front 1 A 3 month old infant has a hyper- cyanotic spell. What should be the nurses first action? | back 1 Place the child in knee to chest |
front 2 What condition/behavior manifested by an 11 month old infant warrants further evaluation? | back 2 Unable to pull to standing position |
front 3 Which of the findings is a classic finding in infants diagnosed with abusive head trauma? | back 3 Retinal hemorrhaging |
front 4 At what age is it safe to give infants whole milk instead of formula? | back 4 12 months |
front 5 When planning care for a 8 year old boy with down syndrome the nurse should? | back 5 Assess the child's current developmental level and plan care accordingly |
front 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? | back 6 Von willebrand’s disease |
front 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) | back 7 Wheat, Barley |
front 8 What explanation provides the best rationale for why iron deficiency anemia is common during infancy? | back 8 Cow's milk is a poor source of iron |
front 9 The pediatric nurse should begin screening for lead poisoning when a child reaches which age? | back 9 12 months |
front 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? | back 10 Rifampin |
front 11 As part of the diagnostic evaluation of a child with cancer, biopsies are important for staging. What statement explains what staging means? | back 11 Extent of the disease at the time of diagnosis |
front 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? | back 12 Scoliosis |
front 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? | back 13 Pain and pulseness |
front 14 A child has been diagnosed with Wilms tumor. What should preoperative nursing care include? | back 14 Careful bathing and handling |
front 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? | back 15 Provide intravenous IV infusion of factor VIII concentrates |
front 16 A 14 month old client is admitted to the hospital with croup(laryngotracheobronchitis) . Which findings would the nurse expect to observe during assessment? | back 16 Barking cough and inspiratory stridor |
front 17 A common side effect of corticosteroid(prednisone) therapy for a 2 yr old with a cancer diagnosis is what? | back 17 Weight gain |
front 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) | back 18 Caused by spirochete that enters the skin through a tick bite, disease initially seen in 3 stages, treated with oral antibiotic doxycycline |
front 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? | back 19 Bone marrow biopsy |
front 20 The test that provides the most reliable evidence of recent streptococcal infection is which? | back 20 Antistreptolysin o test |
front 21 Which of the following toys are appropriate for hospitalized toddler? | back 21 Rattles squeaking toys mobile toys |
front 22 To assess for anemia in children the american academy of pediatrics suggest which of the following recommendations? | back 22 Screening for anemia will be done 4 times for each child in the US between birth & 21 |
front 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? | back 23 MMR, Varicella |
front 24 Which medication is most effective for a child with sickle cell pain? | back 24 Morphine |
front 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? | back 25 Wash the infant's hair daily with baby shampoo |
front 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? | back 26 Age 3 |
front 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? | back 27 Tympanostomy tubes |
front 28 A child has been diagnosed with scabies. Which statement by the parent indicates understanding of nurses teaching about scabies? | back 28 Everyone who has been in close contact contact with my child will need to be treated |
front 29 A child with acetaminophen(Tylenol) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed? | back 29 Mucomyst |
front 30 Which of the following is the most common symptom of pediculosis capitis( head lice) | back 30 Itching |
front 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? | back 31 85th percentile |
front 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) | back 32 Facial grimacing, groaning, Knee bent up near chest |
front 33 Which of the following is the causative agent of scarlet fever? | back 33 Group a b-hemolytic streptococci (GABHS) |
front 34 Exposure to which of the following communicable diseases pose a serious threat to fetuses during the first trimester of pregnancy? | back 34 Rubella |
front 35 Which of the following describes the clinical features of the bacterial infection impetigo? | back 35 Golden honey colored crust over an erythematous base |
front 36 Select an initial assessment included in the Apgar scoring system? | back 36 Color |
front 37 Which of the following statements best describes duchenne(pseudo-hypertrophic) muscular dystrophy(DMD)? (SATA) | back 37 It had an X- linked inheritance problem, it is characterized by presence of the gower sign child exhibits a waddling gait and lordosis |
front 38 A 3.4kg child is ordered a medication for 5mg/kg/day with 4 doses. How many mg would you administer per dose | back 38 17 |
front 39 What drug is an angiotensin converting enzyme (ACE) inhibitor? | back 39 Captopril/ Enalapril |
front 40 A newborn female is diagnosed with turner syndrome. What heart condition is turners syndrome associated with? | back 40 Coarctation of the aorta |
front 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? | back 41 I Have to wear long sleeves and pants when were hiking around the pond |
front 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 | back 42 1.7 ml |
front 43 Erytherna Migrans is an annular rash commonly seen with what disease process? | back 43 Lyme disease |
front 44 Which of the following describes the pathophysiology of leukemia? | back 44 Unrestricted proliferation of immature white blood cells (WBC) |
front 45 Which of the following reflexes usually disappear in a newborn around 3-4 months of Moro age? | back 45 Moro, startle, rooting |
front 46 The most common pathogen for diarrhea seen in children around the world of the following organisms? | back 46 Rotavirus |
