Pediatric Nursing

100 Questions  I  By Abangjoseph
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 Pediatric Nursing
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  • 1. 
    Andrea with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the child’s history, the nurse considers which information to be most important?  
    • A. 

      A fever that started 3 days ago

    • B. 

      Lack of interest in food

    • C. 

      A recent episode of pharyngitis

    • D. 

      Vomiting for 2 days


  • 2. 
    Nurse Liza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
    • A. 

      Under age 3

    • B. 

      Over age 3

    • C. 

      Critically ill and under age 3

    • D. 

      Critically ill and over age 3


  • 3. 
    When assessing a child’s cultural background, the nurse in charge should keep in mind that:
    • A. 

      Cultural background usually has little bearing on a family’s health practices

    • B. 

      Physical characteristics mark the child as part of a particular culture

    • C. 

      Heritage dictates a group’s shared values

    • D. 

      Behavioral patterns are passed from one generation to the next


  • 4. 
    While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
    • A. 

      Notify the doctor

    • B. 

      Look for other signs of abuse

    • C. 

      Recognize this as a normal finding

    • D. 

      Ask about a family history of Tay-Sachs disease


  • 5. 
    The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
    • A. 

      Intense abdominal cramps

    • B. 

      Profuse diarrhea

    • C. 

      Anal fissures

    • D. 

      Abdominal distention


  • 6. 
    When administering an I.M. injection to an infant, the nurse in charge should use which site?
    • A. 

      Deltoid

    • B. 

      Dorsogluteal

    • C. 

      Ventrogluteal

    • D. 

      Vastus lateralis


  • 7. 
    When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial needs. During adolescence, psychosocial development focuses on:
    • A. 

      Becoming industrious

    • B. 

      Establishing an identity

    • C. 

      Achieving intimacy

    • D. 

      Developing initiative


  • 8. 
    When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group are most likely to view illness as a punishment for misdeeds?
    • A. 

      Infancy

    • B. 

      Preschool age

    • C. 

      Scholl age

    • D. 

      Adolescence


  • 9. 
    Nurse Taylor suspects that a child, age 4, is being neglected physically. To best assess the child’s nutritional status, the nurse should ask the parents which question?
    • A. 

      “Has your child always been so thin?”

    • B. 

      “Is your child a picky eater?”

    • C. 

      “What did your child eat for breakfast?”

    • D. 

      “Do you think your child eats enough?”


  • 10. 
    A female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and clinging to the mother. Which data should the nurse obtain first?
    • A. 

      Heart rate, respiratory rate, and blood pressure

    • B. 

      Recent exposure to communicable diseases

    • C. 

      Number of immunizations received

    • D. 

      Height and weight


  • 11. 
    A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse’s response?
    • A. 

      The child forgets previously learned skills

    • B. 

      The child experiences growth while regressing, regrouping, and then progressing

    • C. 

      The parents may refer less mature behaviors

    • D. 

      The child returns to a level of behavior that increases the sense of security.


  • 12. 
    A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child’s vision, the nurse should ask:
    • A. 

      “Do you have any problems seeing different colors?”

    • B. 

      “Do you have trouble seeing at night?”

    • C. 

      “Do you have problems with glare?”

    • D. 

      “How are you doing in school?”


  • 13. 
    During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?
    • A. 

      Applesauce

    • B. 

      Egg whites

    • C. 

      Rice cereal

    • D. 

      Yogurt


  • 14. 
    To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation, succinylcholine (Anectine) is used with which of the following agents?
    • A. 

      Epinephrine (Adrenalin)

    • B. 

      Isoproterenol (Isuprel)

    • C. 

      Atropine sulfate

    • D. 

      Lidocaine hydrochloride (Xylocaine)


  • 15. 
    A 1 year and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital hip dislocation. When preparing the patient’s room, the nurse anticipates using which traction system?
    • A. 

      Bryant’s traction

    • B. 

      Buck’s extension traction

    • C. 

      Overhead suspension traction

    • D. 

