MEDICAL SURGICAL NURSING: Exam Set

A young child is prescribed pancreatic enzymes as part of the treatment plan for cystic fibrosis. After teaching the parents of young child with cystic fibrosis about how to administer pancreatic enzymes, the parents demonstrate understanding by stating? a. I should give the enzyme's before each meal or snack b. I should stop the enzymes if my child is taking antibiotics c. I should reduce the dose if she large, malodorous stools d. Between meals is the best time to give enzymes

a. I should give the enzyme's before each meal or snack

A nurse is providing care to a preterm infant who has been diagnosed with patent ductus arteriosus and developed heart failure. Which education would the nurse expect the health care provider to prescribe to promote closure of the ducts? a. Indomethacin b. Digoxin c. Iosartan d. Furosemide

a. Indomethacin

A nurse is caring for a 6 year old child who has history of febrile seizures and is admitted with temperature of 102.2F. What is the nurse highest priority? a. Institute safety precautions b. Offer age appropriate activities c. Provide family teaching related to the child's history d. Encoruage the child to do his or her own self care

a. Institute safety precautions

The nurse is caring for a 6 year old child who has history of febrile seizures and is admitted with a temperature of 102.2F (39). What is the nurse's highest priority? a. Institute safety precautions b. Offer age appropriate activities c. Provide family related teaching to the child's history d. Encourage the child to do his own self care

a. Institute safety precautions

A group of nursing students are reviewing the medications used to treat asthma. the students demonstrate understanding of the information when they identify which agent as appropriate for an acute episode of bronchospasm? a. Metoprolol b. Albuterol; c. Ipratropium d. Cromolyn

a. Metoprolol

When developing a teaching plan for parents of a child diagnosed with tricuspid atresia, the nurse would integrate knowledge of which of the following as the major mechanism involved? a. Obstruction of blood flow to the lungs b. Increased pulmonary blood flow c. Narrowing of the major vessels d. Mixing of well oxygenated and poorly oxygenated blood

a. Obstruction of blood flow to the lungs

The nurse is providing preoperative teaching for the parents of an 8 month old child with Hirschsprung disease who will have two stage surgery as treatment. Which statement by the parents demonstrates the need for further teaching? a. Our child will have a nasogastric tube for the first day after the surgery to receive nutrition b. Our child will have colostomy from the first surgery and a second surgery to repair the bowel c. We will be able to resume breastfeeding about one day after the surgery d. After the surgery, we will slowly reintroduce easy to digest foods.

a. Our child will have a nasogastric tube for the first day after the surgery to receive nutrition

A 6 year old child is getting a diagnostic work up for nephrotic syndrome. Which lab results would the nurse expects to see? a. Proteinuria, hypoalbuminemia, hypercholesterolemia b. Hematuria, proteinuria, hyperalbuminemia c. Neutropenia, hematuria, hypocholesterolemia d. Proteinuria, hyperalbuminemia, hypocholesterolemia

a. Proteinuria, hypoalbuminemia, hypercholesterolemia

A 6 year old child is admitted to the hospital with pneumonia. What is the priority need that must be included in the nursing care plan for this child? a. Rest b. Exercise c. Nutrition d. Elimination

a. Rest

A nurse is examining a boy with cerebral palsy. he has hypertonic muscles and abnormal clonus in his legs ad walks on his toes. Which following is the type pf cerebral palsy that this boy is demonstrating? a. Spastic b. Dyskinetic c. Athetoid

a. Spastic

In the pediatric surgical ward, you have been assigned to one month old child with cleft lip palate. When assessing a newborn with cleft lip the nurse would be alert which of the following will most likely be compromised? a. Sucking ability b. Respiratory status c. Locomotion d. GI function

a. Sucking ability

Your patient's blood glucose level is 215 mg/dl. The patient is about to eat lunch. Per sliding scale, you administer 4 units of Insulin Lispro (Humalog) subcutaneously at 11:30. With an onset of 15 mins, peak of 1 hour and duration of 3 hours. You know the patient is most at risk for hypoglycemia at what time? a. 11:45 b. 12:30 c. 14:30 d. 16:30

b. 12:30

Nurse Joshua is assessing children in an ambulatory clinic. Which child would be most likely to have iron deficiency anemia? a. A 3 month old infant who is totally breastfed. b. A 15 year old adolescent who has heavy menstrual periods c. An 8 year old child who carries lunch to school d. A 7 month old infant who has started table food

