PEDS Final - Quiz Questions

The nurse is caring for a child diagnosed with hydrocephalus following ventriculoperitoneal shunt placement. The child is currently on a ventilator. Which nursing action is priority?

assess the client's respiratory status

In hypospadias, the urethral meatus is located in which of the following places?

at any point along the underside

A child is admitted to the hospital for treatment of DKA. She will receive the standard DKA treatment protocol. As the child's nurse you know that if a patient's blood sugar level decreases too rapidly, they are at risk of developing which of the following conditions:

cerebral edema

What statement is INCORRECT regarding Diabetic Ketoacidosis?

cheyne-stokes breathing can be present in DKA

What are some signs and symptoms of Cystic Fibrosis: (select all that apply)

clubbing of the fingers and toes, a history of meconium ileus at birth, hard packed stools

Antibiotic therapy to treat meningitis should be instituted immediately after which event?

collection of cerebrospinal fluid (CSF) and blood for culture

In which of the following CHDs would the nurse need to monitor for a difference in the blood pressure/arterial pulses in the upper part of the body as compared to blood pressure and pulses in the lower part of the child's body?

corarc of the aorta

The nurse assessing an infant for intussusception will look for three classic signs and symptoms: colicky intermittent abdominal pain, vomiting, and which kind of stool?

currant-jelly-like stools

An adolescent is found wandering around. The client is confused, sweaty, and pale. Which test will the nurse prepare to perform first?

blood glucose level

Mason fractured his left wrist when falling from his bicycle. The physician applied a thumb-spica cast two days ago and now Mason is complaining that his hand is cold, and he cannot feel his fingers. His mother calls the physician assistant and is correctly told to:

bring the child to physician's office immediately

A newborn with hypoplastic left heart syndrome is to have surgery in a few days. What is the appropriate statement the nurse makes to the infant's parent regarding the baby's treatment?

"Medication will be given to keep the passage way open between the aorta and the pulmonary artery until the surgery can be performed."

The nurse is working with a group of caregivers of children diagnosed with asthma. Which statement made by a caregiver is most accurate regarding the triggers that may cause an asthma attack?

"My sister and her family love animals, and when we go to their house my daughter always has an asthma attack."

The nurse provides education to the parent of an infant being treated for hydrocephalus with a ventriculoperitoneal shunt. Which statement by the parent indicates the need for further instruction?

"This shunt is the only surgery my baby will need"

The parents of a newborn who was born with a cleft lip asks the nurse when surgery is usually performed on this condition. The nurse will inform the parents that closure of the lip is usually performed then the infant is:

3 months of age or 12 pounds

This child can use a cup, draw a circle, and take a few steps on tiptoe.

3 year old

The adolescent patient in the emergency department is given a nebulizer breathing treatment of epinephrine to treat a severe asthma attack. Because this medication is a beta-adrenergic agonist, what response to the medication will the nurse tell the patient to expect?

Decreased inflammation and increased heart rate

The nurse is assessing a client who had a fractured femur repaired with an external fixator device. Which assessment finding would cause the nurse concern regarding the development of compartment syndrome? Select all that apply:

Diminished pulse in affected leg, paresthesia distal to area of injury, toes on affected leg cool to touch and edematous, complaints of leg pain unrelieved by analgesics or repositioning.

The nurse is caring for a child who had a cast on his lower leg placed two hours ago. When assessing the child's foot, the nurse notes that the toes are cool and the child reports extreme pain. What is the BEST action by the nurse?

Notify the health care provider of the findings immediately.

What is a definitive test for cystic fibrosis?

Sweat Chloride

A mother asks the nurse if the reason the infant has a congenital heart defect is because of something she did while pregnant. What is the best response by the nurse?

There are several reasons an infant can have a heart defect, a lot of the times the cause is unknown; let's talk about the risk factors."

Margie is a 6-month-old child admitted for a scheduled procedure to treat her Tetralogy of Fallot heart defect. She has a sudden onset "Tet" spell. These unexpected attacks are characterized by all the following EXCEPT:

Treated by lying in the supine position with limbs out-stretched

The nurse is assessing a 6-month-old infant at a well-baby visit and is answering questions from the new mother. Which response should the nurse prioritize when addressing the mother's question concerning what the infant should be learning at this point in life?

