Which of the following is most useful in treatment of severe RSV bronchiolitis?

Continuous positive airway pressure

What language milestone is reached at 9-10 months of age?

obeys single commands with gestures

The best approach to elicit a 2-year-old’s cooperation in taking to say,

“Do you want to drink it from this cup or from a spoon?”

Which of the following is a correct car seat recommendation?

Secure the child seat onto the car seat with the safety belt

Before a nurse initiates therapeutic play with a child, which assessment is most indicated?

Assess the child’s developmental level.

which of the following is true of ALTEs

can manifest with limp muscle tone

Which of the following is appropriate teaching for the parent of a child with RSV?

Infants may have feeding difficulty

which of these is true of bacterial conjunctivitis?

causes mucoid or muporulent drainage

Which of the following should you include in metered-dose inhaler instructions?

Wash the plastic spacer with household detergent and air dry

Which of the following should you recommend to a child with cystic fibrosis?

Take pancreatic enzymes with each meal or snack

which of the following is true of physical development of the infant?

posterior fontanelle closes by 6-8 weeks of age

Which of the following is true of children with cystic fibrosis?

Benefit from fat-soluble vitamins in water-soluble form

which of the following is true regarding allergic conjunctivitis?

causes cobblestone appearance of conjunctiva

Which of the following is true of retinopathy of prematurity?

Children with ROP need an environment rich in sensory input

The primary purpose of therapeutic play is to allow the child to:

express feelings of fear about being hospitalized.

Which of the following is true regarding autism?

etiology is complicated with many risk factors

which of the following should be done post-op after a tonsillectomy

educate parent that full recovery may take 14 days

Which is true regarding social development of children?

stranger fear begins at roughly 6-8 months of age

which of the following is true regarding retinopathy of prematurity?

retina can detach, causing blindness

Which of the following is true regarding PTSD?

can be triggered by child abuse

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Fall I 2019 - cumulative Quiz

