Peds final Flashcards


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1

A 3 month old infant has a hyper- cyanotic spell. What should be the nurses first action?

Place the child in knee to chest

2

What condition/behavior manifested by an 11 month old infant warrants further evaluation?

Unable to pull to standing position

3

Which of the findings is a classic finding in infants diagnosed with abusive head trauma?

Retinal hemorrhaging

4

At what age is it safe to give infants whole milk instead of formula?

12 months

5

When planning care for a 8 year old boy with down syndrome the nurse should?

Assess the child's current developmental level and plan care accordingly

6

A 12 year old female is brought to the clinic due to recurrent nosebleeds and bleeding after brushing her teeth. The mother tells you that the child's father has had similar symptoms all his life but has never seen a doctor for it. What is the most likely diagnosis for this patient?

Von willebrand’s disease

7

A 12 year old female has been diagnosed with celiac disease which of the following foods should the peds nurse educate the parents to avoid giving this child (SATA)

Wheat, Barley

8

What explanation provides the best rationale for why iron deficiency anemia is common during infancy?

Cow's milk is a poor source of iron

9

The pediatric nurse should begin screening for lead poisoning when a child reaches which age?

12 months

10

A nurse in the TB clinic is preparing to administer directly observed therapy(DOT) to a patient with active TB. Which of the following medications will the nurse expect to administer?

Rifampin

11

As part of the diagnostic evaluation of a child with cancer, biopsies are important for staging. What statement explains what staging means?

Extent of the disease at the time of diagnosis

12

A 12 year old child seen in a specialty clinic has ill fitting clothes, a rib hump and hip symmetry recently noted by parents. Which of the following is the likely diagnosis of this child?

Scoliosis

13

A 4 year old seen in the ER with a fracture of the humerus which of the following P’s are assessed to determine the extent of the child's injury?

Pain and pulseness

14

A child has been diagnosed with Wilms tumor. What should preoperative nursing care include?

Careful bathing and handling

15

The nurse is teaching the family of a child age 8 years with moderate hemophilia about home care. What should the nurse tell the family to do to stop the bleeding?

Provide intravenous IV infusion of factor VIII concentrates

16

A 14 month old client is admitted to the hospital with croup(laryngotracheobronchitis) . Which findings would the nurse expect to observe during assessment?

Barking cough and inspiratory stridor

17

A common side effect of corticosteroid(prednisone) therapy for a 2 yr old with a cancer diagnosis is what?

Weight gain

18

A 12 yr old child at summer camp has a rash and the nurse suspects lyme disease which of the following symptoms describe lyme disease( SATA)

Caused by spirochete that enters the skin through a tick bite,

disease initially seen in 3 stages,

treated with oral antibiotic doxycycline

19

A toddler is admitted to the hospital and reports leg pain and fever assessment reveals the toddler is pale with body bruises the healthcare provider suspects acute lymphoblastic leukemia (ALL) the nurse will inform the parents that confirmation of the disease will be determined by which test?

Bone marrow biopsy

20

The test that provides the most reliable evidence of recent streptococcal infection is which?

Antistreptolysin o test

21

Which of the following toys are appropriate for hospitalized toddler?

Rattles

squeaking toys

mobile toys

22

To assess for anemia in children the american academy of pediatrics suggest which of the following recommendations?

Screening for anemia will be done 4 times for each child in the US between birth & 21

23

A 12 month old with Kawasaki disease received IV immunoglobulin IVIG 2 months ago the child is in the clinic for follow up and scheduled immunizations. Which vaccines should be delayed?

MMR, Varicella

24

Which medication is most effective for a child with sickle cell pain?

Morphine

25

A 3 month old seen in peds clinic has seborrheic dermatitis(cradle cap) . What instructions should the nurse give to the parents to care for the infant's hair?

Wash the infant's hair daily with baby shampoo

26

A pediatric nursing student while assisting in teaching nutrition to new parents informs them that eating preferences are influenced primarily by the family at what age is lifelong eating habits usually established?

Age 3

27

An 8 month old child is seen in the peds clinic with otitis media w effusion(OME) . What is the best treatment option for this child?

Tympanostomy tubes

28

A child has been diagnosed with scabies. Which statement by the parent indicates understanding of nurses teaching about scabies?

Everyone who has been in close contact contact with my child will need to be treated

29

A child with acetaminophen(Tylenol) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?

Mucomyst

30

Which of the following is the most common symptom of pediculosis capitis( head lice)

Itching

31

The school nurse is evaluating the number of school age children classified as overweight. The nurse recognizes that the percentile of body mass index that classifies a child as overweight is greater than which?

