CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GR, Exercises of Biology

Download CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GR and more Exercises Biology in PDF only on Docsity! CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 GASTROINTESTIN: 26 What statement best describes Hirschsprung disease? a. The colon has an aganglionic segment. b. It results in frequent evacuation of solids, liquid, and gas. c. The neonate passes excessive amounts of meconium. d. It results in excessive peristaltic movements within the gastrointestinal tract. ANS: A A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. How should the nurse prepare this child? a. It is unnecessary because of child’s age. b. It is essential because it will be an adjustment. c. Preparation is not needed because the colostomy is temporary. d. Preparation is important because the child needs to deal with negative body image. ANS: B A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is the purpose of the NG tube? a. Prevent spread of infection. b. Monitor electrolyte balance. c. Prevent abdominal distention. d. Maintain accurate record of output. CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 ANS: C What term describes invagination of one segment of bowel within another? a. Atresia b. Stenosis c. Herniation d. Intussusception ANS: D A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include? a. Dilating the stoma b. Assessing bowel function c. Limitation of physical activities d. Measures to prevent prolapse of the rectum ANS: B The nurse is evaluating the laboratory results of a stool sample. What is a normal finding? a. The laboratory reports a stool pH of 5.0. b. The laboratory reports a negative guaiac. c. The laboratory reports low levels of enzymes. d. The laboratory reports reducing substances present. ANS: B CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 The health care provider has prescribed famotidine (Pepcid) 1 mg/kg/day divided bid for a child with gastroesophageal reflux disease. The child weighs 33 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer using one decimal place. ANS: 7.5 33 lb/2.2 kg = 15 kg Dose of Pepcid is 1 mg/kg/day divided bid 1 mg × 15 = 15 mg 15 mg/2 = 7.5 mg RESPIRATORY: ch 28 Parents bring their 15-month-old infant to the emergency department at 3:00 AM because the toddler has a temperature of 39° C (102.2° F), is crying inconsolably, and is tugging at the ears. A diagnosis of otitis media (OM) is made. In addition to antibiotic therapy, the nurse practitioner should instruct the parents to use what medication? a. Decongestants to ease stuffy nose b. Antihistamines to help the child sleep c. Aspirin for pain and fever management d. Benzocaine ear drops for topical pain relief CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 ANS: D An 18-month-old child is seen in the clinic with otitis media (OM). Oral amoxicillin is prescribed. What instructions should be given to the parent? a. Administer all of the prescribed medication. b. Continue medication until all symptoms subside. c. Immediately stop giving medication if hearing loss develops. d. Stop giving medication and come to the clinic if fever is still present in 24 hours. ANS: A An infant’s parents ask the nurse about preventing otitis media (OM). What information should be provided? a. Avoid tobacco smoke. b. Use nasal decongestants. c. Avoid children with OM. d. Bottle- or breastfeed in a supine position. ANS: A Chronic otitis media with effusion (OME) differs from acute otitis media (AOM) because it is usually characterized by which signs or symptoms? a. Severe pain in the ear b. Anorexia and vomiting c. A feeling of fullness in the ear CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 d. Fever as high as 40° C (104° F) ANS: C The nurse is assessing a child with croup in the emergency department. The child has a sore throat and is drooling. Examining the child’s throat using a tongue depressor might precipitate what condition? a. Sore throat b. Inspiratory stridor c. Complete obstruction d. Respiratory tract infection ANS: C The mother of a 20-month-old boy tells the nurse that he has a barking cough at night. His temperature is 37° C (98.6° F). The nurse suspects mild croup and should recommend which intervention? a. Admit to the hospital and observe for impending epiglottitis. b. Provide fluids that the child likes and use comfort measures. c. Control fever with acetaminophen and call if cough gets worse tonight. d. Try over-the-counter cough medicine and come to the clinic tomorrow if no improvement. ANS: B An infant has been diagnosed with staphylococcal pneumonia. Nursing care of the child with pneumonia includes which intervention? CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 a. Meconium ileus b. History of poor intestinal