What are some ways to manage diarrhea in children? (select all)

administer barrier cream on their bottom, wash hands

Which of these would you want to prevent in a child with increased ICP? (Select all)

anxiety, coughing, constipation

Which statement indicates an understanding of their child's limitations if they have osteogenesis imperfecta?

they can be independent with some safety modifications

What are some effects of immobilization on children? (select all)

decreased muscle mass, decreased gross motor skill development, constipation, regression

Which patient should be assessed for dehydration?

one with tachycardia and dry skin

Which patient should be assessed for intussusception?

8 year old with currant jelly like stools

Which statements understanding education about wearing a cast?

I will need to use antihistamines for itching

Which child needs to be screened for PKU?

2 day old blond-haired blue-eyed child

Which child is at increased risk for developing cancer?

17 year old caucasian male with Down syndrome

What would you expect to give a patient with congenital hypothyroidism, for how long, and why?

lifelong hormones to prevent slow mental development

Which s/sx would you expect to see in a patient with childhood cancer? (Select all)

unexplained fever, extensive bruising, fatigue, sudden weight loss

Which of these emergent complications of cancer treatment would you monitor for? (Select all)

tumor lysis syndrome, superior vena cava syndrome

How can you help a patient with dehydration?

give them a bolus of normal saline

What are some clues that a child has osteogenesis imperfecta? (select all)

short stature, blue sclera, hearing loss

A child with an open meningocele should receive which intervention

have it covered with saturated sterile gauze

Which finding would you expect to see in a child with hemophilia-related bleeding? (Select all)

hemarthrosis, extensive petechiae, increased clotting times

Which statement indicates an understanding of education about health promotion while on chemo?

I will encourage high-protein foods

Which education is most important for a parent of a child with a cleft lip and palate to understand?

will need to buy bottles with wide nipples to assist the baby in feeding

Which statement indicates an understanding of preventing Reye's syndrome in children?

I will avoid giving my child aspirin for pain

Which baby has esophageal atresia?

one with esophagus that does not connect

Which should you expect from a child with cerebral palsy? (select all)

abnormal and uncoordinated movements, paralysis of muscles, seizures

Which child do you need to monitor closely for dehydration?

one who has tachypnea secondary to ketoacidosis

Which baby needs to be handled with extreme care?

one with osteogenesis imperfecta

Which discharge instruction would you want to give a parent of a child with hemophilia?

how to administer clotting factors

Which medications would you be expected to give a child with Guillain-Barre syndrome? (Select all)

