Asthma/ Cystic Fibrosis
Neuro/Special Needs
Cardiac
Heme
Endocrine/DM
100
Which condition can rapidly obstruct the airway, requiring immediate treatment?
1. Tonsillitis
2. Bronchiolitis
3. Epiglottitis
4. Tuberculosis
3. Epiglottitis
100
Signs of ICP in a child include all of the following except:
1. Decreased LOC
2. Vomiting
3. "Setting sun" or upward eye gaze
4. High pitched cry
# 3 and 4 are seen in infants.
100
Which of the following are correct statements regarding Digoxin (Lanoxin)?
1. Digoxin is the drug of choice to improve contractility.
2. Often prescribed to increase contractility and decrease afterload.
3. Allways check dose with another RN before administration.
4. Administration is normally IV for infants.
Answer c.
100
Blood disorder in people by the Sea?
Cooley's anemia.
100
A 15yo adolescent who has DM-1 arrives at the clinic with their mom. The adolescent sits back in the chair with arms folded, frowns, and displays an "I don't care" attitude. The parent and adolescent argue in front of the nurse. What is the best approach?
1. Encourage the adolescent to take more interest in and responsibility for treatment.
2. Speak separately with each of them, encouraging them to recognize and vent their anger.
3. Try to persuade the 2 of them to work out their differences together before returning to the clinic.
4. Ask the parent to stay in the waiting room while the adolescent meets with the clinic staff.
2. Anger interferes with communication, recognizing and venting anger helps resolve it and can increase productive communication.
200
Which sign or symptom suggests cystic fibrosis?
1. Steatorrhea (fat in stools).
2. Decreased appetite
3. Decreased respiratory rate.
4. Early passage of meconium in the neonatal period.
answer-1.
200
Assessment of children with brain tumors and neuroblastomas includes:
1. daily head measurements
2. daily gait assessment
3. behavior monitoring
4. Diet history
1, 2, 3.
200
Which intervention best helps decrease anxiety for the parents of a child scheduled for cardiac surgery?
1. Tell the parents not to worry because the physician performs the procedure all the time.
2. Obtain an order for anti-anxiety medications for the parents, if requested.
3. Teach the parents and child about the surgery 1 month before the procedure.
4. Explain the steps before and after the surgery. The parents nee something tangible to focus on.
answer: 4.
200
A mother brings her 12-month-old child to the ED. The nurse assesses the child's eyes are yellow. The nurse assesses the child and notes tachycardia and shortness of breath. Which diagnosis should the nurse anticipate?
1. Thalassemia
2. Hemophilia A
3. Sickle cell anemia
4. Leukemia
#. 3. Signs and symptoms of sickle cell often don't appear until an infant is at least 4 months (fetal hgb is replaced by adult hgb) and may include swelling of hands and feet often in conjunction with a fever.
200
The nurse for a school-age child with DM. The child states "I'm so thirsty this morning, no matter how much I drink". In addition to measuring the blood sugar this morning, what should the nurse do?
1. Assess the client's apical heart rate for one minute.
2. Provide a snack containing protein and complex carbohydrates.
3. Administer 10 grams of simple carbohydrates.
4. Assess for signs or symptoms of hyperglycemia.
4. Also should assess aprical HR as sign of hyperglycemia.
300
A client has received an infusion of antibiotics and is now experiencing an anaphylactic reaction. What is the priority intervention?
1. administer a bolus of normal saline.
2. Maintain a patent airway.
3. Administer epinephrine.
4. Monitor vital signs.
2.
300
Care management of child with meningitis may include:
1. Spinal tap to identify the causative agent and prompt tx.
2. Education regarding vaccinations
3. Isolation for 3 days
4. Parent information regarding the administration of Tylenol .
1 & 4.
Vaccination for meningitis is at age 12?
Isolation is for only 24 hrs after antibiotic.
300
Which medication is usually given to children with Kawasaki disease?
1. Acetaminophen (Tylenol) every 4 hours.
2. Amoxicillin (amoxil) divided into three daily doses.
3. Aspirin daily.
4. Ibuprofen(Motrin) every 6 to 8 hours.
answer-3. Aspirin helps reduce swelling and inflammation in blood vessels.
300
The management of hemophilia would include all of the following. Select all that apply.
1.RICE
2. Clotting factors
3. Amicar-teach family to administer.
4.No contact sports and Prevention of injury
Answer: all of above
300
A client is diagnosed with type 1 DM. The nurse administered the prescribed insulin at 7:45 am.At what time should the nurse reassess the blood glucose for the onset of insulin.
1. 7:55
2. 8:05
3. 8:30
4. 9:15
3. Regular insulin onset is 30 minutes . it peaks in 2 hours.
400
The nurse is caring for an infant whose respiratory rate is 50 with nasal flaring, grunting, and experiencing thick yellow nasal discharge.Vital signs are stable with oxygen saturation of 96% on 2 liters of oxygen by facemask. Chest physiotherapy has been completed and the infant is sleeping in the supine position. What should the nurse do next?
1. Call the health care provider
2. Suction the nares.
3. Give ordered medication.
4. Change the infant's position.
2. Clear the airway and sx the in nares to remove thick mucous.
400
Teaching parents about febrile Seizures, select what would be important.
1. Usually resolves within minutes.
2. Both acetaminophen and cold baths help prevent future seizures
3. Risk factors include viral and family history
4. Usually resolve by age 5, occurs between 9mo to 5 yr.
correct: 1,3, amd 4.
Avoid cold or ice bath.
400
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from the identified sx of the disease, she may likely develop one of the following?
1. Sepsis
2. Meningitis
3. Mitral Valve disease
4. Aneurysm.
Answer: 4
400
Treatment during a sickle cell crisis may include?
1. Pain management (Morphine)
2. Bed rest
3. Oxygen
4. Splenectomy
5. Folic Acid
1, 2,3,5.
If a splenic sequestration crisis occurs, surgery may be life-saving.
400
A client is learning to mix insulin. In what order should the nurse teach the client to mix NPH and regular.
1. Inject air into the regular insulin.
2. Inject air into the NPH vial
3. Draw up the regular (clear) insulin
4. Draw up the NPH (cloudy) insulin
5. Administer.
2. Inject air into NPH vial.
1. Inject air into regular.
3. Draw up regular insulin
4. Draw up NPH
5. Administer
500
Which statement, made by the parent of a four-year-old boy who just had a tonsillectomy indicates that the discharge instructions were understood?
1. I will keep him flat on his back in bed.
2. I will sit him in bed in a 45 degree angle.
3. I will place him on his stomach with his head to the side.
4. I will place him on his back with his head on a pillow.
3. This position allows blood and other secretions to drain.
500
Which of the following meds prevent seizures:
1. Phenytoin/Fosphenytoin
2. Lorazepam
3. levetiracetam
4. valporic acid
5. Carbamaxepine
#2. Lorazepam is use to treat, others prevent. Important to monitor drug levels.
500
The mother of a child with a congenital cardiac defect asks why her child squats after exertion. The nurse should reply:
1. Reduces muscle aches.
2. Increases cardiac efficiency.
3. Enhances the pull of gravity.
4. Decreases blood volume in the extremities.
Answer: 2
500
The nurse is reviewing the lab values of a 3yr old child with a fever. The platelet count is 75,000/ul. How would you interpret this value?
1. Normal platelet count.
2. thrombocytopenia
3. Thrombocytopathy
4. Thrombocytosis.
2.
500
If blood sugar is low, what would you give pt?
8 ounces of chocolate milk.