b. A 15 year old adolescent who has heavy menstrual periods

How is wheezing in children best heard? a. With the child supine b. As the child exhales c. As the child cries D. Without stethoscope

b. As the child exhales

After teaching a class about the hemodynamic characteristic of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of disorder involving increased pulmonary blood flow? a. Tetralogy of Fallot b. Atrial septal defect c. Tricuspid atresia d. Transposition of great vessels

b. Atrial septal defect

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 involvinh increased pulmonary flow? a. Tetralogy of Fallot b. Atrial septal defect c. Hypoplastic left heart syndrome d. Transposition of the great vessels

b. Atrial septal defect

A nursing student is reviewing information about medications used to treat congestive heart failure in children. The student demonstrate understanding of the information by identifying which drug as prescribed to increase myocardial contractility? a. Hydralazine b. Digoxin c. Corticosteroid d. Nifedipine

b. Digoxin

The nurse is collecting data from the caregivers of the child admitted with seizures. Which statement indicates the child most likely had an absence seizure? a. His arms had jerking movements in his legs and face b. He was just staring into space and was totally unaware c. He kept smacking his lips and rubbing his hands d. He usually is very coordinated, but he couldn't even walk without falling

b. He was just staring into space and was totally unaware

The nurse is caring for a child admitted with pyloric stenosis. Which clinical manifestation would likely have been noted in the child with this diagnosis? a. Explosive diarrhea b. Projectile vomiting c. Severe abdominal pain d. Frequent urination

b. Projectile vomiting

The nurse is caring for a child admitted with acute glomerulonephritis. Which clinical manifestation would most likely have been noted in the child with diagnosis? a. Loose, dark stools b. Tea colored urine c. Strawberry red tongue d. Foamy urine

b. Tea colored urine

The nurse is caring for a child admitted with asthma. Which clinical manifestations would likely have been noted in the child with this diagnosis? a. Elevated temperature b. Wheezing c. Circumoral cyanosis d. Clubbed fingers

b. Wheezing

The nurse is observing an infant who may have acute bacterial meningitis. Which finding might the nurse look for? a. Flat fontanel b. irritability, fever and vomiting c. Jaundice, drowsiness and refusal to eat d. Negative Kernig sign

b. irritability, fever and vomiting

The nurse is caring for a child immediately following a tonsillectomy. The child requests something to drink. Which action by the nurse is best? a. Inform the child he or she can have nothing to drink for few hours. b. Provide the child with red popsicle to eat. c. Give child a few ice chips to consume. d. Assess the child 's gag reflex before giving oral fluids.

c. Give child a few ice chips to consume.

A nurse who is caring for a 7 year old is providing client education to the child and the caregiver. Which response by the caregiver demonstrates to the nurse that the caregiver understands the diagnosis of type 1 diabetes mellitus? a. We will just have our child exercise and take medicine to sure this b. I will just feed my child healthy foods and sign her up for more sports c. Her body fights against insulin c. Her body doesn't have any insulin

c. Her body doesn't have any insulin

A neonatal nurse teaches students how to recognize gastrointestinal disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease? a. Gastroenteritis b. Ulcerative colitis c. Hirschsprung disease d. Short bowel syndrome

c. Hirschsprung disease

A nursing student is learning about newborn congenital defects. The defect with symptoms that include a shiny scalp, dilated scalp, veins, a bulging anterior fontanel and eyes pushed downward with sclera visible above the irises is which defect? a. Spina bifida b. Septal defect c. Hydrocephalous d. Coarctation of aorta

c. Hydrocephalous

A 6 month old infant is brought to ER in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) is made and infant is admitted to the pediatric ward. What instruction should be included in the nursing plan of care? a. Place in a warm, dry environment b. Allow parents and siblings to visit c. Maintain standard and contact precautions d. Administer prescribed antibiotic immediately.

