Musculoskeletal
Neurological
Respiratory
Cardiovascular
Lympatic
100

What is the most important nursing intervention to identify and minimize compartment syndrome?

  •  Apply BP cuff above the cast.
  •  Treat pain with minimum amount needed to control it.
  •  Elevate arm at least 30 minute/hr.
  •  Perform frequent neurovascular checks

Perform frequent neurovascular checks

100

Which diagnosis is related to the development of Reye’s syndrome in conjunction with aspirin administration in the pediatric patient?

  •  Varicella
  •  Meningitis
  •  Encephalitis
  •  Strep throat

Varicella

100

What is the primary symptom in croup?

  •  Dysphagia
  •  “Barking” cough
  •  High fever
  •  Pain

“Barking” cough

100

Which disorder causes unoxygenated blood to enter the systemic arterial circulation?

  •  Patent ductus arteriosus
  •  Tetralogy of Fallot 
  •  Coarctation of the aorta
  •  Atrial stenosis


  •  Tetralogy of Fallot
100

What is the most common form of childhood cancer?

  •  Lymphoma
  •  A brain tumor
  •  Leukemia
  •  Osteosarcoma

Leukemia

200

The nurse is caring for a 15-year-old boy after left lower extremity amputation surgery after a diagnosis of osteosarcoma. The patient reports that his “left foot is in severe pain.” What should the nurse do first?

  •  Remind him that he no longer has a left foot.
  •  Provide emotional support.
  •  Medicate for pain as ordered.
  •  Reposition for comfort.

Medicate for pain as ordered.

200

What is considered a manifestation of retinoblastoma?

  •  Yellowish-white reflex seen in the pupil
  •  Red-eye reflex seen behind the retina
  •  Cloudy appearing cornea
  •  Increase in tear production

Yellowish-white reflex seen in the pupil

200

A nurse is caring for a 7-year-old patient immediately after a tonsillectomy. What is the best position for this patient?

  •  High Fowler’s
  •  Partly on the back and partly on the side
  •  Partly on the side and partly on the abdomen
  •  Supine

Partly on the side and partly on the abdomen

200

The nurse is caring for a child receiving digoxin (Lanoxin) for the diagnosis of heart failure. Which manifestation does the nurse recognize as a cardinal sign of digoxin toxicity?

  •  Respiratory distress
  •  Sudden change in pulse
  •  Constipation
  •  Headache

Sudden change in pulse

200

The nurse is caring for a 5-year-old child with leukemia admitted to the hospital with the primary diagnosis of pneumonia. What does the nurse suspect as most likely cause of this child’s pneumonia?

  •  Eosinophilia
  •  Neutropenia
  •  Thrombocytopenia
  •  Anemia

Neutropenia

300

What are appropriate interventions when caring for a child in traction? (Select all that apply.)

  •  Use of trapeze for positioning 
  •  Neurovascular checks performed regularly 
  •  Upright for 30 minutes a day
  •  Skin integrity monitored regularly 
  •  Other extremities must be immobilized
  •  Liquid diet to prevent constipation

What are appropriate interventions when caring for a child in traction? (Select all that apply.)

  •  Use of trapeze for positioning 
  •  Neurovascular checks performed regularly
  •  Skin integrity monitored regularly
300

What will the nurse include when performing cranial or neurological assessments? (Select all that apply.)

  •  Lung sounds
  •  Pupil assessment 
  •  Vital signs 
  •  Motor activity 
  •  Level of consciousness 


  •  Pupil assessment 
  •  Vital signs 
  •  Motor activity 
  •  Level of consciousness 
300

What type of isolation precaution is recommended for infants infected with respiratory syncytial virus (RSV)?

  •  Airborne
  •  Contact 
  •  Standard
  •  Depends on if the child has a cough

Contact

300

Which diagnostic test is a standardized diagnostic test for rheumatic fever?

  •  Sedimentation rate
  •  WBC count
  •  Antistreptolysin O titer
  •  Rubella titer

Antistreptolysin O titer

300

What is the classic symptom of idiopathic (immunological) thrombocytopenia purpura (ITP)?

  •  Bruising
  •  Fever
  •  Nosebleed
  •  Irregular pulse

Bruising

400

A 14-year-old girl has been diagnosed with scoliosis with a curve of 30 degrees. What medical intervention will treatment include for this patient?

  •  Transcutaneous electrical muscle stimulation (TENS)
  •  Only exercise to increase muscle tone and posture
  •  Surgery with insertion of a Harrington rod
  •  Use of a Milwaukee brace

Use of a Milwaukee brace

400

The presence of blood in the anterior chamber of the eye is called

  •  varicella.
  •  encephalitis.
  •  orbital cellulitis.
  •  hyphema. 

hyphema

400

Which symptoms are manifested with chronic respiratory distress? (Select all that apply.)

  •  Productive cough
  •  Failure to thrive 
  •  Irritability 
  •  Pupil constriction
  •  Retractions 


  •  Failure to thrive 
  •  Irritability
  •  Retractions 
400

Which observation indicates that an infant with congestive heart failure (CHF) is carefully following the prescribed medical regimen?

  •  The child takes antibiotics daily.
  •  The child exhibits normal weight for age.
  •  The child has an elevated RBC.
  •  The child’s pulse rate is less than 50 beats/minute.

The child exhibits normal weight for age.

400

Which are characteristics of sickle cell anemia? (Select all that apply.)

  •  Clinical symptoms present around 1 year of life 
  •  Chronic anemia 
  •  Pale and tires easily 
  •  Can be caused by severe hemorrhage
  •  Prevented by adequate intake of iron by mother during pregnancy
  •  Potentially fatal crises can occur 


  •  Clinical symptoms present around 1 year of life 
  •  Chronic anemia 
  •  Pale and tires easily
  •  Potentially fatal crises can occur 
500

What is the most accurate diagnostic tool in diagnosing suspected osteomyelitis in the pediatric patient?

  •  Bone scan 
  •  RBC count
  •  X-ray
  •  Serum albumin level

Bone Scan

500

Which signs/symptoms are characteristics of brain tumors in children? (Select all that apply.)

  •  Headache upon awakening
  •  Projectile vomiting 
  •  Seizure activity 
  •  Decreased blood pressure
  •  Headache upon awakening 
  •  Projectile vomiting 
  •  Seizure activity 
500

Which are signs/symptoms of epiglottitis? (Select all that apply.)

  •  Child insists on sitting up 
  •  Drooling because of difficulty in swallowing 
  •  Anxious with croaking on respiration 
  •  Edematous tongue and swollen lips
  •  Child leans forward with the mouth open 


  •  Child insists on sitting up 
  •  Drooling because of difficulty in swallowing 
  •  Anxious with croaking on respiration
  •  Child leans forward with the mouth open 
500

Which symptoms are indicative of rheumatic fever (RF)? (Select all that apply.)

  •  Abdominal pain 
  •  Migratory polyarthritis 
  •  Peeling skin
  •  Chorea 
  •  Vomiting


  •  Abdominal pain 
  •  Migratory polyarthritis
  • Chorea
500

An 8-year-old boy diagnosed with hemophilia presents at the emergency department with hemarthrosis from a fall on the school playground. What would be included when following a traditional approach to care? (Select all that apply.)

  •  Warm compresses
  •  Compression 
  •  Ice 
  •  Continuous pulse oximetry
  •  Rest 
  •  Elevation 


  •  Compression 
  •  Ice
  •  Rest 
  •  Elevation 
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