vaponephrine)
racemic epinephrine (Vaponephrine)
A 5 month old infant is admitted for treatment of respiratory syncytial virus (RSV). Which of the following alerts the nurse to EARLY signs of increasing distress? Rales oxygen saturation of 94% on room air. respiratory rate 62 Slight wheezes clear with cough
respiratory rate 62
An infant is brought to the emergency department with dehydration. Which physical assessment finding does the nurse expect? Select all that apply weight loss Tachycardia Poor skin turgur Brisk Capillary refill
weight loss Tachycardia Poor skin turgur
