Pediatric Emergency Nursing Quiz #6

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| By Louise
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Louise
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Quizzes Created: 3 | Total Attempts: 3,723
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  • 1/5 Questions

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

    • Blood Culture
    • Throat and Ear culture
    • CAT scan
    • Lumbar puncture
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About This Quiz

To help you continue some study questions for the CPEN exam.

Pediatric Emergency Nursing Quiz #6 - Quiz

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  • 2. 

    When administering an I.M. injection to an infant, the nurse should use which site?

    • Deltoid

    • Dorsogluteal

    • Ventrogluteal

    • Vastus lateralis

    Correct Answer
    A. Vastus lateralis
    Explanation
    The recommended injection site for an infant is the vastus lateralis or rectus femoris muscles. The deltoid is inappropriate. The dorsogluteal and ventrogluteal sites can be used only in toddlers who have been walking for about 1 year.

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  • 3. 

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

    • Gross hematuria

    • Dysuria

    • Nausea and Vomiting

    • An abdominal mass

    Correct Answer
    A. An abdominal mass
    Explanation
    The most common sign of Wilms’ tumor is a painless, palpable abdominal mass, sometimes accompanied by an increase in abdominal girth. Gross hematuria is uncommon, although microscopic hematuria may be present. Dysuria is not associated with Wilms’ tumor. Nausea and vomiting are rare in children with Wilms’ tumor.

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  • 4. 

    Which of the following organisms is responsible for the development of Rheumatic fever?

    • Streptococcal pneumonia

    • Haemophilus influenza

    • Group A β-hemolytic streptococcus

    • Staphylococcus aureus

    Correct Answer
    A. Group A β-hemolytic streptococcus
    Explanation
    Group A β-hemolytic streptococcus can cause strep throat, and if untreated, can cause Scarlet fever, which in turn can lead to Rheumatic fever. Rheumatic fever is an inflammatory condition that can affect the heart, joints, skin and brain. It usually occurs 2-4 weeks after the diagnosis of strep throat, impetigo or scarlet fever. It can thicken the heart valves and lead to heart failure, while in the joints causes pain and swelling.

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  • 5. 

    Sunshine, 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:

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

    • Semi-flowler's so she can watch TV for 4 hours and be entertained.

    • Supine for several hours to prevent headache.

    • On her right side to encourage return of CSF.

    Correct Answer
    A. Supine for several hours to prevent headache.
    Explanation
    Lying flat keeps the patient from having a “spinal headache.” Increasing the fluid intake will assist in replenishing the lost fluid during this time.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 05, 2017
    Quiz Created by
    Louise
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