front 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? | back 47 Phimosis |
front 48 Select from the list the most common cause of chronic liver disease? | back 48 Hepatitis C |
front 49 Which of the following is the best method for performing a physical examination on a toddler? | back 49 From least intrusive to most intrusive |
front 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? | back 50 Store all toxic agents and medicines in a locked cabinet |
front 51 Identify the age group of children per erickson in the developmental stage of initiative vs guilt? | back 51 3-6 |
front 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 | back 52 Disposable calibrated syringe |
front 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? | back 53 Retinoblastoma |
front 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? | back 54 3.6 ml |
front 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 | back 55 250 min and 500 max |
front 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 | back 56 25 ml |
front 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? | back 57 Neuroblastoma |
front 58 The mother of a 4 month old asks the nurse for advice in preventing diaper rash what suggestion should the nurse provide | back 58 USE A BARRIER CREAM, SUCH AS ZINC OXIDE, WHICH DOES NOT HAVE TO BE COMPLETELY REMOVED WITH EACH DIAPER CHANGE. |
front 59 Which of the following describes the clinical features of acne vulgaris? | back 59 Comedones, pustules and nodules |
front 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 | back 60 Marriage Military service, HIghschool graduation |
front 61 What child has a cyanotic congenital heart defect? | back 61 2 month old with tetralogy of fallot |
front 62 A 2 year old is hospitalized with suspected intussusception which finding is associated with intussusception? | back 62 Currant jelly stools |
front 63 Which of the following should be included in the nursing care of a child with autism spectrum disorder ASD? | back 63 Provide a structured routine for the child to follow |
front 64 At what age should the nurse expect most infants to begin to say mama and dada with meaning? | back 64 10 months |
front 65 Which of the following is a classic finding in infants diagnosed with abusive head trauma? | back 65 Retinal hemorrhaging |
front 66 Select the developmental milestones usually seen in children during the preschool stage(3-6 years) (SATA) | back 66 Ride a tricycle learns colors and shapes, child learns to run jump skip and hop |
front 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? | back 67 Apply EMLA cream topically over the site if it permits |
front 68 Choose the prevention strategies that have significantly decreased fatalities for children (SATA) | back 68 Bicycle helmets car restraints smoke detectors |
front 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? | back 69 Moderate |
front 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? | back 70 Monitor for sign of dehydration |
front 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? | back 71 Blood Loss |
front 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 | back 72 can use a superabsorbent tampon more than 6 hrs |
front 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? | back 73 3-4 weeks |
front 74 An adolescent with diabetes is admitted to the ER for treatment of hyperglycemia and pneumonia. What are the clinical manifestations of diabetic hyperglycemia? | back 74 Thirst Fatigue Frequent urination |
front 75 A child with juvenile idiopathic arthritis(JIA) complains of pain in the knees. What intervention should help to relieve the discomfort? | back 75 Applying warm compresses to the knees |
front 76 What condition is defined as reduced visual acuity in one eye despite appropriate optical correction? | back 76 Amblyopia |
front 77 A school nurse decided to initiate a safety program for increasing the use of bicycle helmets the program is an example of? | back 77 Primary Prevention |
front 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? | back 78 Necessary information for the child and parents |
front 79 Which is the leading cause of death in infants younger than 1 year in the United states? | back 79 Congenital anomalies |
front 80 Staging criteria exist for most tumors which of the following relates to the meaning of stage? | back 80 The higher the stage the poorer the prognosis,the lower the stage the better the prognosis |
front 81 At what age can most infants sit steadily unsupported? | back 81 8 months |
front 82 What is the most common form of child maltreatment? | back 82 Child neglect |
front 83 A breastfed infant has just been diagnosed with galactosemia and the therapeutic management is too? | back 83 Stop breastfeeding the infant |
front 84 Which of the following causative agents of scarlet fever? | back 84 Group A B hemolytic streptococci(GABHS) |
front 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? | back 85 Apply pressure above the insertion site |
front 86 Select from the list below a reason for innocent heart murmur in infants? | back 86 Anemia |
front 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? | back 87 Check blood glucose levels ac and hs |
front 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? | back 88 Popcorn |
front 89 When giving instructions to a parent whose child has scabies, what should the nurse include? | back 89 The scabies cream can be used for infants 2 months old |
front 90 At which age should the nurse expect an infant to begin smiling in response at pleasurable stimuli? | back 90 2 months |
front 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? | back 91 Closed posterior and anterior fontanels |
front 92 What blood or body fluids is most often used in chromosome analysis of a fetus? | back 92 Amniotic fluid |
front 93 Staging is a part of the diagnostic evaluation of a child with cancer. Which of the following explains staging? | back 93 Extent of the disease at the time of diagnosis |
front 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? | back 94 105mg |
front 95 What do mortality statistics describe? | back 95 The number of individuals who have died over a specific period |