A child presents to the emergency department w/ a sprained ankle. What is the appropriate initial intervention?

Use rest, ice, compression, and elevation (RICE).

Which of the following are common causes of sudden cardiac arrest in children?

Electrolyte abnormalities, History of a serious primary congenital or acquired cardiac defect, Toxic drug ingestion, Hyper or Hypotrophic cardiomyopathy

A nurse is assessing a 2-month-old infant for developmental delays. Which finding requires further evaluation?

The infant shows no response to loud sounds.

A 5 month old w/ RSV is in respiratory distress: secretions, increased WOB, cyanosis, RR 78. What is your priority?

Suction, provide 100% oxygen via mask, & anticipate resp failure.

A nurse is providing education about diabetic ketoacidosis. Which s/s indicate that a child may be experiencing DKA?

Altered level of consciousness, Rapid, deep breathing (Kussmaul respirations), Ketones in urine and blood, Fruity breath odor

A child w/ psoriasis is being cared for in the clinic. You should anticipate which characteristics of the disorder?

Chronic skin condition with flare-ups, Nonpruritic rash, Scaling plaques

What are the two classifications of shock in pediatric patients?

Compensated and decompensated shock

The nurse is educating a group of preteens about skin changes during puberty. Which statement is correct?

Sebum production increases, which may lead to acne.

You are teaching the parent about managing diabetes mellitus. Which of the following statements should be included?

Administer insulin based on the sliding scale as prescribed., Watch for signs of hypoglycemia, such as sweating and shakiness., Monitor blood glucose levels regularly., Encourage carbohydrate counting for meal planning.

Which of the following is the primary function of the endocrine system?

Regulating homeostasis through hormone release

A toddler has moderate respiratory distress, is mildly cyanotic, and has increased WOB, RR of 40. What is your priority?

Airway maintenance and 100% oxygen by mask.

What should be assessed in a child with vomiting to help determine the cause?

Relationship to meals, color, volume, duration, and associated symptoms

Why are infants and children at a higher risk for dehydration than adults?

They have a proportionately greater amount of body water

You are teaching parents about their newborn’s skin. Which of the following statements indicates understanding?

"My baby’s skin is more prone to bacterial infections."

Select all that apply: What is included in postoperative care for a child undergoing urologic surgery?

Monitoring urine output, Pain management, Avoidance or treatment of bladder spasms

The nurse is caring for a child after a cardiac catheterization. What is the nursing priority?

Assess extremity distal to the insertion site for temperature and color.

A nurse is performing a neurological assessment on a child with a pediatric emergency. What should be included?

Evaluate the child's head, Assess the child's eyes, Evaluate spontaneous movement of extremities

Which interventions should be included in the initial management of a child experiencing a submersion injury (drowning)?

Rapid warming if the child is hypothermic, ABCs, C-spine stabilization (if diving injury suspected)

What is a key nursing intervention for a child following cleft lip and palate repair?

Protection of the surgical site during healing

You are educating a family about managing atopic dermatitis. Which interventions should be included in the teaching?

Avoid triggers that cause skin irritation., Apply prescribed topical medications as directed., Keep the skin well-moisturized.

studbud

NRS201- PEDS Exam 2

155 termsStudBud Administration24 plays

Questions from LWW Nclex practice and pre-lecture quizzes.