      90-90 traction


  • 16. 
    Mandy, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse knows that which teaching strategy is least effective?
    • A. 

      Providing a one-on-one demonstration and requesting a return demonstration, using a live infant model

    • B. 

      Initiating a teenage parent support group with first – and – second-time mothers

    • C. 

      Using audiovisual aids that show discussions of feelings and skills

    • D. 

      Providing age-appropriate reading materials


  • 17. 
    When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This findings is associated with:
    • A. 

      Otogenous tetanus

    • B. 

      Tracheoesophageal fistula

    • C. 

      Congenital heart defects

    • D. 

      Renal anomalies


  • 18. 
    Nurse Raven should expect a 3-year-old child to be able to perform which action?
    • A. 

      Ride a tricycle

    • B. 

      Tie the shoelaces

    • C. 

      Roller-skates

    • D. 

      Jump rope


  • 19. 
    Nurse Betina is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
    • A. 

      Eustachian tubes

    • B. 

      Nasopharynx

    • C. 

      Tympanic membrane

    • D. 

      External ear canal


  • 20. 
    The nurse is evaluating a female child with acute poststreptoccocal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?
    • A. 

      Increased urine output

    • B. 

      Increased appetite

    • C. 

      Increased energy level

    • D. 

      Decreased diarrhea


  • 21. 
    Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose of administering corticosteroids to this child?
    • A. 

      To increase blood pressure

    • B. 

      To reduce inflammation

    • C. 

      To decrease proteinuria

    • D. 

      To prevent infection


  • 22. 
    Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other findings suggests a fluid volume deficit?
    • A. 

      A sunken fontanel

    • B. 

      Decreased pulse rate

    • C. 

      Increased blood pressure

    • D. 

      Low urine specific gravity


  • 23. 
    How should the nurse May prepare a suspension before administration?
    • A. 

      By diluting it with normal saline solution

    • B. 

      By diluting it with 5% dextrose solution

    • C. 

      By shaking it so that all the drug particles are dispersed uniformly

    • D. 

      By crushing remaining particles with a mortar and pestle


  • 24. 
    What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
    • A. 

      20 ml/kg

    • B. 

      10 ml/kg

    • C. 

      30 ml/kg

    • D. 

      15 ml/kg


  • 25. 
    Becky, age 5, with intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:
    • A. 

      Within the lower range of normal intelligence

    • B. 

      Mildly retarded but educable

    • C. 

      Moderately retarded but trainable

    • D. 

      Completely dependent on others for care


  • 26. 
    Maureen, age 12, is brought to the clinic for evaluation for a suspected eating disorder. To best assess the effects of role and relationship patterns on the child’s nutritional intake, the nurse should ask:
    • A. 

      “What activities do you engage in during the day?”

    • B. 

      “Do you have any allergies to foods?”

    • C. 

      “Do you like yourself physically?”

    • D. 

      “What kinds of food do you like to eat?”


  • 27. 
    Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?
    • A. 

      At 1 to 2 years of age

    • B. 

      At I week to 1 year of age, peaking at 2 to 4 months

    • C. 

      At 6 months to 1 year of age, peaking at 10 months

    • D. 

      At 6 to 8 weeks of age


  • 28. 
    When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk for suicide is:
    • A. 

      Depression

    • B. 

      Excessive sleepiness

    • C. 

      A history of cocaine use

    • D. 

      A preoccupation with death


  • 29. 
    A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:
    • A. 

      Gross hematuria

    • B. 

      Dysuria

    • C. 

      Nausea and vomiting

    • D. 

      An abdominal mass


  • 30. 
    Which of the following would be inappropriate when administering chemotherapy to a child?
    • A. 

      Monitoring the child for both general and specific adverse effects

    • B. 

      Observing the child for 10 minutes to note for signs of anaphylaxis

    • C. 

      Administering medication through a free-flowing intravenous line

    • D. 

      Assessing for signs of infusion infiltration and irritation


  • 31. 
    Which of the following is the best method for performing a physical examination on a toddler 
    • A. 