c. Maintain standard and contact precautions

The nurse is Craig for a child admitted with congenital aganglionic megacolon. Which clinical manifestation would likely have been noted in the child with this diagnosis? a. Prolonged bleeding b. Chronic cough c. Persistent constipation d. Irregular breathing

c. Persistent constipation

A 9 year old boy is admitted to the hospital. The boy is being treated with salicylates for the migratory polyarthritis accompanying the diagnosis of rheumatic fever. Which of the following activities performed by the child would give a best sign that the medication is effective. a. Listening to story of his mother b. Listening to the music in radio c. Playing mini piano d. Watching movies in the DVD mini player

c. Playing mini piano

The nurse is interviewing the caregivers of the child admitted with diagnosis of type 1 diabetes mellitus. The caregiver states "The teacher tells us that our child has to use the restroom many more times a day than other students do". The caregiver's statement indicates the child most likely has: a. Polydipsia b. Pica c. Polyuria d. Polydipsia

c. Polyuria

The nurse notes that a 3 year old child in a crib has a clamped jaw and is having a tonic clonic seizure, What is the priority nursing responsibility at this time? a. Start o2 by mask b. Insert plastic airway c. Protect from self injury d. Apply restraints

c. Protect from self injury

Surgery to correct pyloric stenosis is performed on the 2 week old infant who had been formula fed. Which post operative feeding order is appropriate? a. Thickened formula 24 hours after surgery b. Withholding feedings for the first 24 hours c. Regular formula feeding within 24 hours after the surgery d. Additional glucose feeding as desired after the first 24 hours.

c. Regular formula feeding within 24 hours after the surgery

A nurse is performing newborn assessment and notices a small dimple on the sacral area. The infant has a normal neurological assessment and moves all the extremities well. What does the nurse suspect that the dimple indicates? a. A normal spinal closure b. Meningocele c. Spina bifida occulta d. Myelomeningocele

c. Spina bifida occulta

The nurse is caring for a child who has been admitted with possible diagnosis of cystic fibrosis. Which laboratory/ diagnostic tools would most likely be used to help determine the diagnosis of this child? a. Purified protein derivative b. Blood culture and sensitivity c. Sweat sodium chloride test d. Pulmonary functions test

c. Sweat sodium chloride test

When examining a child with right sided heart disease, an organ in the upper right quadrant of the abdomen can be palpitated at 4cm below the rib cage. What would most likely explain this assessment finding? a. The liver size increases due to cardiac medications b. The spleen size increases due to frequent infections c. The liver size increases in right sided heart failure d. The pylorus thickened due to vomiting

c. The liver size increases in right sided heart failure

A 9 month old infant with iron deficiency anemia is given ferrous sulfate therapy. Which assessment would best help the nurse determine that the infant is actually taking it daily? a. The reticulocyte count will decrease b. The infant will develop diarrhea c. The stools will appear black d. The infant will be more irritable than the last visit

c. The stools will appear black

The nurse at a camp for children with asthma is teaching these children about the medications they are taking and how to properly take them. The nurse recognizes that many medications used on a daily basis for the treatment of asthma are given by which method? a. Directly into vein b. Through a gastrostomy tube c. using nebulizer d. Sprinkled onto the food

c. using nebulizer

The parents of a school aged client diagnosed with acute glomerulonephritis are asking when their child can increase activity. Which instruction is most accurate? a. when fatigue has diminished d. when the client is afebrile c. when gross hematuria has subsided d. after antibiotics are fully completed

c. when gross hematuria has subsided

The nurse is discussing nutritional supplementation with a 27 year old pregnant client. Which element would the nurse encourage as essential in preventing neural tube defects? a. Iron b. Calcium c. Iodine d. Folic Acid

d. Folic Acid

What evaluation best illustrates the effectiveness of furosemide in a child diagnosed with congestive heart failure? The child___ a. Does not become overly tired when awake b. Has a hear rate within acceptable limits for age c. Has appropriate weight gain for age d. Has clear breath sounds

d. Has clear breath sounds

Nurse Maricar is giving discharge planning to the parent of a child for discharge. Which statement by the mother of the child diagnosed with nephrotic syndrome indicates the mother understands the nurse teaching of the disease? a. My child's urine production will be increased and colorless b. My child will have to be on fluid restrictions the rest of his life c. O will have to administer steroids to my child for the rest of his childhood d. I will keep my child away from anyone who is infectious because he has lowered body defense

d. I will keep my child away from anyone who is infectious because he has lowered body defense