absorption c. Foul-smelling, frothy, greasy stools d. Recurrent pneumonia and lung infections ANS: A What tests aid in the diagnosis of cystic fibrosis (CF)? a. Sweat test, stool for fat, chest radiography b. Sweat test, bronchoscopy, duodenal fluid analysis c. Sweat test, stool for trypsin, biopsy of intestinal mucosa d. Stool for fat, gastric contents for hydrochloride, radiography ANS: A A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered? a. After chest physiotherapy (CPT) b. Before chest physiotherapy (CPT) c. After receiving 100% oxygen d. Before receiving 100% oxygen ANS: B A 3-year-old is brought to the emergency department with symptoms of stridor, fever, restlessness, and drooling. No coughing is observed. Based on these findings, the nurse should be prepared to assist with what action? CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 a. Throat culture b. Nasal pharynx washing c. Administration of corticosteroids d. Emergency intubation ANS: D A 3-year-old child woke up in the middle of the night with a croupy cough and inspiratory stridor. The parents bring the child to the emergency department, but by the time they arrive, the cough is gone, and the stridor has resolved. What can the nurse teach the parents with regard to this type of croup? a. A bath in tepid water can help resolve this type of croup. b. Tylenol can help to relieve the cough and stridor. c. A cool mist vaporizer at the bedside can help prevent this type of croup. d. Antibiotics need to be given to reduce the inflammation. ANS: C A child is in the hospital for cystic fibrosis. What health care provider’s prescription should the nurse clarify before implementing? a. Dornase alfa (Pulmozyme) nebulizer treatment bid b. Pancreatic enzymes every 6 hours CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 c. Vitamin A, D, E, and K supplements daily d. Proventil (albuterol) nebulizer treatments tid ANS: B A child has a streptococcal throat infection and is being treated with antibiotics. What should the nurse teach the parents to prevent infection of others? a. The child can return to school immediately. b. The organism cannot be transmitted through contact. c. The child can return to school after taking antibiotics for 24 hours. d. The organism can only be transmitted if someone uses a personal item of the sick child. ANS: C A tonsillectomy or adenoidectomy is contraindicated in what conditions? (Select all that apply.) a. Cleft palate b. Seizure disorders c. Blood dyscrasias d. Sickle cell disease e. Acute infection at the time of surgery ANS: A, C, E The health care provider prescribes ceftazidime (Fortaz) 75 mg per intravenous piggy back (IVPB) every 8 hours for a child with cystic fibrosis. The pharmacy sends CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 d. Inability to speak ANS: D CARDICAC DYSFUNCTION: What structural defects constitute tetralogy of Fallot? a. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy b. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy c. Aortic stenosis, ventricular septal defect, overriding aorta, left ventricular hypertrophy d. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy ANS: A A parent of a 7-year-old girl with a repaired ventricular septal defect (VSD) calls the cardiology clinic and reports that the child is just not herself. Her appetite is decreased, she has had intermittent fevers around 38° C (100.4° F), and now her muscles and joints ache. Based on this information, how should the nurse advise the mother? a. Immediately bring the child to the clinic for evaluation. CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 b. Come to the clinic next week on a scheduled appointment. c. Treat the signs and symptoms with acetaminophen and fluids because it is most likely a viral illness. d. Recognize that the child is trying to manipulate the parent by complaining of vague symptoms. ANS: A What primary nursing intervention should be implemented to prevent bacterial endocarditis? a. Counsel parents of high-risk children. b. Institute measures to prevent dental procedures. c. Encourage restricted mobility in susceptible children. d. Observe children for complications, such as embolism and heart failure. ANS: A When caring for the child with Kawasaki disease, what should the nurse know to provide safe and effective care? a. Aspirin is contraindicated. b. The principal area of involvement is the joints. c. The child’s fever is usually responsive to antibiotics within 48 hours. d. Therapeutic management includes administration of gamma globulin and salicylates. ANS: D CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 Nursing care of the child with Kawasaki disease is challenging because of which occurrence? a. The child’s irritability b. Predictable disease course c. Complex antibiotic