Growth & Development
What age group can we expect to begin developing object permanence?
A. Infant
B. Toddler
C. Preschool
D. School-Age
B. Toddler
Which of the following is most concerning in a child that has a epilepsy history?
A. The nurse educates the family on avoiding giving Phenytoin (Dilantin) with milk.
B. Child is prescribed a ketogenic diet.
C. The child's parents report they stopped administering their Childs seizure medicine a couple of days ago when their child complained of nausea.
D. The child avoids ovrehydration during sports activities.
C. The child's parents report they stopped administering their Childs seizure medicine a couple of days ago when their child complained of nausea.
A nurse is taking the blood pressure of an infant and notices there is a significant difference between the blood pressure in the arms versus the legs. What condition is this a classic sign of?
A. Tetralogy of Fallot
B. Coarctation of the Aorta
C. ASD
D. VSD
B. Coarctation of the Aorta
Which of the following is an unexpected finding in a 12mo infant?
A. Infant had 3 wet diapers in the last 24hrs
B. Infant had a birth weight of 7 pounds and is now about 22 pounds at their 1 year well baby visit.
C. Infant can stand without support
D. Infant has 6 teeth
A. Infant had 3 wet diapers in the last 24hrs
A parent brings their 9 month old infant in for a well baby visit. The infant is not hitting expected milestones, having feeding issues, and still has the Moro and Tonic neck reflexes present. The nurses suspects what condition?
A. Cerebral Palsy
B. Encephalitis
C. Head Injury
D. Brain Tumor
A. Cerebral Palsy
A provider insists on examining the throat of a patient you believe may have epiglottis. What is the nurse's most important intervention?
A. Apply supplemental oxygen on the patient immediately after.
B. Have a track kit set up at the bedside
C. Administer the HIB vaccination
D. Have the child sit up and lean forward during the procedure
B. Have a track kit set up at the bedside
A widened pulse pressure (unusually large range between the systolic and diastolic blood pressure values) is the classic sign of which cardiac condition?
A. Tetralogy of Fallot
B. Coarctation of the aorta
C. Patent Ductus Arteriosus (PDA)
D. VSD
C. Patent Ductus Arteriosus (PDA)
Which of the following is appropriate for the diet of an infant/young toddler?
A. Low fat milk is best for a 15mo instead of whole milk
B. Add honey to vegetables to make them sweeter and more palatable for infants under a year.
C. Infants prefer warm milk therefore caregivers should microwave bottles prior to all feeds.
D. Rice cereal is a low allergen food therefore is often one of the first foods introduced to the infant.
D. Rice cereal is a low allergen food therefore is often one of the first foods introduced to the infant.
A nurse is assessing an infant. The infant is lethargic, has been vomiting without associated diarrhea or other GI symptoms, has asymmetrical pupils, and is showing posturing where the arms are flexed into the core and the feet are flexed and rigidly pointed. What condition does the nurse suspect?
A. Cerebral Palsy
B. Brain Injury/Trauma
C. Encephalitis
D. Brain Tumor
B. Brain Injury/Trauma
Which of the following interventions is not appropriate for a child with croup?
A. Hold the infant up-right, don't lay them flat
B. Administer nebulizer epinephrine for symptoms of respiratory obstruction.
C. Administer corticosteroids to assist with inflammation
D. Administer Opiates for pain
D. Administer Opiates for pain
Which of the following in a 8 year old child with Heart Failure, warrants follow up?
A. Child takes furosemide (Lasix) and is placed on a potassium supplement.
B. Child takes digoxin and experiences nausea and vomiting
C. The nurse takes the child's apical pulse for a full minute and gets 75
D. Special arrangements have been made at school to avoid overexertion
B. Child takes digoxin and experiences nausea and vomiting
A parent of a 3 year old is receiving education from the nurse regarding toilet training. Which statement indicates a need for follow up by the nurse?
A. My child may not have full nighttime control until they reach 4 years of age.
B. Restricting fluid before bedtime is recommended during toilet training to prevent nighttime accidents.
C. A child has full physiological capacity for bladder control during the daytime by the age of 2 years.
D. Regression can occur during times of environmental or social changes.
C. A child has full physiological capacity for bladder control during the daytime by the age of 2 years.
A child is tackled during a youth football game. What sign is most concerning?
A. Child does not lose consciousness and there are no signs of vomiting.
B. Child has a clear runny nose without other respiratory illness symptoms
C. The child is complaining of a headache
D. The child takes longer than usual to respond to questions.
B. Child has a clear runny nose without other respiratory illness symptoms
What isolation is most important for a patient with RSV?
A. Contact
B. Droplet
C. Airborne
D. Standard
A. Contact
A 12 year old child has been diagnosed with Rheumatic fever. Which of the following interventions can the nurse anticipate for this child? (Select all that apply)
A. Penicillin/Amoxicillin
B. ESR lab work
C. ASO titer
D. IVIG
A. Penicillin/Amoxicillin
B. ESR lab work
C. ASO titer
Which of the following systolic blood pressures is most concerning for a 3 year old?
A. 76
B. 63
C. 80
D. 82
B. 63
A patient develops acute encephalopathy following a recent flu (viral) infection. When the nurse is initially screening the family what follow up question is important to ask?
A. Have you recently given your child any aspirin?
B. Has your child recently traveled outside the country?
C. Did your child receive the flu vaccination this year?
D. Has your child struggled with any visual changes recently?
A. Have you recently given your child any aspirin?
Which of the following signs is most concerning in a patient experiencing status asthmatics?
A. Tachypnea
B. Tachycardia
C. O2 sat of 85%
D. A silent chest in a patient that was recently wheezing
D. A silent chest in a patient that was recently wheezing
A 18mo with a history of ToF experiences spontaneous cyanosis, respiratory distress, and syncope. What is the best action by the nurse or caregiver at this time?
Knee chest position! This is a "tet spell"