85th percentile

32

The nurse is caring for a pediatric client with end stage leukemia who is on comfort care and is unresponsive. The child's parents ask how can you tell if my child is in pain which of these would the nurse describe as signs of discomfort?(SATA)

Facial grimacing,

groaning,

Knee bent up near chest

33

Which of the following is the causative agent of scarlet fever?

Group a b-hemolytic streptococci (GABHS)

34

Exposure to which of the following communicable diseases pose a serious threat to fetuses during the first trimester of pregnancy?

Rubella

35

Which of the following describes the clinical features of the bacterial infection impetigo?

Golden honey colored crust over an erythematous base

36

Select an initial assessment included in the Apgar scoring system?

Color

37

Which of the following statements best describes duchenne(pseudo-hypertrophic) muscular dystrophy(DMD)? (SATA)

It had an X- linked inheritance problem,

it is characterized by presence of the gower sign

child exhibits a waddling gait and lordosis

38

A 3.4kg child is ordered a medication for 5mg/kg/day with 4 doses. How many mg would you administer per dose

17

39

What drug is an angiotensin converting enzyme (ACE) inhibitor?

Captopril/ Enalapril

40

A newborn female is diagnosed with turner syndrome. What heart condition is turners syndrome associated with?

Coarctation of the aorta

41

Which statement by a school aged child going to summer camp indicates the best understanding of the mode of transmission and protection from lyme disease?

I Have to wear long sleeves and pants when were hiking around the pond

42

A healthcare provider prescribes ondastermetrin(Zofran) 0.15mg/kg intravenously(IV) 30 minutes ago before chemotherapy for a child with acute lymphoblastic leukemia the child weighs 22kg the medication label states ondastermetrin(Zofran) 2mg/1mL the nurse prepares to administer the dose how many ml will the nurse prepare to administer the dose? round your answer to one decimal place

1.7 ml

43

Erytherna Migrans is an annular rash commonly seen with what disease process?

Lyme disease

44

Which of the following describes the pathophysiology of leukemia?

Unrestricted proliferation of immature white blood cells (WBC)

45

Which of the following reflexes usually disappear in a newborn around 3-4 months of Moro age?

Moro, startle, rooting

46

The most common pathogen for diarrhea seen in children around the world of the following organisms?

Rotavirus

47

A 1 week old infant is evaluated in pediatric renal clinic with a narrowing of the opening of his foreskin. What is this condition called?

Phimosis

48

Select from the list the most common cause of chronic liver disease?

Hepatitis C

49

Which of the following is the best method for performing a physical examination on a toddler?

From least intrusive to most intrusive

50

The nurse is preparing a health teaching program for parents of a toddler and preschoolers and plans to include information about the prevention of accidental poisonings. It is most important for the nurse to include which instruction?

Store all toxic agents and medicines in a locked cabinet

51

Identify the age group of children per erickson in the developmental stage of initiative vs guilt?

3-6

52

The practitioner has ordered a liquid oral antibiotic for a toddler with otitis media the prescription reads 1 ½ tsp four times per day what should the nurse consider in teaching the mother how to give the medicine

Disposable calibrated syringe

53

The mother of a 4 month old infant tells the nurse that sometimes there is a whitish glow in the pupil of his eye. The nurse should suspect which of the following conditions?

Retinoblastoma

54

Give ceclor 45 mg/kg/day p.o in 3 divided for a patient who weighs 66 pounds a 75 m/lstock medication is labeled ceclor 125 mg/ml how many ml would the nurse administer per dose?

3.6 ml

55

The physician has ordered rocephin for a child who weighs 5000 g the recommended dosage of rocephin is 50 -100 mg/kg/day divided into two equal doses calculate the recommended minimum and maximum amount of milligrams that the child should receive per day minimum______mg maxiumum____mg

250 min and 500 max

56

A healthcare provider prescribes osmitrol (mannitol) 0.5g/kg intravenously(IV) now for a child with minimal change nephrotic syndrome the child weighs 10kg the medication label states osmitrol(mannitol) 20g/100ml the nurse prepares to administer the dose how many milliliters will the nurse prepares to administer the dose

25 ml

57

Accurate staging of which tumor is the mainstay of establishing initial treatment for a 12 month old infant with an abdominal mass that crosses the midline?

Neuroblastoma

58

The mother of a 4 month old asks the nurse for advice in preventing diaper rash what suggestion should the nurse provide

USE A BARRIER CREAM, SUCH AS ZINC OXIDE, WHICH DOES NOT HAVE TO BE COMPLETELY REMOVED WITH EACH DIAPER CHANGE.

59

Which of the following describes the clinical features of acne vulgaris?

Comedones, pustules and nodules

60

Which of the following legally allows a young adult under the age of majority to be considered an emancipated minor and allows them to give informed health care consent

Marriage

Military service,

HIghschool graduation

61

What child has a cyanotic congenital heart defect?