In caring for the child with asthma, the nurse recognizes that which nurse diagnosis would be the highest priority n this child's plan of care? a. Delayed growth and development related to physical restrictions b. Risk for fluid volume excess related to medications c. Risk for infection related to anatomic structure of involved body system d. Ineffective airway clearance related to the diagnosis

d. Ineffective airway clearance related to the diagnosis

The nurse caring for a chook aged client with cystic fibrosis aims to have the client meet the goal of adequate nutritional intake by giving pancreatic enzymes replacement therapy, Which of the following nutrients will not be placed by his medication? a. Carbohydrates b. Protein c. Fats d. Iron

d. Iron

A nurse is teaching the parents of child diagnosed with cystic fibrosis about medication therapy. Which would the nurse instruct the parents to administer orally? a. Recombinant human DNase b. Bronchodilators c. Anti inflammatory agents d. Pancreatic enzymes

d. Pancreatic enzymes

While in a pediatric client's room, the nurse notes that the client is beginning to have a tonic-clonic seizure. Which nursing action is priority? a. Administer lorazepam rectally to the client b. Refer the client to neurologist c. Discuss dietary therapy with the client's caregiver d. Protect the child from hitting the arms against the bed

d. Protect the child from hitting the arms against the bed

The mother of a 4 year old client with nephrotic syndrome asks the nurse what can be done about the child's edema. Which action would the nurse suggests? a. Provide a regular diet low salt and without fluid restrictions b. Provide a regular diet low in salt, high in potassium and with fluid restrictions. c. Provide a diet low in protein and salt and without fluid restrictions. d. Provide diet that is high in protein and potassium, low in salt and is not fluid restricted.

d. Provide diet that is high in protein and potassium, low in salt and is not fluid restricted.

The nurse is caring for a child who has been admitted with diagnosis of asthma. What laboratory/diagnostic tool would likely have been used for this child? a. Purified protein derivative b. Sweat sodium chloride test c. Blood culture and sensitivity d. Pulmonary functions test

d. Pulmonary functions test

The nurse is caring for a child who has been admitted with diagnosis of asthma. What laboratory/diagnostic tool would likely have been used for this child? a. Purified protein derivative test b. Sweat sodium chloride test c. Blood culture and sensitivity d. Pulmonary functions test

d. Pulmonary functions test

A child diagnosed with acute glomerulonephritis will most likely have the history of: a. A sibling diagnosed with the same disease b. Hemorrhaged or history of bruising easily c. Hearing loss with impaired speech development d. Recent illness such as strep throat

d. Recent illness such as strep throat

A 6 year old child is being transferred to recovery room. The assigned nurse is assisting the child to the bed after tonsillectomy. How will the nurse place the child until fully wake? a. Fowlers position b. Semi Fowler's position d. Supine position d. Right lateral recumbent

d. Right lateral recumbent

Dexamethasone is often prescribed for the child who has sustained severe head injury. Dexamethasone is an: a. Diuretic b. Antihistamine c. Anticonvulsant d. Steroid

d. Steroid

after the baby's surgery and while recovering from the operation on the cleft lip. What would be the priority nursing care? a. Bleeding tendency b. Wound care c. Airway patency d. Risk for infection

c. Airway patency

The nurse is assisting in the development of a plan of care for a child with asthma. In planning care, many goals would be appropriate for this child and or family caregiver. Which two goals would be the highest priority for this child or family? 1. The child will maintain a clear airway. 2. The child will have adequate fluid intake. 3. The child and the family will connect with families living with the same diagnosis. 4. The child and the family will improve knowledge and understanding of varied pharmacologic options. 5. The child will maintain adequate pain control. a. 1,2 b. 3,4 c. 1,5 d. 2,4 e. 4,5

A. 1 and 2

The parents of a 10 year old boy bring the child to the clinic for an evaluation. Which statement by the parents would alert the nurse the possibility of rheumatic fever? a. He had a pretty bad sore throat 10 days ago b. His fever has been running around 100F (38.7C) the past 2 days. c. We noticed a white, thick coating on his tongue yesterday. d. He's been tired the last several; days.

A. He had a pretty bad sore throat 10 days ago.

A 1 year old with tetralogy of Fallot turns blue during temper tantrum. What will the nurse do first? a. Place the child in the knee chest position b. Assess for irregular heart rate c. Listen for an increased respiratory rate d. Explain to the child the need to calm down

A. Place the child in the knee chest position

Nurse Gina sees a 10 year old child in an ambulatory setting because of rheumatic fever. Which of the following would the nurse expect t find revealed by the health history? a. knee pain, abdominal rash, subcutaneous nodules b. an elevated temperature, back pain, loss hair c. fatigue, slow pulse, frequent urination d. loss of weight, abdominal pain, chest pain

