Test 3 Practice

20 Questions  I  By Jlliford
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NCLEX Quizzes & Trivia
NCLEX-type questions for what we've covered so far - from our textbook.

  
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  • 1. 
    When discussing nutrition with a CF patient and their family, the nurse recommends continued supplementation of vitamins A, D, E and K. This is because:
    • A. 

      Pancreatic enzymes are administered with meals.

    • B. 

      Children with CF cannot receive a well-balanced diet.

    • C. 

      Uptake of fat-soluble vitamins is decreased in CF.

    • D. 

      Excretion of water-soluble vitamins is increased in CF.


  • 2. 
    A child with CF tells the nurse that she would like to play soccer "like her friends." The nurse's recommendation should be based on the knowledge that physical exercise is:
    • A. 

      Important because it encourages effective breathing.

    • B. 

      Contraindicated because it causes coughing.

    • C. 

      Important because it stimulates underactive sweat glands.

    • D. 

      Contraindicated because it causes forced expiration.


  • 3. 
    Lisa, age 7, has CF. She lives with both parents and a 4-year-old sister who also has CF. Her mother is pregnant and is worried that the baby will have it, too.  The nurse knows that:
    • A. 

      There is a 50% chance the baby will have CF.

    • B. 

      CF can be diagnosed prenatally.

    • C. 

      There is a 100% chance the baby will have CF.

    • D. 

      CF is not usually inherited.


  • 4. 
    Myeolomeningocele accounts for ______% of all spinal cord lesions.
    • A. 

      90

    • B. 

      10

    • C. 

      30

    • D. 

      27


  • 5. 
    A baby born with spina bifida will have hydrocephalus.
    • A. 

      True

    • B. 

      False


  • 6. 
    The parents of a child with probable epiglottitis ask what causes it. The nurse's response should be based on the knowledge that it is:
    • A. 

      Bacterial, usually S. aureus

    • B. 

      Viral

    • C. 

      Bacterial, usually H. Influenzae

    • D. 

      Bacterial, usually B-hemolytic streptococci


  • 7. 
    A humidified atmosphere is recommended for a young child with a URI because it:
    • A. 

      Liquifies secretions

    • B. 

      Improves oxygenation

    • C. 

      Promotes less labored breathing

    • D. 

      Soothes inflamed mucus membranes


  • 8. 
    An appropriate nursing intervention for a young child with an URI with a fever would be to:
    • A. 

      Give tepid baths to reduce fever

    • B. 

      Encourage food intake to maintain caloric needs

    • C. 

      Have child wear heavy clothing to prevent chilling

    • D. 

      Give small amounts of favorite fluids frequently to prevent dehydration


  • 9. 
    Which of the following types of croup is always considered a medical emergency?
    • A. 

      Laryngotracheobronchitis

    • B. 

      Laryngitis

    • C. 

      Epiglottitis

    • D. 

      Spasmodic croup


  • 10. 
    In providing nourishment for a child with CF, which of the following factors should the nurse keep in mind?
    • A. 

      Fats and proteins must be greatly curtailed.

    • B. 

      Diet should be high in calories and protein.

    • C. 

      Most fruits and vegetables are not well tolerated.

    • D. 

      Diet should be high in easily digested carbs and fats.


  • 11. 
    An infant is born with anencephaly. When discussing this condition with the parents, the nurse should know that:
    • A. 

      Many treatment options exist.

    • B. 

      Immediate surgery is necessary.

    • C. 

      The condition is incompatible with life.

    • D. 

      The child will have permanent disabilities.


  • 12. 
    Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include which of the following?
    • A. 

      Avoid using any latex product.

    • B. 

      Use only nonallergenic latex products.

    • C. 

      Teach family about long-term management of asthma.

    • D. 

      Administer medication for long-term desensitization.


  • 13. 
    An infant with hydrocephalus is hospitalized for surgical placement of a VP shunt. Postoperative nursing care should include which of the following?
    • A. 

      Monitor closely for signs of infection.

    • B. 

      Place the child with operated side of the head on the bed.

    • C. 

      Pump the shunt reservoir often to maintain patency.

    • D. 

      Maintain Trendelenburg position to decrease pressure on the shunt.


  • 14. 
    Which of the following statements regarding burn injuries in children is correct?
    • A. 

      Burns are the most frequent cause of accidental death during childhood.

    • B. 

      Prognosis for burned child is directly related to amount of tissue destroyed.

    • C. 

      Standard "rule of nines" chart is typically used for assessing the size of a burn in small children.

    • D. 

      Children under age 2 years have a significantly lower mortality than older children.


  • 15. 
    A teenaged girl is cooking on a gas stove when her bathrobe catches fire. Her father smothers the flames with a rug and calls an ambulance. She has sustained major burns over much of her body. Which of the following is also important in her immediate care?
    • A. 

      Place her in a tub of cool water.

    • B. 

      Encourage her to drink clear liquids.

    • C. 

      Remover her burned clothing and jewelry.

    • D. 

      Leave the rug in place until the ambulance arrives.


  • 16. 
    Enteral feedings are ordered for a young child with 40% TBSA burns. The nurse should know that:
    • A. 

      Oral feeding are contraindicated.

    • B. 

      Enteral feedings must be stopped during painful procedures.

    • C. 

      Presence of a paralytic ileus precludes use of enteral feedings.

    • D. 

      The feedings will be high carb, low protein.


  • 17. 
    The nurse is teaching a mother of a 3-year-old how to perform chest physical therapy and postural drainage for his cystic fibrosis. To perform percussion, the nurse should instruct her to:
    • A. 

      Strike the chest wall with a flat-hand position.

    • B. 

      Percuss before and after positioning for postural drainage.

    • C. 

      Percuss over the entire trunk anteriorly and posteriorly.

    • D. 

      Cover the skin with a shirt or gown before percussing.


  • 18. 
    A 6-month-old infant does not smile, has poor head control, has a persistent Moro reflex, and often gags and chokes while eating. These findings are most suggestive of:
    • A. 

      Hypotonia

    • B. 

      Cerebral palsy

    • C. 

      Spinal cord injury

    • D. 

      Neonatal myasthenia gravis


  • 19. 
    The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child's spasticity. The nurse's response should be based on which of the following?
    • A. 

      Anticonvulsant meds are sometimes useful for controlling spasticity.

    • B. 

      Meds that would be useful in reducing spasticity are too toxic for children.

    • C. 

      Many different meds can be highly effective in controlling spasticity.

    • D. 

      Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available.


  • 20. 
    A young boy has just been diagnosed with Duchenne muscular dystrophy. His care should include which of the following?
    • A. 

      Recommend genetic counseling.

    • B. 

      Explain that the disease is easily treated.

    • C. 

      Suggest ways to limit use of muscles.

    • D. 

      Assist family in finding a nursing facility to provide his care.


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