Which medications would you be expected to give a child with Guillain-Barre syndrome? (Select all)

corticosteroids, immunoglobulins, NSAIDs

Which baby needs to be handled with extreme care?

one with osteogenesis imperfecta

Which child should be screened for diabetes?

8 year old who just got strep throat and is hungry all the time

Which s/sx would you expect to see in a patient with childhood cancer? (Select all)

unexplained fever, fatigue, sudden weight loss, extensive bruising

A child with an open meningocele should receive which intervention

have it covered with saturated sterile gauze

Which of these would you want to prevent in a child with increased ICP? (Select all)

anxiety, constipation, coughing

How can you help a patient with dehydration?

give them a bolus of normal saline

Which discharge instruction would you want to give a parent of a child with hemophilia?

how to administer clotting factors

Which child is at increased risk for developing cancer?

17 year old caucasian male with Down syndrome

Which SE would you educate a patient on chemotherapy about? (Select all)

hemorrhage, infections, malnutrition, alopecia

Which of these rules should you follow when caring for a patient receiving chemotherapy? (Select all)

monitor self for itchy skin and red eyes, double flush toilet when emptying bedpan, wear double gloves when handling medication

Which patient do you need to assess closely for internal bleeding?

10 year old with hemophilia who came in after a soccer game

Which patient should be assessed for dehydration?

one with tachycardia and dry skin

Which child needs to be screened for PKU?

2 day old blond-haired blue-eyed child

How can you prevent overuse syndrome? (select all)

proper footwear, proper stretching

Which of these emergent complications of cancer treatment would you monitor for? (Select all)

superior vena cava syndrome, tumor lysis syndrome

Which statements understanding education about wearing a cast?

I will need to use antihistamines for itching

Which child do you need to monitor closely for dehydration?

one who has tachypnea secondary to ketoacidosis

Which statement by the parent indicates an understanding of iron supplementation?

I should give this with OJ between lunch and dinner

What would you expect to give a patient with congenital hypothyroidism, for how long, and why?

lifelong hormones to prevent slow mental development

What would you look at to monitor a patients hydration status? (select all)

skin consistency, stool consistency, vital signs, eye appearance

Which statement indicates an understanding of disseminated intravascular coagulation?

