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peds |exam | 2 |questions |with |answers
The |nurse |is |providing |education |to |the |parents |of |a |female | toddler |with |hydrocephalus |who |has |just |had |a |shunt |placed. | Which |statement |is |the |best |to |make |during |a |teaching |session? |- | CORRECT |ANSWERS |✔✔Tell |me |your |concerns |about |your |child's | shunt. The |nurse |is |educating |parents |of |a |male |infant |with |Chiari |type |II | malformation. |Which |statement |about |their |child's |condition |is | most |accurate? |- |CORRECT |ANSWERS |✔✔"Take |your |time |feeding | your |baby." Dexamethasone |is |often |prescribed |for |the |child |who |has | sustained |a |severe |head |injury. |Dexamethasone |is |a(n): |- |CORRECT | ANSWERS |✔✔steroid A |nurse |is |assessing |a |3-year-old |child |for |possible |bacterial | meningitis. |Which |sign |would |indicate |irritation |of |the |meninges? |- | CORRECT |ANSWERS |✔✔Positive |Kernig |sign A |4-year-old |child |is |brought |to |the |emergency |department |after | being |in |a |motor |vehicle |accident. |The |child |experienced |head | trauma |in |the |accident. |When |assessing |the |child, |which |will |be |
the |first |change |noted |in |the |presence |of |increasing |intercranial | pressure? |- |CORRECT |ANSWERS |✔✔change |in |level |of |consciousness The |young |boy |was |involved |in |a |motor |vehicle |accident |and |was | admitted |to |the |pediatric |intensive |care |unit |with |changes |in |level | of |consciousness |and |a |high-pitched |cry. |Which |are |late |signs |of | increased |intracranial |pressure? |Select |all |that |apply. |- |CORRECT | ANSWERS |✔✔The |child's |toes |are |pointed |downward, |his |head |and | neck |are |arched |backwards, |and |his |arms |and |legs |are |extended. The |child's |heart |rate |is | 56 |beats |per |minute. The |child's |pupils |are |fixed |and |dilated. A |nurse |is |reviewing |blood |work |for |a |child |with |a |cyanotic |heart | defect. |What |result |would |most |likely |be |seen |in |a |client | experiencing |polycythemia? |- |CORRECT |ANSWERS |✔✔increased |RBC A |nurse |suspects |a |child |is |experiencing |cardiac |tamponade |after | heart |surgery. |What |would |be |the |priority |nursing |intervention? |- | CORRECT |ANSWERS |✔✔Notify |the |doctor |immediately. A |mother |is |asking |for |more |information |about |her |infant's |patent | ductus |arteriosus |(PDA). |What |would |be |included |in |the |education? |- |CORRECT |ANSWERS |✔✔This |is |caused |by |an |opening |that |usually | closes |by | 1 |week |of |age.
ANSWERS |✔✔1-week-old |newborn |whose |oxygenation |is |not | improving |with |oxygen When |reviewing |the |record |of |a |child |with |tetralogy |of |Fallot, |what | would |the |nurse |expect |to |discover? |- |CORRECT |ANSWERS | ✔✔polycythemia When |developing |a |teaching |plan |for |the |parents |of |a |child | diagnosed |with |tricuspid |atresia, |the |nurse |would |integrate | knowledge |of |what |factor |as |the |major |mechanism |involved? |- | CORRECT |ANSWERS |✔✔obstruction |of |blood |flow |to |the |lungs The |nurse |is |assessing |a |child |with |aortic |stenosis. |Which |findings | would |the |nurse |most |likely |assess? |Select |all |that |apply. |- | CORRECT |ANSWERS |✔✔chest |pain |with |activity dizziness |with |prolonged |standing thrill |palpated |at |base |of |heart A |4-year-old |child |is |scheduled |for |an |echocardiogram. |The |nurse | is |explaining |this |procedure |to |the |child's |parents. |Which | information |would |the |nurse |likely |include? |Select |all |that |apply. |- | CORRECT |ANSWERS |✔✔"This |test |uses |sound |waves |to |check |the | heart |structures." "This |test |should |not |cause |your |child |any |pain."
