Peds Quiz 3

Question at position 20 The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused? The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused? The child has a fractured bone. The child has bruises on the knees and elbows. The child has a burn that has not been treated. The child is hyperactive and angry.

The child has a burn that has not been treated.

Question at position 11 Which statement is true of shaken baby syndrome? Which statement is true of shaken baby syndrome? There may be absence of external signs of injury. Shaken babies usually do not have retinal hemorrhage. Shaken babies have signs of external head injury. Shaken babies usually do not have signs of subdural hematoma.

There may be absence of external signs of injury.

Question at position 17 The teeth, tongue, gallbladder, appendix, salivary glands, liver, and pancreas are referred to as accessory organs, and the purpose of these is which of the following?The teeth, tongue, gallbladder, appendix, salivary glands, liver, and pancreas are referred to as accessory organs, and the purpose of these is which of the following?To aid in the digestive process and to produce substances that aid in the digestive processTo decrease the secretion of acids in the digestive organsTo cushion and protect the digestive organsTo secrete liquids that help the food to be tasted as a person eats

To aid in the digestive process and to produce substances that aid in the digestive process

Question at position 6 A nurse caring for patients in a free women's health clinic counsels women on infant nutrition and formula preparation. Which of the following is an appropriate guideline for the proper use of infant formula?A nurse caring for patients in a free women's health clinic counsels women on infant nutrition and formula preparation. Which of the following is an appropriate guideline for the proper use of infant formula?Never dilute infant formula.Mix powdered formula with oral electrolytes for better nutrition.Maintain a normal caloric density of 35 calories per ounce.Use a soy-based formula for infants with lactase deficiency.

Use a soy-based formula for infants with lactase deficiency

The nurse is caring for a small child who has been admitted with a diagnosis of abusive head trauma (shaken baby syndrome). Which condition or concern often occurs with shaken baby syndrome? chronic infection and scarring reports of illness and nightmares edema to the arms and legs loss of vision and intellectual disability

loss of vision and intellectual disability

Question at position 9 A group of nurses is discussing child abuse (child maltreatment) and one nurse suggests that inadequate parenting skills may lead to child maltreatment. The nurse recognizes that sometimes child maltreatment occurs because the parent: A group of nurses is discussing child abuse (child maltreatment) and one nurse suggests that inadequate parenting skills may lead to child maltreatment. The nurse recognizes that sometimes child maltreatment occurs because the parent: is responding appropriately to the child's behavior. works hard to provide for the family and feels unappreciated. believes the child is intentionally trying to make him or her angry. may have unrealistic expectations of the child.

may have unrealistic expectations of the child.

In understanding the gastrointestinal system, the nurse recognizes that this system includes the stomach and intestines as well as: nerves throughout the abdomen. the pharynx and esophagus. the brain and spinal cord. a protective cushion lining the organs.

the pharynx and esophagus

Question at position 13 While making a home visit, the nurse suspects that a child is experiencing psychological maltreatment. What did the nurse observe in the home? While making a home visit, the nurse suspects that a child is experiencing psychological maltreatment. What did the nurse observe in the home? Asking one child to perform a song on the piano for the nurse Belittling the child in front of the nurse and other siblings Scolding one child for playing with matches Punishing one child for crossing the street without assistance

Belittling the child in front of the nurse and other siblings

Question at position 10 The nurse is caring for a 14-year-old with celiac disease. The nurse knows that the patient understands the diet instructions by ordering which of the following meals?The nurse is caring for a 14-year-old with celiac disease. The nurse knows that the patient understands the diet instructions by ordering which of the following meals?Eggs, bacon, rye toast, and lactose-free milk.Cheese, banana slices, rice cakes, and whole milk.Pancakes, orange juice, and sausage links.Oat cereal, breakfast pastry, and nonfat skim milk.

Cheese, banana slices, rice cakes, and whole milk

The nurse is collecting data for a child with idiopathic celiac disease. The caregiver tells the nurse that her child has bulky and greasy stools. The nurse recognizes that the child has: Steatorrhea Pica Invagination Polyuria

Steatorrhea

A mother brings her 6-year-old daughter to the health clinic with concerns about the child's bedwetting and thumb-sucking. Her behavior in school has changed dramatically during the academic year, and she is now taking baths up to four times a day. She has also been treated for a urinary tract infection numerous times over the past few months. Based on this initial informations, the nurse determines there is a need to further assess for which of the following? The child needs psychological counseling. The child is trying to gain her mother's attention. The child is experiencing school phobia. The child may be a victim of sexual abuse.