therapy d. The child’s ongoing requests for food ANS: A The nurse is giving discharge instructions to the parent of a 6-year-old child who had a cardiac catheterization 4 hours ago. What statement by the parent indicates a correct understanding of the teaching? a. “My child should not attend school for the next 5 days.” b. “I should change the bandage every day for the next 2 days.” c. “My child can take a tub bath but should avoid taking a shower for the next 4 days.” d. “I should expect the site to be red and swollen for the next 3 days.” ANS: B An infant has tetralogy of Fallot. In reviewing the record, what laboratory result should the nurse expect to be documented? a. Leukopenia b. Polycythemia c. Anemia CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 a. Cow’s milk is a poor source of iron. b. Iron cannot be stored during fetal development. c. Fetal iron stores are depleted by 1 month of age. d. Dietary iron cannot be started until 12 months of age. ANS: A What statement best describes iron deficiency anemia in infants? a. It is caused by depression of the hematopoietic system. b. Diagnosis is easily made because of the infant’s emaciated appearance. c. It results from a decreased intake of milk and the premature addition of solid foods. d. Clinical manifestations are related to a reduction in the amount of oxygen available to tissues. ANS: D What condition occurs when the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin? a. Aplastic anemia b. Sickle cell anemia c. Thalassemia major d. Iron deficiency anemia ANS: B The parents of a child with sickle cell anemia (SCA) are concerned about subsequent CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 children having the disease. What statement most accurately reflects inheritance of SCA? a. SCA is not inherited. b. All siblings will have SCA. c. Each sibling has a 25% chance of having SCA. d. There is a 50% chance of siblings having SCA. ANS: C The clinical manifestations of sickle cell anemia (SCA) are primarily the result of which physiologic alteration? a. Decreased blood viscosity b. Deficiency in coagulation c. Increased red blood cell (RBC) destruction d. Greater affinity for oxygen ANS: C A school-age child is admitted in vasoocclusive sickle cell crisis (pain episode). The child’s care should include which therapeutic interventions? a. Hydration and pain management b. Oxygenation and factor VIII replacement c. Electrolyte replacement and administration of heparin d. Correction of alkalosis and reduction of energy expenditure ANS: A CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 A child with sickle cell anemia (SCA) develops severe chest and back pain, fever, a cough, and dyspnea. What should be the first action by the nurse? a. Administer 100% oxygen to relieve hypoxia. b. Notify the practitioner because chest syndrome is suspected. c. Infuse intravenous antibiotics as soon as cultures are obtained. d. Give ordered pain medication to relieve symptoms of pain episode. ANS: B 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? a. Encourage drinking. b. Keep accurate records of output. c. Check for moist mucous membranes. d. Monitor the concentration of the child’s urine. ANS: C In which condition are all the formed elements of the blood simultaneously depressed? a. Aplastic anemia b. Sickle cell anemia c. Thalassemia major d. Iron deficiency anemia ANS: A CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 b. Fatigue c. Dilute urine d. Bradycardia e. Muscle weakness ANS: A, B, E The clinic nurse is evaluating causes for iron deficiency caused by inadequate supply of iron. What should the nurse recognize as causes for iron deficiency caused by an inadequate iron supply? (Select all that apply.) a. Prematurity b. Slow growth rate c. Excessive milk intake d. Severe iron deficiency in the mother e. Exclusive breastfeeding of infant from birth to 3 months ANS: A, C, D A health care provider prescribes ondansetron (Zofran) 0.15 mg/kg intravenously (IV) 30 minutes before chemotherapy for a child with acute lymphoblastic leukemia. The child weighs 22 kg. The medication label states: “Ondansetron (Zofran) 2 mg/1 ml.” The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Round your answer to one decimal place. CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 ANS: 1.7 Follow the formula for dosage calculation. 