MN/Peds Lecture Questions
A school-age child with CF asks the nurse what sports she can be involved in as she becomes older. Which activity would be most appropriate for the nurse to suggest? a. Swimming b. Track c. Baseball d. Soccer
a
A 7-month-old female infant is admitted to the hospital with a tentative diagnosis of Hirschsprung's disease. When obtaining the infant's initial health history from the parents, which statement made by the mother would be most important? a. "She gets constipated often." b "Sometimes she gets colds." c. "She spits up occasionally." d. "Her rectal temperature is 99.4° F (37.4 °C)."
a
A nurse is teaching the parents of a child diagnosed with a urinary tract infection secondary to vesicoureteral reflux. How should the nurse explain how the reflux contributes to the infection? a. "It prevents complete emptying of the bladder." b. "It causes urine backflow into the kidney." c. "It results in painful bladder spasms." d. "It causes painful urination."
a
After teaching the parents of an infant who has had a surgical repair for a cleft lip about the use of elbow restraints at home, the nurse determines that the teaching has been successful when the parent makes what statement? a. "We will keep the restraints on continuously except when checking the skin under them for redness." b. "We will keep the restraints on during the day while he is awake, but take them off when we put him to bed at night." c. "After we get home, we won't have to use the restraints because our child does not suck on his hands or fingers." d. "We will be sure to keep the restraints on all the time until we come to see the physician for a follow-up visit."
a
CP requires special different disciplines to work closely with the child. The main goal of occupational therapy when working with a child with CP is to: a. Help children with CP master the basic activities of daily living b. Improve flexibility, coordination, strength and function. c. Aid in swallowing, breathing and digestion issues. d. Prevent joints from becoming tight or permanently bent (contracted)
a
Eight hours ago, an infant with Hirschsprung's disease had surgery to create a colostomy. Which finding should alert the nurse to notify the health care provider (HCP) immediately? a. 3-cm increase in abdominal circumference b. Periods of occasional fussiness c. Absence of bowel sounds since surgery d. Bright red stoma
a
Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit? a. A sunken fontanel b. Decreased pulse rate c. Increased blood pressure d. Low urine specific gravity
a
Twenty-four hours after birth, a neonate hasn't passed meconium. The nurse suspects which condition? a. Hirschsprung's disease b. Celiac disease c. Intussusception d. Abdominal wall defect
a
Typical complications of GERD in infants include: a. Pneumonia b. Headaches c. Intussusception d. Constipation
a
Using Nagele's Rule, calculate the estimated date of birth. First day of LMP = March 15th, 2019 a. 12-22-19 b. 09-22-19 c. 12-26-19 d. 01-02-20
a
What diagnostic test is used to identify vesicoureteral reflux? a. Voiding cystourethrography b. IV urography c. Renal angiography d. Bladder ultrasonography
a
When obtaining the nursing history from the mother of an infant with suspected intussusception, which question would be most helpful? a. "What do the stools look like?" b. "When was the last time your child urinated?" c. "Is your child eating normally?" d. "Has your child had any episodes of vomiting?"
a
The nurse is developing a teaching plan for the parents of an 11-month-old infant with GERD. What actions would the nurse incorporate into the teaching plan? SATA. a. Keeping the child upright for 30 minutes after feeding. b. Giving the child small frequent feedings. c. Adding rice cereal to thicken their formula d. Burping the infant at the end of the feeding e. Thinning the formula with water to ease flow
a, b, c
A 3-year-old has been admitted with severe dehydration. Which clinical manifestations should the nurse expect to observe in the child? SATA. a. Dry mucosa b. Elastic skin turgor c. Tachycardia d. Cool and mottled extremities e. Flat fontanelles
a, c, d
A 5-year-old is admitted to the pediatric unit with diagnosis of possible intussusception. Which assessment data supports this diagnosis? Select all that apply. a. Currant jelly stools b. Diarrhea c. Abdominal pain d. Tarry, black stools e. Abdominal distention
a, c, e
A child is admitted to the hospital for a spinal fusion. The most important nursing priority in the first 8 hours post-op will be to? a. Log roll the patients q4 hours b. Check the NV status of the lower extremities c. Give fluids and fiber to promote bowel elimination d. Monitor hourly urine output
b
A child is admitted with a 5-day history of severe vomiting and diarrhea. Which intervention is the highest priority for the nurse? a. Administering an antiemetic medication b. Administering IV fluids with electrolyte correction c. Applying protective ointment on the perineal area for breakdown d. Encouraging a soft, bland diet high in protein
b
A nurse is caring for a hospitalized child with cystic fibrosis. What interventions can be provided to encourage family centered care? a. Have a team meeting with nursing staff to develop a plan of care. b. Have a team meeting with the child, family and HCP involved with the care of the child. c. Have the family members meet with a child psychologist to see that the child's needs are being met. d. Ask the physician to meet with the family to tell them what the plan of care for the child will be.