this is caused by another condition

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Peds test 5

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Questions 98

Answers

1
Which medications would you be expected to give a child with Guillain-Barre syndrome? (Select all)
corticosteroids
toxoid injection
immunoglobulins
NSAIDs
2
What would you expect to give a child with a headache, altered pupillary responses, and vomiting?
diuretic
corticosteroid
lactated ringers
3% normal saline
3
Which baby needs to be handled with extreme care?
one with osteogenesis imperfecta
one with metatarsus imperfect
one with cerebral palsy
one with developmental dysplasia of the hip
4
Which child should be screened for diabetes?
8 year old who just got strep throat and is hungry all the time
2 year old with progressive muscle weakness
6 year old with weight gain and poor appetite
10 month old who has sloping forehead and one crease on the hand
5
What is the main cause of developing childhood cancer?
inheritance from parents
exposure to excessive sunlight
genetic mutations
exposure to secondhand smoke
6
Which s/sx would you expect to see in a patient with childhood cancer? (Select all)
unexplained fever
fatigue
sudden weight loss
extensive bruising
7
A child with an open meningocele should receive which intervention
encourage diapering
have it covered with saturated sterile gauze
only be placed on their back
encourage cuddling with mom
8
What should you do if a patient receiving a blood transfusion suddenly exhibits a headache and chest pain?
call the blood bank
run normal saline
take v/s
stop infusion
9
What do we screen girls for at age 10?
developmental dysplasia of the hip
slipped capital femoral epiphysis
breast cancer
scoliosis
10
What do you expect a child with meningitis to exhibit?
hypothermia
lockjaw
extensive purpura
CSF leak
11
Which of these is a major cause of osteomyelitis?
MRSA
coli
Staphylococcus aureus
N. gonorrhoeae
12
Which assessment is especially important to conduct when a child comes in with a head injury?
peripheral circulation
pupillary response
CBC count
skin turgor
13
Which of these would you want to prevent in a child with increased ICP? (Select all)
hypothermia
anxiety
constipation
coughing
14
How can you help a patient with dehydration?
monitor their WBC count for infections
give them a bolus of normal saline
give them an enema
give iron supplements
15
Which of these is the most common cause of death in children with spinal muscular atrophy?
GI perforations
cancer
respiratory failure
infections
16
Which supplement prevents neural tube defects?
folic acid
vitamin c
calcium
iron
17
A child with a slipped capital femoral epiphysis will receive which treatment?
in situ pinning
reinsertion into the socket with mild analgesics
traction
spica hip casting
18
Which person is likely to suffer from constipation?
43 year old man
4 year old boy
2 month old baby
66 year old mom
19
Which discharge instruction would you want to give a parent of a child with hemophilia?
avoid swimming and other sports
how to administer clotting factors
need for allergy bracelet
use aspirin for complaints of pain
20
Which patient has hyponatremia?
one with Na level of 156
one with Na level of 120
one with Na level of 143
one with Na level of 136
21
Which child is at increased risk for developing cancer?
17 year old caucasian male with Down syndrome
3 year old Asian male who swims every day with parents
10 year old African American female near a factory
2 day old female baby with pseudomenstruaton
22
What should you not do for a child with epistaxis?
place an icepack on their nose
have them lay down
call 911 if it does not stop in 15 minutes
put cotton in their nose
23
Which SE would you educate a patient on chemotherapy about? (Select all)
hemorrhage
infections
malnutrition
alopecia
24
How do you test for developmental dysplasia of the hip?
barlow and ortolani maneuver
x-rays
perinatal screenings
lab tests
25
A child with lockjaw and acute spasms should receive
antibiotic
toxoid injection
immune globulin
corticosteroids
26
Which of these rules should you follow when caring for a patient receiving chemotherapy? (Select all)
monitor self for itchy skin and red eyes
double flush toilet when emptying bedpan
delegate chemo administration to another RN
wear double gloves when handling medication
27
Which patient do you need to assess closely for internal bleeding?
10 year old with hemophilia who came in after a soccer game
14 year old with iron deficiency and heavy periods
2 month old who was brought in for sickle cell crisis
4 year old who was brought in for newly diagnosed diabetes
28
Which organism would you expect to treat in a child with septic arthritis?
Staphylococcus aureus
influenza
MRSA
C. diff
29
Which patient should be assessed for dehydration?
one with tachycardia and dry skin
one with polyuria and polyphagia
one with increased thirst and irritability
one with dry hair and chapped nails
30
A pt with an olive-shaped mass in the middle of their stomach and peristaltic waves should be assessed for?
stomach tumor
dehydration
intussusception
diabetes
31
A child with cafe-au-lait spots at birth should be assessed for
beta thalassemia
sickle cell disease
aplastic anemia
hemophelia
32
Which child needs to be screened for PKU?
2 year old with dark hair and brown eyes
5 day old African American child with green eyes
2 day old blond-haired blue-eyed child
