Baby Final
Which of the following urine tests would be considered abnormal? a) pH 4.0 b) WBC: 1 or 2 cells/ml c) Protein level absent d) Specific gravity 1.020
a
The most useful measure of fluid balance status in a child with acute glomerulonephritis is: a) Proteinuria b) Daily weight c) Specific gravity d) Intake and output
b
The nurse is assessing the coping behaviors of the parents of a child recently diagnosed with a chronic illness. Which of the following should the nurse consider an "approach behavior" that results in movement toward adjustment? a) Being unable to adjust to a progression of he disease or condition b) Anticipating future problems and seeking guidance and answers c) Looking for new cures without a prescriptive toward possible benefit d) Failing to recognize seriousness of child's condition despite physical evidence
b
Which of the following provides prophylaxis for Respiratory Syncytial Virus (RSV)? a) Tamiflu b) Synagis c) Pneumococcal conjugate vaccine d) Rifampin
b
The nurse is admitting a 9-year-old child with hemolytic uremic syndrome. Which of the following clinical manifestations would the nurse expect to observe? (Select all that apply) a) Hematuria b) Anorexia c) Hypertension d) Purpura e) Proteinuria f) Periorbital edema
b,c,d
Clinical manifestations of sodium excess (hypernatremia) include which of the following? a) Hyperreflexia b) Abdominal cramps c) Cardiac dysrhythmias d) Dry, sticky mucous membranes
d
A nurse should expect the stools of a child with CF to be: a) Bulky, hard, foul smelling fatty stools b) Dark colored and tarry c) Fatty and foul smelling d) Blood streaked with mucus strands
c
A toddler has a unilateral nasal discharge that is foul smelling with frequents sneezing. The nurse should suspect: a) Allergies b) Acute pharyngitis c) Acute nasopharyngitis d) Foreign body in nose
d
Quality of life for a terminally ill child and his family can be enhanced by nurses who: a) Tell the family what is best b) Leave the family alone to deal with the tragedy c) Remain objective and uninvolved with family grieving d) Advocate for and implement pain and symptom relief measures
d
Nurses must be alert for increased fluid requirements when a child has which of the following? a) Fever b) Mechanical ventilation c) Congestive heart failure d) Increased intracranial pressure
a
13. A priority outcome for a 12 year old patient with pheochromocytoma is for the patient to a) Verbalize coping mechanisms b) Maintain an normotensive state c) Maintain a decrease activity level d) Demonstrate compliance with nutrition instructions
b
A 2 year old is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than which of the following? a) 60 beats/min b) 90 beats/min c) 100 beats/min d) 120 beats/min
b
A child with a hip spica cast is being prepared for discharge. Recognizing that caring for a child at home is complex, the nurse should include which of the following in the parent's instructions for home care? a) Turn every 8 hours b) Specially designed car restraints are necessary c) Diapers should be avoided to reduce soiling of the cast d) Use abduction bar between legs to aid in turning
b
A feeling of guilt that the child "cause" the disability or illness is especially common in which of the following children/ a) Toddler b) Preschooler c) School-age d) Adolescent
b
A nurse is caring for a child who had been diagnosed with chronic illness notices that the mom is uncooperative, does not participate in the caring of her child, and demands that the nurse provide full care. Which of the following is he best response? a) Ask MD for psychology consult b) Assess the mother's level of competence and confidence in providing care for her child c) Politely explain to the mother why she needs to be involved in caring for her child before discharge d) Ask mom if she would like to be alone
b
A child is admitted in acute renal failure (ARF). Therapeutic management to rapidly provoke a flow of urine includes the administration of which of the following? a) Propranolol b) Calcium gluconate c) Mannitol and/or furosemide d) Sodium, chloride, and potassium
c
A nurse recognizes that nausea and vomiting are common side effects experienced by the client treated with chemotherapy. When is the best time for the nurse to administer to prevent these effects? a) Immediately after nausea begins b) When the chemotherapy is completed c) With the administration of the chemotherapy d) About 30 minutes before beginning the chemotherapy
d
A pediatric nurse collects a urine specimen from a 5-year-old patient and detects blood in the urine. The nurse is aware that this is the main symptom of: a) Hemolytic uremic syndrome b) Hematuria c) Proteinuria d) Glomerulonephritis
d
