Peds exam 5 A PASS GRADE | Exams Nursing

Peds exam 5 A PASS+

The nurse is assessing a 7 year old child at a pediatric clinic. The nurse notices that

several developmental milestones have been missed or late during previous visits.

parent states " I know she is a little slow but she will catch up quickly" how should the

nurse respond?

A.Explain that raid development takes place in infancy and early childhood

B.Suggest activities in the home that may improve mental status and physical

development

C. Recommend that the child be placed in special classes aimed at promoting

development

D. Ask the parent detailed questions about the pregnancy birth and early childhood

health. - CORRECT ANSWER D. Ask the parent detailed questions about the

pregnancy birth and early childhood health.

The nurse is assessing a 4 month old infant during a routine well baby visit. During the

neurological assessment which findings is a reason for concern?

A. when the cheek is brushed the head is turned toward stimuli

B. Toes fan out when the sole of the foot is stroke upward

C. placing a small object in the palm inconsistently elicits a grasp

D. A light puff of air in the face causes the eyes to close - CORRECT ANSWER A.

when the cheek is brushed the head is turned toward stimuli

The nurse is presenting a class to high school females about decreasing the

developmental risks related to pregnancy. Which info does the nurse consider to be

most important?

A. young women should begin taking 600mg of calcium 2x daily

B. All females of child bearing age should take folic acid daily

C. Early prenatal care is essential for a health pregnancy and baby

D. Important fetal development occurs before pregnancy is suspected - CORRECT

ANSWER B. All females of child bearing age should take folic acid daily

The nurse in the newborn nursery is providing care for a neonate with an open spinal

cord defect. The neonate will be transported to a pediatric surgery hospital ASAP.

Which description of the nurse's care of the neonate is correct?

A. Using aseptic technique , place a sterile plastic bag around the defect and loosely tie

it closed

B. Place the newborn prone on a loose diaper and cover the defect w/ a second saline-

moistened diaper

C. Position the newborn on the side with a moistened dressing on defect; wrap the

defect and newborn in a blanket

D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline ,

using aseptic technique - CORRECT ANSWER D. Cover the defect with a sterile

dressing moistened w/ warm sterile normal saline , using aseptic technique

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Peds exam 5 A PASS+

The nurse is assessing a 7 year old child at a pediatric clinic. The nurse notices that several developmental milestones have been missed or late during previous visits. parent states " I know she is a little slow but she will catch up quickly" how should the nurse respond? A.Explain that raid development takes place in infancy and early childhood B.Suggest activities in the home that may improve mental status and physical development C. Recommend that the child be placed in special classes aimed at promoting development D. Ask the parent detailed questions about the pregnancy birth and early childhood health. - CORRECT ANSWER D. Ask the parent detailed questions about the pregnancy birth and early childhood health. The nurse is assessing a 4 month old infant during a routine well baby visit. During the neurological assessment which findings is a reason for concern? A. when the cheek is brushed the head is turned toward stimuli B. Toes fan out when the sole of the foot is stroke upward C. placing a small object in the palm inconsistently elicits a grasp D. A light puff of air in the face causes the eyes to close - CORRECT ANSWER A. when the cheek is brushed the head is turned toward stimuli The nurse is presenting a class to high school females about decreasing the developmental risks related to pregnancy. Which info does the nurse consider to be most important? A. young women should begin taking 600mg of calcium 2x daily B. All females of child bearing age should take folic acid daily C. Early prenatal care is essential for a health pregnancy and baby D. Important fetal development occurs before pregnancy is suspected - CORRECT ANSWER B. All females of child bearing age should take folic acid daily The nurse in the newborn nursery is providing care for a neonate with an open spinal cord defect. The neonate will be transported to a pediatric surgery hospital ASAP. Which description of the nurse's care of the neonate is correct? A. Using aseptic technique , place a sterile plastic bag around the defect and loosely tie it closed B. Place the newborn prone on a loose diaper and cover the defect w/ a second saline- moistened diaper C. Position the newborn on the side with a moistened dressing on defect; wrap the defect and newborn in a blanket D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline , using aseptic technique - CORRECT ANSWER D. Cover the defect with a sterile dressing moistened w/ warm sterile normal saline , using aseptic technique

The nurse in the emergency department of a pediatric hospital is providing care for a toddler with a sudden high fever. The parent states ' she has been grumpy all day and I thought she just needed a nap. Which finding does the nurse recognize as an indication of an immediate medical emergency? A.The toddler keeps eyes closed or covers at all times B. the nurse elicits a positive brudzinki's sign C. A rash of scattered red bumps is found on the skin D. The toddler cries when head and neck are moved - CORRECT ANSWER C. A rash of scattered red bumps is found on the skin The nurse in a pediatric unit is providing care for a 2 month old infant just Dx with spinal muscle atrophy. Which characteristics of the condition does the nurse expect to find during physical assessment SATA A. Hyperreflexia in deep tendons B. few spontaneous movements C. Deep rapid respirations D. Fasciculations of the tongue E. Proximal muscle atrophy - CORRECT ANSWER B. few spontaneous movements D. Fasciculations of the tongue The NICU nurse is providing care for a neonate exhibiting manifestations of congenital Zika syndrome. Which distinct features does the nurse associate with the syndrome? SATA A. partially collapsed skull B. decreased brain tissues C. damage to the back of the eyes D. multiple Joint Contractures E. agitated body movement - CORRECT ANSWER A. partially collapsed skull B. decreased brain tissues C. damage to the back of the eyes D. multiple Joint Contractures In a child with a suspected head injury , bradycardia is an indication of what? - CORRECT ANSWER Increased ICPs When caring for a child with myelomeningiocele what should be your nursing priority - CORRECT ANSWER Cove the sac with a warm moist sterile saline dressing A child with chiari malformation is able to play contact sports only after the malformation is corrected? - CORRECT ANSWER false they can never play contact sports!!!!!!!! When caring for a child with microcephaly the nurse would expect which of the following