      From head to toe

    • B. 

      Distally to proximally

    • C. 

      From abdomen to toes, the to head

    • D. 

      From least to most intrusive


  • 32. 
    Which of the following organisms is responsible for the development of rheumatic fever? 
    • A. 

      Streptococcal pneumonia

    • B. 

      Haemophilus influenza

    • C. 

      Group A β-hemolytic streptococcus

    • D. 

      Staphylococcus aureus


  • 33. 
    Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease? 
    • A. 

      Polycythemia

    • B. 

      Cardiomyopathy

    • C. 

      Endocarditis

    • D. 

      Low blood pressure


  • 34. 
    How does the nurse appropriately administer mycostatin suspension in an infant?
    • A. 

      Have the infant drink water, and then administer mycostatin in a syringe

    • B. 

      Place mycostatin on the nipple of the feeding bottle and have the infant suck it

    • C. 

      Mix mycostatin with formula

    • D. 

      Swab mycostatin on the affected areas


  • 35. 
    A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother? 
    • A. 

      Make the child seat with the family in the dining room until he finishes his meal

    • B. 

      Provide quiet environment for the child before meals

    • C. 

      Do not give snacks to the child before meals

    • D. 

      Put the child on a chair and feed him


  • 36. 
    The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn? 
    • A. 

      Uneven head shape

    • B. 

      Respirations are irregular, abdominal, 30-60 bpm

    • C. 

      (+) moro reflex

    • D. 

      Heart rate is 80 bpm


  • 37. 
    Which of the following situations increase risk of lead poisoning in children? 
    • A. 

      Playing in the park with heavy traffic and with many vehicles passing by

    • B. 

      Playing sand in the park

    • C. 

      Playing plastic balls with other children

    • D. 

      Playing with stuffed toys at home


  • 38. 
    An inborn error of metabolism that causes premature destruction of RBC? 
    • A. 

      G6PD

    • B. 

      Hemocystinuria

    • C. 

      Phenylketonuria

    • D. 

      Celiac Disease


  • 39. 
    Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia? 
    • A. 

      Increased hemoglobin

    • B. 

      Normal hematocrit

    • C. 

      Decreased mean corpuscular volume (MCV)

    • D. 

      Normal total iron-binding capacity (TIBC)


  • 40. 
    The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take? 
    • A. 

      The nurse should insert a padded tongue blade in the patient’s mouth to prevent the child from swallowing or choking on his tongue.

    • B. 

      The nurse should help the mother restrain the child to prevent him from injuring himself.

    • C. 

      The nurse should call the operator to page for seizure assistance.

    • D. 

      The nurse should clear the area and position the client safely.


  • 41. 
    At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out “who they are,” and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as: 
    • A. 

      Identity vs. role confusion.

    • B. 

      Adolescent rebellion.

    • C. 

      Career experimentation.

    • D. 

      Relationship testing


  • 42. 
    The nurse is assessing a 9-month-old boy for a well-baby check up. Which of the following observations would be of most concern? 
    • A. 

      The baby cannot say “mama” when he wants his mother.

    • B. 

      The mother has not given him finger foods.

    • C. 

      The child does not sit unsupported.

    • D. 

      The baby cries whenever the mother goes out.


  • 43. 
    Cheska, the mother of an 11-month-old girl, KC, is in the clinic for her daughter’s immunizations. She expresses concern to the nurse that Shannon cannot yet walk. The nurse correctly replies that, according to the Denver Developmental Screen, the median age for walking is:
    • A. 

      12 months.

    • B. 

      15 months.

    • C. 

      10 months.

    • D. 

      14 months.


  • 44. 
    Sally Kent., age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is: 
    • A. 

      Prone for two hours to prevent aspiration, should she vomit.

    • B. 

      Semi-fowler’s so she can watch TV for five hours and be entertained.

    • C. 

      Supine for several hours, to prevent headache.

    • D. 

      Supine for several hours, to prevent headache.


  • 45. 
    Buck’s traction with a 10 lb. weight is securing a patient’s leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement: 
    • A. 