2 month old with tetralogy of fallot

62

A 2 year old is hospitalized with suspected intussusception which finding is associated with intussusception?

Currant jelly stools

63

Which of the following should be included in the nursing care of a child with autism spectrum disorder ASD?

Provide a structured routine for the child to follow

64

At what age should the nurse expect most infants to begin to say mama and dada with meaning?

10 months

65

Which of the following is a classic finding in infants diagnosed with abusive head trauma?

Retinal hemorrhaging

66

Select the developmental milestones usually seen in children during the preschool stage(3-6 years) (SATA)

Ride a tricycle

learns colors and shapes,

child learns to run jump skip and hop

67

Children do not like discomfort associated with venous arterial and capillary puncture. Which of the following is the most appropriate pain reduction technique to use with most children before these painful procedures?

Apply EMLA cream topically over the site if it permits

68

Choose the prevention strategies that have significantly decreased fatalities for children (SATA)

Bicycle helmets

car restraints smoke detectors

69

A 13 month old child seen in the peds clinic shows symptoms of tachycardia tachypnea cap refills 03 secs & slight weight loss since the last visit. Which level of dehydration is the child entering?

Moderate

70

In a child with sickle cell anemia(SCA) adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia- ischemia cycle. What information should the nurse share with parents in a teaching plan?

Monitor for sign of dehydration

71

A 6 y.o. In the peds Er has a diagnostic of hypovolemic shock what are the most frequent causes of this type of shock in children?

Blood Loss

72

The nurse is teaching a group of female adolescents about toxic shock syndrome and the use of tampons. What statement by a participant indicates a need for additional teaching

can use a superabsorbent tampon more than 6 hrs

73

A 10 y.o. Sustained a superficial 2nd degree partial thickness burn on his left arm during a BBQ what is the expected time of healing for this injury?

3-4 weeks

74

An adolescent with diabetes is admitted to the ER for treatment of hyperglycemia and pneumonia. What are the clinical manifestations of diabetic hyperglycemia?

Thirst

Fatigue

Frequent urination

75

A child with juvenile idiopathic arthritis(JIA) complains of pain in the knees. What intervention should help to relieve the discomfort?

Applying warm compresses to the knees

76

What condition is defined as reduced visual acuity in one eye despite appropriate optical correction?

Amblyopia

77

A school nurse decided to initiate a safety program for increasing the use of bicycle helmets the program is an example of?

Primary Prevention

78

The nurse is doing a pre-hospitalization orientation for a girl age 7 who is scheduled for cardiac surgery as part of the preparation. The nurse explains that after the surgery the child will be in the intensive care unit. How might the explanations by the nurse be viewed?

Necessary information for the child and parents

79

Which is the leading cause of death in infants younger than 1 year in the United states?

Congenital anomalies

80

Staging criteria exist for most tumors which of the following relates to the meaning of stage?

The higher the stage the poorer the prognosis,the lower the stage the better the prognosis

81

At what age can most infants sit steadily unsupported?

8 months

82

What is the most common form of child maltreatment?

Child neglect

83

A breastfed infant has just been diagnosed with galactosemia and the therapeutic management is too?

Stop breastfeeding the infant

84

Which of the following causative agents of scarlet fever?

Group A B hemolytic streptococci(GABHS)

85

The nurse is caring for a 6 y.o, child who has undergone cardiac catheterization 3 hrs ago notes the dressing and bed saturated with blood. Which initial action should the nurse take?

Apply pressure above the insertion site

86

Select from the list below a reason for innocent heart murmur in infants?

Anemia

87

While educating a new 7 y.o. Diabetic patients and the parents the pediatric nurse include which of the following times during the day when the child's blood sugar level needs to be monitored?

Check blood glucose levels ac and hs

88

A school age child with celiac disease asks for guidance about snacks that will not exacerbate the disease. What snack should the nurse suggest?

Popcorn

89

When giving instructions to a parent whose child has scabies, what should the nurse include?

The scabies cream can be used for infants 2 months old

90

At which age should the nurse expect an infant to begin smiling in response at pleasurable stimuli?

2 months

91

A parent brings a toddler age 19 months to the clinic for a regular check up. What should the nurse expect to find when palpating the toddler's fontanels?

Closed posterior and anterior fontanels

92

What blood or body fluids is most often used in chromosome analysis of a fetus?

Amniotic fluid

93

Staging is a part of the diagnostic evaluation of a child with cancer. Which of the following explains staging?

Extent of the disease at the time of diagnosis

94

The healthcare provider has prescribed propylthiouracil(PTU) 7 mg/kg/day PO divided every 12 hours for a child with grave disease the child weighs 66 lbs the nurse is preparing to administer an 0800 dose calculate the dose the nurse should administer in mg?

105mg

95

What do mortality statistics describe?

The number of individuals who have died over a specific period