CORRECT ANSWER head circumference of 2 or more deviations below normal When caring for a child with a ventriculoperitoneal shunt, measuring head of circumference post op is important - CORRECT ANSWER true

C. The child should avoid playing basketball until he has stopped growing due to risk of injury D. The child may play basketball immediately but should stop if the extremity develops swelling and pain. - CORRECT ANSWER A.the child should avoid playing basketball up to 4 weeks and then resume playing The nurse is caring for a child in the ED. The child's arm is abnormally positioned, and the child is holding the arm near that area and is crying w/pain. The parent state he fell off the bike when riding in the street. what is the priority care to provide the child? A. apply ice to the painful area B. elevate the child's arm C. encourage the child to rest D. Protect the child from more injury - CORRECT ANSWER D. Protect the child from more injury A child is being treated with a hip spica cast and preparing to be discharged home. which statement by the parent demonstrates effective education and readiness to care for the child. A. we will turn our daughter every day and watch for skin irritation B. Placing the absorbent part of the diaper toward the skin is best C. we will let our daughter choose her own snacks to help her be happy. D. If our daughter is in pain we will only use oxycodone to treat it. - CORRECT ANSWER B. Placing the absorbent part of the diaper toward the skin is best The mother of a 6 week old patient calls the physician office and reports her infant is irritable, running a fever, holds hip in an " unusual" position, and was recently given antibiotics for an ear infection. Which response by the nurse is most appropriate? A. administer acetaminophen q4 for fever and call back if he still has a fever in 24 hrs B. This can easily be managed at home and will most likely resolve on its own. C. The antibiotics need more time to work finish the antibiotics prescribed and call back if the symptoms continue. D. you need to take him to the ER or walk in for further evaluation - CORRECT ANSWER D. you need to take him to the ER or walk in for further evaluation You are caring for a newborn diagnosed with congenital adrenal hyperplasia who is also has ambiguous genitalia which diagnostic test would you expect to be ordered to determine the gender? - CORRECT ANSWER chromosomal analysis You are caring for a child with juvenile idiopathic arthritis. She states that she wants to exercise more but doesn't know which ones would be best for her. how should you repond - CORRECT ANSWER low impact sports such as swimming List 5 symptoms of hydrocephalus - CORRECT ANSWER Rapid increase in head circumference bulging fontanel sunsetting eyes

high pitched cry seizures bradycardia HTN Sluggish pupils Apnea list 3 caregiver teachings for a child DI - CORRECT ANSWER Increase fluids until meds take effect teach s/s of dehydration if child is dehydrated-call MD child will require long term use of meds When caring for a child who has GH defeciency, the nurse must monitor for which 3 elements of the patients health Hx - CORRECT ANSWER height weight and puberty When caring for a child who had surgery to correct her hip dysplasia , which physical assessment should be priority? - CORRECT ANSWER capillary refill of lower extremities You are caring for a child with a VP shunt who complains of severe headache and has nausea and vomiting. what should be your priority - CORRECT ANSWER Inform the MD as the shunt might be malfunctioning list 3 nursing interventions for spica cast - CORRECT ANSWER Turn q neuro checks q2 for first 24 hr post op insert 2 fingers into cast to make sure its not too tight use diapers or bedpan for elimination PRN pain meds constipation prevention (increase fluids. and fiber, decrease fried and fatty foods) A pt with osteogenesis imperfects should be placed on what type of precautions? - CORRECT ANSWER fall precautions You are caring who is prescribed vasopressin (DDVAP) intranasaly for DI. The child awoke that morning with cold like symptoms. What should you do in relation to his medication administration - CORRECT ANSWER Call MD and ask for another route as cold symptoms and nasal congestion can alter the absorption of the meds In the event that a child with adrenal hyperplasia has an adrenal emergency, which medication should you administer - CORRECT ANSWER hydrocortisone in adrenal hyperplasia, corticosteroids should be administered as a stress dose A 14 yr old is admitted to ED with complaints of severe headache , light sensitivity, and neck stiffness. Meningitis is suspected. which diagnostic procedure should nurse prepare the child - CORRECT ANSWER lumbar puncture

Which intervention is used first in Tx of clubfoot in a newborn - CORRECT ANSWER casting within 1st week of life A child w/ SIADH should be on which type of restricton - CORRECT ANSWER fluid restriction List 3 assessment for a pt with DI - CORRECT ANSWER Polyuria Polydipsia Irritability Constipation Dehydration Fever Hypernatremia Vomiting Changes in mental status

Peds exam 5 A PASS GRADE, Exams of Nursing

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Peds exam 5 A PASS+