22 × 0.15 = 3.3 mg as the dose Desired ----------- × Volume = ml per dose Available 3.3 mg ----------- × 1 ml = 1.65 ml round to 1.7 ml 2 mg NEURO: The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis like the child’s younger brother had when he was an infant. The nurse should base a response on which information? a. Meningitis rarely occurs during infancy. b. Often a genetic predisposition to meningitis is found. c. Vaccination to prevent all types of meningitis is now available. d. Vaccinations to prevent pneumococcal and Haemophilus CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 influenzae type B meningitis are available. ANS: D A toddler is admitted to the pediatric unit with presumptive bacterial meningitis. The initial orders include isolation, intravenous access, cultures, and antimicrobial agents. The nurse knows that antibiotic therapy will begin when? a. After the diagnosis is confirmed b. When the medication is received from the pharmacy c. After the child’s fluid and electrolyte balance is stabilized d. As soon as the practitioner is notified of the culture results ANS: B The nurse is planning care for a school-age child with bacterial meningitis. What intervention should be included? a. Keep environmental stimuli to a minimum. b. Have the child move her head from side to side at least every 2 hours. c. Avoid giving pain medications that could dull sensorium. d. Measure head circumference to assess developing complications. ANS: A What intervention should be beneficial in reducing the risk of Reye syndrome? a. Immunization against the disease b. Medical attention for all head injuries c. Prompt treatment of bacterial meningitis CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 d. Seizure disorders are a lifelong problem. Medications cannot be discontinued. ANS: C The nurse is teaching the parents of a 3-year-old child who has been diagnosed with tonic-clonic seizures. What statement by the parent should indicate a correct understanding of the teaching? a. “I should attempt to restrain my child during a seizure.” b. “My child will need to avoid contact sports until adulthood.” c. “I should place a pillow under my child’s head during a seizure.” d. “My child will need to be taken to the emergency department [ED] after each seizure.” ANS: C The nurse is caring for a 10-year-old child who has an acute head injury, has a pediatric Glasgow Coma Scale score of 9, and is unconscious. What intervention should the nurse include in the child’s care plan? a. Elevate the head of the bed 15 to 30 degrees with the head maintained in midline. b. Maintain an active, stimulating environment. c. Perform chest percussion and suctioning every 1 to 2 hours. d. Perform active range of motion and nontherapeutic touch every 8 hours. ANS: A CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 A child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus. What is a common reason for elective revision of this shunt? a. Meningitis b. Gastrointestinal upset c. Hydrocephalus resolution d. Growth of the child since the initial shunting ANS: D The nurse is discussing long-term care with the parents of a child who has a ventriculoperitoneal shunt. What issues should be addressed? a. Most childhood activities must be restricted. b. Cognitive impairment is to be expected with hydrocephalus. c. Wearing head protection is essential until the child reaches adulthood. d. Shunt malfunction or infection requires immediate treatment. ANS: D A 6-year-old child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus. What sign or symptom does the child have that indicates a revision is necessary? CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 a. Tachycardia b. Gastrointestinal upset c. Hypotension d. Alteration in level of consciousness ANS: D After a tonic-clonic seizure, what symptoms should the nurse expect the child to experience? a. Diarrhea and abdominal discomfort b. Irritability and hunger c. Lethargy and confusion d. Nervousness and excitability ANS: C A 2-year-old child starts to have a tonic-clonic seizure. The child’s jaws are clamped. What is the most important nursing action at this time? a. Place a padded tongue blade between the child’s jaws. b. Stay with the child and observe his respiratory status. c. Prepare the suction equipment. d. Restrain the child to prevent injury. ANS: B A child has a seizure disorder. What test should be done to gather the most specific information about the type of seizure the child is having? CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 ANS: A, B, C, E The nurse is preparing to admit an adolescent with bacterial meningitis. What clinical manifestations should the nurse expect to observe? (Select all that apply.) a. Fever b. Chills c. Headache d. Poor tone e. Drowsiness ANS: A, B, C, E The nurse is caring for a child with meningitis. What acute complications of meningitis should the nurse continuously assess the child for? (Select all that apply.) a. Seizures b. Cerebral palsy c. Cerebral edema d. Hydrocephalus e. Cognitive impairments ANS: A, C, E The nurse is preparing to admit a 7-year-old child with complex partial seizures. What clinical features of complex partial seizures should the nurse recognize? (Select all that apply.) a. They