A. knee pain, abdominal rash, subcutaneous nodules

Nurse Ann is assessing a 3 month old infant during a pediatric clinic visit. The nurse believes the infant is demonstrating early manifestations of respiratory distress. Which clinical manifestations should the nurse document? Select all that applies. 1. Bradypneia 2. Acrocyanosis 3. Intercostal retractions 4. Nasal Congestions 5. Tachypneia a. 1 and 2 b. 3 and 4 c. 4 and 5 d. 3 and 5

C. 4 and 5

The nurse is caring for a child with rheumatic fever who has polyarthritis. which lab result would the nurse most anticipate with this child's diagnosis and symptoms. a. increase clotting time b. decreased white blood cell count c. increased erythrocyte sedimentation rate (ESR) d. decreased leukocyte

C. Increased erythrocyte sedimentation rate

Nurse Boyet is caring for a 7 year old child with reports of generalized joint pain and pharyngitis. During assessment, the nurse notes a cardiac murmur. Which action by the nurse is priority? a. Administer penicillin b. Assess skin for rash c. Swab throat culture d. Evaluate C-reactive protein

C. Swab throat culture

When caring for a child with acute bronchitis which nursing interventions should be included in the plan of care? Select all that applies. 1. Encourage fluid intake 2. Administer oxygen 3. Suction the nose 4. Administer Antibiotics 5. Follow contact precautions 6. Encourage activity a. 1,2,3,4,6 b. 1,2,3,5 c. 2,3,4,5 d. 1,2,3,4,5,6

D. 1,2,3,4,5,6

A client's newborn is diagnosed with Tetralogy of Fallot. When explaining this condition to the client, which of the following defects would the nurse's description include? a) Atrial septal defect b) Overriding of the aorta c) Stenosis of the aorta d) Left ventricular hypertrophy

a) Atrial septal defect

An 8 year old client presents with sudden onset of abdominal pain and reddish brown urine. A urinalysis shows 4+ protein. On taking the child's health history, the nurse learns that the child had strep throat 9 days ago. Which condition does the nurse suspects? a. Acute glumerulonephritis b. Kidney agenesis c. Polycystic kidney d. Nephrotic syndrome

a. Acute glumerulonephritis

When planning to provide teaching about self administration of insulin to a school age child newly diagnosed with diabetes mellitus, the nurse should first? a. Assess the child's developmental level b. Determine family's understanding of the procedure c. Discuss community resources for the child in the future d. Collaborate with the school nurse for ensuring continuity of care in school.

a. Assess the child's developmental level

The nurse is observing a group of children diagnosed with various types of cerebral palsy. One of the children has an awkward and wide based gait. The nurse recognizes this characteristics as common in which type of cerebral palsy? a. Ataxic cerebral palsy b. Athetoid cerebral palsy c. Rigidity cerebral palsy d. Spastic cerebral palsy

a. Ataxic cerebral palsy

Nurse Bubbles is caring for a 10 year old boy with hemophilia. He asks the nurse for suggestions about appropriate physical activities. Which activity would the nurse most likely recommend? a. Basketball b. Volleyball c. Wrestling d. Soccer

a. Basketball

An adolescent client has developed iron deficiency anemia and has been prescribed 200 mg of elemental iron per day. The nurse encourage the client to take this medication with which substance? a. Orange juice b. Milk c. Water d. Coffee

a. Orange juice

The prevention of cerebral palsy is the most important aspect of care. Which of the following is the focus area for the prevention of cerebral palsy? a. Prenatal prevention of alcohol use b. Postnatal prevention of infection c. Postnatal prevention of rubella d. Prenatal prevention of gestational diabetes

a. Prenatal prevention of alcohol use

A nurse in the school clinic is seeing a 7 year old child with type 1 diabetes after PE class. The child is jittery and appears sweaty. Which intervention would the nurse advise the child to? a. You will need to drink 6 ounce bottle of orange juice b. You will need to have an extra shot of regular insulin c. You will need to sit in the clinic and rest after PE class d. You will need to skip your next dose of insulin.