A |nurse |is |caring |for |an |infant |who |just |had |open-heart |surgery | and |the |parents |are |asking |why |there |are |wires |coming |out |of |the | infant's |chest. |What |is |the |best |response |by |the |nurse? |- |CORRECT | ANSWERS |✔✔These |wires |are |connected |to |the |heart |and |will | detect |if |your |infant's |heart |gets |out |of |rhythm. The |nurse |is |caring |for |a |6-year-old |child |with |a |congenital |heart | defect. |To |best |relieve |a |hypercyanotic |spell, |what |action |would |be | the |priority? |- |CORRECT |ANSWERS |✔✔Place |the |child |in |a |knee-to- chest |position. The |pediatric |nurse |examines |the |radiographs |of |a |client |that | indicate |lesions |on |the |bone. |This |finding |is |indicative |of: |- |CORRECT |ANSWERS |✔✔Ewing |sarcoma The |nurse |is |administering |meperidine |as |ordered |for |pain | management |for |a |10-year-old |boy |in |sickle |cell |crisis. |The |nurse | would |be |alert |for: |- |CORRECT |ANSWERS |✔✔seizures A |preschooler |who |received |chemotherapy |in |the |pediatric | oncology |outpatient |department | 1 |week |ago |now |has |a | temperature |of |101.5°F |(38.6°C). |Which |is |the |most |appropriate | response |by |the |nurse? |- |CORRECT |ANSWERS |✔✔Have |the |parent | bring |the |child |to |the |pediatric |oncology |clinic |as |soon |as |possible.
The |nurse |explains |to |the |teenager |that |which |alterations |may | occur |when |steroids |are |added |to |the |cancer |therapy |regimen? |- | CORRECT |ANSWERS |✔✔facial |changes What |is |one |advantage |of |an |implanted |port |(central |venous | access |device) |that |the |nurse |will |explain |to |an |adolescent? |- | CORRECT |ANSWERS |✔✔body |appearance |changes |very |little The |nurse |is |evaluating |the |effectiveness |of |teaching |provided |to | the |parents |of |a |school-age |child |prescribed |liquid |ferrous |sulfate | for |iron-deficiency |anemia. |Which |observations |indicate |that | teaching |has |been |effective? |Select |all |that |apply. |- |CORRECT | ANSWERS |✔✔Parent |places |medication |in |orange |juice. Child |consumes |fresh |raw |fruit |and |drinks |water. Parent |provides |liquid-prepared |medication |to |the |child |with |a | straw. Child |goes |to |the |bathroom |to |brush |teeth |immediately |after | taking |the |medication. The |nurse |is |planning |care |for |a |school-aged |child |recovering |from | being |hit |by |a |motor |vehicle |while |riding |a |bicycle. |For |what |will | the |nurse |assess |to |determine |the |onset |of |disseminated | intravascular |coagulation |in |this |child? |- |CORRECT |ANSWERS | ✔✔bleeding |from |intravenous |sites
A |child, |diagnosed |with |beta-thalassemia |major |is |seen |in |the | pediatric |clinic. |During |the |assessment, |the |nurse |notices |that |the | child's |skin |is |darker |than |it |was |at |the |last |visit. |What |action | should |the |nurse |take |next? |- |CORRECT |ANSWERS |✔✔Question |the | parent |about |the |medications |the |child |is |taking. A |child |is |being |evaluated |for |renal |and |urinary |tract |disease. |What | would |the |nurse |expect |to |be |ordered |to |evaluate |the |child's | glomerular |filtration |rate? |- |CORRECT |ANSWERS |✔✔creatinine | clearance |rate When |preparing |discharge |instructions |for |the |parents |of |an |infant | who |has |been |diagnosed |with |hypospadias, |the |nurse |should | include |which |instruction |in |the |teaching |plan? |Select |all |that | apply. |- |CORRECT |ANSWERS |✔✔Report |any |burning, |itching, |or | discharge |to |a |health |care |provider. Follow |up |with |a |primary |care |provider. A |3-month-old |boy |is |found |to |have |undescended |testes. |The | parents |are |concerned. |What |should |the |nurse |anticipate |as |the | next |step |for |this |client? |- |CORRECT |ANSWERS |✔✔Reassess |the | client's |testes |at | 6 |months |of |age. In |understanding |the |development |of |the |musculoskeletal |system, | the |nurse |recognizes |that |what |is |implanted |in |a |gel-like |substance | during |fetal |life? |- |CORRECT |ANSWERS |✔✔cartilage
