The Child with Neuro Condtiion
The Child with Musculoskeletal Condition
The Child with a Respiratory Condition
The Child with a Cardiovascular Condition
A Child with a Condtion of the Blood
100
Which nursing assessment suggests the child has a concussuion?? A. Sleepy but arousable B. Complaining of a stiff neck C. Cannot remember what happened to him D. Pupils react sluggishly to light
What is C. Cannot remember what happened to him
100
What would cause the nurse to give further teaching is said by parents of child with sprained ankle? A. Apply warm compresses for next 24 hrs. B. Put ice on ankle, alternating 30 mins on and 30 mins off C. Wrap ankle in ace wrap for support D. Keep leg elevated while sitting
What is A. Apply warm compresses. Heat is not treatment for soft tissue injuries.
100
What does rinsing the mouth after usinf a dry powder inhaler for asthma prevent? A. Dicoloration of tooth enamel B. Halitosis C. Irritation of oral membranes D. Candidiasis
What is D. Candidiasis (yeast infection of mouth)
100
What does the nurse explain that a ventricular defect will allow? A. Blood to shunt left to right, causing increse in pulmonary flow with no cyanosis B. Blood to shunt from right to left causing decreased pulmonary blood flow and cyanosis C. No shunting b/c of high pressure in left ventricle
What is A. Pulmonary blood flow is increased when a ventricular septal defect exists. The blood shifts from left to right b/c of high pressure in left ventricle. This shift does not cause cyanosis.
100
What is the result of of a deficiency of factor IX? A. Thalassemai B. Idiopathic thromboytopenic purpura C. Hemophilia A D. Christmas disease
What is D. Christmas disease, or hemophilia B, is caused by the deficiency of factor IX
200
Why are infants more prone to otitis media? A. Infants are in supine or prone position most of time B. Sucking on nipple created ear pressure C. The eustachian tube is short, straight, and wide
What is C. The eustachian tube is short, straight, and wide
200
Which finding would the nurse assessing the neurovascular checks in a child in Russel traction report immediately? A. Skin that is warm to touch B. Cap refill less than 3 sec C. ability to wiggle toes D. Bluish discoloration of skin
What is D. Cyanosis and pallor noted in an extremity is an indication of circulatory compromise
200
What should the nurse explain to the parents of a child with exercise induced asthma about use of Cromlyn? A. Use before exercise to prevent attacks B. At the initial onset of attacks C. During attack to relieve symptoms D. As often as 4 times daily
What is A. Cromlyn is an anti inflammatory INH that should be taken before exercise to PREVENT attacks. These drugs can do nothing for an attack in process.
200
A child develops carditis from rheumatic fever. What areas of the heart of affected? A. Coronary arteries B. Heart muscle and mitral valve C. Aortic and pulmonic valves D. Contractility of the ventricles
What is B. The tissues that cover the heart and heart valves are affected. The heart muscle may be involved and the mitral valve is frequently involved
200
An adolescent is diagnosed with Hogkins disease. Lymph nodes on both side of diaphram have been found to be involved, including cervical and inguinal nodes. Which stage is this? A. I B. II C. III D. IV
What is C. Lymph node regions on both sides of the diaphragm are consistant with diagnosis of stage III Hodgkins disease
300
Parents of a child report that for a few weeks she has had headaches, with vomiting that are worse in morning. What do you suspect? A. Meningitis B. Encephalitis C Brain Tumor
What is C. Brain Tumor
300
A 6 yr old has a femur fx and is in Russell traction. She screams in pain any time she moves. What is the priority nursing assessment? A. Pain resulting from trauma B. Altered growth and development related to family sepertation C. Altered urinary elimination related to immobility
What is A. Pain resulting from trauma is priority
300
Which initial intervention should a nurse suggest to child with laryngeal spasm? A. Take child outside into cool air B. Bring directed to ED C. Take child to bathroom and put in hot shower D. Have child drink fluids
What is C. The child should be placed in high humidity enviornment such as bathroom in hot shower. The humidity liquefies secretions and reduces spasm
300
How does Kawasaki disease affect the child's heart and blood vessels? A. Inflammation weakens blood vessels, leading to aneurysm B. Increased lipid levels lead to the develpment of atherosclerosis C. Untreated disease causes mitral valve stenosis
What is A. Inflammation of vessels weakens the walls of the vessels and often results in aneurysm
300
A child with thalassemia major recieves blood transfusions frequently. What is a complication of repeated blood transfusions? A. Hemarthrosis B. Hematuria C. Hemoptysis D. Hemosiderosis
What is D. As a result of repeated blood transfusions, excessive deposits of iron (hemosiderosis) are stored in tissues.