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Questions 114

Answers

1
What is the #1 cause of death in all children older than 1 year old?
cancer
suicide
congenital abnormalities
unintentional injury
2
Which of the following is most useful in treatment of severe RSV bronchiolitis?
Albuterol via metered-dose inhaler
Corticosteroids
Continuous positive airway pressure
Nebulized epinephrine
3
What language milestone is reached at 9-10 months of age?
obeys single commands with gestures
says 10 different words
turns head to sound of rattle
able to make consonant sounds
4
which of the following is a sign of foreign body aspiration?
dyspepsia
respiratory alkalosis
dysphonia
lymphadenopathy
5
The best approach to elicit a 2-year-old’s cooperation in taking to say,
“This will help you cough up those secretions.”
“I have your yummy medicine for you to take now.”
“Do you want to drink it from this cup or from a spoon?”
“Are you ready now, or do you want to wait?”
6
A 2-year-old child usually enjoys which type of play?
Solitary
Cooperative
Parallel
Associative
7
Which of the following is a correct car seat recommendation?
Choose shoulder harness slots above the shoulders
Position the seat front-facing in the rear seat
Place the seat at a 90 degree angle
Secure the child seat onto the car seat with the safety belt
8
An 18-month-old patient ignores his mother when she returns after work. This child is feeling:
stimuli deficit.
being overwhelmed.
abandonment.
estrangement.
9
Which of the following is the fourth developmental stage according to Piaget's theory?
sensorimotor
concrete operational
formal operational
preoperational
10
What is the most likely way for infants to be negatively affected after a disaster?
Disrupted routine
Body image issues
Media exposure
Depression
11
Before a nurse initiates therapeutic play with a child, which assessment is most indicated?
Ask the child how he would like to play.
Assess the child’s developmental level.
Assess the home environment.
Consult the parents about the goals of play therapy.
12
A teenager with a gender identity disorder is unable to progress through which Erikson's stage?
Intimacy vs. isolation
Industry vs. inferiority
Identity vs. role confusion
Initiative vs. guilt
13
Which of the following is Erikson's stage of development for children 6-12 years old?
identity vs role confusion
industry vs inferiority
autonomy vs shame
initiative vs guilt
14
which of the following is true of ALTEs
apnea usually lasts for 20 seconds or less
most children suffering from ALTEs die without resuscitation
can manifest with limp muscle tone
medical reason found for 95% of cases
15
Which of the following is appropriate teaching for the parent of a child with RSV?
Start antivirals immediately
A respiratory rate of 40 is suggestive of a severe infection
Usually resolves within 1-3 days
Infants may have feeding difficulty
16
According to Erikson the major developmental task of adolescence is:
developing a sense of self.
achieving a career goal.
developing trust in others.
acceptance of life experiences.
17
Which of the following describes a child involuntarily forgetting uncomfortable situations?
fantasy
regression
rationalization
repression
18
Which of the following is true palivizumab (Synagis)?
Given to all infants for their first RSV season
Must be given once a year to be effective
Given intramuscularly
Provides active immunity
19
which of these is true of bacterial conjunctivitis?
often causes blindness if left untreated
causes mucoid or muporulent drainage
does not cause mattering
usually presents with URI symptoms
20
Which of the following may be an indicator of poor visual acuity in a toddler?
Delayed fine motor control
Child does not like to read books
Poor performance at sports
Child does not like to use computer
21
which of the following is indicated for children with cystic fibrosis?
dornase alfa
supplements for water-soluble vitamins with all meals
routine sweat chloride tests
imodium
22
which of the following is the most expected finding of children with hearing loss?
speaking in monotone
whispering to express emotions
speaking softly for the situation
vocalization usually absent until 2 years of age
23
According to Erikson, when does a child begin to develop a sense of conscience?
Ages 13-18
Ages 6-12
Ages 3-6
Ages 1-3
24
Which of the following is the second developmental stage according to Piaget's theory?
sensorimotor
formal operational
preoperational
concrete operational
25
Which of the following should you include in metered-dose inhaler instructions?
Wash the plastic spacer with household detergent and air dry
During crying is a good time to use the MDI
Treatments take 8-10 minutes per treatment
After taking a deep breath, hold breath for 30 seconds
26
Which of the following is the second stage of Freud's stages of development?
anal
latency
phallic
oral
27
Which of the following should you recommend to a child with cystic fibrosis?
Take pancreatic enzymes with each meal or snack
Discourage physical aerobic exercise
Discourage forced exhalation
Discourage family from joining a support group
28
For which response of separation anxiety does a child often make friends with strangers?
