Nursing 5 and 6

1: An infant has iron-deficiency anemia. The parent is told to give supplemental iron for at least 3 months. When should you tell the parent to stop giving liquid iron?

The iron supplements can be stopped before 3 months once the iron levels are received.

The iron should be stopped once the child receives it's first tooth even if it is before the 3 months.

The iron supplements should be completed for the 3 month period.

2: A child is diagnosed with Autism. As a nurse, you know that there must be at least 3 core defining terms to get this diagnose. Those 3 are?

Low sensory, impaired cognition, and impaired socialization.

Impaired judgement, restricted growth, and impaired socialization.

Impaired verbal and nonverbal communication, impaired socialization, and restricted and repetitive patterns of behavior.

Restricted and repetitive patterns of behavior, impaired judgement, and impaired cognition.

3: You are in acute care and you receive a child with respiratory syncytial virus. You know that this child will be on what type of precautions and what could have been used to prevent this disease?

Droplet precautions and synagis.

Airborne precautions and syndecan.

Respiratory precautions and syndra.

Contact precautions and synthroid.

4: What are the defects most commonly seen in tetralogy of fallot?

Pulmonary stenosis, Right-ventricular hypertrophy, Overriding aorta, Ventricular hypertrophy

Overriding aorta, Pulmonary stenosis, Right-sided heart failure, Ventricular septal defect

Right ventricular hypertrophy, Overriding aorta, Pulmonary Stenosis, Ventricular septal defect

Ventricular septal defect, Left-sided heart failure, Pulmonary stenosis, Overriding aorta

5: A 2 year old with a history of cardiac disorder appears in your ER with cyanosis and hypoxia. After calling the doctor, what is the most appropriate action to take?

Obtain a chest x-ray.

Start an IV.

Ask the parents to wait in the hallway.

Place the child's knees towards the chest.

6: A nurse assesses the vital signs of a 12-month old girl with a respiratory rate of 32 breaths/minute. Based on respiratory rate, which immediate action should the nurse take?

Document the finding.

Place the child on oxygen via nasal cannula.

Provide a nebulizer treatment.

Notify the pediatrician.

7: The mother of a 9-year old boy with infectious conjunctiviits wants to know when her son can return to school. What is the MOST appropriate answer?

After antibiotic have been administered for 24 hours.

After completion of antibiotics.

Immediately, as long as the child washes his hands frequently.

After the first dose of antibiotics.

8: What should be expected in the nursing assessment of a pediatric patient with intussuception?

Soft swelling around the umbilicus that is reducible upon palpation.

Tender, distended abdomen with a palpable sausage-shaped mass in the RUQ.

Non-tender, non-distended abdomen.

Pain that is most intense at McBurney's point.

9: A 7-month old infant is admitted to the pediatric unit because of dehydration secondary to gastroenteritis. Which intervention would be least appropriate?

Obtaining an accurate stool count.

Weighing and recording all wet diapers.

Obtaining a urine specific gravity measure.

Restricting fluids prior to obtaining a daily weight.

10: Which of the following foods should be included in a child's diet after an episode of severe gastroenteritis?

Bananas and rice cereal

Muffins and salad

Rice cereal and whole wheat toast.

Bagel and bran cereal

11: A 6-month old infant comes to the ER with fever, vomiting, poor feeding, and a high-pitched cry. What is suspected?

Meningitis

Gastroenteritis

Pyloric Stenosis

Intussuception

12: You are teaching a new mother about sudden infant death syndrome. Which statement made by the mother best indicates an understanding of SIDS prevention?

I will place the child on her stomach with her face turned when she is sleeping.

I will have the infant sleep on her back.

I will have the infant sleep in my bed.

I will place my infant on a soft pillow when she is sleeping.

13: Tachypnea, dyspnea, crackles, wheezing, intercostal and substernal retractions are all signs and symptoms of _____?

Left-sided heart failure

Right-sided heart failure

Legionnaire's disease

Rheumatic Fever

14: The clinic nurse is educating the parents of a 2-month old with HIV infection about immunizations. Which statment, if made by the parents, indicates a need for futher teaching?

It is OK for my child to receive the Pneumococcal and Influenza vaccinations.

My child cannot receive the Hepatitis B vaccine.

My child cannot receive the MMR vaccine if he is severly immuno-compromised.

My child cannont receive the chicken pox vaccine if he is severly immuno-compromised.

15: A 4-year old girl comes into the pediatricians office and is diagnosed with acute otitis media. The mother askes you why her child frequently gets ear infections. You tell the mother ___?

Because her eustachian tubes or ear tubes are larger than an adults and more mucous tends to fall to the back of her head towards her middle ear.

Because her eustachian tubes or ear tubes are shorter, flatter, and straighter than an adults.

Because her eustachian tubes or ear tubes are shorter, flatter, and curve downward toward the middle ear.

Because she is only 4 years old and this is common in all children under the age of 5 years old.

16: A child presents with patent ductus arteriosus and you know the physician is going to prescribe what medication to try to close the duct?

indomethacin

inamirnone

indapamide

indinavir

17: In what order do children develop their gross motor skills?

Lifts head from prone, Rolls back to front, Rolls front to back, Crawls, Walks with hands held, Walks without help

Rolls prone to supine, Rolls supine to prone, Sits without support, Crawls, Walks with hands held, Walks without help

Lifts head from prone, Rolls prone to supine, Rolls supine to prone, Sits without support, Crawls, Cruises, Walks with hands held, Walks without help

Lifts head from prone, Rolls prone to supine, Sits without support, Crawls, Walks with hands held, Walks without help

18: A 5-year old child had developed a conscience which leads to inner turmoil when the child undertakes goals or activities that are in conflict with the parents. Which Erickson's psychocial develpment stage is this child in?

Trust vs Mistrust

Autonomy vs Shame

Industry vs Inferiority

Initiative vs Guilt

19: Upon assessment of a 2-month old infant you ask the parents if the child startles to noise? As a nurse, you know this is also called what reflex?

Moro

Babinski

Tonic neck

Rooting

20: A child in your unit is suspected to have coarctation. The physician is unable to feel a pulse where on the child to suspect coarctation and what wil be prescribed to alleviate the pressure?

Carotid pulse and phenytoin

Radial pulse and phenytoin

Femoral pulse and prostaglandin

Brachial pulse and prostaglandin

21: When the results of the cerebral spinal fluid of a 8-month old infant return, you notice what values to suspect an intracranial infection?

Clear color with High protein

Low protien, High glucose

Normal protein, Low glucose

High protein, Low glucose