9 year old with abd pain and frequent vomiting
33
How can you prevent overuse syndrome? (select all)
NSAID use before practice
exercise every day
proper footwear
proper stretching
34
Which of these emergent complications of cancer treatment would you monitor for? (Select all)
malnutrition
superior vena cava syndrome
infection
tumor lysis syndrome
35
What is the main type of anemia seen in children?
sickle cell
beta-thalassemia
aplastic
iron deficiency
36
Which statements understanding education about wearing a cast?
I will take a normal shower
I will go back to normal activity once this is put on
I will need to use antihistamines for itching
I will avoid moving the affected extremity at all
37
A 1 month old boy with Down syndrome and a past hx of late meconium stool should be assessed for
Inguinal hernia
Mallory-weiss syndrome
Hirschsprung disease
Pyloric stenosis
38
A child with a broken femur should be monitored for
infection
superior vena cava syndrome
fat embolism
tumor lysis syndrome
39
Which child do you need to monitor closely for dehydration?
one who has tachypnea secondary to ketoacidosis
one with SIADH
one who has increased intracranial pressure due to a hemorrhage
one who is waking up from surgery to repair a broken femur bone
40
Which statement by the parent indicates an understanding of iron supplementation?
I should call the doctor if i notice my child has black stools
I will mix this with chocolate milk to hide the color and taste
this will prevent my child from further bleeding crises
I should give this with OJ between lunch and dinner
41
What would you expect to give a patient with congenital hypothyroidism, for how long, and why?
lifelong hormones to prevent slow mental development
2 weeks of corticosteroids to reduce swelling of the tongue
lifelong insulin to manage glucose levels
antipyretics for 2 days to decrease fever
42
Which neuromuscular disorder results in delayed development of movements and spastic, uncontrolled movements?
cerebral palsy
Guillian Barre syndrome
spinal muscular atrophy
muscular dystrophy
43
A bleed that looks like a lemon is
epidural hemorrhage
subdural hemorrhage
44
Which of these is the most common congenital foot deformity in children?
metatarsus adductus
clubfoot
osteogenesis imperfects
limb deficiency
45
A baby with a small head has
microcephalous
hydrocephalus
meningitis
encephalus
46
What is the cause of death for a child who died from drowning?
water inhalation
hypothermia
hypoxia
infection
47
What would you look at to monitor a patients hydration status? (select all)
skin consistency
stool consistency
vital signs
eye appearance
48
Which statement indicates an understanding of disseminated intravascular coagulation?
this is caused by another condition
I should expect to see pain and low oxygenation
I will manage this by giving more blood
I will have the patient sedated and intubated
49
How can you cure Legg-calve-perthes disease?
growth hormones
calcitonin supplementation
there is no cure
surgery
50
A neonate who suffered prolonged hypoxia at birth should be assessed for
cerebral palsy
spinal muscular atrophy
developmental dysplasia of the hip
down syndrome
51
What is the leading COD in kids under 15?
falls
asthma
cancer
RSV
52
Which statement indicates an understanding of education about health promotion while on chemo?
I will call the doctor if my child is vomiting
I will ensure my child gets every available vaccine
I will withhold dental care for 1 year after starting drugs
I will encourage high-protein foods
53
What should you prepare a child for who came for weight loss, vision changes, and anergia? (select all)
surgery
lumbar puncture
labwork
MRI
54
Which patient needs to be screened for hypothyroidism?
2 year old with exophthalmos and weight loss
8 year old with sensitivity to cold and constipation
10 year old with anemia and pain
4 year old with polyuria and polyphagia
55
What is the goal of amputation?
no nerve endings for prosthesis placement
relieve pain associated with phantom limb syndrome
create stump that looks like affected extremity
allow strengthening of other extremity
56
What are some clues that a child has osteogenesis imperfecta? (select all)
uneven gluteal folds
short stature
blue sclera
hearing loss
57
What do you see recurringly in children with undiagnosed diabetes?
vaginitis
eye pain
crying
seizures
58
Which part of the bone is broken in children with a greenstick fracture?
epiphysis
growth plate
diaphysis
metaphysis
59
What should you do for a baby with GER?
sit up after eating
encourage vegetable intake
give fluids before feeding
give anticholinergics
60
How do you manage infection of a shunt?
replace it
run it externally
place on PO antibiotics
remove it completely
61
When administering blood to a child in a sickle cell crisis which finding indicates a need to stop the transfusion?
asking for pain medication
red, swollen joints
O2 sat of 90%
coughing and dry throat
62
Which statement indicates an understanding of their child's limitations if they have osteogenesis imperfecta?
I will let them play football when they are older
I should do everything for them
they can be independent with some safety modifications
they will never be able to live on their own
63
Which education is most important for a parent of a child with a cleft lip and palate to understand?
will need to buy bottles with wide nipples to assist the baby in feeding
will need to buy a special formula without phenytoin protein