Acute
Detachment
Protest
Despair
29
Which describes the ability to consider only one aspect of a situation at a time?
egocentrism
magical thinking
centration
object permanence
30
which of the following is true of physical development of the infant?
posterior fontanelle closes by 6-8 weeks of age
weight triples at 2 years
anterior fontanelle closes by 6 months
weight doubles at 8 months
31
A 15-year-old male admitted for chemotherapy will likely be most interested in which?
Self-identity
Parental approval
School grades
Fear of criticism
32
Which of the following is Erikson's stage of development for children 0-1 years old?
initiative vs guilt
industry vs inferiority
autonomy vs shame
trust vs mistrust
33
Which of the following is true of children with cystic fibrosis?
Require a low-calorie diet
Usually have chronic loose stools
Require a low-sodium diet
Benefit from fat-soluble vitamins in water-soluble form
34
which of the following is not a typical symptom of acute otitis media
purulent material in middle ear
lymphadenopathy of the neck and head
pulling on ear
pearly gray tympanic membrane
35
Which of the following is the third developmental stage according to Piaget's theory?
preoperational
sensorimotor
concrete operational
formal operational
36
Which parenting style controls the child's behaviors through unquestioned rules?
Authoritarian
Authoritative
Passive
Democratic
37
Which of the following is Erikson's stage of development for children 3-6 years old?
initiative vs guilt
industry vs inferiority
trust vs mistrust
autonomy vs shame
38
which of the following is true regarding allergic conjunctivitis?
is not usually itchy
may cause blindness if untreated
causes cobblestone appearance of conjunctiva
treated with erythromycin eye drops
39
Which of the following is a child with Down syndrome NOT at risk for?
excessive height
leukemia, immune dysfunction
congenital heart problems
hearing and vision problems
40
Which of the following is true of retinopathy of prematurity?
Children with ROP need an environment rich in sensory input
Disease is typically manifested about 1 week after birth
All oxygen must be discontinued to stop retinal damage
The furniture at home should be rearranged regularly
41
At what age should an infant begin to use a palmar grasp to pick up objects?
12 months of age
5 months of age
3 months of age
8 months of age
42
which of the following is NOT a characteristic of pediatric airways?
smaller nasopharynx
long, floppy epiglottis
longer trachea
supported with weaker muscles
43
The primary purpose of therapeutic play is to allow the child to:
get to know other children.
develop a sense of self-control.
express feelings of fear about being hospitalized.
have fun.
44
Which of the following is true regarding autism?
etiology is complicated with many risk factors
more common in females than in males
peak age of diagnosis is 14 years old
symptoms usually start at 4-6 years old
45
Which of the following are the Kohlberg stages associated with?
language development
motor skill development
cognitive development
moral development
46
Which of the following is a characteristic of autism?
steroetypy and echolalia
uses words over gestures
enjoys pretend play
proficient in empathy
47
which of the following should be done post-op after a tonsillectomy
lay child in a flat position
discourage cool drinks
educate parent that full recovery may take 14 days
offer fruit punch
48
which of the following is the most common cause of bronchiolitis in children
parainfluenza
respiratory syncytial virus
adenovirus
pertussis
49
Which is true regarding social development of children?
stranger fear begins at roughly 6-8 months of age
attachment begins at 1 month of age
school-age children prefer the company of the other gender
stranger anxiety & separation anxiety peak in preschool age
50
which of the following is true regarding retinopathy of prematurity?
it is a congenital condition
there are 10 different stages of severity
retina can detach, causing blindness
usually affects only one eye
51
Which of the following is true regarding PTSD?
can be triggered by child abuse
being male is a risk factor
there is no family history component
usually diagnosed 1 week after traumatic incident
52
Which describes the ability to understand that things keep existing, even when not seen?
magical thinking
egocentrism
associative play
object permanence
53
which of the following is used as treatment for status asthmaticus?
place the child lying down
theophylline
oral magnesium
continuous salmeterol
54
which of the following is true of viral conjunctivitis?
drainage is usually purulent in nature
if caused by herpesvirus in an infant, can cause blindness
cobblestone appearance of conjunctiva
more often unilateral
55
which of the following is a proper recommendation to avoid SIDS?
co-sleep with the child so that you can monitor them
avoid loose bedding
do not let child use pacifier at bedtime
have infants sleep on their stomach
56
At what age does a child begin to understand need for painful procedures?
School-age
Toddler
Preschooler
adolescence
57
A 2-year-old boy is on strict bed rest. Which toys would be most appropriate for this child?