immunoglobulins, corticosteroids, NSAIDs

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Peds test 5

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Questions 98

Answers

1
What are some ways to manage diarrhea in children? (select all)
administer barrier cream on their bottom
give them PN
wash hands
get vaccinated against rotavirus
2
What do you expect a child with meningitis to exhibit?
CSF leak
extensive purpura
hypothermia
lockjaw
3
Which person is likely to suffer from constipation?
66 year old mom
4 year old boy
43 year old man
2 month old baby
4
Which of these would you want to prevent in a child with increased ICP? (Select all)
hypothermia
anxiety
coughing
constipation
5
A bleed that is venous in cause is
subdural hemorrhage
epidural hemorrhage
6
Which statement indicates an understanding of their child's limitations if they have osteogenesis imperfecta?
they will never be able to live on their own
I should do everything for them
they can be independent with some safety modifications
I will let them play football when they are older
7
A child with a slipped capital femoral epiphysis will receive which treatment?
in situ pinning
traction
spica hip casting
reinsertion into the socket with mild analgesics
8
Which of these is the most common cause of death in children with spinal muscular atrophy?
GI perforations
cancer
infections
respiratory failure
9
What is the leading COD in kids under 15?
RSV
cancer
asthma
falls
10
What are some effects of immobilization on children? (select all)
decreased muscle mass
decreased gross motor skill development
constipation
regression
11
Which patient should be assessed for dehydration?
one with increased thirst and irritability
one with dry hair and chapped nails
one with polyuria and polyphagia
one with tachycardia and dry skin
12
A child with acute onset of peripheral weakness should be assessed for
tetanus
spinal muscular atrophy
Guillain-Barre syndrome
botulism
13
Which patient should be assessed for intussusception?
4 year old with steatorrhea and malnutrition
10 year old with polydipsia and fatigue
8 year old with currant jelly like stools
5 year old with olive mass in epigastric area
14
Which statements understanding education about wearing a cast?
I will take a normal shower
I will avoid moving the affected extremity at all
I will need to use antihistamines for itching
I will go back to normal activity once this is put on
15
How do you prevent issues with a hip spica cast?
adjust additional device rod every day
place diaper under straps
remove at night
handle baby with care
16
What is a major cause of diarrhea in children?
shock
IBD
viral infection
antibiotic use
17
A patient who had to get a small bowel resection should be monitored closely for?
hernia development
hypertrophic pyloric stenosis
malnutrition
lactose intolerance
18
Which child needs to be screened for PKU?
2 year old with dark hair and brown eyes
2 day old blond-haired blue-eyed child
5 day old African American child with green eyes
9 year old with abd pain and frequent vomiting
19
What is the primary response when assessing a child and finding they have clear watery discharge from the nose?
ask about allergies
test for glucose
give them an antihistamine
call the doctor
20
Which child is at increased risk for developing cancer?
2 day old female baby with pseudomenstruaton
17 year old caucasian male with Down syndrome
3 year old Asian male who swims every day with parents
10 year old African American female near a factory
21
What would you expect to give a patient with congenital hypothyroidism, for how long, and why?
antipyretics for 2 days to decrease fever
lifelong insulin to manage glucose levels
lifelong hormones to prevent slow mental development
2 weeks of corticosteroids to reduce swelling of the tongue
22
Which supplement prevents neural tube defects?
calcium
folic acid
vitamin c
iron
23
Which s/sx would you expect to see in a patient with childhood cancer? (Select all)
unexplained fever
extensive bruising
fatigue
sudden weight loss
24
What should you prepare a child for who came for weight loss, vision changes, and anergia? (select all)
surgery
labwork
MRI
lumbar puncture
25
Which of these emergent complications of cancer treatment would you monitor for? (Select all)
infection
tumor lysis syndrome
superior vena cava syndrome
malnutrition
26
How can you help a patient with dehydration?
give iron supplements
give them an enema
give them a bolus of normal saline
monitor their WBC count for infections
27
What are some clues that a child has osteogenesis imperfecta? (select all)
short stature
uneven gluteal folds
blue sclera
hearing loss
28
What should you screen a baby for with a poor sucking reflex and large tongue?
hypothyroidism
beta thalasemmia
diabetes
pancytopenia
29
Where would you expect a child to have a fracture?
tibia
cranium
ribs
ankle
30
Which assessment is especially important to conduct when a child comes in with a head injury?
CBC count
skin turgor
peripheral circulation
pupillary response
31
A child with an open meningocele should receive which intervention
encourage cuddling with mom
have it covered with saturated sterile gauze
encourage diapering
only be placed on their back
32
What is a crucial nursing intervention for a child with juvenile arthritis?
prep them for x-rays
give them extra time to get up
administer appropriate corticosteroids
give them antibiotics
33
How can you avoid botulism in children?