The child may be a victim of sexual abuse

Question at position 15 A group of pediatric nurses is discussing the diagnosis of Munchausen syndrome by proxy. Which statement most accurately describes this disorder? A group of pediatric nurses is discussing the diagnosis of Munchausen syndrome by proxy. Which statement most accurately describes this disorder? "It happens when there is sexual contact between a child and a caregiver." "The disorder occurs when a child is shaken by the arms or shoulders in a repetitive manner." "Children with this diagnosis often appear worried or fearful and have nightmares." "It is seen when one person fabricates or induces illness in another to get attention."

"It is seen when one person fabricates or induces illness in another to get attention."

Question at position 16 A child and her parents are being seen in the office after discharge from the hospital with a new diagnosis of type 2 diabetes. Which statement by the nurse is true? A child and her parents are being seen in the office after discharge from the hospital with a new diagnosis of type 2 diabetes. Which statement by the nurse is true? "You are lucky that you did not have to learn how to give yourself a shot." "A weight-loss program should be implemented and maintained." "This will rectify itself if you follow all of the doctor's directions." "Kids can usually be managed with an oral agent, meal planning, and exercise."

"Kids can usually be managed with an oral agent, meal planning, and exercise."

Question at position 19 The nurse overhears a group of student nurses in the break room discussing the role of the health care professional in suspected child abuse. The nurse concludes that the student who most accurately understands the role is one who makes which of the following statements? The nurse overhears a group of student nurses in the break room discussing the role of the health care professional in suspected child abuse. The nurse concludes that the student who most accurately understands the role is one who makes which of the following statements? "Nurses should only report child abuse if they are certain." "Only the physician can report child abuse." "Nurses are required to report any case of suspected child abuse to child protective services." "Nurses should tell the child's doctor if child abuse is suspected."

"Nurses are required to report any case of suspected child abuse to child protective services."

1 point Question at position 8 A mother, distressed to learn that her school-age child is diagnosed with type 2 diabetes mellitus, asks the nurse how this could happen because no one in the family has diabetes. What should the nurse explain to the mother?A mother, distressed to learn that her school-age child is diagnosed with type 2 diabetes mellitus, asks the nurse how this could happen because no one in the family has diabetes. What should the nurse explain to the mother?"This disorder is associated with overweight and eating a diet high in fats and carbohydrates.""This is caused by the pancreas making too much insulin.""This disorder usually occurs when inadequate calories are ingested on a regular basis.""Because this disorder is genetic, someone in the family will eventually develop the illness."

"This disorder is associated with overweight and eating a diet high in fats and carbohydrates."

The school nurse observes an elementary school child arriving in the winter in shorts and a short sleeved shirt with no coat. The nurse would consider this as which type of abuse? Physical abuse Sexual abuse Emotional abuse Neglect

Neglect

Which findings should the nurse expect to assess when completing the health history of a child admitted for possible type 2 diabetes? Select all that apply. Which findings should the nurse expect to assess when completing the health history of a child admitted for possible type 2 diabetes? Select all that apply. Marked weight loss Abrupt onset of symptoms Polyphagia Polydipsia Polyuria

Polyphagia Polydipsia Polyuria

The nurse is educating the caregivers of a child suspected of having developed a food allergy. Which foods will the nurse identify for elimination from the child's diet? Select all that apply. The nurse is educating the caregivers of a child suspected of having developed a food allergy. Which foods will the nurse identify for elimination from the child's diet? Select all that apply. Soybeans Broccoli Corn Oranges Eggs

Soybeans Eggs

Question at position 12 The nurse is collecting data from the caregivers of a child who is suspected of having a food allergy. Which clinical manifestation would likely have been noted in this child?The nurse is collecting data from the caregivers of a child who is suspected of having a food allergy. Which clinical manifestation would likely have been noted in this child?Restlessness and irritabilityNasal discharge and sneezingUrticaria and pruritusBlinking and twitching of the mouth

Urticaria and pruritus

Question at position 18 The major role of the endocrine system is to:The major role of the endocrine system is to:regulate insulin.produce enzymes.secrete hormones.absorb nutrients.

secrete hormones