priority |for |this |client? |- |CORRECT |ANSWERS |✔✔Impaired |physical | mobility |related |to |a |cast |on |the |leg The |nurse |is |discussing |types |of |treatment |used |when |working | with |children |who |have |orthopedic |disorders. |Which |form |of | treatment |covers |the |lower |part |of |the |body, |usually |from |the | waist |down, |and |either |one |or |both |legs |while |leaving |the |feet | open? |- |CORRECT |ANSWERS |✔✔spica |cast The |nurse |is |caring |for |a |newborn |with |facial |nerve |palsy |from |birth |trauma. |The |mother |is |very |upset |and |concerned |about |the |child's | prognosis. |Which |response |by |the |nurse |would |be |most | appropriate? |- |CORRECT |ANSWERS |✔✔"In |most |cases |treatment |is | not |necessary, |only |observation." The |nurse |is |caring |for |a |10-year-old |girl |in |traction. |The |girl |is | experiencing |muscle |spasms |associated |with |the |traction. |What | would |the |nurse |expect |to |administer |if |ordered? |- |CORRECT | ANSWERS |✔✔diazepam The |nurse |is |caring |for |a |3-year-old |boy |with |a |fracture |of |the | humerus. |His |chart |indicates |"fracture |is |partially |through |the |physis |extending |into |the |metaphysis." |The |nurse |identifies |this |as |which | Salter-Harris |classification? |- |CORRECT |ANSWERS |✔✔type |II
The |nurse |is |conducting |a |wellness |examination |of |a |6-month-old | child. |The |mother |points |out |some |dimpling |and |skin |discoloration | in |the |child's |lumbosacral |area. |How |should |the |nurse |respond? |- | CORRECT |ANSWERS |✔✔"This |can |be |considered |a |normal |variant | with |no |indication |of |a |problem; |however, |the |doctor |will |want |to | take |a |closer |look." Thrush |treatment |- |CORRECT |ANSWERS |✔✔Mycostatin | 4 |per |day | after |feeding Telltale |signs |for |pyloric |stenosis |- |CORRECT |ANSWERS |✔✔Projectile | vomiting |and |olive |mass |in |URQ Sign |of |intussusception? |- |CORRECT |ANSWERS |✔✔Knees |to |chest, | currant |stools Volvus |sign |- |CORRECT |ANSWERS |✔✔Bilious |vomit Celiac |disease |sign |- |CORRECT |ANSWERS |✔✔Fatty |stools A |nurse |taking |a |health |history |of |a |newborn |notes |that |there |is |a | maternal |history |of |polyhydramnios. |What |GI |condition |might |this | history |precipitate? |- |CORRECT |ANSWERS |✔✔esophageal |atresia
A |parent |brings |the |10-year-old |child |in |to |the |clinic. |The |nurse | notes: |icteric |sclera |and |skin, |headache, |anorexia, |vomiting, |and | temperature |101.8°F |(38.8°C). |The |parent |states |the |child |has |had | the |symptoms |since |returning |to |the |US |from |India |a |few |days | ago. |The |nurse |will |anticipate |preparing |the |child |for |which |test? |- | CORRECT |ANSWERS |✔✔liver |function |tests The |nurse |observes |the |interactions |of |parents |with |their |infant | who |was |born |with |a |cleft |lip. |The |mother |is |attempting |to |feed |the |baby, |but |does |not |make |eye |contact. |The |father |is |watching | television |with |his |back |turned |to |the |mother |and |baby. |What | psychosocial |nursing |intervention |would |be |most |helpful |to |this | family? |- |CORRECT |ANSWERS |✔✔Ask |the |parents |if |they |have |any | questions |regarding |the |care |of |their |child. A |child |is |diagnosed |with |intussusception. |The |nurse |anticipates | that |what |action |would |be |attempted |first |to |reduce |this | condition? |- |CORRECT |ANSWERS |✔✔barium |enema The |nurse |is |collecting |data |on |a |2-year-old |child |admitted |with |a | diagnosis |of |gastroenteritis. |When |interviewing |the |caregivers, | which |question |is |most |important |for |the |nurse |to |ask? |- |CORRECT | ANSWERS |✔✔"Tell |me |about |the |types |of |stools |your |child |has |been |having."