a. You will need to drink 6 ounce bottle of orange juice

Nurse Michael was assigned to care for an 8 month old baby girl diagnosed to have hydrocephalous. What should be included in the nursing care of an infant with increased intracranial pressure? a. Weigh the infant daily before feeding b. Elevate the infant's head higher than hips c. Check the infant's reflexes at a regular intervals d. Monitor level of consciousness by stimulating frequently

b. Elevate the infant's head higher than hips

A 9 year old child is admitted in the mergency department with the diagnosis of rheumatic fever. According to Jones criteria, which group of signs and symptoms indicate rheumatic fever? a. Fever, vesicles, seizures b. Fever, joint pains, carditis c. Polyarthritis, joint pains, diarrhea d. Erythema marginatum, chorea, leucopenia

b. Fever, joint pains, carditis

The parents of a 6 week old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over last week. The mother says "sometimes, it seems like it just bursts out of his mouth". A diagnosis of hypertonic pyloric stenosis is suspected. When performing the physical examination, what would be the nurse most likely find? a. Sausage shape mass in the upper mid abdomen b. Hard, moveable, olive shaped mass in the right upper quadrant c. Tenderness over the McBurney point in the lower quadrant d. Abdominal pain in the epigastric or umbilical cord

b. Hard, moveable, olive shaped mass in the right upper quadrant

In which of the following would the nurse avoid using aspirin, rectal temperatures and intramuscular injections? a. Iron deficiency anemia b. Idiopathic thrombocytopenic purpura c. Sickle cell anemia d. Thalassemia

b. Idiopathic thrombocytopenic purpura

A nurse should recognize that which laboratory result would be most consistent with the diagnosis of diabetes mellitus? a. A post prandial blood glucose greater than 110mg/dl but less than 140 mg/dl b. A random blood glucose grater than 110mg/dl but less than 160 mg/dl c. A fasting blood glucose greater than 120 mg/dl d. A fasting blood glucose less than 70 mg/dl

c. A fasting blood glucose greater than 120 mg/dl

The nurse is caring for a child who is having seizure. What is the appropriate action by the nurse? a. Attempt to place oxygen on the child so they don't become cyanotic b. Hold the child's arms and legs still so they aren't injured c. Attempt to turn the child on their side to prevent aspiration d. Place a bite clock or oral airway into the child's mouth to prevent biting the tongue.

c. Attempt to turn the child on their side to prevent aspiration

An adolescent is found wondering around. The client is confused, sweaty, and pale. Which test will the nurse prepare to perform first? a. Computed tomography b. Serum Ketone testing c. Blood glucose d. Blood toxicology

c. Blood glucose

Which statement about the cerebral palsy would be accurate? a. Cerebral palsy is a condition that runs in the family b. Cerebral palsy means there will be many disabilities c. Cerebral palsy is a condition doesn't get worse d. Cerebral palsy occurs because of too much oxygen to the brain

c. Cerebral palsy is a condition doesn't get worse

The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes that the child has 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: a. impaired digestive activity b. High sodium chloride concentration in sweat c. Chronic lack of oxygen d. Decreased respiratory capacity

c. Chronic lack of oxygen

An 8 year old with cystic fibrosis has had noted decline on the growth chart. Which nursing intervention is best for maintaining adequate nutrition? a. Provide high caloric meals to client liking b. Delay pancreatic enzymes until food enters the small intestines c. Encourage high calorie, high protein snacks d. Limit sodium to a 2 gram sodium restricted diet

c. Encourage high calorie, high protein snacks

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? a. My neighbor told me that asthma attacks are caused by hot weather b. I always through that a lack of exercise caused my child's asthma c. My sister and her family love animals, and when we go to their house my daughter always has asthma attack d. One person told me that asthma is caused by using antibiotics for infection

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

A client has just been admitted to the unit with massive proteinuria. Based on these findings, the nurse suspects which condition? a. Nephritic syndrome b. urinary tract infection c. Nephrotic syndrome d. Acute glomerulonephritis

c. Nephrotic syndrome

When assessing a newborn developmental dysplasia of the hip, the nurse would expect to assess which of the following? a. Symmetrical gluteal folds b. Trendelenburg sign c. Ortolani's sign d. Characteristic lump

c. Ortolani's sign

The mother asked the nurse when is the best time for surgical intervention for a client with cleft palate? a. 1 to 3 months old b. 4 to 7 months old c. 8-11 months old d. 6 months to 18 months old

d. 6 months to 18 months old

The nurse is teaching manifestations of nephrotic syndrome to the parents of a child with the disorder. What should the nurse instruct the parents to monitor to determine if edema is increasing? a. Appetite b. Breathing rate c. Tightness of shoes d. Abdominal circumference

d. Abdominal circumference

The nurse is admitting to an examination room a child with diagnosis of probable acute lymphoblastic leukemia (ALL). What will confirm the diagnosis? a. Complete blood count b. Lethargy, bruising and pallor c. History of leukemia in twin d. Bone marrow aspiration

