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Final Exam Review
Final Exam Review
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1
Mainstays of treatment for children with Cystic Fibrosis Include:
Chest Physiotherapy
Enzymes/High Kcal & Protein Diet
Regular Exercise
Avoiding others who are ill
2
Maintaining SAFETY for a patient experiencing a seizure includes:
Try and stop the seizure
Have them bite down on something
Note the start & stop times
Keep/Place on side
3
What S/S might you see in a child with HYPOGLYCEMIA?
Confusion
Sweating
Headache
Jittery/tremors
4
Levothyroxine can be administered to Infants using which of the following techniques?
Medicine Cup
Oral Syringe
Bottle Nipple
Infants don't take Levothyroxine
5
A Sweat Chloride Test is Indicated for which condition?
Hypothyroidism
Diabetes Type I
Rheumatic Fever
Cystic Fibrosis
6
Good sources of Iron include
Meat
Veggies
Milk
Iron Fortified Cereal
7
5 chest thrust and 5 back blows are indicated for an infant who is choking
True
False
8
Nasotracheal intubation may be indicted with Epiglottitis
False
True
9
Furosemide (Lasix) is indicated for CHF
False
True
10
Your patient has bacterial meningitis, how long must they be in isolation after antibiotics were started?
12 hours
no isolation is needed
entire hospital stay
at least 24 hours
11
Your patient was recently diagnosed with a Wilm's tumor. What can you expect in the next 24-48 hours?
Discharge home
Lots of family education
Prep for Surgery
Monitoring urinary output
12
Monitoring Intake/Output & Daily Weight is a top priority for patients taking which meditations?
Digoxin
Ibuprofen
Penicillin
Lanoxin
13
How are Teens ESPECIALLY impacted by a DM Diagnosis?
Driving ability
Impact on Body Image & Self Esteem
Poor Compliance
Insulin Administration
14
Anticonvulsant drugs can be stopped abruptly
True
False
15
Which of the following urinalysis values are abnormal?
negative protein
pH 9
specific gravity 1.038
urine color light yellow
16
Effectiveness of
Lasix
is best determined by
Intake & Output
Daily Weight
Blood Gas
Pulse rate
17
Nephrotic syndrome is associated with increased levels of albumin in the urine (albuminuria)
True
False
18
Which of the following would be appropriate to treat a child with HYPOGLYCEMIA?
3-6 oz Orange Juice
1 tbsp Sugar
8 oz. Diet Sprite
6 oz Sprite
19
The nurse is evaluating a child for Rheumatic Fever, which
lab
test of most concern?
ASO titer
Jones Criteria
Sweat test
Stool sample
20
Which Chamber has the greatest Pressure?
Right Ventricle
Left Atria
Left Ventricle
Right Atria
21
Type 1 Diabetes is best managed with Oral Diabetic Medications
False
True
22
Non-bilious Emesis is associated with which condition? WHY?
Celiac Disease
Pyloric Stenosis
Hirschsprung's
Rotavirus
23
Levothyroxine is considered LIFE LONG therapy for which condition?
DKA
Juvenile Hypothyroidism
Juvenile Hyperthyroidism
DM Type 2
24
Strategies to prevent UTIs in children include:
good water intake
no bubble baths
discourage holding (stasis)
nylon underwear
25
Establishing routines similar to those at home for hospitalized children helps to prevent:
Compliance
Regression
Separation anxiety
Therapeutic care
26
Which sign indicates poor dietary management of Cystic Fibrosis?
Adequate oxygenation
Steatorrhea
Adequate weight gain
Constipation
27
Temp q 4 hours, quite environment, dimly lit room, and no pillow are nursing interventions for which condition?
Pnuemonia
Meningitis
RSV
Cystic Fibrosis
28
Which tips are appropriate for preventing poisoning in the home?
Call Poison Control BEFORE administering treatment
Reuse pop bottles to store chemicals
"It tastes like candy"
Keep poison control # close by
29
After a Pyloromyotomy an infant should be quickly progressed to regular diet
False
True
30
What are the clinical manifestations of Juvenile Hypothyroidism?
Constipation
Weight Loss
Decreased Growth
Decreased Physical activity
31
Albuterol is indicated for which condition?
Diarrhea
Cystic Fibrosis
Acute asthma attack
Choking
32
School Aged Children do best with simple and straight forward terms when explaining procedures
False
True
33
Lasix is considered mainstay treatment for CHF because it...
Increases body water/fluid
increases workload on heart
Reduces body water/fluid
decreases workload on heart
34
Which condition is associated with Ribbon Like Stools & Constipation?
Intussusception
Hirschsprung's "Mega Colon"
Celiac Disease
Pyloric Stenosis
35
Which Glucose Monitoring TIPS can you offer parents of a TODDLER with Diabetes?
Involve them in checking BG
Check glucose before they play outside
Let them administer their own insulin
Involve them in food choices
36
Signs & Symptoms of IICP in
infants
includes:
bulging fontanel
high pitched cry
Drowsiness
Headache
37
Which of the following Techniques help to manage GER in children?
Burp Often
Upright 30 min after feeding
Thicken Formula with Rice Cereal
Small Frequent Meals
38
How do we PREVENT Lipohypertrophy?
Give insulin
Give long acting insulin
Lose weight
Rotate Injection Sites
39
What S/S might you expect to see with APSGN?
brown/tea colored urine
Hypotension
Acute hypertension
Edema
40
If you patient is experiencing Digoxin toxicity you may see:
Bradycardia
Nausea/Vomiting
Anemia
Tachycardia
41
Your patient was recently admitted who is in a Vaso-Occlusive Crisis. What do you do?
Encourage the child to walk
Hydrate (Oral/IV)
Administer O2 with a Nasal Canula
Administer Pain Medication
42
I might use this when...
I'm bored
I fell an asthma attack coming on
Determine how bad my asthma sx are
Determine my lung function
43
A child with Celiac Disease may consume foods that contain Rye
True
False
44
S/S of Dehydration include:
Slowed capillary refill
Increased Specific Gravity
Increased Heart Rate
Dry Mucous Membranes
45
A hospitalized child who resumes sucking their thumb after the habit was recently broken is demonstrating Regression
True
False
46
Digoxin and Lanoxin are drugs used in the management of?
Cystic Fibrosis
Duchenne Muscular Dystrophy
Heart Failure
Respiratory infections
47
Which statements best demonstrate therapeutic communication for a preschooler?
Your parents will be back when SpongeBob is over
Would you like to see my stethoscope?
Your mom will be back in 30 minutes
Please stop crying!
48
The pathogen most commonly responsible for Bronchiolitis
RSV
Pin Worms
Cystic Fibrosis
Streptococcus
49
Helpful tips for Iron Administration include:
Give 1 hour before or 2 hours after milk
Vitamin C helps with absorption
May turn stool dark, tarry green color
Through a straw
50
Management of mild to moderate DEHYDRATION can be accomplished using?
Sprite
Oral Rehydration Therapy
IV therapy first
Pedialyte