A crib mobile
A 50-piece jigsaw puzzle
Several small toy cars
Handheld educational electronic games
58
which of the following is a late manifestation of cystic fibrosis?
wheezing
dry cough
rhonchi
barrel-shaped chest
59
Which of the following describes normal growth of children?
anterolateral
proximodistal
lateromedial
caudocephalic
60
which of the following is not used to treat strabismus?
prism glasses
antibiotics
occlusion therapy
compensatory lenses
61
which of the following treatments for ADHD is least invasive?
methylphenidate
atomoxetine
environmental changes
dextroamphetamine
62
Which of the following is least associated with the preschool age group?
understands time as sequence of events
competitive play
magical thinking
centration
63
How should you teach parents about behavior therapy for children with ADHD?
All adults in close contact with child should be included
Give children with ADHD more leniency compared to siblings
Place child in large classrooms at school
Rewarding the child is not effective
64
Which of the following describes a child creating a make-believe story to help deal with fear?
rationalization
repression
regression
fantasy
65
Which of the following is true of spirometry testing?
Used to determine how to use the asthma action plan
Should be repeated 3 times, recording only best result
Usually first performed at 5-6 years of age
Should be performed for every asthma attack
66
the difference in which ear structure causes children to have more ear infections?
cochlea
eustachian tube
tragus
auricle
67
According to Piaget, when does a child begin to learn cause-and-effect relationships?
Age 2, sensorimotor
Age 12, formal operations
Age 4, preoperational
Age 8, concrete operations
68
Which of the following is Erikson's stage of development for children 1-3 years old?
initiative vs guilt
trust vs mistrust
industry vs inferiority
autonomy vs shame
69
Which of the following is true of school phobia?
Occur in children as young as 5 years of age
A normal behavior in all children
Symptomatic every day, even not on school days
Enjoy being picked on to answer questions
70
Which of the following is true of otitis media with effusion?
Less associated with hearing loss than acute otitis media
Considered chronic if it lasts for >3 months
Treated with antibiotics
Red and bulging tympanic membrane
71
which of the following is a sign of respiratory failure?
diaphoresis
tachycardia
bradypnea
irritability
72
What is the focus of interventions to minimize feeling loss of control in a hospitalized child?
Minimize hospital-related stress.
Meet every request of the child.
Ask the family to give the child more control.
Lessen the control issue by ignoring it.
73
Which of the following is the first developmental stage according to Piaget's theory?
sensorimotor
preoperational
formal operational
concrete operational
74
At what age should an infant begin to sit with support?
12 months of age
3 months of age
6 months of age
9 months of age
75
Which of the following is the golden standard test for cystic fibrosis?
Pancreatic enzyme concentration test
Spirometer testing
Sweat chloride test
DNA analysis
76
It is normal for the eyes to have less than 20/20 acuity until what age?
8-9 years of age
6-7 years of age
10-11 years of age
12-13 years of age
77
which of the following is true regarding the language development of children?
Language increases to about 600 words at 2 years
makes single-vowel sounds by 2 months
learn to use 1-word sentences at 2 years
learn to use 4-5 word sentences by 3 years
78
How many blocks can a 12-month old stack on one another?
3
4
Tries to build 2-block tower without success
2
79
Which of the following is true of the growth in a very young child?
Anterior fontanelle should close by 2 months of age
Toddlers grow about 6 inches per year
Weight should triple by 10 months of age
Weight should double by 5-6 months of age
80
Which of the following should be done for a child with recurrent epistaxis?
Avoid hot drinks
If it does not stop with 5 minutes of pressure, call 911
Sleep with the head flat
Dehumidify the room
81
which of the following is true of amblyopia?
treated by atropine 1% 1 drop/day in bad eye
the brain may learn to ignore signals from the stronger eye
often caused by retinopathy of prematurity
reduced visual acuity in one eye
82
Which of the following is expected in a preschooler?
Poor understanding of anatomy makes small cuts frightening
More modest than school-age children
Begins to show visible sexual maturation
Able to judge intentions of an act, not just consequences
83
Which of the following is Erikson's stage of development for children 12-18 years old?
industry vs inferiority
initiative vs guilt
autonomy vs shame
identity vs role confusion
84
which of the following is a risk factor for suicide?
satisfactory school performance
lower parent/family connectedness
school policies to cope with bullying
safe neighborhood
85
Under what IQ level are children generally considered intellectually disabled?
125
100
50
75
86
which of the following is a common sign of depression?
multiple somatic complaints
increased energy
high self-esteem
excessive participation in schoolwork