The |mother |of |a |newborn |with |a |cleft |lip |reports |she |is |having |a | hard |time |looking |her |baby. |What |is |the |best |action |by |the | nurse? |- |CORRECT |ANSWERS |✔✔Encourage |the |mother |to |provide | care |for |her |infant. A |child |presents |with |intermittent |abdominal |pain, |severe |anorexia, | and |diarrhea. |The |child's |height |and |weight |are |significantly |behind | standards |for |age. |There |is |skin |breakdown |in |the |anal |region. |The | nurse |explains |that |this |presentation |is |consistent |with |which | diagnosis? |- |CORRECT |ANSWERS |✔✔Crohn |disease A |3-year-old |child |has |been |brought |to |the |clinic |for |assessment |of | chronic |constipation. |After |ruling |out |an |organic |cause, |what |will | the |nurse |prioritize |in |the |child's |plan |of |care? |- |CORRECT | ANSWERS |✔✔administering |over-the-counter |stool |softeners |but |for | no |longer |than | 1 |week The |nurse |is |providing |education |to |the |parents |of |a |female | toddler |with |hydrocephalus |who |has |just |had |a |shunt |placed. | Which |statement |is |the |best |to |make |during |a |teaching |session? |- | CORRECT |ANSWERS |✔✔Tell |me |your |concerns |about |your |child's | shunt. A |9-year-old |boy |is |suffering |from |headaches |but |has |no |signs |of | physical |or |neurologic |illness. |Which |intervention |would |be |most |
The |nurse |has |developed |a |nursing |plan |for |the |care |of |a |6-year-old |girl |with |congenital |hydrocephalus |whose |shunt |has |become | infected. |The |most |important |discharge |teaching |point |for |this | family |is: |- |CORRECT |ANSWERS |✔✔ensuring |the |parents |know |how | to |properly |give |antibiotics. Gabapentin |has |been |prescribed |for |a |pediatric |client. |Which | statement |by |the |client |indicates |an |understanding |of |teaching | related |to |the |medication? |- |CORRECT |ANSWERS |✔✔"I |can't |take |this |medication |within | 2 |hours |of |taking |my |antacid |medication." The |nurse |is |caring |for |an |adolescent |who |suffered |an |injury | during |a |diving |accident. |During |assessment |the |client |is | demonstrating |the |posturing |in |the |figure. |The |nurse |is |aware |that | this |type |of |posturing |is |the |result |of |injury |to |what |area? |- | CORRECT |ANSWERS |✔✔brain |stem The |nurse |is |preparing |a |care |plan |for |a |toddler |diagnosed |with | cerebral |palsy |(CP). |Which |intervention |would |be |appropriate |for | the |nursing |diagnosis |of |Risk |for |disuse |syndrome |related |to | spasticity |of |muscle |groups? |Select |all |that |apply. |- |CORRECT | ANSWERS |✔✔Administer |carbidopa/levodopa |as |prescribed. Administer |benzodiazepines |as |prescribed. Teach |parents |exercises |and |games |to |help |prevent |contractures.
