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Peds Exam 2 Flashcards | StudBud
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Peds Exam 2
Peds Exam 2
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1
Which of the following is not a symptom of sickle cell disease?
anemia
splenomegaly
delayed growth
dense bone marrow
2
For a child in sickle cell crisis, which action by the new grad requires immediate intervention by the charge?
administering demerol for pain relief
administering oxycodone for pain relief
determine the cause of the crisis
applying heat to area of discomfort
3
What action made by the new grad for a patient with hemophilia requires intervention by the charge nurse?
monitor for bleeding
administer NSAIDs for pain relief
take an axillary temperature
hold pressure for 10-15 minutes when bleeding
4
What medications should the nurse expect for a child with CHF?
Digoxin, ACE inhibitors, furosemide
aspirin
corticosteroids, IVIG
indomethacin, ibuprofen
5
For a 3 year old child, what action would be concerning to the nurse?
not being able to skip and hop on one foot
not able to catch a ball
not being able to walk on tiptoes
not being able to swim
6
What should the nurse include in the teaching for a patient with hemophilia?
throw rugs should be placed on all surfaces at home
the medical alert bracelet doesn't need to be worn all the time
NSAIDs and aspirin can be given for pain relief
regular exercise is good, just avoid contact sports
7
The nurse should expect which of the following treatments for a child with immune thrombocytopenia with no symptoms?
IVIG
platelet transfusion
prednisone
n/a
8
Which of the following is not part of the criteria of American College of Rheumatology for idiopathic arthritis?
one or more affected joints
duration of arthritis more than 10 weeks
exclusion of other forms of arthritis
age of onset younger than 16
9
A child is diagnosed with Beta Thalaessemia. How should the nurse explain what this disease is to the parents?
your child's blood has defective hemoglobin, harder to deliver O2 to body
your child has a deficiency in clotting factors that prevent excess bleedin
your child has a lowered production of blood than normal
your child's RBCs are sickled, which can cause obstruction
10
A child presents with pale skin, feeding problems, enlarged abd and maxillary prominence. What should the nurse suspect?
idiopathic arthritis
Kawasaki disease
beta thalaessemia
sickle cell anemia
11
A child was diagnosed with sickle cell disease. What should the nurse teach to the parents?
it's important to avoid dehydration and sicknesses
penicillin can be used throughout their lifetime to prevent crisis
you should use essential oils instead of vaccines
hydroxyurea can increase incidences of crises
12
The nurse should anticipate which of the following labs from a patient with aplastic anemia?
abnormally shaped RBCs
elevated liver enzymes, high WBC
polycythemia, shortened PTT, normal platelets
thrombocytopenia, leukopenia, anemia
13
A parent reports their toddler touching themselves inappropriately in public. How should the nurse respond?
ask the parent what they've been doing around their child
punish them for their behavior, they should know better
you should tell them to not touch their "no-no square"
redirect them to acceptable behaviors, this is normal
14
Which of the following symptoms would the nurse expect to see in an HIV positive infant?
joint stiffness, pain, swelling
hemarthrosis, hemorrhage, anemia
splenomegaly, thrush, developmental delays
fever, conjunctivitis, peeling fingers and toes
15
The nurse observes a tet spell. What symptoms are associated with tet spells?
sudden DEATH
polycythemia, clubbing
cyanosis
exercise intolerance, chest pain
16
The parents of a baby with patent ductus arteriosus want to know the next steps of care. What should the nurse say?
we will need to surgically replace the valve
ligation or indomethacin/ibuprofen
prostaglandin E1 will be administered
it will close on it's own
17
The nurse should expect to perform which of the following interventions for a intrapartum patient?
deliver within 12 hours after water breaks
give ART IV
place the mother in contact precautions
prepare for a C-section (viral load is 430)
18
What should the nurse do to treat a tet spell as it's occurring?
administer IV antibiotics
prep for corrective surgery
place in knee-chest position and give O2
encourage use of incentive spirometer
19
What education should the nurse include in the discharge teaching for a child with allergies?
change the filter on your furnace every 9 months
wash linens every month
replace curtains with blinds
stuffed animals are okay to have as long as they can be washed
20
hemophilia A
Factor IX deficiency
Factor VIII deficiency
21
An older child with CHF is due to get digoxin. Their apical pulse is 80. What should the nurse do next?
call the provider
hold the med, their HR is too low
administer the medication
administer a fluid bolus
22
A nurse is assessing a 1 year old child's diet by interviewing the parent. Which response requires follow up?