The nurse is caring for a child with severe head trauma after a car accident. Which of the following is an ominous sign that precedes death? a) Delirium b) Papilledema c) Flexion posturing d) Periodic or irregular breathing
d
Which of the following clinical manifestations would the nurse expect to see as shock progresses in a child and becomes decompensated shock? a) Thirst b) Irritability c) Apprehension d) Confusion and somnolence
d
A school-age child is admitted in vasoocclusive sick cell crisis (pain episode). The child's care should include wich of the following? a) Hydration, pain management b) Oxygenation, factor VIII replacement c) Electrolyte replacement, administration of heparin d) Correction of alkalosis and reduction of energy expenditure
a
The most common clinical manifestation of brain tumors in children are which of the following? a) Headaches and vomiting b) Blurred vision and ataxia c) Hydrocephalus and clumsy gait d) Fever and poor fine motor control
a
The pediatric nurse caring for a patient undergoing thyroid hormone replacement. The nurse observes that the child is experiencing nausea and vomiting, abdominal pain, low blood pressure, and cyanosis. Based on these symptoms, the nurse suspects: a) Adrenal crisis b) Grave disease c) Cushing syndrome d) Diabetic ketoacidosis
a
The pediatric nurse knows that pain and swelling, particularly in the abdomen, are the most common symptoms of which type of cancer. a) Wilm's tumor b) Non-Hodgkin lymphoma c) Hodgkin disease d) Osteosarcoma
a
What should the nurse include when teaching an adolescent with Crohn disease (CD)? a) How to cope with stress and adjust to chronic illness b) Preparation for surgical treatment and cure of CD c) Nutritional guidance and prevention of constipation d) Prevention of spread of illness to others and principles of high-fiber diet
a
Which of the following conditions is often associated with severe diarrhea? a) Metabolic acidosis b) Metabolic alkalosis c) Respiratory acidosis d) Respiratory alkalosis
a
The nurse is preparing a presentation on compensated, decompensated, and irreversible shock in children. Which of the following clinical manifestations related to decompensated shock should the nurse include? (Select all that apply) a) Tachypnea b) Oliguria c) Confusion d) Pale extremities e) Hypotension f) Thread pulse
a,b,c,d
The nurse must take a leadership role in regards to health care disparities. Some of the barriers related to racial and ethnic minorities are: (Select all that apply) a) Mistrust b) Income levels c) Fear d) Discrimination e) Literacy
a,b,c,d,e
An 8 year old with osteosarcoma is receiving pain-controlled analgesic (PCA) with an intravenous infusion of morphine sulfate. The nurse should observe the patient for which potential side effects? (Select all that apply) a) Sedation and lightheadedness b) Constipation and pruritus c) Increase respiratory rate d) Decrease respiratory rate e) Diarrhea and hypertension
a,b,d
A nurse is taking care of a child with chronic renal failure. The nurse understands that the child is at risk for which of the following? (Select all that apply) a) Anemia b) Metabolic alkalosis c) Arrhythmia d) Osteoporosis
a,c,d
Essential postoperative nursing management of a child after removal of a brain tumor includes: a) Turning and position every 2 hours b) Measuring all fluid intake and output c) Changing the dressing when it becomes soiled d) Using maximum lighting to ensure accurate observations
b
The regulation of red blood cell (RBC) production is thought to be controlled by: a) Hemoglobin b) Tissue hypoxia c) Reticulocyte count d) Number of RBCs
b
A child presents with Acute Lymphoblastic Leukemia (ALL). Which of the following is not a complication from ALL? a) Bleeding b) Fracture c) Polycythemia d) Infection
c
A child with leukemia is receiving intrathecal chemotherapy. The purpose of this is to prevent: a) Infection b) Brain tumor c) Central nervous system (CNS) disease d) Drug side effects
c
A mother states that she brought her child to the clinic because the 3-year-old girl was not keeping up with her siblings. During physical assessment, the nurse notes that the child has pale skin and conjunctiva and has muscle weakness. The hemoglobin on admission is 6.4 g/dl. After notifying the practitioner of the result, the nurse's priority intervention is to: a) Reduce environmental stimulation to prevent seizures b) Have the laboratory repeat the analysis with a new specimen c) Minimize energy expenditure to decrease cardiac workload d) Administer intravenous fluids to correct the dehydration
c
An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy, tachycardia, and tachypnea. This is suggestive of which of the following? a) Water excess b) Sodium excess c) Water depletion d) Potassium excess
c
