Cardiac
Child Development
GI/Respiratory
Care of the hospitalized child
Neuro
100
When collecting data during an admission interview and examination on a newborn, the nurse finds the newborn has cyanosis, dyspnea, tachycardia, and feeding difficulties. These symptoms might indicate the newborn has which of the following conditions?
What is Tetrology of Fallot
100
By the end of which of the following would the nurse most commonly expect the child’s birth weight to triple
What is 12mths
100
The nurse who is caring for a newborn notices that although he has seemed healthy at 18 hours of age, his abdomen is now distended. By 24 hours he has not passed any stool. The nurse will a. Schedule radiography to diagnose the problem b. Attempt to take a rectal temperature c. Inform the physician of the findings d. Inform the caregivers that the baby is fine.
What is Inform the physician of the findings
100
A newborn was just admitted to the neonatal intensive care unit with spina bifida with a meningomyelocele. The priority for preoperative nursing care of this newborn is to protect the sac by: a. Keeping the sac dry b. Diapering the sac snugly c. Positioning prone d. Moving from side to side every hour
What is Positioning prone
100
One of the clinical manifestations seen in the child with Hydrocephalus is which of the following? a. A membrane between the rectum and the anus b. A partial to complete paralysis in the lower extremities c. A protruding sac that contains abdominal contents d. An extremely large and rapidly growing head
What is An extremely large and rapidly growing head
200
A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present? a. Cardiac murmur b. Slow pulse rate c. Decreased systolic pressure d. Abnormal WBS count
What is Cardiac murmur
200
The nurse prepares for a Denver Screening test with a 3 year old child in the clinic. The mother asks the nurse to explain the purpose of the test. The BEST response is to tell her that the test: a. Measures potential intelligence b. Assesses a child’s development c. Evaluates psychological responses d. Diagnoses specific problems
What is Assesses a child’s development
200
The most common side effects of immunizations are all of the following except: a. Low grade fever b. Tenderness at the site c. Mild respiratory distress d. Decrease appetite
What is Mild respiratory distress
200
You have on hand 60meq per 100ml of KCL. The doctor ordered 20meq Q12hr. What volume you administer with each dose?
What is 33.3ml
200
Obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid maybe responsible for:
What is Hydrocephalus
300
In an older child with suspected coarctation of the aorta, the nurse would expect to find a. Hypertension in the upper extremities b. Normal femoral pulses c. Hypertension in the lower extremities d. Diminished carotid pulses
What is Hypertension in the upper extremities
300
While performing an assessment on a 3 month old infant, which of the following characteristics would be expected? a. A strong moro reflex b. A strong parachute reflex c. Rolling from front to back d. Lifting of head and chest when prone
What is Lifting of head and chest when prone
300
The nurse is teaching a group of caregivers of children who have asthma. The caregivers make the following statements. Which of these statements indicates a need for additional teaching? a. We need to identify the things that trigger our child’s attack b. I always have him use his bronchodilator before he uses his steroid inhaler c. We will be sure our child does not exercise to prevent attacks d. She drinks lots of water which I know helps to thin her secretions
What is we will be sure our child does not exercise to prevent attacks
300
A nurse admits an adolescent girl with a possible diagnosis of anorexia nervosa. Which of the following characteristics would most likely be seen in an adolescent with anorexia? a. Gets low grades at school b. Has a sedentary lifestyle c. Freely expresses emotions d. Follows a strict routine
What is Follows a strict routine
300
A newborn was just admitted to the neonatal intensive care unit with spina bifida with a meningomyelocele. How would you explain this condition to a new nurse? a. Failure of the posterior laminae of the vertebrae to close b. Part of the spinal meninges protrudes through the bony defect and forms a cystic sac with no nerve roots involved, no paralysis c. Protrusion of the spinal cord and the meninges, with nerve root embedded in the wall of the cyst, paralysis is possible. d. Abnormal protrusion of an organ through a weak spot or other abnormal opening in the body wall.
What is Protrusion of the spinal cord and the meninges, with nerve root embedded in the wall of the cyst, paralysis is possible.
400
Which are indicated uses for digoxin (select all that apply) a. Heart failure b. Atrial fibrillation c. Ventricular fibrillation d. 3rd degree heart block
What is Heart failure and Atrial fibrillation
400
Between the ages of 6 and 7 months most children develop a fear of:
What is stangers
400
Which of the following should the nurse do first after noting that a child with Hirschsrpung disease has a fever and watery explosive diarrhea? a. Notify the physician immediately b. Administer antidiarrheal medications c. Monitor the child every 30 minutes d. Nothing, this is characteristic of Hirschsrpung disease
What is Notify the physician immediately
400
A 16 month old child diagnosed with Kawasaki Disease is very irritable, refuses to eat and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority? a. Applying lotions to the hands and feet b. Offering foods the toddler likes c. Placing the toddler in a quiet environment d. Encouraging the parents to get some rest
What is Placing the toddler in a quiet environment
400
The nurse records the finding of ______________ _____________ when the child with meningitis cries out in pain when his head is flexed toward his chest.
What is nuchal rigidity
500
The nurse explains that a ventricular septal defect will allow: a. blood to shunt left to right, causing increased pulmonary flow and no cyanosis. b. blood to shunt right to left, causing decreased pulmonary flow and cyanosis. c. no shunting because of high pressure in the left ventricle. d. increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume.
What is blood to shunt left to right, causing increased pulmonary flow and no cyanosis
500
When the nurse notes that an infant can lift her head before she can sit, the nurse is assessing which form of development?
What is Cephalocaudal
500
Which of the following signs and symptoms would be observed in a child diagnosed with laryngotracheobronchitis? a. Predominant stridor on inspiration b. Predominant expiratory wheezing c. High fever d. Slow respiratory rate
What is Predominant stridor on inspiration
500
The nurse is caring for a child with a diagnosis of Kawasaki disease. The child’s parent asks the nurse, “How does Kawasaki disease affect my child’s heart and blood vessels?” The nurse’s response is based on the understanding that: a. inflammation weakens blood vessels, leading to aneurysm. b. increased lipid levels lead to the development of atherosclerosis. c. untreated disease causes mitral valve stenosis. d. altered blood flow increases cardiac workload with resulting heart failure.
What is inflammation weakens blood vessels, leading to aneurysm.
500
A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. This behavior is characteristic of which type of seizure?
What is Absent seizures
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