PE2
Most children are highly susceptible from birth
Which of the following statements is true concerning susceptibility to pertussis Most children are highly susceptible from birth children younger than 1 year of age seldom contract the disease If the mother had the disease, the infant will receive passive immunity Neonates will be immune for the first 2 months
Nuchal Rigidity
Which of the following would the nurse expect to assess as a common early manifestation of meningitis in a 2-month old infant Opisthosomas Hypothermia Nuchal Rigidity Kernings sign
Measles (Rubeola)
Which of these communicable diseases are koplick spots present Measles (Rubeola) Rubella Chicken Pox Exanthema Subitum (Roseola)
Infants have a deceased ability to concentrate urine
Which statement describes why infants are at a greater risk for dehydration that older children Infants have a smaller extracellular fluid volume Infants have a smaller body surface area Infants have a greater volume of intracellular fluid Infants have a deceased ability to concentrate urine
"Make sure you child gets the pertussis vaccine"
How should the nurse respond to a parent who asks "How do I protect my baby from whooping cough?" "Have your pediatrician prescribe erythromycin "Don't worry, your baby will have maternal immunity to pertussis that will last until approximately 18 months old" "See your doctor when your child gets a respiratory infection" "Make sure you child gets the pertussis vaccine"
Epiglottis
Immunization of children with H. Influenza type B (HIB) vaccine decreases the incidence of which of the following conditions Laryngotracheobronchitis Bronchiolitis Allergies Epiglottis
"I will give the penicillin for the full 10 days"
Which statement indicates that a father understands the treatment plan for his child who has scarlet fever "I will apply antibiotic cream to her rash twice a day" "My child can go back to school when she has been on antibiotics for a week" "I will give the penicillin for the full 10 days" "I can stop the medication when my child feels better"
Document lot number and expiration date from vial Obtain parent/legal guardian consent Discuss possible side effects with parent/legal guardian
You are preparing to administer routine vaccines to a 4-month old infant. You will complete which of the following tasks (SELECT ALL THAT APPLY) Document lot number and expiration date from vial Obtain parent/legal guardian consent Discuss possible side effects with parent/legal guardian Complete VARS form from CDC
Routine immunizatios as adminstered; assess CD4 + counts before administering the MMR and Variella vaccines
The center for Disease Control recommendation for immunizing infants who are HIV positive is: Do not give immunizations because of the infants altered immune system Routine immunizatios as adminstered; assess CD4 + counts before administering the MMR and Variella vaccines Eliminate the pertussis vaccination because of the risk of convulsions Follow the routine schedule
Rubella
The mother of an infant with multiple anomalies tells the nurse that she had a viral infection in the beginning of her pregnancy. Which viral infection is associated with fetal anomalies. Measles Roseola Herpes Simplex Virus (HSV) Rubella
symptomatic treatment and observation for 48-72 hours after diagnosis
The nurse expects the initial plan of care of a 9-month old with acute otitis media to include Myringotomy with tympanoplasty tubes an oral antibiotic, such as amoxicillin, 5 times a day/7 days Pneumooccal conjugate vaccine symptomatic treatment and observation for 48-72 hours after diagnosis
During a preadolescent growth spurt
When does scoliosis become most noticeable When the child starts to walk During a preadolescent growth spurt Newborn period Adolescence
When lesions are crusted
When is the child with chicken pox considered no longer contagious When fever is absent When lesions are crusted 8 days after onset of illness 24 hours after lesions erupt
Neurogenic bladder
Which of the following conditions would the nurse expect Ditropan to be prescribed for in children respiratory infection congestive heart failure Neurogenic bladder Gastroesophageal reflux
Imipramine/Tofranil Desmopressin Acetate (DDAVP)
Which of the following drugs can be used for enuresis (SELECT ALL THAT APPLY) Botulinum Toxin Imipramine/Tofranil Hydroxyurea Desmopressin Acetate (DDAVP)
Rubella
Which of the following is a childhood communicable disease that may cause severe defects in the fetus when it occurs in its congenital form Rubella Rubeola Erythema Infectiosum Roseola
Organic causes that may be related to enuresis must be ruled out first
Which of the following is an important consideration when the nurse is discussing enuresis with the parent of a young child Enuresis is neither inherited nor has a familial tendencies Organic causes that may be related to enuresis must be ruled out first Enuresis is more common in girls than in boys Psychogenic factors that cause enuresis persist into adulthood
Hepatitis A & B vaccines
Which of the following is now recommended for the immunization of all newborns Hepatitis C vaccine Hepatitis A, B, & C vaccines Hepatitis A & C vaccines Hepatitis A & B vaccines
Group A B-hemolytic Streptococci (GABHS)
Which of the following is the causative agent of scarlet fever Scarlet fever virus Corynebacterium Group A B-hemolytic Streptococci (GABHS) enterovirus
Adolescents may not possess insight and judgement to recognize when a sport activity is beyond their capacity
Which of the following statements are correct regarding sport injuries during adolescence Conditioning does not help prevent many sports injuries The increase in strength and vigor during adolescence helps to prevent injuries related to fatigue more injuries occur during organized athletic competition than during recreational sports participation Adolescents may not possess insight and judgement to recognize when a sport activity is beyond their capacity
Delay disease progression
A young child with HIV is receiving several antiretroviral drugs. The purpose of the drugs is to: Cure the disease Treat pneumocystis carinii pneumonia Delay disease progression Prevent spread of disease
Prepare intubation equipment and call the health care provider