Quick, jerky, grossly uncoordinated, irregular movements that may disappear on relaxation are called which of the following? a) Twitching b) Spasticity c) Choreiform movements d) Associated movements
c
The most important factor that influences the development of urinary tract infections (UTIs) is: a) Poor hygiene b) Constipation c) Urinary stasis d) Congenital anomalies
c
Urinary tract anomalies are frequently associated with which of the following irregularities in fetal development? a) Myelomeningocele b) Cardiovascular anomalies c) Malformed or low-set ears d) Defects in lower extremities
c
Which of the following clinical manifestations is suggestive of water intoxication? a) Oliguria b) Weight loss c) Irritability, seizures d) Muscle weakness, cardiac dysrhythmias
c
A newborn is found to have a VSD. What is an early symptom of this disorder? a) Bluish coloration to the lips and eyes b) Pale skin in the legs and trunks c) Bounding pules in the peripheral extremities d) Crackle lung sounds
d
The presence of which pair of factors is a good predictor of a fluid deficit of at least 5% in an infant? a) Weight loss and decreased heart rate b) Capillary refill of less than 2 seconds and no tears c) Increased skin elasticity and sunken anterior fontanel d) Dry mucous membranes and generally ill appearance
d
The pediatric nurse routinely administers blood products to the patient on the unit. The nurse knows the following guidelines for safe administration of blood products, including: (Select all that apply) a) Call for the blood products 1 hour prior to administration b) Allow 4 hours as the maximum time for blood administration c) Add prescription medications to blood products prior to infusion d) Have two health care team members check blood products at the bedside
a,b,d
A nurse is preparing to care for a 5 year old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which o the following is the most appropriate activity for this child? (Select all that apply) a) Large picture books b) A radio c) Crayons and coloring book d) A sports video
a,c
The pediatric nurse teaches the student nurse that the diagnosis of disseminated intravascular coagulation is based on the combination of the child's clinical condition and laboratory tests pertinent to coagulopathies. The nurse further explains that suspicious findings for this disease include: (Select all that apply): a) Thrombocytopenia b) Increased fibrinogen c) Prolonged partial thromboplastin d) Decreased F-dimer
a,c,d
A nurse is completing a history and physical on a 3-year-old child who is admitted for a surgical repair of Tetralogy of Fallot (TOF). Which of the following manifestations of the condition should the nurse expect? (Select all that apply) a) Polycythemia b) Six fingers c) Clubbing of the nail beds d) Failure to thrive e) Murmur
a,c,d,e
(Picture of heart- TRICUSPID ATRESIA). A nurse is caring for a neonate with the above presentation. The nurse understands that which of the following interventions is appropriate? a) Indomethacin is administered b) Prostaglandin is administered c) PDA ligation is performed d) Transcatheter closure (septal defect closure) is performed
b
A child in the terminal stage of cancer has frequent breakthrough pain. Nonpharmacologic methods are not helpful, and the child is exceeding the maximum safe dose for opiate administration. The nurse should: a) Add acetaminophen for the breakthrough pain b) Titrate the opioid medications to control the child's pain as specified in the protocol c) Notify the practitioner that immediate hospitalization is indicated for pain management d) Help the parents and child understand that no additional medication can be given because of the risk of respiratory distress
b
A child with sickle cell anemia (SCA) develops severe chest and back pain, fever, a cough, and dyspnea. The first action by the nurse is to: a) Administration 100% oxygen to relieve hypoxia b) Notify practitioner, since the chest syndrome is suspected c) Infuse intravenous antibiotics as soon as cultures are obtained d) Give ordered pain medication to relieve symptoms of pain episode
b
Several nurses tell their nursing supervisor that they want to attend the funeral of a child for whom they had cared. They say they felt especially close to both the child and the family. The supervisor should recognize that attending the funeral is: a) Improper because it increases burnout b) Inappropriate because it is unprofessional c) Proper because families expect this expression of concern d) Appropriate because it can assist in the resolution of personal grief
d
The major development task of infancy is the attainment of trust. A priority intervention for a family with an infant who has a disability is: a) Focus on child's disability to understand care needs b) Institute age-appropriate discipline and limit setting c) Enforce visiting hours to allow parents to have respite care d) Foster feelings of competency by helping parents learn special care needs of individuals