Flashcards155 cardsFPractice quizPHost liveL

Questions 155

Answers

1
A child presents to the emergency department w/ a sprained ankle. What is the appropriate initial intervention?
Apply warm compresses.
Encourage walking to reduce stiffness
Administer muscle relaxants immediately.
Use rest, ice, compression, and elevation (RICE).
2
Many children younger than 1 year of age will regurgitate until several months of age.
True
False
3
At birth, the cranial bones are not fused, leading to an increased risk for hemorrhage.
True
False
4
Which of the following are common causes of sudden cardiac arrest in children?
Hyperglycemia
Electrolyte abnormalities
History of a serious primary congenital or acquired cardiac defect
Toxic drug ingestion
Hyper or Hypotrophic cardiomyopathy
5
A nurse is assessing a 2-month-old infant for developmental delays. Which finding requires further evaluation?
The infant has a strong grasp reflex.
The infant exhibits some head lag when pulled to a sitting position.
The infant's legs remain flexed in a fetal position.
The infant shows no response to loud sounds.
6
An adolescent patient is at higher risk for musculoskeletal injuries due to which of the following factors?
Increased bone density
Rapid muscle growth
Decreased flexibility
Decreased blood supply to the bones
7
The ABCs of Life Support include Airway, Breathing, and Circulation as part of the secondary survey.
False
True
8
Palpation should be the first in the sequence of the abdominal examination.
True
False
9
A 5 month old w/ RSV is in respiratory distress: secretions, increased WOB, cyanosis, RR 78. What is your priority?
Attempt to calm the infant by placing him in his mother’s lap
Bring emergency equipment to the room and begin bag-valve-mask ventilation.
Suction, provide 100% oxygen via mask, & anticipate resp failure.
Alert the provider and ask for an order for a stat chest x-ray
10
______________ is the inability to swallow or difficulty swallowing.
Dyspepsia
Diarrhea
Dysphagia
Dysuria
11
The liver is relatively small at birth, making it difficult to palpate.
True
False
12
A nurse is providing education about diabetic ketoacidosis. Which s/s indicate that a child may be experiencing DKA?
Altered level of consciousness
Rapid, deep breathing (Kussmaul respirations)
Ketones in urine and blood
Hypertension
Fruity breath odor
13
Hypovolemic shock is also referred to as “warm shock”.
True
False
14
Absence of bowel sounds can be determined after a __-minute period of auscultation.
5
3
1
0
15
Appendicitis is commonly associated with left lower quadrant pain.
False
True
16
A urinary catheter must be inserted just prior to performing a voiding cystourethrogram.
True
False
17
A child w/ psoriasis is being cared for in the clinic. You should anticipate which characteristics of the disorder?
Honey-colored crusting
Chronic skin condition with flare-ups
Nonpruritic rash
Scaling plaques
18
What are the two classifications of shock in pediatric patients?
Warm and cold shock
Compensated and decompensated shock
Hyperthermic and hypothermic shock
Respiratory and cardiovascular shock
19
The nurse is educating a group of preteens about skin changes during puberty. Which statement is correct?
Sebum production increases, which may lead to acne.
Skin infections become less common during adolescence.
The skin becomes thinner and loses its protective barrier.
Sweat production decreases, reducing body odor.
20
In children ____ is the best indicator of changes in fluid status.
mentation
weight
urinary output
turgor
21
You are teaching the parent about managing diabetes mellitus. Which of the following statements should be included?
Avoid all sources of carbohydrates to prevent hyperglycemia.
Administer insulin based on the sliding scale as prescribed.
Watch for signs of hypoglycemia, such as sweating and shakiness.
Monitor blood glucose levels regularly.
Encourage carbohydrate counting for meal planning.
22
Which of the following is the primary function of the endocrine system?
Transporting oxygen in the bloodstream
Producing enzymes for digestion
Filtering waste from the blood
Regulating homeostasis through hormone release
23
Alveolar collapse or loss of lung volume, referred to as ____________, can cause grunting on expiration.
Ataxia
Cyanosis
Asthma
Atelectasis
24
Many infants regurgitate small amounts for several months.
False
True
25
Rheumatic fever is an acute, systemic vasculitis occurring mostly in infants and young children.
False
True
26
The normal heart rate is lower in infancy than in adulthood.
False
True
27
Infants and children have a greater proportion of body water than adults, increasing their risk for dehydration.
True
False
28
A toddler has moderate respiratory distress, is mildly cyanotic, and has increased WOB, RR of 40. What is your priority?
100% oxygen and pulse oximetry monitoring.