b
A woman provides the nurse with the following obstetrical history: Delivered a son now 7 years old at 28 weeks gestation; delivered a daughter now 5 years old at 39 weeks gestation; had a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. What is her GTPAL? a. G1 T2 P1 A3 L3 b. G5 T1 P1 A2 L2 c. G6 T1 P1 A3 L3 d. G5 T1 P1 A3 L3
b
After teaching the mother of a young girl about measures to help prevent urinary tract infections, what statement by the mother indicates successful teaching? a. "She'll love the idea of taking more bubble baths." b. "We'll buy some of her favorite juice so she'll drink more." c. "We'll try to get her not to go to the bathroom too frequently." d. "We'll let her soak in the bathtub for 30 minutes every day."
b
An infant diagnosed with Hirschsprung's disease undergoes surgery with the creation of a temporary colostomy. Which statement by the parent regarding the colostomy indicates the need for further teaching? a. "The colostomy should be temporary." b. "The colostomy will give time for the nerves to return to normal." c. "The colostomy may include two separate abdominal openings." d. "Right after the procedure the stoma may appear purple."
b
Benefits to the mother associated with breastfeeding include all except which of the following? a. There is a decreased risk of breast cancer. b. It is an effective method of birth control. c. It increases bone density. d. It may enhance postpartum weight loss.
b
Cerebral Palsy is characterized by: a. Hyperactivity and developmental delay b. Abnormal muscle tone and contraction c. Mental retardation and aversion to touch d. Hyporeflexia and hyposensitivity to touch
b
What should be included in the NV assessment? a. Orientation, movement, pulses b. Cap refill, movement, pulses c. Orientation, papillary responses, pulses d. Pupils, pulses and temperature
b
When assessing a 4-month-old infant diagnosed with possible intussusception, the nurse should expect the parent to relate what information about the infant's crying and episodes of pain? a. Constant, accompanied by leg extension b. Intermittent, with knees drawn to the chest c. Shrill, during ingestion of solids d. Intermittent, while being held in the parent's arms
b
A woman brings her 6-year-old daughter to the pediatrician's office for evaluation. The child recently started wetting the bed and running a low-grade fever. A urinalysis is positive for bacteria and protein. A urinary tract infection (UTI) is diagnosed, and the child is prescribed antibiotics. Which nursing interventions are appropriate? Select all that apply. a. Limit fluids for the next few days to decrease the frequency of urination. b. Assess the mother's understanding of UTI and its causes. c. Instruct the mother to administer the antibiotic as prescribed, even if the symptoms diminish. d. Provide instructions only to the mother, not the child. e. Tell the mother to have the child wipe the back to the front after voiding and defecation.
b, c
A child's diagnosis of CF was made 13 years ago and he has been hospitalized several times. On the latest admission, the child has labored respirations, fatigue, malnutrition, and poor weight gain. Which nursing actions are most important initially? a. Placing the child on bed rest b. Starting the child on a high-calorie, high-protein diet c. Applying a pulse ox d. Inserting an IV line to start abx.
c
After teaching the parents of an infant diagnosed with Hirschsprung's disease, the nurse determines that the parents understand the diagnosis when the parent makes which statement? a. "There is no rectal opening for stool to pass." b. "There is a tube between the trachea and esophagus." c. "The nerves at the end of the large colon are missing." d. "The muscle below the stomach is too tight."
c
Magnesium sulfate is a treatment for eclampsia for which reason? a. To improve nutritional status. b. To reestablish electrolyte balance. c. To prevent seizure activity. d. To dilate airways and improve respiratory efforts.
c
Management for a cleft lip or cleft palate surgery includes the following interventions? a. Utilizing a pacifier with sucrose syrup to aid in pain management b. Elbow restraints are used when the infant is sent home to protect the suture line. c. Prevent crying to prevent stress on the suture line d. Using distraction methods only for pain since infants cannot receive pain medications
c
Since the absorption of fat soluble vitamins is decreased in cystic fibrosis, supplementation of what type of vitamins could be necessary? a. Vitamins C and D b. Vitamins A, E, and D c. Vitamins A, D, E, and K d. Vitamins C and folic acid
c
When does idiopathic scoliosis become the most noticeable? a. Newborn period b. When the child starts to walk c. Pre-Adolescent growth spurt d. Adolescence
c
A 2-year-old has recently been diagnosed with stage 3 Vesicoureteral Reflux (VUR) after having a Voiding Cystourethrogram (VCUG). Which statement should be utilized in the education of the parents about VUR and its management/treatments? a. "Your daughter will need to have surgery immediately since there is high risk of renal damage with stage 3 VUR." b. "Good news, stage 3 VUR always resolves as the child ages and does not require further treatment." c. "Stage 3 VUR means that urine is back-flowing into both of her ureters which is why she keeps having urinary infections." d. "Stage 3 means your daughter will be at risk for more urinary infections so the physician may use an antibiotic prophylaxis regime while we monitor the condition."
d
Parents of a child with CF demonstrate a knowledge of the effects of hot weather on their child when they state that hot weather is hazardous because the child has which of the following? a. Poor ability to concentrate urine b. Little skin pigment to prevent sunburn c. Poorly functioning temperature control center d. Abnormally high salt loss through perspiration
d
The HCP is caring for a 3-month-old infant diagnosed with infectious gastroenteritis. The infant is lethargic and the mucous membranes are dry. Which additional finding would support a diagnosis of moderate dehydration? a. Increased cap refill b. Increased thirst c. Anuria d. Sunken fontanelle
d