A 5-year old child is brought to the emergency department with copious drooling and choking on inspiration. Her mother states that the child is very agitated and only wants to sit upright. What should be the nurse's first action in this situation? Obtain vital signs and listen to lung sounds Obtain a throat culture for respiratory syncytial virus (RSV) Examine the child's oropharynx and call the health care provider Prepare intubation equipment and call the health care provider
Neurovascular status
A 6- year old patient who has been placed in skeletal traction has pain, edema and fever. The nurse should assess which of the following Range of motion of all extremities Neurovascular status Blood pressure Warmth at the site of pain
Apply cool washclothes to face and neck Remove or loosen clothing around the neck and chest
A client is admitted to the emergency department with a temperature of 103F. It si a hot and humid day, the client works outside in the sun. Which actions by the nurse are appropriate when providing care for the client? (SELECT ALL THAT APPLY) Apply cool washclothes to face and neck Remove or loosen clothing around the neck and chest Use warm blankets Restrict fluid intake
egg hypersensitivity
A contraindication to giving the influenza vaccine is An anaphylactic reaction to bakers yeast All allergic reaction to streptomycin thrombocytopenia purpura egg hypersensitivity
Rocephin
A hospitalized child has just lost IV access. Which of the following medications may be given as an IM injection once a day Vancomycin Rocephin Rifampin Acyclovir
Whole-grain cereals
A mother call the clinic and asks what food to give her child who is constipated. Which food would you recommend Whole-grain cereals Cooked spinach bananas White rice
Administer tylenol by either chewable tablet of liquid suspension
A nurse is working in a pediatric outpatient clinic is speaking to the mother of a school-age client who has a temperature of 102 F with normal appearance and few signs of discomfort. Which statement should the nurse include when instructing the mother on treatment of the fever? Administer tylenol by either chewable tablet of liquid suspension Administer aspirin be either chewable tablet or liquid suspension Place the child in a cold bath If your child is shivering, its ok to use several blankets to decrease discomfort
Readiness for
A nursing diagnosis that indicates a client wants to implement steps to promote health and wellness usually includes the words Readiness for Impaired risk for Ineffective
Bright red rash on the cheeks that looks like slapped cheeks
A parent asks the nurse how she will know whether her child has fifths disease. The nurse should advise the parent to be alert for which manifestation Bulls eye rash at the site of a tick bite Lesions in various stages of development on the trunk Bright red rash on the cheeks that looks like slapped cheeks Maculopapular rash on the trunk that lasts for 2 days
Diapers must be changed as soon as soiled and disposed of in a closed receptacle
A young child is being treated for Giardiasis. Which of the following should the nurse recommend to the child's parents The children can swim in the pool if wearing a diaper The parasite is difficult to transmit, so no special precautions are needed Diapers must be changed as soon as soiled and disposed of in a closed receptacle Cloth diapers should be rinsed in the toilet before washing
Giving acetaminophen for fever and discomfort
After administering DaPT to a child, the nurse should instruct the mother about which of the following Decrease milk intake to prevent diarrhea Giving acetaminophen for fever and discomfort warning that the virus may be shed in the child's stool Monitor the child for a rash in 7-10 days
Acyclovir
Amber is admitted to the oncology unit diagnosed with chicken pox. Which of the following drugs would be prescribed to decrease the severity of chicken pox? Gentamycin Desferol Vancomycin Acyclovir
Administer all of the presribed medication
An 18- month old is seen in the clinic with AOM (acute otitis media). Trimethoprim Sulfamethoxazole (Bactrim) is prescribed. Instructions to the parent should include which of the following Administer all of the presribed medication Continue all medication until symptoms subside Stop giving medication and come to the clinic if fever is present in 24 hours Immediently stop giving medication is hearing loss occurs
Avoid tobacco smoke
An infant's parents ask the nurse about preventing OM (Otitis media). Which of the following should be recommended Bottle or breast feed in supine position Use nasal decongestant Avoid children with OM Avoid tobacco smoke
An individual can have a disease and not feel ill An individual can feel ill without disease
As a community health nurse, you are educating parents on the difference between illness and disease. Which statements are appropriate for the nurse to include in the educational session? (SELECT ALL THAT APPLY) Illness is synonymous with disease Illness and disease are never related to one another An individual can have a disease and not feel ill An individual can feel ill without disease
Prevent infection
The nurse is caring for an adolescent with AIDS. The priority nursing goal is Restore immunologic defenses Identify the source of infection Prevent infection Prevent secondary cancers
Monitor intake and output Contact Precautions Daily weights
The nurse is caring for an infant with suspected Rotavirus. Nursing care should include (SELECT ALL THAT APPLY) Monitor intake and output Contact Precautions Administer antibiotics Daily weights
Upper respiratory tract infection
The nurse should administer the varicella vaccine to a 15-month old that had which of the following? Leukemia Long-term steroid therapy Acquired immunodeficiency syndrome (AIDS) Upper respiratory tract infection
Oral rehydration solution
Therapeutic management of the child with acute diarrhea and dehydration usually begins with Oral rehydration solution Adsorbents, such as kaolin and pectin Antidiarrheal medications Clear liquids
Measles (Rubeola)
Vitamin A supplementation may be recommended for the young child who has which of the following Rubella Erythema infectiosum Measles (Rubeola) Mumps