100% oxygen and provision of comfort.
Airway maintenance and continued reassessment.
Airway maintenance and 100% oxygen by mask.
29
What should be assessed in a child with vomiting to help determine the cause?
The amount of food consumed during the last meal
Relationship to meals, color, volume, duration, and associated symptoms
The child’s sleeping patterns
Length of time since last bowel movement
30
Which of the following is a treatment option for nocturnal enuresis?
Desmopressin nasal spray
Antibiotics
Fluid boluses before bed
Avoidance of bladder training
31
Edema of the lower extremities is characteristic of _______ ventricular heart failure in older children.
Left
Right
32
The first stool of the newborn is called meconium.
False
True
33
Why are infants and children at a higher risk for dehydration than adults?
They have a larger stomach capacity
They produce more stomach acid
They have a lower metabolic rate
They have a proportionately greater amount of body water
34
Tachypnea is a late-stage sign of respiratory distress in children.
True
False
35
You are teaching parents about their newborn’s skin. Which of the following statements indicates understanding?
"My baby’s skin has less water content than an adult's."
"My baby’s skin is the same thickness as mine."
"My baby’s skin is more prone to bacterial infections."
"My baby’s skin loses heat less easily than mine."
36
Which of the following is a potential complication of growth hormone therapy?
Hypercalcemia
Hypoglycemia
Hypotension
Increased risk of leukemia
37
Select all that apply: What is included in postoperative care for a child undergoing urologic surgery?
Monitoring urine output
Pain management
Increasing fluid intake without restriction
Avoidance or treatment of bladder spasms
38
Wt: 37.5# Order: Methylprednisone 20 mg IV x2/daily. Recommended: 1-2 mg/kg/day in 2 divided doses. Is the order safe?
No
Yes
39
The nurse is caring for a child after a cardiac catheterization. What is the nursing priority?
Change the dressing to evaluate the site for infection.
Assess extremity distal to the insertion site for temperature and color.
Allow early ambulation to encourage activity participation.
Check pulses above the catheter insertion site for strength and quality.
40
A nurse is performing a neurological assessment on a child with a pediatric emergency. What should be included?
Evaluate the child's head
Assess the child's eyes
Evaluate spontaneous movement of extremities
Assess blood pressure only
41
Which interventions should be included in the initial management of a child experiencing a submersion injury (drowning)?
Delay resuscitation efforts to avoid causing further injury.
Rapid warming if the child is hypothermic
Administer diuretics to prevent fluid retention
ABCs
C-spine stabilization (if diving injury suspected)
42
The kidneys are ordinarily easier to palpate in neonates due to their small size.
True
False
43
Tetralogy of Fallot is a congenital heart defect that refers to a combination of ___________ heart defects.
1
3
4
6
44
Mild to mod dehydration in children should be tx w/oral rehydration therapy to prevent progression to hypovolemic shock.
True
False
45
What is a key nursing intervention for a child following cleft lip and palate repair?
Encouraging the child to drink from a straw
Feeding the child large, frequent meals
Protection of the surgical site during healing
Performing deep oral suctioning regularly
46
Which of the following conditions commonly follows a group A streptococcal infection?
Hemolytic uremic syndrome
Acute glomerulonephritis
Nephrotic syndrome
Polycystic kidney disease
47
Behavioral therapy and counseling may be necessary for children who have functional constipation and stool withholding.
False
True
48
Type 1 diabetes mellitus is caused by insulin resistance at the level of skeletal muscle, liver, and adipose tissue.
False
True
49
The maximum recommended oxygen flow for the nasal cannula in children is _____ L/min.
1
2
3
4
50
Breastfeeding a child before and after cardiac surgery may boost the infant's immune system.
False
True
51
You are educating a family about managing atopic dermatitis. Which interventions should be included in the teaching?
Avoid triggers that cause skin irritation.
Apply prescribed topical medications as directed.
Keep the skin well-moisturized.
Use hot water for bathing to cleanse the skin effectively.
52
All children younger than 5 years old should have their head circumference measured and plotted on a growth chart.
False
True
53
A child in cardiopulmonary arrest d/t respiratory failure will typically show signs of deterioration in which order?
Tachycardia → Hypovolemic shock → Neurological decline
Cardiac arrest → Respiratory distress → Shock
Hypothermia → Bradycardia → Respiratory distress
Respiratory distress → Shock → Cardiopulmonary arrest
