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Pediatric Exam 4 Review Flashcards | StudBud
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Pediatric Exam 4 Review
Pediatric Exam 4 Review
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1
A child presents with drooling, tripod position, and audible stridor. The nurse may suspect what illness?
Epiglottis
Strep throat
Bronchiolitis
RSV illness
2
An infant with a newly noted abdominal mass and pink colored urine is seen? What is the most significant action?
Teach not to palpate abdomen and tumor
Schedule patient for a routine ultrasound
Teach parents to burp child more often with feedings
Give the infant an enema to clean out bowels
3
Which of the following is not a potential cause of a sickle cell crisis?
RSV illness
Bronchitis
Gastroenteritis
Sprained ankle
4
Which is the best position to place your patient in post-op after a shunt revision?
Supine
Trendelenburg
On the unoperated side
High Semi-fowlers
5
Which of the following statements requires more teaching for the patient?
"I should rinse my mouth after using my maintenance inhalers."
"I should use my maintenance inhalers when I am SOB."
"I should use my rescue inhaler before playing sports."
"I should stay away from things that trigger my asthma."
6
What is the best position for infants with GERD after feedings?
Laying supine
Sitting upright for 1 hour
Side lying position
Laying Prone
7
What is the best course of action for a child who has ingested all of their gummy vitamins at one time?
Call Poison control center
Call grandma and ask what to do
Give syrup of ipecac
Do nothing, it will be fine
8
In disease processes such as cerebral palsy what is the priority nursing goal?
Plan for routine respite care periods for caregivers
Making changes to home to protect patient
Limit activities outside of the house
Improve communication skills of the patient
9
When teaching about the causes of Reye Syndrome, which statement by the nurse is correct?
"It is the result of a bacterial infection that was not fully treated."
"Do not use ASA or ASA-containing products in children."
"Avoid all NSAIDs when sick."
"It results from administering steroids during a viral illness."
10
Which of the following interventions should the nurse complete first when her patient starts to have seizure activity?
Roll paitent onto their side
Prepare the suction equipment
Place oxygen mask on the patient
Administer Ativan IVP
11
What is a key feature when assessing signs and symptoms of Kawasaki disease?
Butterllfy rash
Strawberry tongue
Rash on only one extremity
Racoon eyes
12
Which of the following is NOT a sign of hypoglycemia?
Feeling shaky
Vomiting
Diaphoretic
Confused
13
A 6-week old infant is having projectile vomiting and increased irritability. When should they be seen?
Tomorrow
Next week
Today
Next well visit
14
Which system is the highest priority to assess in a child with Kawasaki disease?
Cardiovascular
Respiratory
Integumentary
Gastrointestinal
15
I am very happy that this semester is almost over.
True
False
16
When caring for an infant with a myelomeningocele, which of the following actions are appropriate?
Keep sac covered with sterile moist gauze
Keep infant in prone or side lying position
Avoid the use of diapers
All of these are appropriate
17
When treating juvenile idiopathic arthritis, how can side effects of steroids be reduced?
Give only half of the prescribed dose
Administer them on an alternate-day schedule
Make no changes, it will eventauly get better
Withhold all anti-inflammatory drugs
18
Which of the following assessments is the highest priority for a child with acute rheumatic fever (ARF)?
Ausculate lung sounds
Obtain vital signs
Obtain blood glucose level
Auscultate heart sounds and rate
19
Which of the following interventions is the highest priority for a nurse caring for a patient vomiting during a seizure?
Loosen restrictive clothing
Position on side to decrease aspiration
Administer Ativan as ordered
Apply oxygen mask as needed
20
When teaching about how to treat pediculosis capitis, which of the following is NOT included?
Wash all clothes, towels, and bedding.
Put unwashable items in a plastic bag for 10-14 days.
Treat everyone in the family
21
Which of the following is NOT included in teaching about pancreatic enzymes for cystic fibrosis patients?
Enzymes will help digest fats
Pancreatic enzymes have no side effects
Give enzymes with meals and snacks
All of these are correct answers
22
Rheumatic fever is related to which recent illness in a child?
Recurrent otitis media
Recent RSV illness
Untreated strep throat
Gastroenteritis
23
A child has a minor head injury after an MVC. Which of the following is not an early sign of increase of ICP?
Headache
Seizures
Sunset eyes
Posturing
24
Which medication will lower blood sugar in a patient with Type I diabetes?
Humulin insulin
Metformin
Glucagon
Glyburide
25
When assessing your pediatric patient for fluid loss, what is the most reliable measurement?
Body weight
Blood pressure
Skin turgor
Pulse
