Neuro & Developmental Disorders
This developmental disorder is characterized by impaired social interaction, repetitive behaviors, and communication difficulties.
What is Autism Spectrum Disorder?
This viral respiratory illness commonly affects infants and often requires isolation and contact precautions.
What is RSV (Respiratory Syncytial Virus)?
This condition occurs when part of the intestine telescopes into another portion of intestine.
What is intussusception?
This congenital heart defect causes persistent communication between the aorta and pulmonary artery.
What is Patent Ductus Arteriosus (PDA)?
This bleeding disorder results from deficiency of clotting factors.
What is hemophilia?
Which patient should the nurse see first? A. Child with asthma requesting water B. Child with RSV sleeping comfortably C. Child with epiglottitis drooling and leaning forward D. Child with otitis media reporting ear pain
Who is the child with epiglottitis drooling and leaning forward?
A nurse assessing a child with Down syndrome would expect to observe these common physical findings.
What are hypotonia, upward slanting eyes, protruding tongue, single palmar crease, and flat facial profile?
The nurse should NEVER attempt this intervention in a child suspected of having epiglottitis.
What is examining the throat with a tongue blade?
A classic stool finding in intussusception is described using this term.
What is currant jelly stool?
This medication may be administered to keep the ductus arteriosus open in certain congenital heart defects.
What is prostaglandin E1?
The priority nursing interventions during a sickle cell crisis are these.
What is hydration and oxygenation?
Which patient requires immediate intervention? A. Infant with hydrocephalus vomiting and lethargic B. Child with Down syndrome awaiting breakfast C. Child with cleft palate asking for pain medication D. Adolescent with concussion watching TV
Who is the infant with hydrocephalus vomiting and lethargic?
This scale is used to assess neurologic status after head injury and evaluates eye opening, verbal response, and motor response.
What is the Glasgow Coma Scale?
This medication is commonly used as a rescue medication during an acute asthma exacerbation.
What is albuterol?
A newborn with excessive drooling, choking, and coughing during feeds may have this congenital condition.
What is esophageal atresia?
A child with coarctation of the aorta may have this assessment finding.
What are higher blood pressures in the arms than the legs and weak femoral pulses?
The most common childhood cancer is this condition.
What is Acute Lymphoblastic Leukemia (ALL)?
Which child is highest priority? A. Child with Kawasaki disease and peeling skin B. Child with sickle cell disease reporting severe pain and chest pain C. Child with ALL awaiting discharge teaching D. Child with PDA scheduled for surgery tomorrow
Who is the child with sickle cell disease reporting severe pain and chest pain?
A child with increased intracranial pressure may demonstrate these early signs in infancy.
What are bulging fontanel, high-pitched cry, irritability, poor feeding, and increased head circumference?
A child receiving continuous albuterol treatments should be monitored for these common side effects.
What are tachycardia, tremors, nervousness, and hypokalemia?
This congenital disorder results from missing ganglion cells in the bowel and causes severe constipation.
What is Hirschsprung disease?
Tetralogy of Fallot belongs to this category of congenital heart defect based on blood flow.
What is decreased pulmonary blood flow?
Children with hemophilia are at greatest risk for this complication after injury.
What is bleeding/hemorrhage?
A nurse is caring for four children. Which assessment finding requires immediate provider notification? A. Barking cough in a child with croup B. Wheezing after albuterol treatment C. Stridor at rest in a child with respiratory distress D. Mild fever in RSV
What is stridor at rest in a child with respiratory distress?
The nurse caring for a child with a VP shunt should monitor for these signs of shunt malfunction or infection.
What are vomiting, headache, lethargy, irritability, seizures, fever, and altered LOC?
The priority nursing interventions for a child in acute respiratory distress include these actions.
What are assess airway and breathing, apply oxygen, position for comfort, assess lung sounds, and notify the provider/rapid response if worsening?
These assessment findings suggest worsening biliary atresia.
What are jaundice, clay-colored stools, dark urine, hepatomegaly/abdominal distension, poor growth, and pruritus?
The nurse suspects heart transplant rejection if the child develops these findings.
What are fatigue, fever, dysrhythmias, decreased exercise tolerance, weight gain, and signs of heart failure?
This disease is associated with fever, lymphadenopathy, and painless enlarged lymph nodes.
What is Hodgkin lymphoma?
A child with a VP shunt suddenly develops headache, vomiting, and decreased LOC. What is the nurse’s priority action?
What is notifying the provider/rapid response and assessing for shunt malfunction and increased ICP?