54
Congenital cardiac anomaly refers to an enlargement of the heart caused by hypertrophy.
True
False
55
A nurse is caring for a child with spinal cord injury. Which nursing intervention is most appropriate?
Keep the child on strict bed rest to prevent further injury.
Discourage school attendance to reduce stress.
Apply a tight abdominal binder to support breathing.
Encourage passive range of motion exercises to maintain joint function.
56
Febrile seizures are typically benign seizures associated with a fever and viral illness.
False
True
57
Prematurity, difficult delivery, and infection during pregnancy are risk factors associated with neurologic disorders.
True
False
58
What is the best option for treating end-stage renal disease in children?
Peritoneal dialysis
Renal transplantation
Continuous IV diuretics
Hemodialysis
59
A 2-day-old infant was just diagnosed with aortic stenosis. What is the most likely nursing assessment finding?
heart murmur
gallop and rales
blood pressure discrepancies in the extremities
right ventricular hypertrophy on ECG
60
A school nurse is providing education on preventing contact dermatitis. Which statement warrants further teaching?
If my child gets exposed to poison ivy, I should rinse the skin immediately
"I will wash my child's skin with soap and water after playing outside."
"Applying a thick layer of lotion will prevent contact dermatitis."
"I should identify and help my child avoid known irritants."
61
You are caring for a child w/ CF who receives pancreatic enzymes. Which statement indicates an understanding by mom?
“The enzymes should be given at the beginning of each meal and snack.”
“Between meals is the best time for me to give the enzymes.”
“I will stop the enzymes if my child is receiving antibiotics.”
62
Depending on age, the structure & function of the infant's & child's cardiovascular system differ from those of adults.
True
False
63
The newborn's stomach capacity is 90 mL.
True
False
64
Which medications are commonly used to treat disorders related to excess gastric acid?
Proton pump inhibitors and histamine-2 blockers
Laxatives and stool softeners
Antiemetics and antihistamines
Prokinetic agents and antibiotics
65
In abdominal assessment, auscultation is completed ____________ palpation and percussion.
During
After
Never
Before
66
A femoral pulse that is weak or absent in comparison to the brachial pulse is associated with coarctation of the aorta.
True
False
67
An S3 heart sound may be heard in children.
True
False
68
A child with impetigo presents with honey-colored crusting on the skin. This bacterial infection commonly caused by:
Staphylococcus aureus
Pseudomonas aeruginosa
Escherichia coli
Candida albicans
69
A nurse is caring for a 14-year-old patient who is self-conscious about acne vulgaris. What is the best response?
"Acne is just a cosmetic problem, so you don’t need to worry."
Acne can be effectively managed with proper skin care and treatment."
"You will outgrow acne, so there’s no need to treat it."
"Avoid washing your face too often, as it makes acne worse."
70
What are common clinical findings in acute glomerulonephritis?
Edema, hyperglycemia, and hypotension
Hematuria, proteinuria, and hypertension
Oliguria, dehydration, and hypothermia
Jaundice, ascites, and bradycardia
71
Rales are crackling sounds, heard during auscultation, that are the result of the alveoli becoming filled with fluid.
False
True
72
While assessing a 4mos old you note that the baby experiences a hypercyanotic spell. What is your priority action?
Provide supplemental oxygen by face mask.
Place the infant in a knee-to-chest position.
Begin CPR.
Administer a dose of IV morphine sulfate.
73
A nurse is providing care for a child with erythema multiforme. What should the nurse monitor for?
Red or purple target-like lesions
Hypersensitivity reactions
Honey-colored crusts
Urticaria (hives)
74
The esophagus of a young child has underdeveloped muscle tone compared to an adult.
False
True
75
Select all that apply: Which factors contribute to chronic kidney disease in children?
Congenital structural defects
Poor hydration habits
Infectious and immune-related kidney damage
Hypertension and diabetes
76
Which of these contributes to an infants’ & child’s increased risk for upper airway obstruction as compared w/ adults?
Small tonsils and narrow nasal passages.
Underdeveloped cricoid cartilage and smaller tongue.
Cylinder-shaped larynx and underdeveloped sinuses.
Underdeveloped cricoid cartilage and narrow nasal passages.
77
What is the most common cause of hemolytic uremic syndrome?
E. coli
Influenza B virus
Herpes simplex virus
Group A streptococcal infection
78
Growth hormone is primarily secreted during sleep.
False
True
79
At a well-child visit, hydrocephalus may be suspected in an infant if upon assessment the nurse finds:
a rapid increase in head circumference.
increase in weight since last visit.
narrow sutures.
sunken fontanels.
80
The nurse is assessing a child with tinea capitis (scalp ringworm). What is the best treatment option?
Corticosteroid ointment
Oral antifungal medication
Antibiotics
Topical antifungal cream
81
A nurse is caring for a child with burn injuries. What is the priority nursing intervention?
Educate the parents on proper burn prevention.
Apply topical antibiotic ointment.
Administer an antihistamine for itching.
Prevent infection and manage fluid loss.
82
Select all that apply: What are common complications of renal failure in children?
Hypoglycemia
Depression and anxiety
Anemia
Poor growth
83
External bruising of the head and face in an infant is the classic presentation of shaken baby syndrome (SBS).
False
True
84
What is the first-line treatment for mild to moderate dehydration in children?
Oral rehydration therapy
Blood transfusion
Nasogastric tube feedings
Intravenous (IV) fluid therapy
85
A child with a fracture near the epiphyseal plate is at risk for:
Hypercalcemia
Increased bone density
Impaired growth of the affected limb
Infection
86
Dehydration occurs more readily in infants and young children than it does in adults.
True
False
87
The reproductive organs are fully functional at birth.
False
True
88
A nurse is caring for a newborn. Which of the following places the infant at higher risk for cervical spine injury?
The newborn's cervical spine is very mobile.
The newborn's spine is rigid and inflexible.
The newborn has strong head control at birth.
The newborn has fully developed ligaments and tendons
89
A child is experiencing acute adrenal crisis. The nurse should monitor for which of the following symptoms?
Persistent vomiting
Dehydration
Hypertension
Shock
Tachycardia
90
SATA: What are risks associated with immunosuppressant therapy in children with nephrotic syndrome or renal transplants?
Higher risk of organ rejection if doses are missed
Faster wound healing
Increased risk of overwhelming infection
Decreased need for dietary modifications
91
Most children with atrial septal defects are asymptomatic.
False
True
92
Which of the following interventions are included in the postop care after spinal fusion for scoliosis correction? SATA
Use the log-roll method for turning.
Monitor for signs of infection.
Assess for pain and provide pain management.
Encourage early ambulation within the first 2 hours postoperatively.
93
Which type of shock is also referred to as “warm shock”?
Septic shock
Cardiogenic shock
Distributive shock
Hypovolemic shock
94
Girls are at higher risk for urinary tract infections due to the short length of the urethra and proximity to the anus.
False
True
95
Which of the following is the most common cause of sudden cardiac arrest in children?
Asthma
Hypertension
Electrolyte abnormalities
Stroke
96
A child presents with severe itching and rash at night. You suspect scabies. What should be in the patient education?
"Scabies resolves on its own without treatment."
"Avoid topical treatments, as they can worsen symptoms."
"Wash all clothes and bedding in hot water and treat household members."
"You only need to treat the child, as scabies does not spread to others."
97
You are providing education about risk factors for type 2 diabetes in children. Which is not considered a risk factor?
Low body mass index (BMI)
Hispanic or Native American ethnicity
Family history of type 2 diabetes
Polycystic ovarian syndrome (PCOS)
98
The nurse is assessing a child with a fracture. Which statement about pediatric bones is correct?
They are more flexible and tend to bend rather than break.
They are more brittle than adult bones.
They have a thinner periosteum, leading to slower healing
Pediatric bones take longer to heal than adult bones.
99
Risk factors for acute diarrhea in children: ingestion of undercooked meats, foreign travel, & day care attendance.
True
False
100
Neurologic disorders result from ________________ problems, infections, or traumas.
Money
No
Histrionic
Congenital
101
________________ retractions are seen as an inward pulling between the ribs.
Trigeminal
Substernal
Intercostal
Hiatal
102
Anxiety and restlessness are early signs of respiratory distress.
False
True
103
Which pediatric emergency condition is the result of dramatic respiratory or hemodynamic compromise?
Respiratory arrest
Cardiac arrhythmias
Drowning
Shock
104
The infant with bacterial meningitis may rest in the ____________position.
Opisthotonic
Fetal
Prone
Supine
105
A child with atopic dermatitis has a secondary bacterial infection. What is the most likely cause?
The child was exposed to a contagious virus.
The child’s skin absorbed too much moisturizer.
The child scratched the lesions, allowing bacteria to enter.
The child's soap was too mild to kill bacteria.
106
