Nursing 370 Practice Quiz
The nurse is interviewing parents of a child who has been diagnosed with severe combined immune deficiency (SCID). Which statement by the parents best indicates an understanding of their child's condition?
"We will need to prepare our child and ourselves for a bone marrow transplant."
The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever?
"Children who have this diagnosis may have had strep throat."
A nurse is conducting a physical examination of a 12-year-old girl with suspected systemic lupus erythematosus (SLE). How would the nurse best interview the girl?
"Have you noticed any hair loss or redness on your face?"
The nurse is providing home care instructions for a 13-year-old girl recently diagnosed with systemic lupus erythematosus. Which response by the girl indicates a need for further teaching?
"I need to wear sunscreen in the summer to prevent rashes."
The nurse teaches a mother pain management techniques to use for a toddler with otitis media. Which statement indicates that the mother needs additional teaching?
"I should give my toddler one baby aspirin."
An infant with poor feeding is suspected of having a congenital heart defect. The parents are asking why a chest x-ray is necessary in their infant. What is the best response from the nurse?
"It will determine if the heart is enlarged."
The nurse is caring for a 5-year-old boy undergoing radiation treatment for a neuroblastoma. Which nursing diagnosis would be most applicable for this child?
Impaired skin integrity related to desquamation from cellular destruction
A nurse is teaching the parents of a child diagnosed with rheumatic fever about prescribed drug therapy. Which statement would indicate to the nurse that additional teaching is needed?
"We can stop the penicillin when her symptoms disappear."
A 12-year-old girl has been recently diagnosed with juvenile idiopathic arthritis (JIA). She is eager to resume physical activity. The girl's mother is excessively concerned about her safety and has completely limited the daughter's activities. Which of the following would be the best way to address the mother's concerns and encourage activity?
"What are your daughter's favorite activities?"
The nurse receives the shift report of multiple pediatric clients. Which pediatric client will the nurse see first?
A toddler with tetralogy of Fallot squatting quietly in the corner of the room
The nurse is developing a plan of care for a child with thalassemia. What nursing interventions would the nurse include? Select all that apply.
Administer packed RBC transfusions as ordered Administer deferoxamine therapy
The nurse is working with a child who is in sickle cell crisis. Treatment and nursing care for this child include which actions? Select all that apply.
Administering oxygen Administering analgesics Maintaining fluid intake
How is wheezing in children best heard?
As the child exhales
A child has been prescribed a nasal cannula for oxygen delivery. What should the nurse do before applying the cannula?
Assess patency of the nares
After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?
Atrial septal defect
The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptom to be:
Chronic lack of oxygen
Which acute respiratory condition is the most common in early childhood?
Croup
A client is being admitted to the medical unit for exacerbation of symptoms of systemic lupus erythematosus (SLE). When assessing the client, the nurse notices a butterfly-shaped rash across the client's cheeks and bridge of the nose. Which action by the nurse is most appropriate?
Document the finding in the client's medical record.
While assessing a neonate with a ventricular septal defect (VSD), the nurse notes crackles and retractions. The nurse obtains the following vital signs: temp 100.2°F (38°C), pulse 134 bpm, respirations 64 breaths/minute, oxygen saturation 97% on room air. What will the nurse do first?
Give furosemide intravenously
The nurse on a pediatric unit finds a child having extreme shortness of breath, a swollen tongue, and urticaria on the face and neck. The nurse notices the lunch tray to have a half-eaten peanut butter and jelly sandwich. Which action will the nurse take first?
Give the child an epinephrine injection.
A nurse is caring for a newborn whose screening test result indicates the possibility of sickle cell anemia (SCA) or sickle cell trait. The nurse would expect the test result to be confirmed by which lab tests?
Hemoglobin electrophoresis
A nurse is teaching a group of parents about possible signs and symptoms of respiratory disorders. The nurse emphasizes that early detection is important in preventing more serious problems. The nurse determines that the teaching was successful when the group identifies which sign as often the first sign of a respiratory illness?
Increased respirations
A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication?
Indomethacin
A nurse is administering digoxin to a 3-year-old child. What would be a reason to hold the dose of digoxin?
