The most common clinical manifestation(s) of brain tumors in children is/are:
What is headaches and vomiting.
100
A school nurse is conducting a staff in-service to other school nurses on idiopathic scoliosis. During which period of child development does idiopathic scoliosis become most noticeable?
What is Preadolescent growth spurt
100
How do we reduce the risk of Reye's syndrome?
What is Avoidance of aspirin to treat fever associated with influenza
100
What are the most common signs and symptoms of leukemia related to bone marrow involvement?
What is Petechiae, infection, fatigue
100
Because the absorption of fat-soluble vitamins is decreased in cystic fibrosis, which vitamin supplementation is necessary?
What is D, A, K, E
200
Common clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vasoocclusive crisis?
What is Painful swelling of hands and feet; painful joints
200
This disease is characterized by muscle weakness, usually beginning at about age 3 years
What is pseudohypertrophic (Duchenne) muscular dystrophy (DMD)
200
Which of the following types of seizures may be difficult to detect?
What is Absence
200
The nurse suspects a child is having an adverse reaction to a blood transfusion. What should the nurse's first action be?
What is Stop the transfusion and maintain a patent intravenous line with normal saline and new tubing.
200
The nurse is admitting a child with a Wilms tumor. Which is the initial assessment finding associated with this tumor?
What is Abdominal swelling, palpable lump
300
A school-age child is admitted in vasoocclusive sickle cell crisis. The child’s care should include
What is adequate hydration and pain management.
300
The major goal of therapy for children with cerebral palsy (CP) is
What is recognizing the disorder early and promoting optimal development.
300
An important nursing intervention when caring for a child who is experiencing a seizure would be to:
What is describe and record the seizure activity observed.
300
The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil. The nurse should interpret this as:
What is neurosurgical emergency.
300
Which action by the school nurse is important in the prevention of rheumatic fever?
What is Refer children with sore throats for throat cultures.
400
The parent of a child receiving an iron preparation tells the nurse that the child's stools are a tarry black color. The nurse should explain that this is
What is a normally expected change due to the iron preparation.
400
A 3-year-old has just returned from surgery in a hip spica cast. The priority nursing intervention is to
What is check circulation, sensation, and motion of toes.
400
clinical manifestations that would suggest hydrocephalus in a neonate
What are Bulging fontanel and separated suture lines
400
Which is the priority nursing intervention for an unconscious child after a fall?
What is Establish adequate airway
400
A child is admitted with acute glomerulonephritis. The nurse should expect the urinalysis during this acute phase to show:
What is hematuria, proteinuria.
500
The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. Which response by the nurse is most accurate?
What is "There is a 25% chance of a sibling having SCA.”
500
Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease. He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse. Which action should the nurse take first?
What is Notify the practitioner of the changes noted immediately.
500
The nurse is monitoring a 7-year-old child post-surgical resection of an infratentorial brain tumor. Which vital sign findings indicate Cushing’s triad?
What is Bradycardia, hypertension, irregular respirations
500
Parents of a hemophiliac child ask the nurse, “Can you describe hemophilia to us?” Which response by the nurse is descriptive of most cases of hemophilia?
What is X-linked recessive inherited disorder in which a blood-clotting factor is deficient
500
Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?