The |nurse |is |providing |teaching |to |the |parents |of |a |child |recently | prescribed |carbamazepine |for |a |seizure |disorder. |Which |statement | by |a |parent |indicates |successful |teaching? |- |CORRECT |ANSWERS | ✔✔"I |need |to |watch |for |any |new |bruises |or |bleeding |and |let |my | health |care |provider |know |about |it." The |nurse |is |caring |for |a |child |diagnosed |with |hydrocephalus | following |ventriculoperitoneal |shunt |placement. |The |child |is | currently |on |a |ventilator. |Which |nursing |action |is |priority? |- | CORRECT |ANSWERS |✔✔assess |respiratory |status A |7-year-old |client |has |been |complaining |of |headache, |coughing, | and |an |aching |chest. |The |care |provider |makes |a |diagnosis |of |a | viral |infection. |The |child's |mother |tells |the |nurse |that |when |she | first |said |she |had |a |headache, |the |child's |father |gave |her |half |of | an |adult |aspirin. |The |mother |has |heard |of |Reye |syndrome |and | asks |the |nurse |if |her |child |could |get |this. |Which |statement |would | be |the |best |response |by |the |nurse? |- |CORRECT |ANSWERS |✔✔This | might |or |might |not |be |a |problem. |Watch |your |daughter |for |signs |of |lethargy, |unusual |irritability, |confusion, |or |vomiting. |If |you |notice | any |of |these, |bring |her |to |the |emergency |room |immediately |so | she |can |be |checked |for |Reye |syndrome." After |teaching |a |group |of |students |about |neural |tube |disorders, | the |instructor |determines |that |additional |teaching |is |needed |when | the |students |identify |this |as |a |neural |tube |defect. |- |CORRECT | ANSWERS |✔✔Arnold-Chiari |malformation
parent? |- |CORRECT |ANSWERS |✔✔This |test |will |check |how |blood |is | flowing |through |the |heart. A |nurse |suspects |a |child |is |experiencing |cardiac |tamponade |after | heart |surgery. |What |would |be |the |priority |nursing |intervention? |- | CORRECT |ANSWERS |✔✔Notify |the |doctor |immediately. When |reviewing |the |record |of |a |child |with |tetralogy |of |Fallot, |what | would |the |nurse |expect |to |discover? |- |CORRECT |ANSWERS | ✔✔polycythemia Coarctation |of |the |aorta |demonstrates |few |symptoms |in |newborns. | What |is |an |important |assessment |to |make |on |all |newborns |to |help | reveal |this |condition? |- |CORRECT |ANSWERS |✔✔Assessing |for |the | presence |of |femoral |pulses A |5-year-old |is |being |prepared |for |diagnostic |cardiac |catheterization, |in |which |the |catheter |will |be |inserted |in |the |right |femoral |vein. | What |intervention |should |the |nurse |take |to |prevent |infection? |- | CORRECT |ANSWERS |✔✔Avoid |drawing |a |blood |specimen |from |the | right |femoral |vein |before |the |procedure The |nurse |in |a |pediatric |cardiovascular |clinic |is |talking |with |the | father |of |a |5-year-old |child |who |underwent |cardiac |surgery |for |a | heart |defect |at |the |age |of |3. |The |father |reports |that |the |child |has | been |having |increased |shortness |of |breath, |tires |easily |after |
playing, |and |has |been |gaining |weight. |The |nurse |is |aware |that |the | child |is |most |likely |demonstrating |symptoms |of |which |acquired | cardiovascular |disorder? |- |CORRECT |ANSWERS |✔✔heart |failure The |nurse |is |caring |for |a |6-year-old |child |with |a |congenital |heart | defect. |To |best |relieve |a |hypercyanotic |spell, |what |action |would |be | the |priority? |- |CORRECT |ANSWERS |✔✔Place |the |child |in |a |knee-to- chest |position. When |educating |the |family |of |an |infant |with |a |small, |asymptomatic | atrial |septal |defect |(ASD), |what |information |would |be |included |in | the |education |- |CORRECT |ANSWERS |✔✔"Most |infants |do |not |need | surgical |repair |for |this." Which |nursing |diagnosis |would |best |apply |to |a |child |with | rheumatic |fever? |- |CORRECT |ANSWERS |✔✔Activity |intolerance | related |to |inability |of |heart |to |sustain |extra |workload What |would |be |the |most |important |measure |to |implement |for |an | infant |who |develops |heart |failure? |- |CORRECT |ANSWERS |✔✔placing | the |infant |in |a |semi-Fowler |position A |newborn |has |been |diagnosed |with |a |congenital |heart |disease. | Which |congenital |heart |disease |is |associated |with |cyanosis? |- | CORRECT |ANSWERS |✔✔tetralogy |of |Fallot