A school nurse is educating students on injury prevention. Which statement indicates a need for further teaching?
"If I have pain, I should keep playing to strengthen my muscles."
"Wearing protective gear helps reduce the risk of injury."
"I should warm up and stretch before playing sports."
"Resting between practices can help prevent overuse injuries."
107
You are teaching parents about the prevention of burns in children. Which statements indicate understanding?
"We will allow our child to help cook on the stove and we will supervise."
"We will keep pot handles turned inward while cooking."
"We will use sunscreen when our child is outdoors."
"We will set our water heater temperature to 120°F (49°C) or lower."
108
Which of the following conditions requires surgical intervention?
Chronic constipation
Gastroesophageal reflux disease
Functional abdominal pain
Appendicitis
109
Sunset eyes is a late sign of increased intracranial pressure.
False
True
110
The primary tx for congenital adrenal hyperplasia is lifelong administration of glucocorticoids and mineralocorticoids.
False
True
111
A nurse is preparing a child for an MRI to eval for musculoskeletal injury. What are the most appropriate interventions?
Encourage the child to move frequently during the scan to reduce anxiety.
Assess for metal objects on or in the child's body.
Explain the procedure in an age-appropriate manner.
Provide emotional support to the child and family.
112
Which of the following puts a child at risk for acute diarrhea?
Exposure to secondhand smoke
Eating a high-fiber diet
Ingestion of undercooked meats
Drinking pasteurized milk
113
The gastrointestinal tract includes all of the structures from the stomach to the anus.
False
True
114
Diabetic ketoacidosis can lead to metabolic acidosis and Kussmaul respirations.
True
False
115
Child's wt: 15 kg. Order: Diazepam 3 mg IVP NOW. Recommended: 0.1-0.3 mg/kg/dose. Have: 5 mg/mL. Round to nearest tenth.
0.6 mL
0.3 mL
3 mg
4.5 mg
116
A grade I murmur is soft and hard to hear.
True
False
117
Clubbing is the enlargement of the terminal phalanx of the fingers resulting from chronic ischemia.
False
True
118
CHAIN OF SURVIVAL is used for peds emergencies: Resp arrest, shock, cardiac arrest, near drowning, poisoning, & trauma.
True
False
119
A 6 mos old infant is here for suspected bacterial meningitis. What is the nursing priority?
encourage the mother to hold the infant and feed her.
assess the infant’s fontanels.
initiate appropriate isolation precautions & begin iv antibiotics.
educate the family on ways to prevent bacterial meningitis.
120
The ductus arteriosus normally stays opens after birth.
False
True
121
You are caring for a 5 y/o w/ a congenital heart anomaly causing chronic cyanosis. What are you least likely to assess?
squatting during play activities
clubbing of the nail beds
obesity from overeating
exercise intolerance
122
A child with Duchenne MD is being evaluated. Which of the following assessment findings should the nurse expect? (SATA)
Risk for respiratory compromise
Difficulty walking
Hyperactive reflexes
Progressive muscle weakness
123
A sign of respiratory distress, ________________ may be observed on inhalation.
Wheezing
Retractions
Stridor
Coughing
124
Which of the following is the most common result of GI illnesses in infants and children?
Dehydration
Bacterial infections
Constipation
Malnutrition
125
The small intestine is not fully functional at birth.
True
False
126
Surgical intervention is required for conditions such as pyloric stenosis, omphalocele, and appendicitis.
True
False
127
Nephrotic syndrome results in significant proteinuria and edema.
True
False
128
A nurse is providing education regarding a child in a cast. Which statement indicates further teaching is needed?
"We will use a pencil or ruler to scratch under the cast if it gets itchy."
"We will monitor for swelling, numbness, or tingling."
"We should keep the cast dry at all times."
"We will perform neurovascular assessments regularly."
129
A nurse is caring for a child with osteogenesis imperfecta. What important consideration should be in the care plan?
Apply firm pressure when repositioning the child.
Handle the child gently to reduce the risk of fractures.
Encourage active sports participation to improve bone strength.
Administer antibiotics to prevent bone infections.
130
Abrupt eruption of a petechial or purplish rash warrants immediate medical attention.
True
False
131
The endocrine system is regulated by a positive feedback system involving the hypothalamus and nervous system.
True
False
132
The ___________ is the lower orifice of the stomach opening into the duodenum.
Pyloric Antrum
Duodenal Canal
Pylorus
Pyloric Sphincter
133
One of the most common anomalies associated with cleft lip and palate is: ________ defects.
Heart
Lung
Developmental
Liver
134