      Every shift.

    • B. 

      Every day.

    • C. 

      Every 4 hours.

    • D. 

      Every 15 minutes.


  • 46. 
    Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include: 
    • A. 

      Tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.

    • B. 

      Tachycardia, headache, dyspnea, temp . 101 F, and wheezing.

    • C. 

      Blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.

    • D. 

      Restlessness, insomnia, blurred vision, hypertension, chest pain, and muscle weakness.


  • 47. 
    The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test: 
    • A. 

      Blood culture.

    • B. 

      Throat and ear culture.

    • C. 

      CAT scan.

    • D. 

      Lumbar puncture.


  • 48. 
    The nurse is drawing blood from the diabetic patient for a glycosolated hemoglobin test. She explains to the woman that the test is used to determine:
    • A. 

      The highest glucose level in the past week.

    • B. 

      Her insulin level.

    • C. 

      Glucose levels over the past several months.

    • D. 

      Her usual fasting glucose level.


  • 49. 
    The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except: 
    • A. 

      Capillary refill.

    • B. 

      Radial and ulnar pulse.

    • C. 

      Finger movement

    • D. 

      Skin integrity


  • 50. 
    The parents of a child, age 6, who will begin school in the fall ask the nurse for anticipatory guidance. The nurse should explain that a child of this age:
    • A. 

      Still depends on the parents

    • B. 

      Rebels against scheduled activities

    • C. 

      Is highly sensitive to criticism

    • D. 

      Loves to tattle


  • 51. 
    While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topic in the teaching session? 
    • A. 

      Nursery schools

    • B. 

      Toilet Training

    • C. 

      Safety guidelines

    • D. 

      Preparation for surgery


  • 52. 
    Nurse Betina should begin screening for lead poisoning when a child reaches which age? 
    • A. 

      6 months

    • B. 

      12 months

    • C. 

      18 months

    • D. 

      24 months


  • 53. 
    When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse expects to see which of the following? 
    • A. 

      A reduced white blood cell count

    • B. 

      A decreased platelet count

    • C. 

      Shallow respirations

    • D. 

      Tachypnea


  • 54. 
    After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching? 
    • A. 

      Well follow these instructions until our child’s symptoms disappear.”

    • B. 

      “Our child must maintain these dietary restrictions until adulthood.”

    • C. 

      “Our child must maintain these dietary restrictions lifelong.”

    • D. 

      “We’ll follow these instructions until our child has completely grown and developed.”


  • 55. 
    A parent brings a toddler, age 19 months, to the clinic for a regular check-up. When palpating the toddler’s fontanels, what should the nurse expects to find?
    • A. 

      Closed anterior fontanel and open posterior fontanel

    • B. 

      Open anterior and fontanel and closed posterior fontanel

    • C. 

      Closed anterior and posterior fontanels

    • D. 

      Open anterior and posterior fontanels


  • 56. 
    Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:
    • A. 

      Cerebral edema

    • B. 

      Dehydration

    • C. 

      Heart failure

    • D. 

      Hypovolemic shock


  • 57. 
    An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant?
    • A. 

      Encouraging the infant to hold a bottle

    • B. 

      Keeping the infant on bed rest to conserve energy

    • C. 

      Rotating caregivers to provide more stimulation

    • D. 

      Maintaining a consistent, structured environment


  • 58. 
    The mother of Gian, a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons, and that she recently had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to: 
    • A. 

      Bananas

    • B. 

      Latex

    • C. 

      Kiwifruit

    • D. 

      Color dyes


  • 59. 
    Cristina, a mother of a 4-year-old child tells the nurse that her child is a very poor eater. What’s the nurse’s best recommendation for helping the mother increase her child’s nutritional intake? 
    • A. 

      Allow the child to feed herself

    • B. 

      Se specially designed dishes for children – for example, a plate with the child’s favorite cartoon character

    • C. 

      Only serve the child’s favorite foods

    • D. 

      Allow the child to eat at a small table and chair by herself


  • 60. 
    Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN? 
    • A. 

