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Peds Final Quiz
Peds Final Quiz
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1
Common medications used for treatment of pain at the end of life are
opioids
cholinergics
antiemetics
benzodiazepines
2
What childhood illness is this?
Foreign body
Allergic Conjunctivitis
Bacterial Conjunctivitis
Impetigo
3
Sickle Cell anemia interrupts delivery of oxygen to cells by...
production of impaired RBC's
disturbances in the metabolic pathway
decreased efficacy of erythropoiten
blood loss
4
Active Immunity forms when an individual is exposed to an infection or vaccination
False
True
5
How is chicken pox spread?
Select all that apply
contact
enteric
airborne
droplets
6
Administration of PGE-1 (prostaglandin) is a priority nursing intervention for which CHD?
(select all that apply)
HLHS
CoA
TOF
PS
VSD
d-TGA
7
When a parents' distress begins to escalate into unhealthy behaviors, the nurse would do
all of the following except...
notify security for backup support
move the parent to a quiet location away from the child
defend the unit and team against hostile remarks, demands, and accusations
listen to both facts and feelings responding with simple sentences
8
7-10 days after chemotherapy, children experience NADIR and are at risk for
all of the following except.
anemia
neutropenia
polycythemia
thrombocytopenia
9
Taking time to answer all questions and provide thorough explanations at discharge reduces the possibility of ...
medical errors
a positive post hospital survey
recidivism
a lawsuit
10
Hospice care of the child involves
all of the following except...
comfort care
emotional support
disease treatment
the last 6 months of life
11
What is impetigo?
light, abnormal patches that result from congenital defects
contagious infection marked by clusters of small blisters
scar tissue resulting from excessive fibrous tissue growth
redness/bumpiness in the cheeks caused by blocked follicles
12
Patient education for wound care includes...
Select all that apply
can use antibacterial ointment
rip off dressing quickly when stuck to wound
can be soaked in warm water
wound needs to be moist and clean
13
Ways that a nurse provided advocacy for the pediatric patient include...
select all that apply
involving child life for support and assistance
giving stickers after a preschooler takes medicine
administering antibiotics within 1 hour of scheduled times
asking other disciplines (ie: RT, PT...)to explain procedures, etc.
encourage inclusion of adolescents in planning care
14
A typical asthma medication would be?
Decongestant
Antipyretic
Antihistamine
Bronchodilator
15
Which observation is true about pediatric fractures?
They are often compound fractures.
They are often at the epiphyseal plate
result of decreased mobility of the muscles.
They seldom are complete breaks.
16
Eating disorders only affect women.
True
False
17
What characterizes an infant’s vision after birth?
They tend to see objects best up close.
They tend to see objects best when far away.
They are able to see fine details, but not contrast.
They are blind for 3 days and gradually gain sight.
18
Impetigo is a viral infection that is not contagious.
True
False
19
The process of deep sorrow, grief, when a child dies lasts approx 3-5 years.
False
True
20
Symptoms of an asthmatic not rinsing their mouth after using glucocorticoid inhaler?
enlarged tonsils
persistent cough
white patches in mouth
gray membrane in throat
21
Kawasaki disease has some unusual yet recognizable symptoms such as...
(select all that apply)
conjunctivitis
epistaxis
a strawberry tongue
migratory polyarthritis
reddened and swollen hands and feet
swollen lymph nodes
22
What are the effects of childhood hearing loss?
Speech delay
Effects sign language development
Visual delay
Effects motor skills
23
What are characteristics of Autism?
Select all that apply
Challenging Behavior
Repetitive behavior
Impairment in Communication
Impairment in Social Interaction
24
Immunoglobulins and high dose aspirin is the treatment for what AHD?
congestive heart failure
Endocarditis
Rheumatoid Fever
Kawasaki Disease
25
Components of the Pediatric Assessment Triangle include
all of the following except...
current medications
overall perfusion
mental status
respiratory effort
26
Which of the following is not a common form of childhood hearing loss?
Mixed loss
Conducive loss
Sensorineural loss
Semi-conducive loss
27
One type of immune system malfunction is called autoimmunity; which happens when the immune system attacks your own body
True
False
28
Muscular dystrophy is
a muscle-wasting disorder
a temporary muscle disorder
characterized by trigger points
a group of muscles that are inflamed
29
Treatment of this congenital heart defect is a heart transplant.
CoA
TOF
VSD
HLHS
30
How can childhood hearing loss and infections be prevented?
Select all that apply
By using ear protection if around loud noises
Don't do anything, kids can't go Deaf
By cleaning the ears with a Q-tip to assure the childs ears aren't blocked
By avoiding putting objects in child's ear
31
Concerning symptoms that could indicate a cancer diagnosis include
all except.
diarrhea
easily bruising or bleeding
changes in neurological status
weight loss, fatigue
32
chicken pox (varicella-zoster) is a type of ___ infection?
fungal
parasitic
Viral
bacterial
33
Which interventions are appropriate for an immunocompromised child?
(select all that apply)
avoid vaccinations
avoid fresh flower, fruits, and vegetables
limit visitors
treat fever under 103 F with acetaminophen
clean skin daily with an antimicrobial/antiseptic soap product
use reverse isolation precautions
34
Treatment for Sickle Cell Disease starts with prevention of
all of the following triggers except...
stress
high altitude
allergies
dehydration
35
Some general symptoms seen in infants with CHD include
all except...
bradycardia
poor feeding, growth, & development
heart murmurs
dyspnea
36
Rheumatoid arthritis is an immune system malfunction
True
False
37
In order to be diagnosed with ADHD you must experience signs and symptoms in only one setting
True
False
38
Immune system malfunctions lead to
Allergies
Autoimmune Diseases
All of the Above
Immunodeficiency Diseases
39
Vaccination involves.....
Small quantities of many different pathogens
Lots of antibody producing white blood cells
Large quantities of dead or inactive forms of a pathogen
Small quantities of dead or inactive forms of a pathogen
40
when does an infant's hearing began to develop?
5 months after birth
4 weeks after birth
before birth
2 days after birth
41
what is NOT a disorder related to immune system malfunction?
Heart disease
JRA
AIDS
Autoimmunity
42
Sign/symptom of asthma
sore throat
nausea
Tachypnea
fever
43
Some non-pharmacologic nursing interventions for a dying child include...
(select all that apply)
provide a quiet, low stress environment
avoiding conversations about death and the dying process
oversharing about personal death experiences
withholding info from the child and family so that they are not stressed
providing play opportunities and moments of joy
Skin and mouth care
44
This age group utilizes stalling behaviors as a way to gain control.
toddlers
school age
preschoolers
adolescents
45
Which of the following is NOT a symptom of ADHD?
Cannot focus one one task for long periods of time
Increased or Decreased appetite
Unable to sit for long periods of time
Trouble taking turns
46
If you have received a vaccination for chicken pox, your immunity to chicken pox is said to be ____.
Enhanced
Acquired
Natural
Toxic
47
When should the nurse withhold digoxin administration for a 5yo?
HR <50
HR <60
HR <70
HR < 90
48
Eating Disorders
Are mental health disorders that become physical problems
Should not be taken seriously
Help you work toward wellness
49
Signs & Symptoms of Fifths Disease include
strawberry tongue, red palms and soles
stomatitis, rash on soles, palms
bright red cheeks, lacy red maculopapular rash on trunk/arms
raised, pruritic rash on face, trunk
50
It is the responsibility of the RN to obtain consent before a procedural conscious sedation.
False
True