87
Which of the following is true of bronchopulmonary dysplasia (BPD)?
May cause respiratory alkalosis
The flu vaccine is contraindicated
Chronic air trapping can lead to a sunken chest
Also known as chronic lung disease
88
How might a nurse elicit the moro reflex?
Allowing head and trunk of an infant to fall backward
Stroking the cheek
Stroking sole of foot
Placing an object in the palm of the hand
89
Which of the following is expected in an 18-month-old toddler?
Uses a cup, but poorly
Able to turn pages of a book, 2-3 at a time
Able to copy figures on paper
Draws circles
90
What is the best method to evaluate effectiveness of preoperative teaching to a preschooler?
Ask him to repeat what he has learned about the operation.
Show what he has learned about his surgery using dolls.
Ask parents to check and report back to the nurse.
Have the child draw a picture of what he will look like.
91
Which of the following describes a child attempting to make unacceptable feelings acceptable?
regression
fantasy
rationalization
repression
92
If a teenager is refusing care, what is the best course of action?
don't do the procedure
do the procedure anyway
discuss the procedure with the child, family, and doctor
ask the parents to help hold the child down
93
A 3-year-old child has an imaginary friend whom he speaks of frequently. This is:
a sign of a psychiatric problem.
pathological in nature.
an early sign of bipolar disorder.
normal developmental behavior.
94
When assessing an infant or child, what is most important for the nurse to remember?
Perform invasive or painful procedures first.
Perform invasive or painful procedures last.
Let the child play with equipment before beginning the exam
Do everything very slowly and in view.
95
At what age should an infant begin to perform a neat pincer grasp?
6 months of age
4 months of age
8 months of age
11 months of age
96
which of the following is not a type of anxiety disorder?
bipolar
separation anxiety disorder
school phobia
conversion reaction
97
Which of the following is true of tuberculosis in children?
Disseminated TB occurs more commonly in infants
Hemoptysis is an early sign
Screening should be done annually for the first 5 years
Children
98
Which of the following is true of sleep in children?
Preschoolers need about 8 hours of sleep per day
Night terrors are common in preschoolers
Nocturnal sleep pattern is established at 9 months of age
Begins to sleep through the night during toddlerhood
99
Which of the following is the first stage of Freud's stages of development?
phallic
anal
latency
oral
100
which of the following is true of intermittent asthma?
experiences frequent nighttime awakenings due to symptoms
causes minor activity limitations
requires oral corticosteroids about twice a year
asthma maintenance does not prevent trigger
101
According to Erikson, the primary task of ages 3-5 years, is developing a sense of:
autonomy.
trust.
initiative.
industry.
102
Which of the following is NOT a clinical manifestation of bronchopulmonary dysplasia?
All caffeine should be withheld
Decreased calories may be necessary
Normal activities may cause fatigue
Fluids should be increased to prevent pulmonary edema
103
which of the following is typically due to a bacterial infection?
epiglottitis
spasmodic croup
laryngotracheobronchitis
nasopharyngitis
104
Which is the philosophy of care that creates a mutually beneficial partnership with parents
family-focused care
patient-centered care
family-centered care
health-centered care
105
which of the following is true of pediatric airways?
greater airway resistance
greater use of accessory muscles
obligatory mouth breathing
retractions are less common
106
At what age does a child begin to walk while holding onto things?
8 months of age
6 months of age
11 months of age
14 months of age
107
Which of the following is the third stage of Freud's stages of development?
latency
anal
oral
phallic
108
It is normal for the eyes to occasionally be aligned and coordinated until what age?
12 months of age
1 month of age
6 months of age
3 months of age
109
Which of the following is true of play therapy?
helps to repress emotions
usually used with adolescents
is synonymous to therapeutic play
play is a buffer for children against pressures of life
110
which of the following is true regarding dentition in children?
fluoride should be avoided in drinking water
eruption of deciduous teeth is finalized by preschool age
corrective dental appliances are most common at school age
first teeth typically erupt at 2 years of age
111
which croup syndrome is the most serious?
tracheitis
epiglottitis
laryngotracheobronchitis
spasmodic croup
112
How does weight change immediately after birth?
lose up to 10% of birth weight over 3-4 days
lose 1/4 of birth weight over 1 week
weight stays the same for 2-3 weeks
weight drops, then returns to birth weight at 1 month
113
The palmar grasp reflex should be noticed until what age?
9 months of age
5 months of age
3 months of age
7 months of age
114
Which of the following describes a child returning to an earlier behavior?
repression
rationalization
regression
fantasy

Fall I 2019 - cumulative Quiz Flashcards | StudBud