Peds Final 21 Questions

3. Clinical observations that are predictive of epiglottitis are, select all that apply: A. Drooling B. Absence of a spontaneous cough C. Hemorrhaging D. Agitation

A, B, & D Page 721

A nurse is conducting a health history on an adolescent. Components of the health history include (Select all that apply) A. Sexual history. B. Review of systems. C. physical assessment. D. growth measurements. E. family medical history.

A, B, & E Sexual history is a component of the health history. Review of systems is a component of the health history. Review of family medical history is a component of the health history. Physical assessment is a component of the physical examination. Growth measurements are a component of the physical examination.

According to Piaget's cognitive developmental theory, an adolescent should reach the stage of: a. Formal Operational b. Concrete Operational c. Sensorimotor d. Postconventional

ANS: A PG 482

What are the usual maturational changes in adolescent girls: (select all that apply) a. Breast changes b Growth in pubic hair c. Rapid increase in height and weight d. Menstruation

ANS: A, B, C, D PG 478

When discussing safety concerns to parents of high school students, the nurse understands that most accidental deaths in adolescence are related to: a. sports injuries. b. automobiles. c. firearms. d. diving injuries.

ANS: B PG 487

The nurse is caring a child with congestive heart failure. What options would lessen the workload of the heart to decrease cardiac demands? Select all that apply. A. Providing a neutral thermal environment to prevent cold stress B. Treating any existing infections C. Reducing the effort of breathing D. Using medication to sedate an irritable child E. Providing rest and decreasing environmental stimuli

Answer: A, B, C, D, E Pg. 836

Clinical manifestation of Appendicitis include: (select all the apply) A. Right lower quadrant pain B. Fever C. Vomiting D. Increased white blood cell count E. Decreased or absent bowel sounds

Answer: A, B, C, D, E page 785

Emergency treatment for penetrating eye injuries include the following: (Select all that apply). A. Take child to emergency department. B. Remove object that has penetrated the eye. C. Follow aseptic technique in examining eye. D. Apply a fox shield if available.

Answer: A, C & D Page 586

3. During an episode of epistaxis (nosebleeding) the nurse should have the child do the following: A. sit up and lean forward B. apply continuous pressure to nose with thumb and forefinger for at least 10 minutes C. insert cotton or wadded tissue into each nostril D. lie down E. apply ice or cold cloth to nose if bleeding persists

Answer: A,B,C,E page 888

1. A nurse should not give a child suffering from sickle cell crisis Demerol because this drug: A. has a high possibility of causing an allergic reaction B. may cause seizures C. is a highly addictive narcotic D. is not effective in treating this type of pain

Answer: B Page 876

The mother of a child with congestive heart failure would need further education on digoxin (Lanoxin) based on which of the statements below? A. "I will make sure that I give the medication on time in divided doses as prescribed by the doctor." B. "This drug is going to get rid of all the excess water in my child's body." C. "This medication is used almost exclusively in children because of its more rapid onset." D. "My child should be monitored by ECG during administration."

Answer: B Pg. 835

A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant suddenly becomes cyanotic, and the nurse recognizes that the infant is experiencing a hypercyanotic spell (blue or tet spell). The nurse immediately places the infant in what position? A. Prone position B. Knee-chest position C. High Fowler's position D. Reverse Trendelenburg's position

Answer: B Pg. 842

The nurse recognizes the mother needs more information about Hirschsprung disease when she states: A. I know it is my fault because my father had the disease B. This disease is more common in females C. There is no nervous system stimulation to relax my child's sphincter D. Surgical treatment will remove a portion of the bowel to relieve the obstruction

Answer: B, page 779

____________________ syndrome is the most common inherited cause of cognitive impairment and the second most common genetic cause of cognitive impairment after Down Syndrome. A. Autism B. Slow Syndrome C. Fragile X D. Down Syndrome

Answer: C Page 578

____________________ involves damage to the inner ear structures or the auditory nerve. A. Dysacusis B. Decibel C. Sensorineural hearing loss D. Aphasia

Answer: C Page 580

The RN knows a mother has adequate knowledge about ORT (oral rehydration therapy) when she states: A. I will continue maintenance fluid therapy by giving my child clear liquids by mouth, such as fruit juices and gelatin B. I will continue tea or juice to help maintain hydration C. I will continue low sodium fluids, such as breast milk or commercial infant formula D. I will give chicken or beef broth because they are low carbohydrates

Answer: C, page 775-776

2. The nurse knows that the child that at highest risk for developing Cooley anemia is one: A. who was born 2 months premature B. who is of African descent C. who does not get enough iron due to only drinking milk D. who is of Mediterranean descent

Answer: D page 881

Which observation suggests that an abnormality may be present in a full-term neonate? A. Absence of tears B. Engorged breasts C. Lack of a sucking reflex D. Inability to visually fix and follow an object

C. Lack of a sucking reflex The sucking reflex is essential for feeding. The absence may indicate significant neuromuscular problems. Tears are usually not present at birth. Some infants will have engorged breasts and may have milky secretions at birth. The ability to fix on a moving object, not a still object, in the range of 45 degrees when held 8 to 10 inches away is present at birth, but the neonate does not follow an object until later in infancy.

1. While completing the physical assessment you notice the child has a "strawberry tongue", this finding signifies the child could have which respiratory dysfunction? A. tonsillitis B. influenza C. Streptococcal pharyngitis D. Acute viral nasopharyngitis

C. Streptococcal pharyngitis pg714

What is the most accurate method of determining the length of a child younger than 12 months of age? A. Standing height B. Estimation of length to the nearest centimeter or 1/2 inch C. Recumbent length measured in the prone position D. Recumbent length measured in the supine position

D. Correct Recumbent length measured in the supine position The crown-heel length measurement is the most accurate measurement in infants. Infants are generally unable to stand for obtaining a height measurement. Measurement should not be estimated, because an accurate measurement is required to determine growth. The infant should be measured in the supine position, not the prone position.

. The pediatric child has just had a tonsillectomy, the nurse notices while the child is sleeping the child is swallowing frequently. What should the nurse do next? A. Let the child sleep B. Wake the child and offer fluids C. Wake the child and ask if they're in pain D. Notify the surgeon

D. Notify the surgeon pg716