I've got the HEART
Nurse's call the Shots
You have what
I assess it ALL
You are my priority
100

What manifestation would an infant most likely exhibit early on with Congestive Heart Failure(CHF)

Feeding Problems

Fatigue

Failure to Thrive


100

Name the injection site to administer influenza vaccination to a toddler

Vastus lateralis 

100

You are a school nurse, a 7 year old child comes with a small superficial burn.  What is most appropriate action to do first?

Apply a cool compress to the area

100

When a cast is applied to an extremity and the patient is complaining of sudden severe pain

Compartment syndrome

100

What is a nurse priority for a child with severe diarrhea

Fluid balance

Rehydration with electrolyte 

Depending on oral capabilities may have to IV therapy

200

Growth starts from the center and progresses toward the periphery or outside

Proximodistal development

200

What would you plan on administering during a well-child visit of a 4 month old (List 5)

diphtheria tetanus and pertussis DTaP,
Rotavirus RV,
Polio IPV,
Haemophilus infuenzae type B Hib,
Pneumococcal vaccine PCV

200

What do you expect to see in an infant with Congenital Hip Dislocation? 

Asymmetrical Gluteal Folds

200

You are a clinic nurse for a 6 year old post tonsillectomy 4 days ago.  You assessment findings is listed.  What do you report to the MD immediately?

Child is easily aroused but sleepy

Child is coughing 

Child temp 99.9

Child is swallowing frequently

Child is swallowing frequently which could indicate post op bleeding from the site

200

You are measuring output for a infant with severe dehydration.  You understand that 1g of the wet diaper weight is equal to how much urine?

3ML

5ML

10ML 

1ML

1 ML
300

Projectile vomiting, vomit is sour undigested food and never contains bile, ravenously hungry infant, scant urine, constipation

Pyloric stenosis

300

Name 2 Injections you'd expect to administer during a well-child for 11-12 year old. 

Influenza

Meningococcal 

Tetanus & Diphtheria toxoids and pertussis (Tdap)

300

Generalized edema, ascites, anorexia, diarrhea, lethargy, decreased urine, proteinuria, hyperlipidemia, chubby appearance but child is actually malnourished

Nephrotic syndrome

300

You are assessing a 10 year old boy in the clinic, you notice he continues to scratch his groin area.  His cg reports there have been "Black pin dots that seem to have dark tails" in that area.  What do you suspect?

Scabies

300

What is the priority teaching to a parent whos child is dx with A beta-hemolytic Streptococci?

A. Replace the child's toothbrush in 24 hrs after antibiotics

B. IM injection is required to prevent a more severe disease process

C. Keep the child home from school for 7 days

D. Avoid warm compresses around the neck

Replace the child's toothbrush in 24 hours after antibiotics due to the bacteria ability to re-infect

400

Prior to a teenage patient taking this medication make sure she takes a pregnancy test.

istretinion 13-cis-retinoic acid (accutane)

400

By 1 year of age you would expect an infant to have gained how much weight since birth?

tripled their birth weight

400

Name 2 important teachings to include for children with asthma about triggers

Triggered by foods: chocolate, milk, eggs nuts, grains, or additives

Triggered by exercise, exposure to smoke, dust, pets, fragrances, odors

Triggered by infections: bronchitis and URIs

400

Usually seen after an injury draws attention to the pain, sporadic pain that continues over an extended time period and becomes severe enough to keep the child up at night.

Ewing sarcoma

400

Name a antibiotic treatment for Gonorrhea

Injection of Ceftriaxone

Oral Doxycycline, Azithromycin

500

List 3 nursing interventions for an infant with GERD

*Thicken formula with rice cereal,
*Small frequent feeding
*Burp child frequently
*Position upright after feeding
*Side lying or prone for sleep

500

High pitched cry, bulging fontanel , fever, irritability, nuchal rigidity, ptoophobia, delirium, projectile vomiting, purpuic rash/ redish-purple, non-raised bruise like area that appear under the skin, can be pinpoint at first and spread rapidly

Meningitis

500

Purposeless involuntary movements, Hyperactive stretch reflex, Muscle contractures, Awkward wide based gait, lack of coordination, Scissoring of the legs

Cerebral palsy

500

Failure to have stool withing the first 24 hours, bile stained emesis, abdominal distension, partial or complete intestinal obstruction

Hirschspring disease/Congenital aganglionic megacolan

500

What nursing intervention in a hospital setting is highest priority for rheumatic fever?

A. Promote bed rest

B. Provide diversional activities

C. Monitor ESR levels

D. Position changes for relief of joint pain

Promote rest periods and bed rest

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