avoid giving them honey
encourage full course of antibiotics
avoid giving them aspirin
get them immunized
34
Which finding would you expect to see in a child with hemophilia-related bleeding? (Select all)
hemarthrosis
decreased oxygen saturation
extensive petechiae
increased clotting times
35
Which statement indicates an understanding of education about health promotion while on chemo?
I will encourage high-protein foods
I will withhold dental care for 1 year after starting drugs
I will call the doctor if my child is vomiting
I will ensure my child gets every available vaccine
36
Which education is most important for a parent of a child with a cleft lip and palate to understand?
will need to be hospitalized for first 2 months of their life
has to come back every month to assess for complications
will need to buy a special formula without phenytoin protein
will need to buy bottles with wide nipples to assist the baby in feeding
37
Which patient needs a special gluten free diet?
one with lactose intolerance
one with celiac disease
one with hypertrophic pyloric stenosis
one with phenylketonuria
38
Which of these is a sprain?
microscopic tears of musculoskeletal unit
displaced bones
partially torn ligaments
bruise of soft tissues
39
Which statement indicates an understanding of preventing Reye's syndrome in children?
I will get my child vaccinated
I will avoid giving my child aspirin for pain
I will wash my hands
I will avoid giving my child honey
40
Which should you do for a hospitalized child with cerebral palsy?
explain importance of swallow therapy
give them to another nurse
encourage independence
ask family for help
41
How do you manage infection of a shunt?
replace it
run it externally
place on PO antibiotics
remove it completely
42
Which baby has esophageal atresia?
one with esophagus that does not connect
one with a connected trachea and esophagus
one with hole in the top of their mouth that connects to their nose
one with a hernia of the intestine into the esophageal space
43
Which should you expect from a child with cerebral palsy? (select all)
abnormal and uncoordinated movements
paralysis of muscles
seizures
respiratory failure due to hypotonicity
44
What do you need to monitor during administration of any chemotherapy drug?
IV site
respiratory rate
neurologic status
blood pressure
45
Which child do you need to monitor closely for dehydration?
one who is waking up from surgery to repair a broken femur bone
one with SIADH
one who has tachypnea secondary to ketoacidosis
one who has increased intracranial pressure due to a hemorrhage
46
What would you expect to see in a newly diagnosed type 1 diabetic?
retinopathy
acetone breath
allergic reaction
hypoglycemia
47
Which baby needs to be handled with extreme care?
one with cerebral palsy
one with developmental dysplasia of the hip
one with metatarsus imperfect
one with osteogenesis imperfecta
48
Which discharge instruction would you want to give a parent of a child with hemophilia?
how to administer clotting factors
use aspirin for complaints of pain
avoid swimming and other sports
need for allergy bracelet
49
Which medications would you be expected to give a child with Guillain-Barre syndrome? (Select all)
immunoglobulins
toxoid injection
corticosteroids
NSAIDs
50
A 1 month old boy with Down syndrome and a past hx of late meconium stool should be assessed for
Hirschsprung disease
Mallory-weiss syndrome
Inguinal hernia
Pyloric stenosis
51
A neonate who suffered prolonged hypoxia at birth should be assessed for
developmental dysplasia of the hip
cerebral palsy
down syndrome
spinal muscular atrophy
52
What would you look at to monitor a patients hydration status? (select all)
eye appearance
vital signs
stool consistency
skin consistency
53
What do you monitor a child for who has sudden relief after having a positive McBurney point reaction?
paralysis
stroke development
developmental dysplasia of the hip
peritonitis
54
When administering blood to a child in a sickle cell crisis which finding indicates a need to stop the transfusion?
red, swollen joints
asking for pain medication
O2 sat of 90%
coughing and dry throat
55
Which is the main interventions you should do as a nurse during a sickling crisis? (select all)
increase stimuli in the environment
cross and match the child's blood
give oxygen
give IV fluids
56
A child with cafe-au-lait spots at birth should be assessed for
aplastic anemia
sickle cell disease
hemophelia
beta thalassemia
57
What should you do for a baby with GER?
give fluids before feeding
encourage vegetable intake
give anticholinergics
sit up after eating
58
How do you look for Hirschsprung disease?
Lab work
rectal biopsy
PET scan
CT scan
59
How do you assess a child who is unconscious?
use specialized scale
assess similar to any other child
check toes to head
pay special attention to neurologic status
60
Which patient do you need to assess closely for internal bleeding?
2 month old who was brought in for sickle cell crisis
4 year old who was brought in for newly diagnosed diabetes
14 year old with iron deficiency and heavy periods
10 year old with hemophilia who came in after a soccer game
61
Which of these is the most common congenital foot deformity in children?
clubfoot
metatarsus adductus
osteogenesis imperfects
limb deficiency
62
Which statement by the parent indicates an understanding of iron supplementation?
I will mix this with chocolate milk to hide the color and taste