      5% glucose

    • B. 

      10% glucose

    • C. 

      15% glucose

    • D. 

      17% glucose


  • 61. 
    David, age 15 months, is recovering from surgery to remove Wilms’ tumor. Which findings best indicates that the child is free from pain? 
    • A. 

      Decreased appetite

    • B. 

      Increased heart rate

    • C. 

      Decreased urine output

    • D. 

      Increased interest in play


  • 62. 
    When planning care for a 8-year-old boy with Down syndrome, the nurse should: 
    • A. 

      Plan interventions according to the developmental level of a 7-year-old child because that’s the child’s age

    • B. 

      Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays

    • C. 

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

    • D. 

      Direct all teaching to the parents because the child can’t understand


  • 63. 
    Nurse Victoria is teaching the parents of a school-age child. Which teaching topic should take priority? 
    • A. 

      Prevent accidents

    • B. 

      Keeping a night light on to allay fears

    • C. 

      Explaining normalcy of fears about body integrity

    • D. 

      Encouraging the child to dress without help


  • 64. 
    The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention takes top priority? 
    • A. 

      Changing the linens on the clients’ beds

    • B. 

      Restocking the bedside supplies needed for a dressing change on the upcoming shift

    • C. 

      Documenting the care provided during her shift

    • D. 

      Emptying the trash cans in the assigned client room


  • 65. 
    Nurse Alice is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should: 
    • A. 

      Compress the sternum with both hands at a depth of 1½ to 2” (4 to 5 cm)

    • B. 

      Deliver 12 breaths/minute

    • C. 

      Perform only two-person CPR

    • D. 

      Use the heel of one hand for sternal compressions


  • 66. 
    A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? 
    • A. 

      Instituting droplet precautions

    • B. 

      Administering acetaminophen (Tylenol)

    • C. 

      Obtaining history information from the parents

    • D. 

      Orienting the parents to the pediatric unit


  • 67. 
    Sheena, tells the nurse that she wants to begin toilet training her 22-month-old child. The most important factor for the nurse to stress to the mother is: 
    • A. 

      Developmental readiness of the child

    • B. 

      Consistency in approach

    • C. 

      The mother’s positive attitude

    • D. 

      Developmental level of the child’s peers


  • 68. 
    An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure? 
    • A. 

      The foster mother

    • B. 

      The social worker who placed the infant in the foster home

    • C. 

      The registered nurse caring for the infant

    • D. 

      The nurse-manager


  • 69. 
    A child is undergoing remission induction therapy to treat leukemia. Allopurinol is included in the regimen. The main reason for administering allopurinol as part of the client’s chemotherapy regimen is to:
    • A. 

      Prevent metabolic breakdown of xanthine to uric acid

    • B. 

      Prevent uric acid from precipitating in the ureters

    • C. 

      Enhance the production of uric acid to ensure adequate excretion of urine

    • D. 

      Ensure that the chemotherapy doesn’t adversely affect the bone marrow


  • 70. 
    A 10-year-old client contracted severe acute respiratory syndrome (SARS) when traveling abroad with her parents. The nurse knows she must put on personal protective equipment to protect herself while providing care. Based on the mode of SARS transmission, which personal protective should the nurse wear? 
    • A. 

      Gloves

    • B. 

      Gown and gloves

    • C. 

      Gown, gloves, and mask

    • D. 

      Gown, gloves, mask, and eye goggles or eye shield


  • 71. 
    A tuberculosis intradermal skin test to detect tuberculosis infection is given to a high-risk adolescent. How long after the test is administered should the result be evaluated? 
    • A. 

      Immediately

    • B. 

      Within 24 hours

    • C. 

      In 48 to 72 hours

    • D. 

      After 5 days


  • 72. 
    Nurse Oliver s teaching a mother who plans to discontinue breast-feeding after 5 months. The nurse should advise her to include which foods in her infant’s diet? 
    • A. 

      Iron-rich formula and baby food

    • B. 