d
The major developmental task of infancy is the attainment of trust. A priority intervention for a family with an infant who has a disability is: a) Focus on child's disabilities to understand care needs b) Institute age-appropriate discipline and limit setting c) Enforce visiting hours to allow parents to have respite care d) Foster feelings of competency by helping parents learn special care needs of infant
d
The nurse is caring for a child with Grave's disease. Based on the nurse's knowledge regarding this condition, an appropriate expected outcome would be that the child will: a) Be free of infection b) Remain awake, alert and oriented c) Be compliant with fluid restriction d) Demonstrate weight maintenance
d
The nurse is caring for an adolescent who has just started dialysis. The child always seems angry, hostile, or depressed. The nurse should recognize that this is most likely related to which of the following? a) Physiologic manifestations of renal disease b) The fact that adolescent have few coping mechanisms c) Neurologic manifestations that occur with dialysis d) Resentment of the control and enforced dependence imposed by dialysis
d
The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil. The nurse should interpret this as which of the following? a) Eye trauma b) Indication of brain death c) Severe brainstem damage d) Neurosurgical emergency
d
The prognosis for children with short-bowel syndrome has improved as a result of a) Dietary supplement of vitamin B12 b) Improvement in surgical procedures to correct the defect c) Improved home care availability d) Totally parenteral nutrition and enteral feeding
d
Which of the following clinical manifestations would be the most suggestive of acute appendicitis? a) Rebound tenderness b) Bright red or dark red rectal bleeding c) Abdominal pain that is relieved by eating d) Colicky, cramping, abdominal pain around the umbilicus
d
Which of the following is a clinical manifestation of calcium depletion (hypocalcemia)? a) Nausea, vomiting b) Weakness, fatigue c) Muscle hypotonicity d) Neuromuscular irritability
d
Which of the following is a common clinical manifestation of Hodgkin disease? a) Petechiae b) Bone and joint pain c) Painful, enlarged lymph nodes d) Nontender enlargement of lymph nodes
d
Which of the following is an important nursing consideration when caring for a child with end-stage renal disease (ESRD)? a) Children with ESRD usually adapt well to minor inconveniences of treatment b) Children with ESRD require extensive support until they outgrow the condition c) Multiple stresses are placed on children with ERSD and their families until their illness is cured d) Multiple stresses are placed on children with ERSD and their families until their lives are maintained by drugs and artificial means
d
Which of the following pain management is most appropriate for an oncology patient presenting with severe pain? a) Obtain an order to change acetaminophen administration from PRN to scheduled b) Administer pain medication via rectal route to promote faster absorption c) Give pain medication via intramuscular injection d) Obtain an order for narcotics via PCA pump
d
Which value would be of most concern to the nurse for a post op 11 year old after a thyroidectomy? a) Decreased phosphorus b) Increase thyroxine c) Decrease TSH d) Increase serum calcium e) Decreased serum calcium
e
The nurse determines that a child's intravenous infusion has infiltrated. The infused solution is a vesicant. The most appropriate nursing action is which of the following? a) Stop infusion and apply ice b) End infusion and notify practitioner c) Slow infusion rate and notify practitioner d) Discontinue infusion and apply warm compresses
b
What are the most frequent causes of hypovolemic shock in children? a) Sepsis b) Blood loss c) Anaphylaxis d) Heart failure
b
Which of the following structural defects constitutes tetralogy of Fallot? a) Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy b) Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy c) Aortic stenosis, ventricular septal defect, overriding aorta, left ventricular hypertrophy d) Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
a
A 16-year-old child admitted for sickle cell crisis is crying inconsolably due to pain. Vital signs are as follows: HR 120, RR 18, and SPO2 99%. Which of the following interventions are the most important to manage this crisis? (Select all that apply) a) Administer intravenous fluid b) Administer pain medication c) Give oxygen d) Give pacifier to soothe the child
a,b