Nausea and vomiting
To prevent further sickle cell crisis, the nurse would advise the parents of a child with sickle cell anemia to:
Notify a health care provider if the child develops an upper respiratory infection
When educating the family of an ill infant with an atrioventricular canal defect/septal defect, what information would be included in the education if the doctor is planning on performing palliative care until the infant is healthier?
Palliative pulmonary artery banding should help the infant grow
A group of nurses is reviewing the diagnosis of cystic fibrosis. With regard to the effect of this disease on the body, which parts of the body (besides the lungs) are most affected by this disease?
Pancreas and liver
A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see?
Peeling hands and feet; fever
A 5-year-old child is brought to the emergency department with reports of generalized pain, especially in the right hand, for several hours. The nurse completes an assessment (above). Which condition is associated with these findings?
Sickle cell disease
What is a definitive test for cystic fibrosis?
Sweat chloride
In caring for a child with sickle cell disease, the highest priority goal is:
The child's fluid intake will improve
When caring for children with respiratory issues in relationship to the anatomy and physiology of the child's respiratory system, it is important to recognize which of the following?
The diameter of the child's trachea is about the size of the child's little finger
The nurse is assessing a 3-year-old boy whose parents brought him to the clinic when they noticed that the right side of his abdomen was swollen. What finding would suggest this child has a neuroblastoma?
The parents report that their son is vomiting and not eating well.
A client with severe chronic anemia is receiving ongoing transfusion therapy. The nurse frequently assesses the client for what major complication of this therapy?
Toxic iron overload
A 7-year-old child is rushed into the emergency room after being stung by a yellow jacket. The child is nauseated and vomiting and is experiencing itching and swelling on the arm where stung. The is having trouble breathing. Which type of hypersensitivity response is the child experiencing?
Type I: anaphylaxis
The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first?
a child with hemophilia reporting knee pain and edema
The nurse is caring for a client who was diagnosed with a sickle cell crisis and currently reports acute back and joint pain. Upon examination, the nurse noted the following assessments: dry mucous membranes; poor skin turgor; poor capillary refill, and pale nail beds. Which nursing concern will the nurse identify as the priority?
acute pain related to effects of sickling
Which treatments are common to both systemic lupus erythematosus and juvenile idiopathic arthritis? Select all that apply.
corticosteroids nonsteroidal anti-inflammatory drugs (NSAIDs) antirheumatics
A child diagnosed with a ventricular septal defect (VSD) is seen in the clinic. The nurse conducts an assessment and reviews the child's recent laboratory results. The nurse suspects the child may have developed heart failure. Which finding is the best indicator of the nurse's suspicion?
crackles on lung auscultation
After teaching a group of students about hemophilia, the instructor determines that the students have understood the information when they identify hemophilia A as involving a problem with:
factor VIII
The nurse is caring for a 5-year-old client with sickle cell disease who is receiving hydroxyurea therapy. What should the nurse monitor while caring for the client? Select all that apply.
hemoglobin (Hgb) F levels complete blood count (CBC), reticulocyte count, and platelet count
The nurse is caring for a child with HIV. The doctor will most likely order which test to monitor the child's progress?
lymphocyte immunophenotyping T-cell quantification
A newborn is diagnosed with tetralogy of Fallot. When explaining this condition to the mother, which defect would the nurse's description include?
overriding of the aorta
The nurse is caring for a child presenting with eye inflammation, knee pain, poor appetite, and poor weight gain. The nurse is aware that this is which type of juvenile idiopathic arthritis?
pauciarticular (oligoarticular)
A nurse is reading a journal article about congenital heart conditions that are associated with decreased pulmonary blood flow. The nurse demonstrates understanding of the information when she identifies which anomalies as being associated with tetralogy of Fallot? Select all that apply.
pulmonary stenosis overriding aorta right ventricular hypertrophy
The nurse is teaching the parents of a 15-year-old boy who is being treated for acute myeloid leukemia about the side effects of chemotherapy. For which symptoms should the parents seek medical care immediately?
temperature of 101°F (38.3°C) or greater