      Whole milk and baby food

    • C. 

      Skim milk and baby food

    • D. 

      Iron-rich formula only


  • 73. 
    Gracie, the mother of a 3-month-old infant calls the clinic and states that her child has a diaper rash. What should the nurse advise? 
    • A. 

      "Switch to cloth diapers until the rash is gone”

    • B. 

      “Use baby wipes with each diaper change.”

    • C. 

      “Leave the diaper off while the infant sleeps.”

    • D. 

      “Offer extra fluids to the infant until the rash improves.”


  • 74. 
    Nurse Kelly is teaching the parents of a young child how to handle poisoning. If the child ingests poison, what should the parents do first? 
    • A. 

      Administer ipecac syrup

    • B. 

      Call an ambulance immediately

    • C. 

      Call the poison control center

    • D. 

      Punish the child for being bad


  • 75. 
    A child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority? 
    • A. 

      Ineffective airway clearance related to edema

    • B. 

      Disturbed body image related to physical appearance

    • C. 

      Impaired urinary elimination related to fluid loss

    • D. 

      Risk for infection related to epidermal disruption


  • 76. 
    A 3-year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour. Which sign or symptom suggests excessive I.V. fluid intake? 
    • A. 

      Worsening dyspnea

    • B. 

      Gastric distension

    • C. 

      Nausea and vomiting

    • D. 

      Temperature of 102°F (38.9° C)


  • 77. 
    Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation? 
    • A. 

      Oxygen saturation of 95%

    • B. 

      Mild work of breathing

    • C. 

      Absence of intercostals or substernal retractions

    • D. 

      History of steroid-dependent asthma


  • 78. 
    Nurse Mariane is caring for an infant with spina bifida. Which technique is most important in recognizing possible hydrocephalus? 
    • A. 

      Measuring head circumference

    • B. 

      Obtaining skull X-ray

    • C. 

      Performing a lumbar puncture

    • D. 

      Magnetic resonance imaging (MRI)


  • 79. 
    An adolescent who sustained a tibia fracture in a motor vehicle accident has a cast. What should the nurse do to help relieve the itching? 
    • A. 

      Apply cool air under the cast with a blow-dryer

    • B. 

      Use sterile applicators to scratch the itch

    • C. 

      Apply cool water under the cast

    • D. 

      Apply hydrocortisone cream under the cast using sterile applicator.


  • 80. 
    Which of the following immunizations should not be given to a child receiving chemotherapy for cancer?
    • A. 

      Influenza vaccine

    • B. 

      Inactivated polio vaccine

    • C. 

      Diptheria, pertussis, tetanus

    • D. 

      Measles, mumps, rubella


  • 81. 
    Which of the following is most descriptive of the pathophysiology of leukemia?
    • A. 

      Increased blood viscosity occurs

    • B. 

      Thrombocytopenia (excessive destruction of platelets) occurs

    • C. 

      Unrestrictive proliferation of immature white blood cells occurs

    • D. 

      First stage of coagulation process is abnormally stimulated


  • 82. 

    What is the name of the procedure shown below?
    • A. 

      Amputation

    • B. 

      Rotationplasty

    • C. 

      Harrington Rod

    • D. 

      Arnold Turnaround


  • 83. 
    Most pediatric cancers arise from:
    • A. 

      Superficial tissue

    • B. 

      Epithetial tissue

    • C. 

      Mesodermal or ectodermal tissue


  • 84. 
    The treatment of brain tumors in children consist of which of the folllowing therapies? (Select all that apply.)
    • A. 

      Surgery

    • B. 

      Unrelated Donor Bone Marrow Transplant

    • C. 

      Chemotherapy

    • D. 

      Biotherapy

    • E. 

      Radiation


  • 85. 
    The overall cure rate for Acute Lymphocytic Leukemia is over 80%. 
    • A. 

      True

    • B. 

      False


  • 86. 
    The main purpose of a clinical trial is to:
    • A. 

      Decrease cost of treatment

    • B. 

      Shorten length of overall therapy

    • C. 