I should call the doctor if i notice my child has black stools
I should give this with OJ between lunch and dinner
this will prevent my child from further bleeding crises
63
A bleed that looks like a lemon is
subdural hemorrhage
epidural hemorrhage
64
A baby with a small head has
hydrocephalus
meningitis
microcephalous
encephalus
65
Which part of the bone is broken in children with a greenstick fracture?
growth plate
diaphysis
epiphysis
metaphysis
66
Which neuromuscular disorder results in delayed development of movements and spastic, uncontrolled movements?
spinal muscular atrophy
Guillian Barre syndrome
muscular dystrophy
cerebral palsy
67
What is the main type of anemia seen in children?
beta-thalassemia
sickle cell
aplastic
iron deficiency
68
Which of these is a medical word for a bruise due to soft tissue damage?
sprain
contusion
strain
dislocation
69
What do you see recurringly in children with undiagnosed diabetes?
eye pain
crying
seizures
vaginitis
70
What is the cause of death for a child who died from drowning?
hypoxia
infection
hypothermia
water inhalation
71
What would you expect to give a child with a headache, altered pupillary responses, and vomiting?
3% normal saline
diuretic
corticosteroid
lactated ringers
72
Which of these is not a function of the thyroid gland?
controls basal metabolic rate
controls utilization of oxygen and CO2
maintains thermoregulation
controls pituitary gland secretions
73
What is the goal of amputation?
relieve pain associated with phantom limb syndrome
allow strengthening of other extremity
create stump that looks like affected extremity
no nerve endings for prosthesis placement
74
Which SE would you educate a patient on chemotherapy about? (Select all)
infections
malnutrition
hemorrhage
alopecia
75
Which statement indicates an understanding of disseminated intravascular coagulation?
this is caused by another condition
I will have the patient sedated and intubated
I should expect to see pain and low oxygenation
I will manage this by giving more blood
76
Which of these is a major cause of osteomyelitis?
coli
Staphylococcus aureus
N. gonorrhoeae
MRSA
77
Which of these rules should you follow when caring for a patient receiving chemotherapy? (Select all)
wear double gloves when handling medication
monitor self for itchy skin and red eyes
delegate chemo administration to another RN
double flush toilet when emptying bedpan
78
Which finding for a patient in a cast needs to be reported to the HCP?
capillary refill of 2 seconds
skin warm to the touch
pulse of 2+
increasing pain
79
How can you cure Legg-calve-perthes disease?
there is no cure
growth hormones
calcitonin supplementation
surgery
80
A child with lockjaw and acute spasms should receive
antibiotic
corticosteroids
immune globulin
toxoid injection
81
What should you do if a patient receiving a blood transfusion suddenly exhibits a headache and chest pain?
call the blood bank
stop infusion
run normal saline
take v/s
82
Which medication might help a child with IBS?
analgesics
anticholinergics
iron supplements
antiemetics
83
What should you not do for a child with epistaxis?
have them lay down
call 911 if it does not stop in 15 minutes
place an icepack on their nose
put cotton in their nose
84
Which is not a type of hernia?
abdominal
umbilical
rectal
diaphragmatic
85
How can you prevent overuse syndrome? (select all)
proper footwear
exercise every day
NSAID use before practice
proper stretching
86
What should you assess for when a child has traction placed?
deep breathing
weakness of affected extremity
placement of weights
fear
87
What is the main cause of developing childhood cancer?
exposure to secondhand smoke
exposure to excessive sunlight
inheritance from parents
genetic mutations
88
Which patient has hyponatremia?
one with Na level of 136
one with Na level of 156
one with Na level of 143
one with Na level of 120
89
Which patient is at increased risk for dehydration?
42 year old female
18 year old male
2 month old female
8 year old male
90
What is the cause of febrile seizures?
hormone imbalances
rapid increase in temp
genetic issue
tumor growth
91
Which child should be screened for diabetes?
10 month old who has sloping forehead and one crease on the hand
6 year old with weight gain and poor appetite
2 year old with progressive muscle weakness
8 year old who just got strep throat and is hungry all the time
92
What do we screen girls for at age 10?
breast cancer
developmental dysplasia of the hip
scoliosis
slipped capital femoral epiphysis
93
A pt with an olive-shaped mass in the middle of their stomach and peristaltic waves should be assessed for?
dehydration
stomach tumor
intussusception
diabetes
94
Which patient needs to be screened for hypothyroidism?
2 year old with exophthalmos and weight loss
8 year old with sensitivity to cold and constipation
4 year old with polyuria and polyphagia
10 year old with anemia and pain
95
How do you test for developmental dysplasia of the hip?
perinatal screenings
lab tests
x-rays
barlow and ortolani maneuver
96
Which organism would you expect to treat in a child with septic arthritis?
influenza
MRSA
Staphylococcus aureus
C. diff
97
A child with a broken femur should be monitored for
tumor lysis syndrome
superior vena cava syndrome
infection
fat embolism
98
What do you monitor for in a pt with sodium level of 128?
increased thirst
seizures
edema
cardiac failure

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