400
Which assessment findings with meningitis need to be reported immediately? A. Irregular respirations B. Tachycardia C. slight drop in B/P D. Elevated temp.
What is A. Irregular respirations with slowing heart rate and increasing blood pressure are to be reported immediately b/c they could mean increase in ICP
400
Which nursing dx is priority for preparing plan for child in leg cast? A. Risk for altered tissue perfusion B. Risk for altered urine elimination C. Knowledge deficit D. Risk for infection
What is A. Casting can cause compromised tissue perfusion caused by increased pressure caused from edema or swelling of tissues. Neuro vascular checks are priority assessment
400
When auscultating brSO of child with RSV. Which finding should you report immediately? A. Repiration rate from 40 to 32 brpm B. HR decrease from 110 to 100 bpm C. "quiet chest" from previous assessment of wheezing D. O2 sat of 90%
What is C. The quiet chest after an assessment of wheezing indicates occlusion of air pathway and impending respiratory arrest.
400
A child with rheumatic fever begins involuntary, purposeless movements of her limbs. What does the nurse recognize this indicates? A. Seizure activity B. Hypoxia C. Sydenham's chorea D. Decreasing level of conciousness
What is C. The affects of rheumatic fever affect the central nervous system, the child may develop Sydenham's chorea, manifested by involuntary, purposeless movements of the limbs.
400
What would the nurse include in a teaching plan about mouth of a child receiving chemotherapy? A. Use a commercial mouth wash B. Cleen teeth with a soft tooth brush C. Avoid use of water Pik D. Inspect the mouth weekly for ulerations
What is B. A soft toothbrush reduces capillary damage and mucous membrane break down and prevents bleeding and infection. Commercial mouth washes may kill oral flora taht combat infection. Water- Pik is useful for toughening gums
500
What is the cardinal sign of hyphema? A. Opacity of lens B. Yellow-white reflex on pupil C. Dark spot in front of iris D. Inflamed mucus membrane of eyelid
What is C. A dark red spot in front of iris. The dark spot is blood that has drained into the anterior chamber of eye as result of an injury
500
Which statement made by the nurse indicate an understanding of Ewings Sarcoma? A. Amputation is accepted treatment B. The disease is sensitive to chemo and radiation C. Metastasis is rare D. The disease is prevalent in toddlers and preschoolers
What is B. The disease is sensitive to chemo and radiation. amupuation is not recommended, it occurs more in the school aged child, and it does metastasize
500
Parents have one child with bronchopulmonary dysplasis. They ask how this can be prevented in child they are currently pregnant with. What is bes answer? A. Maternal intake of folic acid B. Exercise C. Prevention of preterm birth
What is C. Bronchopulmonary dysplasia is a fibrosis or thickening of alveolar walls. It occurs in premature infants who have abnormal or arrest development of lungs and receive ventilation and oxygen for more than 28 days to survive.
500
What should the school nurse recommend when encouraging a heart healthy diet for a child with high cholesterol? A. A fat intake reduction of 5-10% of total calories B. A fat intake reduction of 10-15% of total calories C. A fat intake reduction of 15-20% of total calories D. A fat intake reduction of 25-35% of total calories
What is D. For a child with increased cholesterol a fat reduction of 25-35% of total calories with less than 75 saturated fat and less than 200 mg of cholesterol per day is advised.
500
The nurse caring for a child recieving chemo notes the child's abd is firm and distended. There has been no bowel movement for 2 days. What does this suggest? A. Peripheral neuropathy B. Stomatitis C. Myelosuppression D. Hemorrhage
What is A. Peripheral neuropathy may be signaled by severe constipation resulting from decreased nerve sensations in the bowel
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