Behavior/Psych

Question 1

An infant is admitted to the PICU for lethargy and poor feeding. Which of the following assessment findings would suggest this child might be a victim of nonaccidental trauma?
A. Blue-gray spots of an African-American infant’s buttocks
B. Circumferential bruises on a Caucasian infant’s upper arms
C. Linear red streaks between a Laotian infant’s shoulders
D. Evenly spaced circular bruises on a Chinese infant’s back

Answer 1

B. Circumferential bruises on a Caucasian infant’s upper arms

Question 2

A 4-year-old child has been admitted to the PICU 11 times since birth for a wide number of conditions including sepsis, seizures, intractable vomiting, and hematuria of unknown etiology. The child was readmitted 2 days ago for apneic spells. The next step in this patient's care is 
A. head computed tomography
B. electroencephalography
C. genetic anomaly studies
D. child abuse screening

Answer 2

D. child abuse screening

Question 3

A 9-year-old child with spastic quadriplegia, cerebral palsy, and developmental delays is admitted to the PICU following spinal fusion. The optimal way to manage this child’s postoperative pain is to
A. Initiate parent or nurse controlled analgesia
B. administer an analgesic agent every 2 hours
C. provide analgesia prior to painful interventions
D. request an order for continuous morphine infusion

Answer 3

A. Initiate parent or nurse controlled analgesia

Question 4

A medically complex 8-year-old child with signigficant developmental dealys is admitted with aspiration pneumonia. The most appropriate approach to this child’s care is for the nurse to
A. speak to the patient before each intervention
B. address all care issues directly to a parent
C. ensure a parent provides the bulk of patient care
D. consult a social worker regarding abuse concerns

Answer 4

A. speak to the patient before each intervention

Question 5

A 7-month-old infant who is significantly small for age is admitted for evaluatino of chronic wheezing, coughing, recurring respiratory infections, and steatorrhea. These findings suggest the child's failure to thrive is due to
A. emotional deprivation
B. biliary atresia
C. tracheoesophageal fistula
D. cystic fibrosis

Answer 5

D. cystic fibrosis