A pediatric nurse caring for a child with neutropenia explains to the parents that the child should avoid eating (select all that apply): a) Raw nuts b) Raw honey c) Uncooked fruits d) Uncooked meats
a,b,c,d
The nurse is preparing a presentation on compensated, decompensated, and irreversible shock in children. Which of the following clinical manifestation related to decompensated shock should the nurse include? (Select all that apply) a) Tachypnea b) Oliguria c) Confusion d) Pale extremities e) Hypotension f) Thread pulse
a,b,c,d
A nurse caring for a 17 year female client with hypoparathyroidism under the care of a foster home and would expect that she would have which of the following findings in her recent medical history a) Hypertension b) History of drug use c) Post thyroidectomy d) Hypermagnesemia
c
A nurse is assessing a group of pediatrics. The nurse understands that which of the following is the single most important factor to take into consideration? a) Weight, as all medications are based on their weight b) Presence of parents to diminish any fear c) Developmental stage d) Language ability
c
A nurse is educating the mother of a 6 year old with irritable bowel syndrome (IBS). Which of the following statements indicates an adequate understanding? a) I will observe for red currant jelly stool b) During exacerbation, I will give her carbonated drinks c) I will keep food diaries d) I will give her ibuprofen to reduce the inflammation
c
A 3-month-old infant arrives in the Emergency Dept. with a heart rate of 180 rpm and a temperature of 103.1 rectally. There is no significant past medical history. Which interventions is the highest priority? a) Prepare for cardioversion b) Give acetaminophen c) Encourage increased oral fluid intake d) Place the infant's face in cold water
a
A nurse is caring for an infant who is displaying supraventricular tachycardia. What is the most appropriate action to take? a) Apply ice on the forehead b) Quickly push Adenosine over 15 seconds c) Check for capillary refill d) Obtain an EKG
a
After chemotherapy is begun for a child with cute leukemia, prophylaxis to prevent acute tumor lysis syndrome includes: a) Hydration b) Oxygenation c) Corticosteroids d) Pain management
a
After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant has somehow removed the nasogastric tube (NG). The most appropriate nursing action is which of the following? a) Notify the practitioner b) Insert NG tube so feedings can be given c) Replace NG tube to maintain gastric decompression d) Leave NG tube out because it has probably been in long enough
a
An adolescent is scheduled for a leg amputation in 2 days for treatment of osteosarcoma. The nurse's approach should include which of the following? a) Answer questions with straightforward honesty b) Avoid discussing the seriousness of the condition c) Explain that, although the amputation is difficult, it will cure the cancer d) Help the adolescent accept the amputation as better than a long course of chemotherapy
a
As part of the diagnostic evaluation of a child with cancer, biopsies are important for staging. Which of the following explains what staging means? a) Extent of the disease at the time of diagnosis b) Rate normal cells are being replaced by cancer cells c) Biologic characteristics of the tumor and/or lymph nodes d) Abnormal, unrestricted growth of cancer cells producing organ damage
a
Which of the following diagnostic tests allows visualizations of renal parenchyma and renal pelvis without exposure to external beam radiation or radioactive isotopes? a) Renal ultrasound b) Computed tomography c) Intravenous pyelography d) Voiding cystourethrography
a
A pediatric nurse examines a 7-year-old girl at a well-child visit. The nurse is aware that this child is in Erickson's Accomplishment/ Industry vs. Inferiority Stage and that the basic task of this is to: a) Recognize that there are people in her life (parents) who can be trusted to take care of her basic needs b) Develop a sense of confidence through mastery of tasks c) Balance independence and self sufficiency against the predictable sense of uncertainty and misgiving when placed in life's situations d) Develop resourcefulness to achieve and learn new things without receiving self-reproach
b
The nurse has attended a professional development program about palliative care for the pediatric population. Which of the following statements by the nurse would indicate a correct understanding of the program? a) "Palliative care provides interventions that hasten death." b) "Palliative care promotes the optimal functioning and quality of life." c) "Palliative care does not provide pain an symptom management like hospice care." d) "Palliative care is not well received in hospitals that provide end-of-life care for children."
