Download PEDS 602 PEDS EXAM 1-4 QUESTIONS AND ANSWERS Attained Grade A+ assured success new update and more Exams Nursing in PDF only on Docsity!
✓
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
Using your knowledge of the Freudian stages of psychosexual development when caring for a child between the ages of 1 and 3 years, it would be most important for you to ask the caregivers about: ✓ d. rituals used for elimination To look into the ear of a child younger than 3 years old, the nurse would position the ear by pulling the auricle: ✓ down and back The very first sucking by an infant occurs because of: ✓ d. an accidental reflex of rooting Piaget believed that interactions with the environment caused people to organize patterns of thought called: ✓ Schema Which of the following statements best describes object permanence? ✓ The infant realizes an object continues to exist even when out of sight. The rooting reflex of an infant disappears at approximately how many months of age? 4 Toddlers age 1-2 years have which of the following visual acuities? ✓ 20/ A mother tells you that her 4-year-old child has begun to have night waking and has started thumb sucking again. Otherwise the child seems
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
very healthy. From this brief history, your immediate response is: ✓ “What changes have happened in your family or with your child?” During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be: ✓ asymmetric thigh and gluteal folds. While teaching parents of a newborn about normal growth and development, which statement is most appropriate for the nurse to include in the session? ✓ Weight should triple by 1 year of age. When obtaining a child’s past health history, the nurse would ask questions aimed at getting pertinent information, beginning with the: ✓ prenatal period Based on a recommendation from the American Academy of Pediatrics, the nurse will advise the caregivers to do which of the following to help prevent sudden infant death syndrome? ✓ Have the baby sleep in a supine position. The neonatal or newborn period of life is defined as the first: ✓ 28 days
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
✓ normal and proceeds to chart the temperature in the infant’s record
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
Head circumference is no longer measured in children when the child reaches which of the following age ranges? ✓ d. 24- According to child psychoanalyst Erik Erikson, newborns develop basic trust when: ✓ caregivers meet the needs of the newborn A mother asks which developmental milestones she can expect when her baby is 6 months old. Which response by the nurse is the most appropriate? ✓ Transfers objects from one hand to the other While assessing the development of a 9-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. Which developmental task is the nurse assessing this infant for? ✓ Object permanence When working with school-aged children, the nurse should keep in mind that these children will increase their weight by how many pounds per year? ✓ 3- The nurse working on the pediatric unit checks the apical pulse of a
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
✓ industry versus inferiority In order to help an infant accomplish the basic task of infancy (according to Erikson’s stages of psychosocial development), caregivers must consistently do which of the following things? ✓ Meet need for comfort, security, predictability, food, and warmth. The nurse is assessing an infant client during a health supervision visit. Which assessment findings are considered normal variations for this client? Select all that apply. ✓ Sucking pads in the mouth ✓ A rounded chest ✓ Hearing breath sounds over the entire chest The most rapid growth period in a person’s life is during which of the following periods? ✓ infancy Which of the following best describes the term parallel play? ✓ playing alongside, but not with, other children The nurse will perform all invasive or uncomfortable procedures such as ear inspection at what point during the physical examination? ✓ last The nurse notices a baby in the waiting room. The baby is sitting on the
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
mother’s lap and picking up small cereal rings out of a bowl with a true pincer grasp and eating them unassisted. The nurse knows that this baby is at least how many months old? ✓ 8 to 10 From birth to 1 year of age, the infant is in which of the following stages, according to Freudian theory? ✓ oral A nurse is assessing language development in all the infants presenting at the doctor's office for well-child visits. At which age range would the nurse expect a child to verbalize the words "dada" and "mama"? ✓ 9 and 12 months During the toddler stage, ages 2-3 years, a child will gain approximately how many pounds per year? ✓ 3- Development that proceeds from the inside out is called by which of the following terms? ✓ proximodistal Routine physical examinations on children include height, weight, vital signs, physical examination, vision and hearing screening, diet assessment, screening for alcohol and other drug use, and screening for which of the following?
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
working on a puzzle while the other is stacking blocks. Which type of play are these children exhibiting? ✓ Parallel play To assess the pinna position of the ears of a child, the nurse would draw an imaginary line from the outer canthus to the top of the ear. If the nurse finds that the ears are below the imaginary line, this means that: ✓ the finding is abnormal and may be a sign of renal anomalies or Down syndrome If a baby is weaned too soon from formula or breast milk to cows milk, which of the following problems is most likely to develop? ✓ iron-deficiency anemia According to Freud, toddlers are in which stage of development? ✓ anal Which of the following methods of taking the temperature of a child is considered to be most accurate? ✓ rectal
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
EXAM 2
Which of the following best describes the problem of cryptorchidism? ✓ failure of one or both of the testes to descend through the inguinal canal into the scrotum Upon examining a child, the nurse found a bulge or swelling in the groin and suspected an inguinal hernia. Which of the following tests will the nurse use to verify that this is a hernia? ✓ “Strain or push down as if you were trying hard to pee or poop.” You are the nurse assigned to care for a child with acute glomerulonephritis. After receiving report and doing an initial assessment, you check the lab reports. You would not be surprised to find which of the following signs and symptoms consistent with the diagnosis of acute glomerulonephritis? ✓ hematuria, dependent edema, elevated serum sodium, diminished glomerular filtration rate, proteinuria The nurse is teaching a child and his family about medications for the child, who is getting dialysis. The nurse will teach the family which of the following?