Trust

The nurse receives report on the client care area. Which client should the nurse see FIRST?

a 13-year-old boy with a tracheostomy is turning restlessly in bed. Vital signs are blood pressure 110/64, pulse 114, and respirations 28

The nurse in the renal/urology unit is reviewing patient assignments for the day. Which of these patients should be evaluated by the nurse first?

a 6 month old baby with tachycardia, sunken eyes, and low blood pressure

The mother of a child with Phenylketonuria (PKU) is concerned about the possible development of mental retardation in her child if the proper diet is not followed. She demonstrates understanding of the diet when she is able to identify foods that should be avoided. Select which foods the mother should not give her child. Select all that apply.

dairy, meat, diet soda with aspartame

During the physical assessment of a 2½-month-old infant, the nurse suspects the child may have hydrocephalus. Which sign or symptom was observed?

dramatic increase in head circumference

A nurse who is discussing Duchenne muscular dystrophy characterizes it correctly using which descriptors?

duchenne muscular dystrophy causes progressive muscular weakness that ends in death

Jorge was recently diagnosed with cerebral palsy and his parents are discussing his treatment plan with the nurse. Which of the following interventions will take highest priority?

elevate the head of the bed during feeding or if child has increased/heavy secretions

A child with aortic stenosis is scheduled for a procedure in the Cardiac Cath lab at your hospital. Since you will be doing the post procedure assessment for this patient, you will monitor the patient for all these complications EXCEPT:

elevated blood pressure

The nurse assessing newborn babies and infants after birth will notice which of the following symptoms as a primary manifestation of Hirschsprung's disease?

failure to pass meconium during the first 24 to 48 hours after birth

The nurse is assessing a 3-year-old child. Which assessment finding would the nurse identify as abnormal?

falls over when picking up a toy

The nurse is teaching a health and wellness course to young women of childbearing age. Which vitamin will the nurse encourage all to take daily?

folic acid

Doctor's order for the patient's morning dose: Humulin NPH 10 units and Humulin Regular 3 units SC. The a.m. blood sugar is 219. Based on the sliding scale below, what will the nurse do?

give 17 total units of combined NPH and regular insulin

A mother of a 2 year old female with a previous history of prematurity birth at 26 weeks and a bilateral brain bleed, brings child in to Pediatrician with complaints that child is not growing. The Physician is concerned for what?

growth hormone deficiency

The nurse has just completed an assessment on a child who voices an interest in how things are made and who needs support when they are not successful. The child further reports he is involved in clubs and sports outside the home. The nurse is aware that this child is in which of Erikson's states of development?

industry versus inferiority

Mistrust is developed if needs are not adequately met or parenting is inconsistent

infant

Which of the following condition in the pediatric patient are you going to be administering high doses of aspirin to treat the child?

kawasaki's disease

A mother is worried about her 4-month-old son's missed mile stones of development. Which of the following statements made by her would indicate that the child may have cerebral palsy?

my baby won't lift his head up and look at me; he's so floppy

An infant is born with a sac protruding through the spine, containing cerebrospinal fluid (CSF), a portion of the meninges, and nerve roots. This condition is referred to as:

myelomeningocele

While evaluating the development of a 10-month-old boy, a nurse hides the boy's stuffed animal behind her back. The boy crawls around the examination table to look behind the nurse's back for the stuffed animal. Which developmental phenomena has this infant demonstrated?

object permance

A child with a seizure disorder is being admitted to the inpatient unit. When preparing the room for the child, what should be included? Select all that Apply:

padding for side rails, oxygen gauge and tubing, suction at bedside

You are reviewing records of patients who will be seen in the pediatric clinic today. You note that one patient on the schedule has Nephrotic Syndrome signs/symptoms, so when you do your nursing assessment you will expect to find all of the following EXCEPT:

polyuria

The nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect?

projectile vomiting, dehydration (?)

A 9-month-old baby who is wheezing and coughing is admitted to the pediatric unit with Respiratory syncytial virus (RSV). Which of these indicate the infant's condition is worsening?

retractions in 3 areas and wheezing

A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include? (Select all that apply)

supplement with fat-soluble vitamins, provide a high-calorie, high-protein diet, give pancreatic enzymes before meals

A child is being evaluated for S/S that include swollen lymph nodes, joint pain, mid-body skin rash, and "strawberry" tongue. Treatment for this acquired heart and blood vessel condition includes all the following interventions, EXCEPT:

there is no effective treatment for this autoimmune condition

A nurse is reviewing the health records of several 5-month-old infants who were seen in the pediatric office today. Which infant behavior will require referral for further evaluation of growth and development?

unable to hold up head

You are teaching a parent of an infant about GERD. Which of the following should NOT be included in the teaching?

use a nipple with a wider opening

A nurse is taking care of a child with "Short Bowel Syndrome". The nurse knows that all of the following are complications of Short Bowel EXCEPT:

weight gain