b
The nurse is caring for a 6-year old child with acute lymphoblastic leukemia (ALL). The parent states, "My child has a low platelet count and we are being discharged this afternoon. What do I need to do at home?" which of the following statements would be most appropriate for the nurse to make? a) "You should give your child aspirin instead of acetaminophen for fever or pain" b) "Your child should avoid contact sports or activities that could cause bleeding" c) "You should feed your child bland, soft, moist diet for the next week" d) "Your child should avoid large groups of people for the next week"
b
The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for acute glomerulonephritis. This is most likely the result of which of the following? a) Poor appetite b) Reduction of edema c) Restriction to bed rest d) Increased potassium intake
b
The pathologic process for postinfectios glomerulonephritis is believed to be: a) Infarction of renal vessels b) Immune complex formation and glomerular deposition c) Bacterial endotoxin deposition on and destruction of glomeruli d) Embolization of glomeruli by bacterial and fibrin from andocardial vegetation
b
What has the highest priority when planning care for a terminally ill child? a) Optimal nutrition b) Family involvement c) Physical comfort d) Allowing visitors
b
What type of dehydration occurs when the electrolyte deficit exceeds the water deficit? a) Isotonic dehydration b) Hypotonic dehydration c) Hypertonic dehydration d) Hyperosmotic dehydration
b
Your patient's hemoglobin is 7.5 then 6.4. He has a history of severe transfusions reaction. The blood bank calls to tell you that his packed red blood cells are ready and that they are in a syringe. When you call to inform his mother she asks if they can return later that evening. What is the best response? a) "No, the packed red blood cells must be given now" b) "No, the packed red blood cells had to be washed and will expire in four hours" c) "Yes, the packed red blood cells will not expire for 24 hours" d) "Yes, because his hemoglobin is higher than 7 it will be okay to wait"
b
The nurse is admitting a 9-year-old child with hemolytic uremia syndrome. Which of the following clinical manifestations would the nurse expect to observe? (Select all that apply) a) Hematuria b) Anorexia c) Hypertension d) Purpura e) Proteinuria f) Periorbital edema
b,c,d
The nurse is preparing to admit a 9 year old with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following interventions should the nurse include in the child's care plan? (Select tall that apply). a) Provide a low-sodium, low-fat diet b) Initiate seizure precautions c) Weigh daily at the same time each day d) Encourage intake of 1 L of fluid per day e) Measure intake and output hourly
b,c,e
A 2-year-old child had an open reduction for a fractured femur. He weighs 25 lbs and is in skeletal traction. The physician has ordered morphine sulfate 3.5mg IV every 4 hours for a severe pain and muscle spasms. The nurse should recognize that: a) This dose of morphine is appropriate for a child of his age b) Children 2 years of age usually do not require IV pain medication c) This dose is excessive for a child of this weight d) Pain medication for a 2 year old child should be given only if required
c
A pediatric nurse examines a 15-month-old girl at a well-child visit. The nurse is aware that this child is in Erickson's Autonomy vs. Shame and Doubt Stage and that the basic task of this stage is to: a) Recognize that there are people in her life (parents) who can be trusted to take care of her basic needs b) Develop a sense of confidence through mastery of tasks c) Balance independence and self sufficiency against the predictable sense of uncertainty and misgiving when placed in life's situations d) Develop resourcefulness to achieve and learn new things without receiving self-reproach
c
Invasive procedures in the hospital can cause fear of bodily harm. This type of fear may affect which population of the pediatrics the most? a) Infants b) Toddlers c) Preschoolers d) School age e) Adolescents
c
Physiologically, the child compensates for fluid volume losses by which o the following mechanisms? a) Inhibition of aldosterone secretion b) Hemoconcentration to reduce cardiac workload c) Fluid shift from interstitial space to intravascular space d) Vasodilation of peripheral arterioles to increase perfusion