i offer him a bottle of skim milk occasionally
he's picky about certain things but i've figured how to get him to eat
he eats all of his meals and some of his snacks
i let him have a small cup of juice with one of his snacks
23
Which of the following actions would not be appropriate prior to a cardiac cath procedure?
monitor Hgb and Hct levels
NPO for 2 hours before
check for allergies for iodine and shellfish
teaching
24
A child is presenting with bounding UE pulses, weak LE pulses and tachypnea. What should the nurse suspect?
coarctation of the aorta
aortic stenosis
hypoplastic left heart syndrome
pulmonary stenosis
25
treatment for aplastic anemia
bone marrow transplant
chemotherapy
factor replacement
DDAVP
26
What treatment should the nurse expect to see for a child with Kawasaki disease?
corticosteroids
surgical repair
morphine and fentanyl
IVIG and ASA
27
For a 13 month old infant, which motor milestones should they have reached?
jumps with both feet
pulls and pushes toys, throws ball overhand
walks alone with wide stance
walks up and down stairs, both feet on each step
28
A nurse is helping with allergy testing for a young child. Which test should the nurse prep for?
RAST
prick skin testing
intradermal skin testing
Specific IgE immunoassay
29
Which of the following is not a prevention tactic for childhood obesity?
1 sugar sweetened beverages per day
1 hour of physical activity per day
5 or more fruits and veggies per day
2 hours of screen time or less per day
30
The nurse is assessing a child with idiopathic arthritis. What symptoms should the nurse expect?
sneezing, coughing, watery eyes
diarrhea, recurrent infections, neuro s/s
iridocyclitis, eye pain, joint pain
petechiae, bruising, bleeding
31
What should be included in the teaching for parents of a child with Kawasaki disease?
give tylenol for recurring fever
do not give live vaccines for 5 months after IVIG
joint pain is not normal, come into the office if that happens
do not give NSAIDs while on ASA
32
Which of the following actions requires intervention from the charge nurse for a postpartum HIV positive mother and baby
closely monitoring temp of mom and baby
administering Vit K and Hep B to baby before the bath
teach mom s/s of HIV infection in babies
allowing mom to breastfeed if on ART
33
Which of the following statements made by a parent of a preschool age child requires follow up?
we still watch our child brush their teeth
we floss their teeth every night
the dentist we go to is super nice and understanding
they like fruit snacks and raisins, so they eat those before bed
34
According to Erikson, what behaviors should toddlers show?
more independent behaviors (autonomy)
egocentrism
concern for why something is wrong
object permanence
35
Which of the following medications is NOT used for children with allergies?
nasal steroid sprays, oral decongestants
leukotriene antagonists
tolmetin, naprosyn
nasal/oral antihistamines
36
Which medication is most appropriate for a child with HIV?
zidovudine
indomethacin
digoxin
IVIG
37
The nurse should question which order for a patient with idiopathic arthritis?
TNF blockers
NSAIDs
Corticosteroids
indomethacin
38
What anticipatory guidance should the nurse provide about treatment to parents of a child with beta thalaessemia?
do not take rectal temperatures on your child
avoid NSAIDs and aspirin
your child will need to have precautions to protect from infection
your child will need blood transfusions, folicacid & iron chelation therapy
39
After an invasive procedure, a child presents with an unexplained low-grade intermittent fever and malaise. What is this
hypoplastic left heart syndrome
tetralogy of fallot
endocarditis
kawasaki disease
40
The nurse is assessing a 24 month old. Which of the following actions warrants follow up with the parent?
parent allows child to unzip jacket when they get home from school
parent puts on socks and shoes for the child
child messily feeds themselves
child uses spoon well
41
The nurse is assessing a group of toddlers playing. What should the nurse expect to see?
kids playing dolls together
a group of kids pretending to be a family
each child playing next to each other with their own toys
associative play
42
The nurse is assessing a child with suspected Kawasaki disease. What should the nurse expect?
fever, conjunctivitis, strawberry tongue, peeling fingers
HF s/s, weight loss, arthralgias
severe pain, anemia
bleeding, petechiae, bruising
43
The nurse should expect which of the following tests for a child that may have a heart murmur?
Echo
cardioversion
TEE
EKG
44
For a 24 month old infant, what new milestone should they have reached at this point?
builds tower of 6-7 blocks
uses a cup well
manages spoon without rotation
grasps very small obejct
45
Which of the following actions by the 5 year old child requires follow up?
using a fork
needs a lot of help with toileting and dressing
eats with family
has no table manners during dinner
46
hemophilia B
Factor IX deficiency
Factor VIII deficiency