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
Which of the following is the most common cause of hyperthyroidism in the pediatric population? ✓ Grave’s disease If not diagnosed at birth, a newborn with 21-hydroxylase (21-OH) deficiency and salt wasting will develop which of the following problems by days 10 to 14 of life? ✓ adrenal crisis A 1-month-old client is admitted to the emergency room with severe diarrhea. Which assessment suggests the client is severely dehydrated? ✓ Fontanels depressed; capillary refill greater than three seconds A child is admitted to the hospital unit with a diagnosis of minimal-change nephrotic syndrome (MCNS). Which clinical manifestations does the nurse anticipate when conducting the admission assessment? ✓ Massive proteinuria, hypoalbuminemia, edema A nurse is planning care for a child with hyponatremia. The nurse, delegating care of this child to a new RN on the pediatric unit, cautions the new nurse to be especially alert for which condition in the child? ✓ Seizures A pediatric client is diagnosed with type 1 diabetes. The nurse teaches the client the difference between insulin shock and diabetic
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
hyperglycemia. The nurse evaluates that the client understands the teaching when the client states which characteristics of diabetic hyperglycemia? ✓ Thirst and flushed skin A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which laboratory value does the nurse anticipate for this client based on the diagnosis? ✓ Hypernatremia An adolescent client diagnosed with Graves' disease is admitted to the hospital. Which clinical manifestations would the nurse expect on assessment? ✓ Tachycardia, fatigue, and heat intolerance In the morning, a nurse receives a report on four pediatric clients who have some form of fluid-volume excess. Which client should the nurse assess first? ✓ A client with tachypnea and pulmonary congestion
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
✓ azotemia, rapid thready pulse, mottled skin, low blood pressure The nurse is assigned to work with a child diagnosed with nephrotic syndrome. The nurse knows that this renal problem is characterized by massive proteinuria and hypoalbuminemia, which tells the nurse to assess for which of the following signs or symptoms? ✓ edema and hyperlipidemia Which of the following are the clinical manifestations of hemolytic uremic syndrome? ✓ renal failure, thrombocytopenia, and anemia The nurse is instructing a child and the child’s family about dietary needs while the child is undergoing dialysis treatments at home. The nurse will instruct the family to provide which of the following types of diet? ✓ low protein
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
A nurse is planning care for a child with hyperkalemia. Which clinical manifestation will the nurse plan to assessment this child for based on the diagnosis? ✓ Bradycardia The recent dramatic increase in the incidence of type 2 diabetes has occurred mainly in which of the following groups? Select all that apply. ✓ overweight children ✓ culturally diverse populations Which of the following substances is the predominant component of extracellular fluid? ✓ saline Regulation of homeostatic changes associated with fluids and electrolytes in infants and young children is much slower than in adults because of children’s: ✓ immature kidneys and buffering systems Insensible water loss per unit of body weight is: ✓ higher in infants and children
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
Kussmaul’s respirations and is confused and somewhat lethargic. The nurse knows that this child is in: ✓ metabolic acidosis One type of dehydration in children is isotonic dehydration, which occurs then: ✓ the loss of sodium and water are equal and the serum sodium level remains normal
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
ANSWERS Attained Grade A+ assured success new
update 2022/2023 HIGHLY RATED A+
The nurse is working with a child who has a diagnosis of gastroenteritis. The child becomes dehydrated, has serum sodium of 125 milliequivalents per liter, and goes into shock. After corrective measures to restore the child’s electrolyte balance and hydration status, the nurse realizes that this child had which of the following types of dehydration? ✓ hypotonic Hypertonic dehydration occurs in which of the following conditions? ✓ then the vascular space loses more fluid than particles Children with an internal hemorrhage such as bleeding into the thoracic or peritoneal cavity will have the same signs and symptoms of hypovolemic shock as a child with an external hemorrhage, except for one difference, which is: ✓ weight loss with external hemorrhage and no weight loss with internal hemorrhage The nurse is assessing a 5-year-old child. In checking the heart rate, the nurse finds an increase of 25 beats then the child changes from a lying to a standing position. This increase in heart rate is indicative of: ✓ hypovolemia Which of the following are the most common bacteria to infect the urinary tract? ✓ Escherichia coli
PEDS 602 PEDS EXAM 1-4 QUESTIONS AND
ANSWERS Attained Grade A+ assured success new
