PEDS - TEST Questions - Test 2 Review

It is important that a child with acute streptococcal pharyngitis be treated with antibiotics to prevent:

Acute rheumatic fever

Chronic hypoxemia is manifested by which of the following signs Squatting Clubbing Polycythemia All of the above

All of the above

The standard tx for Kawasaki disease is

Aspirin and immune globulin

A child with asthma is having pulmonary function tests. Which of the following best explains the purpose of the peak expiratory flow rate?

Assess severity of asthma

At four months of age, Amber is seen in the emergency department with CHF. All of the following symptoms are associated with this condition EXCEPT: bradycardia dyspnea poor feeding gallop rhythm

Bradycardia

Which of the following is responsible for airway narrowing characteristics of an asthma episode

Bronchospasm, respiratory mucosal edema, and increased production of mucus

Name an ACE inhibitor

Captopril

Which of the following is a major manifestation of rheumatic fever? select all that apply

Carditis Chorea Erythmia Marginatum (rash) Polyarthritis

Chronic hypoxemia is manifested clinically by which of the following signs (choose all that apply)

Clubbing, polycythemia

Nursing care of the infant and child with CHF would include which of the following?

Cluster activities to allow for uninterrupted sleep

Using knowledge of child development, which of the following is the best approach when preparing a toddler for a procedure

Demonstrate the procedure on a doll

A nurse is caring for a child who is suspected of having Rheumatic fever. Which of the following manifestations support the diagnoses (select all that apply)

Erythmia Marginatum (rash)

Epiglottitis is caused by:

Hemophilus Influenza Type B

In an 8 month old with suspected pertussis, the nurse should particularly assess the:

Immunization status of the infant

A VSD (ventricle septal defect) has the following blood flow pattern:

Increased pulmonary blood flow

The Doctor suggests that surgery be performed on an atrial septal defect (ASD) to prevent which of the following complications

Increased pulmonary vascular congestion

According to Erikson's theory of psychosocial development, adolescents are striving to achieve which developmental task

Industry

Katy, age 18, is admitted to the hospital with acute laryngotracheo bronchitis (croup). In assessing her respiratory status, the nurse should expect to note:

Inspiratory stridor, barking cough

Prostaglandin is administered to the newborn with a congenital heart defect to:

Keep the ductus arteriosis open

Katy is placed in a cool, high humidity tent connected to room air. The PRIMARY reason for this use of this tent is to:

Liquify secretions and relieve laryngeal spasm

Cystic Fibrosis may affect singular or multiple systems of the body. The primary factor responsible for possible multiple clinical manifestations is which of the following

Mechanical obstruction caused by increased viscosity of mucus glad secretion

The pediatric nurse should know that early subtle indication of hypoxia is:

Mood changes and restlessness

A nurse is caring for a child who is suspected of having Kawasaki's Disease. He has had a fever >102 for 6 days and unresponsive to antipyretics. Which of the following manifestations help support the dx

Non-blistering rash

A 4 year old girl is brought into the ED. She has a "froglike" croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should do which of the following?

Notify the physician immediately and be prepared to assist with a tracheostomy or intubation

Infant Ashley is admitted with Croup. The following pathophysiology mechanisms responsible for Ashley's symptoms are:

Obstruction of the airway due to edema and laryngospasm

All of the following symptoms should alert the nurse to the possibility of congenital heart disease EXCEPT:

Occasional periodic breathing

Tetralogy of Fallot is comprised of four congenital defects. which of the following is the only defect NOT associated with Tetralogy of Fallot Right ventricular hypertrophy over-riding aorta pulmonary stenosis patent ductus arteriosis

Patent ductus arteriosis

The following respiratory condition is highly infectious:

Pertussis

The nurse could expect to see all the following findings in a child with an obstructive heart defect (select all that apply)

Poor perfusion Decreased CO Exercise intolerance

The electrolyte that is usually depleted with most diuretic therapy is:

Potassium

Surgical closure of the ductus arteriosis (DA) would do which of the following

Prevent the return of oxygenated blood to the lungs

The following is NOT a common symptom of epiglottitis: anxiety drooling refusal to drink productive cough

Productive cough

The family experiences death of an infant with SIDS, the emergency nurse should:

Provide the family with an opportunity to see and hold the dead infant

The nurse who understands growth and development knows that a 4 year old child may see hospitalization as:

Punishment

To promote a sense of security in the hospitalized infant, the nurse should:

Respond to infant cues indicating fatigue, hunger, or need to be held

Because of their striving for independence and productivity, which age group of children are particularly vulnerable to events that may lessen their feelings of control and power

School age

The major stressor for hospitalization for children from middle infancy through the preschool years is:

Separation anxiety

Which of the following drugs is usually given first in the emergency treatment of an acute, severe asthma episode in a young child

Short acting B2-agonist

Which of the following would be most appropriate to employ in preparing an older school age child (age 9) for surgery

Showing him the PACU prior to surgery

Which of the following should the nurse expect in a child with a congenital heart defect

Susceptibility to respiratory infection

Cystic fibrosis is suspected in a toddler. Which of the following test is essential in establishing the dx

Sweat chloride test

For which of the following reasons would the nurse expect to institute I.V. fluid therapy and NPO status for an infant with bronchiolitis

Tachypnea

Which of the following heart defects cause hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation

Tetralogy of Fallot

Coarctation of the Aorta should be suspected when

The BP in the arms is different from the BP in the legs

When caring for a child with Kawasaki disease, the nurse should know which of the following

Therapeutic management includes administration of gamma globulin and salicylates

Which congenital heart disease is characterized by two separate and parallel circulations

Transposition of the great vessels

The primary therapeutic regimen for croup usually includes:

Vigilant assessment, racemic epinephrine and corticosteroids

When caring for a child after a tonsillectomy, the nurse should so which of the following?

Watch for continuous swallowing

Nurses caring for a child with respiratory syncytial virus (RSV) should:

Wear gloves, mask and gown when entering room

Which of the following reactions to surgery is most typical of an adolescents fear of bodily injury

concern about scar

Bob, age 10, is diagnosed with asthma. A CORRECT statement about the cause of asthma is that:

related to heightened airway reactivity

What primarily determines prognosis in a child with cystic fibrosis

the amount of respiratory involvement