      Introduce new agents into therapy plans

    • D. 

      Determine effectiveness of new treatments


  • 87. 
    The most common clinical manifestation(s) of brain tumors in children is which of the following?
    • A. 

      Irritability

    • B. 

      Seizures

    • C. 

      Headache and vomiting

    • D. 

      Fever and poor fine motor control


  • 88. 
    The most common site for osteogenic sarcoma is?
    • A. 

      Ribs

    • B. 

      Femur

    • C. 

      Tibia

    • D. 

      Humerus


  • 89. 
    The nurse is preparing a teenager for possible alopecia from chemotherapy.  Which of the following should be included?
    • A. 

      Explain to teenager that hair usually re-grows in one year

    • B. 

      Advise teenager to minimize exposure of their head to sunlight to minimize alopecia.

    • C. 

      Explain to teenager that wearing a hat or scarf is preferable to wearing a wig.

    • D. 

      Explain to teenager that when hair regrows, it may have a slightly different color or texture.


  • 90. 
    Childhood cancer symptoms are often localized to the specific site of the cancer. 
    • A. 

      True

    • B. 

      False


  • 91. 
    Common symptoms of childhood leukemia include?
    • A. 

      Fatigue, Bruising, Bone Pain

    • B. 

      Diarrhea, Abdominal Pain, Rash

    • C. 

      Weight gain, Headaches, Pruritis

    • D. 

      Palpitations, Chest Pain, Nausea


  • 92. 
    A school age child with cancer experienced severe nausea and vomiting when receiving chemotherapy the first time.  Which of the following is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
    • A. 

      Encourage drinking large amounts of favorite fluids

    • B. 

      Adminster an antiemetic as soon as the child has nausea

    • C. 

      Administer an anti-emetic before the chemotherapy begins

    • D. 

      Encourage the child to take nothing by mouth (NPO) until nausea and vomiting subside


  • 93. 
    A child with ALL CNS-1 is receiving triple intrathecal chemotherapy consisting of methotrexate, cytarabine, and hydrocortisone.  The purpose of this is:
    • A. 

      Treat infection

    • B. 

      Prevent infection

    • C. 

      Treat brain tumor

    • D. 

      Treat CNS disease

    • E. 

      Prevent CNS disease


  • 94. 
    A child with cancer is admitted to the hospital with a fever of 39.0C and cough.  His last round of history included high dose chemotherapy 8 days ago.  Which of the following interventions should the nurse do first?
    • A. 

      Obtain full history

    • B. 

      Obtain chest x-ray and administer brochodilators

    • C. 

      Give antipyretic for fever and being IV hydration

    • D. 

      Obtain blood cultures, begin IV hydration, and administer antibiotics


  • 95. 
    1 in ______ children will develop cancer prior to reaching adulthood. 

  • 96. 
    By one year of age the infant's birth weight...
    • A. 

      Doubles.

    • B. 

      Triples.

    • C. 

      Quadruples.

    • D. 

      None of the above.


  • 97. 
    According to Erikson, the developmental task of toddlerhood is...
    • A. 

      Industry vs. inferiority.

    • B. 

      Trust vs. mistrust.

    • C. 

      Autonomy vs. shame and doubt.

    • D. 

      Initiative vs. guilt.


  • 98. 
    This period of development is characterized by mature body systems and refinement of fine and gross motor control, as evidenced by activities such as running, riding a tricycle, and drawing.
    • A. 

      Toddler period

    • B. 

      Preschooler period

    • C. 

      School-age period

    • D. 

      Adolescence


  • 99. 
    Cooperative play, team activities,  and acquisition of skills are a hallmark of this development period, where rules and rituals have greater importance.
    • A. 

      Toddler period

    • B. 

      Preschooler period

    • C. 

      School-age period

    • D. 

      Adolescence


  • 100. 
    The primary cause of death during the adolescent years is...
    • A. 

      Suicide.

    • B. 

      Drug abuse.

    • C. 

      Firearms.

    • D. 

      Injuries.


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