last less than 10 seconds. CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 b. There is usually no aura. c. Mental disorientation is common. d. There is frequently a postictal state. e. There is usually an impaired consciousness. ANS: C, D, E The nurse is preparing to admit a 10-year-old child with absence seizures. What clinical features of absence seizures should the nurse recognize? (Select all that apply.) a. There is no aura. b. There is a postictal state. c. They usually last longer than 30 seconds. d. There is a brief loss of consciousness. e. There is an occasional clonic movement. ANS: A, D, E The nurse is teaching the parents of a child with a seizure disorder about the triggers that can cause a seizure. What should the nurse include in the teaching session? (Select all that apply.) a. Cold b. Sugared drinks c. Emotional stress d. Flickering lights e. Hyperventilation CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 ANS: C, D, E The health care provider has prescribed fosphenytoin (Cerebyx) 4 mg/kg/day divided every 12 hours for a child with a seizure disorder. The child weighs 55 lb. The nurse is preparing to administer the 1200 dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number. ANS: 50 The correct calculation is: 55 lb/2.2 kg = 25 kg divided every 12 hours Dose of Cerebyx is 4 mg/kg 4 × 25 = 100 mg/2 = 50 mg Match the level of consciousness to its description. a. Confusion b. Disorientation c. Obtundation d. Stupor CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 b. Discuss with the child and family ways to limit fluid intake. c. Teach the child and family how to do required urine testing. d. Reassure the child and family that this is usually not a chronic or life-threatening illness. ANS: A Intranasal administration of desmopressin acetate (DDAVP) is used to treat which condition? a. Hypopituitarism b. Diabetes insipidus (DI) c. Syndrome of inappropriate antidiuretic hormone (SIADH) d. Acute adrenocortical insufficiency ANS: B What nursing care should be included for a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH)? a. Maintain the child NPO (nothing by mouth). b. Turn the child frequently. c. Restrict fluids. d. Encourage fluids. ANS: C What form of diabetes is characterized by destruction of pancreatic beta cells, CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 resulting in insulin deficiency? a. Type 1 diabetes b. Type 2 diabetes c. Gestational diabetes d. Maturity-onset diabetes of the young (MODY) ANS: A What statement is characteristic of type 1 diabetes mellitus? a. Onset is usually gradual. b. Ketoacidosis is infrequent. c. Peak age incidence is 10 to 15 years. d. Oral agents are available for treatment. ANS: C What clinical manifestation is considered a cardinal sign of diabetes mellitus? a. Nausea b. Seizures c. Impaired vision d. Frequent urination ANS: D The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. What effect does exercise have on a type 1 diabetic? a. Exercise increases blood glucose. CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 b. Extra insulin is required during exercise. c. Additional snacks are needed before exercise. d. Excessive physical activity should be restricted. ANS: C A child eats some sugar cubes after experiencing symptoms of hypoglycemia. This rapid-releasing sugar should be followed by which dietary intervention? a. Sports drink and fruit b. Glucose tabs and protein c. Glass of water and crackers d. Milk and peanut butter on bread ANS: D The nurse is preparing to admit a 7-year-old child with type 2 diabetes. What clinical features of type 2 diabetes should the nurse recognize? (Select all that apply.) CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 ANS: B, C, E The nurse is preparing a community outreach program for adolescents about the characteristic differences between type 1 and type 2 diabetes mellitus (DM). What concepts should the nurse include? (Select all that apply.) a. Type 1 DM has an abrupt onset. b. Type 1 DM is often controlled with oral glucose agents. c. Type 1 DM occurs primarily in whites. d. Type 2 DM always requires insulin therapy. e. Type 2 DM frequently has a familial history. f. Type 2 DM occurs in people who are overweight. ANS: A, C, E, F The health care provider has prescribed leuprolide acetate (Lupron Depot) 0.2 mg/kg IM every 4 weeks for a child with precocious puberty. The child weighs 55 lb. The nurse is preparing to administer the dose. Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number. ANS: 5 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022 The correct calculation is: 55 lb/2.2 kg = 25 kg Dose of Lupron Depot is 0.2 mg/kg 0.2 mg × 25 = 5 mg CHAMBERLAIN COLLEGE OF NURSING- NURSING PEDIATRIC FINAL EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS NEW UPDATE 2022