d. Bone marrow aspiration

The nurse instructs a preadolescent child wroth type 1 diabetes mellitus how to self administer an injection of short acting and long acting insulin. which observation indicates to the nurse that teaching has been succesful. a. Administers the insulin intramuscularly b. Wipes off the needle with an alcohol swab c. Administers insulin at 30 degrees angle d. Draws up the short acting insulin into the syringe first

d. Draws up the short acting insulin into the syringe first

A nurse is talking with the parents of a child who has febrile seizure. The nurse would integrate an understanding of what information into the discussion? a. The child's risk for cognitive problems is greatly increased b. Structural damage occurs with febrile seizures c. The child's risk of epilepsy is now increase d. Febrile seizures are benign in nature

d. Febrile seizures are benign in nature

Which assessment finding would suggest that a child's condition is probably pyloric stenosis? a. Bilious vomitus b. Non bilious vomitus c. Ribbon shaped stool d. Sausage shape mass at the left lower quadrant

b. Non bilious vomitus

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 lungs) are most affected by this disease? a. Brain and spinal cord b. Pancreas and liver c. Heart and blood vessles d. Kidney and bladder

b. Pancreas and liver

A 16 year old boy reports to the school nurse with headaches and stiff neck. Which sign or symptom would alert the nurse that a child may have bacterial meningitis? a. A fixed and dilated pupils b. Frequent urination c. Sunset eyes d. Sunlight is too bright

d. Sunlight is too bright

The nurse is caring for a child with history of asthma who presents to the emergency department with wheezing, tachypnea, and dyspnea. What will the nurse do first? a. Ask what may have triggered the attack b. Place the child in high Folwers position c. Assess the child's pulse oximetry reading d. Apply oxygen via nasal cannula at 2 liters

b. Place the child in high Folwers position

An infant born with abdominal distention is diagnosed with meconium ileus. The nurse explains to the parents the baby will be examined for signs of which disorder? a. Cystic fibrosis b. Down syndrome c. Celiac disease d. Failure to Thrive

a. Cystic fibrosis

The nurse is collecting data on a child admitted with respiratory concern. The nurse notes that the child is anxious and sitting forward with neck extended to breathe. the signs the nurse noted indicates the child likely has: a. Epiglottitis b. Asthma c. Cystic fibrosis d. Tuberculosis

a. Epiglottitis

A child diagnosed with sickle cell anemia. Which test will the nurse expect the primary health care provider to prescribe for his client? a. Hemoglobin level b. Leukocyte level c. Thrombocyte level d. Metabolic screening test

a. Hemoglobin level

The nurse is instructing the parents of the child with sickle cell disease on nutritional intake. What should the nurse emphasize during this teaching? a. High calorie, high protein diet with folic acid supplementation b. High protein, high potassium diet c. Low salt and low fat diet d. Low calorie, low protein diet

a. High calorie, high protein diet with folic acid supplementation

The nurse is preparing a nursing care plan for an infant who was born with spina bifida with myelomeningocele. Which nursing goal should the nurse prioritize for this child? a. Reducing family acxiety b. Preventing infection c. Providing caregiver teaching d. Promoting comfort measures

b. Preventing infection

The mother of an 18 month old boy with cleft palate asks the nurse why the pediatrician recommend that closure of the plate should be done before he is 2 years old. The nurse responds: a. As he gets older the palate gets wider and more difficult to repair. b. After age 2 surgery is very frightening and should be avoided if possible c. The eruption of 2 yr molars often complicates the surgical procedures d. Surgery should be performed before the child starts to use faulty speech patterns.

d. Surgery should be performed before the child starts to use faulty speech patterns.

What is a definitive test for cystic fibrosis? a. Complete blood count b. Blood gas c. Blood culture d. Sweat chloride test

d. Sweat chloride test

A 5 year old child is at the pediatric clinic for a well child visit. Which symptom alerts the healthcare provider that this child might have acute lymphoblastic leukemia (ALL). a. joint pain and swelling b. anorexia and weight loss c. abdominal pain, nausea, vomiting d. lethargy, bruises, and lymphadenopathy

d. lethargy, bruises, and lymphadenopathy

In teaching home care to parents of a child with cystic fibrosis, the nurse will emphasize: a. Methods to relive chest pain b. Ways to limit fluid intake c. how to provide high fat diet d. techniques to clear airway

d. techniques to clear airway