Check Your Knowledge Quiz for Exam 2

A newborn has been diagnosed with a congenital heart defect. What is a key priority the nurse should ensure is complete for the child prior to discharge? a. Prepare a dose of Prostaglandin E b. Ensure the parent has signed a DNR c. Ensure that the surgery pre-op checklist has been completed and the parent has signed consent d. Ensure an echocardiogram has been done

d

A newborn is extremely cyanotic and has a loud harsh murmur. An echocardiogram reveals Transposition of the Great Vessels. What is the nurse's highest priority? a. Arrange for transport to nearest children's hospital, 6 hours away b. Administer a dose of Indomethacin if HR is above 100 c. Teach the parents how to reposition to shunt the baby's blood flow d. Prepare a dose of Prostaglandin E

d

A pediatric nurse is caring for a male patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discolored. These findings are: a. abnormal, and indicate the presence of hemorrhaging b. normal, and indicate the need for a position change c. normal, and indicate no need for intervention d. abnormal, and indicate the need for a cool compress.

d

After repositioning a child diagnosed with Tetralogy of Fallot to reshunt blood flow, what is the next priority intervention if repositioning is not effective? a. Children diagnosed with Tetralogy of Fallot do not require interventions for reshunting blood flow b. Administer an emergency dose of epinephrine c. Reposition again in order to increase the intrathoracic pressure d. Administer oxygen

d

Which demonstrates appropriate supervision by the parent of a 15-year-old who has had Type 1 DM x 1 1/2 years? a. Watch them perform each finger stick with lancet b. Recalculate carbohydrate count after each meal c. Check glucometer log regularly for frequency and pattern of blood sugars d. Require the adolescent to text the parent before each meal about their choices

c

Select all that apply. Which interventions does the nurse use to advise parent in helping develop personal hygiene skills for a preschooler? a. Teach child to use floss on their own and tell them to swish mouthwash for 1 minute b. Allow child to choose what time each night to take their bath c. Use colored bath gel to cover all of body areas to help with not missing important parts to wash d. Suggest parent keep their distance during morning activities and not provide any reminders so child will become more accountable e. Have a "tooth brushing song" that plays to help child know how long to brush f. Use a sticker reward chart to keep track of days when child remembers to brush teeth without reminder

HELP lol

Considering Piaget's developmental stages, the nurse should expect a 6-year-old with Type 1 DM to struggle the most with mastering which of the following skills? a. Finger stick with lancet b. Checking blood sugar 3x/daily ac; random spot check x1 during the day c. Carbohydrate counting with adult assistance d. Reporting blood sugar reading to adult to have it recorded into a log book

b

In recognizing Hemolytic Uremic Syndrome (HUS), which lab value does the nurse expect to see? a. Urine specific gravity 1.020 b. Platelet count 80,000 c. Serum Creatinine 0.7 d. BUN 15

b

What action is contraindicated when a child with Down syndrome is hospitalized? a. Assess the child's hearing and visual capabilities b. Encourage parents to leave the child alone for extended periods of time c. Determine the child's vocabulary for specific body functions d. Have meals served at the child's usual meal times

b

A child with type 1 diabetes mellitus has been diagnosed with ketoacidosis. Which of the following laboratory findings is consistent with the diagnosis? a. Fasting blood glucose: 124mg/dL b. Potassium level: 3.9mEq/L c. Serum pH: 7.24 d. Hemoglobin A1C: 5.5%

c

A 5 kg client is in CHF due to an uncorrected PDA. The RSD for Lasix is 0.5-2 mg/kg/dose. O2 sat is 90%, baseline O2 sat is 88%. Which order should the nurse question? a. Call the provider if 02 sat drops below 92% b. Administer O2 @ 1-2 L via nasal cannula if O2 sats drop below 87% c. Administer Lasix 8 mg IV X 1 d. Restrict total fluid intake to 500 cc/day

a

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask? a. "Has your son had a sore throat recently?" b. "Have you given your child aspirin in the past 2 weeks?" c. "Has your child had any injuries recently?" d. "Was your son born with this cardiac defect?"

a

For which client would position change to reshunt blood flow be the initial priority intervention? a. 9 month old with ToF, HR 70, RR 14, O2 sat 50% b. 3 week old with VSD, HR 100, RR 40, O2 sat 76% c. 4 year old with PDA, HR 110, RR 42, O2 sat 88% d. 5 month old with CoA, HR 50, RR 10, 02 sat 60%

a

A child is weighing 39 kg is diagnosed with Kawasaki's after 6 days of fever. Which interventions would the nurse expect to implement? Select All That Apply. a. Obtain echocardiogram b. Administer high dose Aspirin c. Place client on droplet precautions d. Administer IVIG e. Administer platelet infusion

a, b, d

A 5-year-old is diagnosed with Acute Glomerulonephritis. Which signs and symptoms would be expected findings by the nurse? Select All That Apply. a. Mom reports he has been tired for the past week b. 1+ Peripheral edema c. No protein in urine d. Urinary frequency & urgency e. Polyuria f. Tea-colored urine

a, b, f

A nurse is assessing an infant for urinary tract infection (UTI). Which assessment findings should the nurse expect? Select all that apply. a. Poor weight gain b. Enuresis c. Voiding urgency d. Fever or hypothermia e. Change in urine odor or color

a, d, e

A 9-year-old child with Chronic Renal Failure has suffered extreme brain and heart damage from a hypoxic episode while in the ICU for severe peritonitis. The parents have signed a DNR. Which statement by the nurse is inappropriate when asked by the parents what they should tell their 16-year-old child about this decision? a. "Your child should be informed of the decision you have made. The hospital chaplain is able to come up if you would like, to help you and your child cope with this difficult situation." b. "He is very mature for his age. I think he will be able to handle it well; he understands how sick his sister has been, but it is your decision about whether to tell him or not. If it was my child, I would hesitate telling him the entirety of the situation." c. "Although your child may not handle the news very well, it is important to discuss the potential outcomes of this situation with him so that he can begin to cope with his grief and identify whether he needs additional support systems." d. "It is appropriate to share this information with him. I want to call the Child Life specialist to come talk to you about how to do this so that he can better cope with this difficult decision."

b

A baby that was born 5 minutes earlier is tachypneic, tachycardic, and markedly cyanotic. A STAT echocardiogram confirms the presence of a cyanotic congenital cardiac defect. Which of the following defects would be consistent with the assessment findings? a. Ventricular septal defect b. Transposition of the Great Vessels c. Atrial septal defect d. Patent ductus arteriosus

b

A nurse is caring for a 3-year-old child weighing 13kg, who has been diagnosed with Nephrotic Syndrome. When completing orders for this client, which of the following should the nurse question? a. 25% Albumin 3g IV x 1 b. D51/2NS at maintenance rate of 60cc/hr c. Furosemide 4mg IV q6h d. Methylprednisolone 6mg IV BID

b

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority? a. Place child on no potassium diet b. Check the child's daily weight c. Educate the parents about potential complications d. Maintain a saline lock on the peripheral IV

b