A nurse is caring for a child with Down syndrome. Which of the following characteristics are commonly seen?
Increased risk of congenital heart defects
Cutest babies ever!! <3
Hypotonia (low muscle tone)
Almond-shaped eyes with an upward slant
Simian crease on the palm
Excessive height and long limbs
135
The expected urine output in an infant or child is 5–10 mL/kg/hr.
True
False
136
Select all that apply: Which of the following measures can help prevent hemolytic uremic syndrome?
Using corticosteroids to reduce kidney inflammation
Practicing proper hand hygiene
Avoiding contaminated public water sources
Cooking ground meat thoroughly
137
A child with growth hormone deficiency (hypopituitarism) may present with which of the following clinical signs?
Short stature with delayed bone age
Increased muscle mass and strength
Excessive weight gain with normal height
Rapid linear growth in infancy
138
A child is diagnosed with congenital adrenal hyperplasia. Which of the following s/s are commonly associated with this?
Hypotension
Hyperglycemia
Ambiguous genitalia in females
Hyponatremia
Hyperkalemia
139
Stridor is a term used to refer to the characteristic coughing sound of croup.
False
True
140
A teaching plan for a child with epilepsy should include instructions for parents, family, teachers, & caregivers.
False
True
141
A 10 y/o child is admitted to the hospital d/t hx of seizures. He is actively having a seizure. What is the priority?
placing the child on his side & opening his airway
removing the child from his bed
restraining the child
placing a tongue blade in the child’s mouth
142
Which of the following signs and symptoms may be present in a child experiencing acute poisoning?
Hyper- or hypothermia
Hyper- or hypoglycemia
Miosis (pupil contraction) or mydriasis (pupil dilation)
Hyper- or hypotension
Respiratory depression or hyperventilation
143
A child with a suspected fungal infection undergoes a potassium hydroxide preparation. What is the purpose of this?
To detect an allergic reaction
To evaluate for the presence of fungus
To identify viral particles
To determine the presence of bacteria
144
A nurse is caring for a 6 y.o child w/ cerebral palsy who has difficulty swallowing. What is the priority intervention?
Recommend frequent physical therapy sessions.
Offer solid foods to promote muscle development.
Assess the child's ability to swallow to prevent aspiration.
Encourage fluid intake to promote hydration.
145
Sam, age 11, has a dx of rheumatic fever & has missed school for a week. What is the most likely cause of this problem?
history of open-heart surgery at 5 years of age
playing too much soccer and not getting enough rest
exposure to a sibling with pneumonia
previous streptococcal throat infection
146
You are caring for a child with myelomeningocele. Which interventions do you include in the care plan (SATA)
Maintain skin integrity.
Prevent infection.
Limit fluid intake to reduce urinary output.
Encourage participation in physical therapy.
147
When compared with adults, why are infants and children at an increased risk of head trauma?
The development of the nervous system is complete at birth but immature.
The head of the infant and young child is large
The spine is very immobile in infants and young children.
The skull is more flexible due to the presence of sutures and fontanels.
148
A nurse is assessing a child with urticaria (hives) after eating a new food. What is the priority assessment?
Skin integrity
Capillary refill time
Presence of respiratory distress
Fluid intake
149
The Broselow tape is used to determine medication doses and equipment sizes for peds emergency for pts weighing > 25 kg.
True
False
150
What is a key symptom of bowel obstruction such as malrotation with volvulus?
Right lower quadrant pain
Bilious vomiting
Bloody diarrhea
Projectile vomiting after feedings
151
A bulging ______________can be a sign of increased intracranial pressure (ICP).
Fontanelle
Lymph node
Eye
Hernia
152
Which assessment findings are indicative of shock in a pediatric patient?
Brady- or tachydysrhythmia
Hypotension
Pallor
Delayed capillary refill
Hyperthermia
153
What is a major difference between a child’s digestive system and an adult’s?
A child’s esophagus has stronger muscle tone than an adult’s
A child’s small intestine is longer than an adult’s
A child’s stomach has a greater capacity than an adult’s
A child’s small intestine is significantly shorter than an adult’s
154
You are caring for a child with precocious puberty. Which med is most commonly used to slow down pubertal development?
Gonadotropin-releasing hormone (GnRH) agonists
Desmopressin
Levothyroxine
Growth hormone
155
Wt: 11 lb Order: Spironolactone 5 mg PO q 12hr Have: 2.5 mg/1 mL How many mL will you administer? Round to tenth.
2 mg
5 mg
2.5 mg
2 mL

NRS201- PEDS Exam 2 Flashcards | StudBud