c
The diet of a child with chronic renal failure (CRF_ usually is which o the following? a) Low in protein b) Low in vitamin D c) Low in phosphorus d) Supplemented with vitamins A, E, and K
c
The nurse is caring for a 10-year-old child admitted with acute abdominal pain and possible appendicitis. Which of the following is appropriate to relieve the abdominal discomfort during the evaluation? a) Place in trendelenburg position b) Apply moist heat to the abdomen c) Allow child to assume position of comfort d) Allow parent to hold child
c
The nurse is teaching a child experiencing severe edema associated with minimal change nephrotic syndrome about his diet. The nurse should discuss which of the following? a) Regular diet b) Increased protein c) Fluid restrictions d) Decreased calories
c
The nurse uses the five P to assess ischemia in a child with a fracture. Which of the following findings is considered a late and ominous sign? a) Petaling b) Posturing c) Paresthesia d) Positioning
c
The pediatric nurse teaches the mother of a 7-year-old child on how to choose appropriate toys/activities to stimulate growth and development of her child. These include: a) Tricycle b) Sliding down a slide c) Board games d) Large crayons
c
What is an effective intervention for a child presenting with mucosal ulceration resulting from chemotherapy? a) Offer lemon glycerin to promote salivation to moisten the lips b) Offer food seasoned with salt to promote appetite c) Provide oral care before and after every meal d) Apply topical lidocaine to mitigate pain
c
Which of the following is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)? a) Reduce blood pressure b) Lower serum protein levels c) Minimize excretion of urinary protein d) Increase ability of tissue o retain fluid
c
Which of the following is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)? a) Reduce blood pressure b) Lower serum protein levels c) Minimize excretion of urinary protein d) Increase ability of tissue to retain fluid
c
You are taking care of a 15-year-old patient with Medulloblastoma who is being admitted for his second round of chemotherapy. The patient states that he became nauseated as he walks into the hospital lobby. Given this information, the nurse should a) Administer Ondansetron immediately b) Advise the parents to give ondansetron prior to coming to the hospital before the next course of chemotherapy c) Check the orders for Lorazepam and is not ordered, obtain an order for it d) Encourage the patient to drink a carbonated beverage and eat some crackers
c
A 7 year old is in the end stages of cancer. The parents ask you how they will know when death is imminent. Which of the following physical signs is indicative of approaching death? a) Hunger b) Tachycardia c) Increased thirst d) Difficulty swallowing
d
A nurse is caring for a patient who is receiving chemotherapy for Acute Lymphoblastic Leukemia understands that the best way to assess for infection is which of the following? a) Elevated neutrophils b) Elevated monocytes c) Nausea d) Elevated body temperature
d
A nurse working with teenage sickle cell patient in pain must recognize and avoid ost common misconceptions and myths about pain. With this understanding regarding the pain experience, which statement is correct? a) Regular use of narcotic analgesics will lead to drug addiction b) Chronic pain is mostly psychological in nature c) The amount of tissue damage reflects the degree of pain d) Patients are the best authority about their pain experiences
d
An 18 year old had been newly diagnosed with type 2 diabetes mellitus. Which of the symptom indicate to a nurse that this client is experiencing hyperglycemia? a) Weight loss, fatigue and bradycardia b) Irritability, weight gain and abdominal pain c) Fatigue, tachycardia and abdominal pain d) Polydipsia, oliguria, and polyphagia
d
Pancreatic enzymes are administered to the child with cystic fibrosis. Nursing consideration should include which of the following? a) Give pancreatic enzymes between meals if at all possible b) Do not administer pancreatic enzymes if child is receiving antibiotics c) Decrease dose of pancreatic enzymes if child is having frequent, bulky stools d) Pancreatic enzymes can be swallowed whole of sprinkled on a small amount of food at the beginning of meal
d