will need to be hospitalized for first 2 months of their life
has to come back every month to assess for complications
64
What would you expect to see in a newly diagnosed type 1 diabetic?
retinopathy
hypoglycemia
allergic reaction
acetone breath
65
Which should you expect from a child with cerebral palsy? (select all)
paralysis of muscles
seizures
abnormal and uncoordinated movements
respiratory failure due to hypotonicity
66
Where would you expect a child to have a fracture?
cranium
ankle
tibia
ribs
67
What do you need to monitor during administration of any chemotherapy drug?
respiratory rate
blood pressure
IV site
neurologic status
68
Which statement indicates an understanding of preventing Reye's syndrome in children?
I will avoid giving my child aspirin for pain
I will wash my hands
I will get my child vaccinated
I will avoid giving my child honey
69
Which medication might help a child with IBS?
analgesics
antiemetics
anticholinergics
iron supplements
70
Which patient is at increased risk for dehydration?
18 year old male
2 month old female
42 year old female
8 year old male
71
What are some effects of immobilization on children? (select all)
regression
decreased muscle mass
decreased gross motor skill development
constipation
72
A patient who had to get a small bowel resection should be monitored closely for?
hypertrophic pyloric stenosis
lactose intolerance
hernia development
malnutrition
73
Which is not a type of hernia?
abdominal
rectal
umbilical
diaphragmatic
74
Which of these is a medical word for a bruise due to soft tissue damage?
sprain
dislocation
strain
contusion
75
What should you assess for when a child has traction placed?
placement of weights
weakness of affected extremity
fear
deep breathing
76
Which of these is not a function of the thyroid gland?
maintains thermoregulation
controls pituitary gland secretions
controls basal metabolic rate
controls utilization of oxygen and CO2
77
What do you monitor a child for who has sudden relief after having a positive McBurney point reaction?
developmental dysplasia of the hip
paralysis
stroke development
peritonitis
78
Which is the main interventions you should do as a nurse during a sickling crisis? (select all)
increase stimuli in the environment
cross and match the child's blood
give oxygen
give IV fluids
79
How do you assess a child who is unconscious?
assess similar to any other child
check toes to head
pay special attention to neurologic status
use specialized scale
80
Which baby has esophageal atresia?
one with a connected trachea and esophagus
one with a hernia of the intestine into the esophageal space
one with esophagus that does not connect
one with hole in the top of their mouth that connects to their nose
81
What do you monitor for in a pt with sodium level of 128?
increased thirst
seizures
cardiac failure
edema
82
Which finding for a patient in a cast needs to be reported to the HCP?
skin warm to the touch
capillary refill of 2 seconds
increasing pain
pulse of 2+
83
What are some ways to manage diarrhea in children? (select all)
get vaccinated against rotavirus
give them PN
administer barrier cream on their bottom
wash hands
84
What should you screen a baby for with a poor sucking reflex and large tongue?
hypothyroidism
pancytopenia
diabetes
beta thalasemmia
85
Which of these is a sprain?
bruise of soft tissues
partially torn ligaments
displaced bones
microscopic tears of musculoskeletal unit
86
What is the primary response when assessing a child and finding they have clear watery discharge from the nose?
call the doctor
test for glucose
give them an antihistamine
ask about allergies
87
Which patient should be assessed for intussusception?
10 year old with polydipsia and fatigue
5 year old with olive mass in epigastric area
8 year old with currant jelly like stools
4 year old with steatorrhea and malnutrition
88
How can you avoid botulism in children?
avoid giving them honey
avoid giving them aspirin
encourage full course of antibiotics
get them immunized
89
What is the cause of febrile seizures?
rapid increase in temp
genetic issue
tumor growth
hormone imbalances
90
How do you prevent issues with a hip spica cast?
place diaper under straps
handle baby with care
remove at night
adjust additional device rod every day
91
A child with acute onset of peripheral weakness should be assessed for
spinal muscular atrophy
tetanus
botulism
Guillain-Barre syndrome
92
Which should you do for a hospitalized child with cerebral palsy?
give them to another nurse
ask family for help
encourage independence
explain importance of swallow therapy
93
How do you look for Hirschsprung disease?
Lab work
PET scan
rectal biopsy
CT scan
94
What is a major cause of diarrhea in children?
IBD
antibiotic use
shock
viral infection
95
Which finding would you expect to see in a child with hemophilia-related bleeding? (Select all)
decreased oxygen saturation
increased clotting times
hemarthrosis
extensive petechiae
96
Which patient needs a special gluten free diet?
one with phenylketonuria
one with lactose intolerance
one with celiac disease
one with hypertrophic pyloric stenosis
97
A bleed that is venous in cause is
epidural hemorrhage
subdural hemorrhage
98
What is a crucial nursing intervention for a child with juvenile arthritis?
give them antibiotics
give them extra time to get up
administer appropriate corticosteroids
prep them for x-rays

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