exam 3 possible Flashcards

1
Q

A newly diagnosed 3 years old is admitted with type 1 diabetes mellitus. Having just had a class on this you know it is caused by

A

By a deficiency of insulin secretion due to pancreatic B ell damage.

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2
Q

Which of the following accurately describes one of the goals of HAART therapy?

A

To prevent or arrest progressive HIV encephalopathy

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3
Q

A mother brings a 4 year old child in whth concern that “ his knees touch when he stands up and his ankles are…explain that

A

This is a disorder called genu valgium or knocking knees and will go away when he grows older

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4
Q

A nurse is caring for a peds pt with muscle dystrophy. In the support and education of the family. Which shd … not advice to do

A

Promote a period of bed rest

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5
Q

You are expecting an admission of a pt who is being with anemia. The staff nurse ask you which type of anemia is associated with an adverse reaction …to medication and cause the failure of bone marrow to procedure cell

A

Aplastic

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6
Q

A young child is in vasso-occulsion crisis secondary to sickle cell anemia. Which statement made by the child’s parent indicates the need for… nurse

A

We will apply ice on the painful area on his hands and feet next time a crisis occurs

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7
Q

Which of the ff is not an indication that a child may have a primary immune deficiency?

A

Treatment with antibiotic within a two-week period

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8
Q

A nurse is assessing a young boy with immunodeficiency atopic dermatitis and thrombocytopenia. He has his of diarrhea and petechia. The most protable diagnosis this child has is

A

Wiskott-aldrich syndrome

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9
Q

Which of the ff is important to stress to a diabetic adolescent that are complications of uncontrolled diabetes. SELECT ALL

A

Retinopathy
Nephropathy
Dyslipidemia

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10
Q

The pediatric oncology nurse is aware that pedistric cancers select all

A

More commonly found in blood.lymph,brains,bones,kidney,muscles
Has mimimal enciromental factor

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11
Q

Physical examination of an older child revealed and increased rate of growth, weight loss despite an excellent appetite… following diagnoses best described the condition ?

A

HYPERTHYOIDISM

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12
Q

A 16 yr old boy presents with an annual well-child visit the pediatrician is concerned about the lack of scrotal change and recommends additional testing which of the following would be a possible diagnosis for this condition.

A

Delayed puberty

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13
Q

A nurse is reviewing the health history of an infant which of the following are significant findings related to genitourinary disorder ?All of the above

A

(single umbilical artery, maternal polyhydramnios, hydronephrosis)

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14
Q

The urinalysis of a Toddler dx with nephrotic syndrome reveals +4 for protein. The nurse investigate for other signs of nephrotic syndrome include which of the following except:

A

normal cholesterol

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15
Q

A nurse is inspecting the skin of a child with atopic dermatitis which of the following with the nurse expect to observe

A

Dry red scaly rash with lichenification

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16
Q

The nurse knows all of the following are true about eczema (atopic dermatitis) except:

A

It Doesn’t affect sleeping itching occurs in daytime hours only

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17
Q

Which of the following best describes precocious puberty?

A

Development of secondary sexual characteristics in girls before the age of 8 and boys younger than the then 9 years.

18
Q

The nurse is educating the parents of a diabetic child about the importance of establishing glucose control and reducing long-term complications of the disease which of the following would be appropriate management goals?

A

Promoting optimal serum glucose levels and Near normal hemoglobin A-1 C levels

19
Q

A client with anemia may be tired due to a tissue deficiency pf which of the following substance

A

OXYGEN

20
Q

Your pt is being sent for VCUG (voiding cytourethrogram). The patient asks you why this is the test being done on their child. Your best response would be

A

The test is to determine if the child has a blockage or a backup of urine into the kidney, which can cause many…

21
Q

What would be the proper documentation on assessment of an adolescent with moderate acne

A

Erythematious popular and pustular lesions diapersed on pace

22
Q

The nurse is assessing a child and noticed a hx of uveitis, poor weigh gain, and joint pain. The nurse may now look to determine if there are any signs of this autoimmune dissese

A

Juvenile-idiopathic arthritis- paucisticular type

23
Q

The nurse is conducting a physical examination of a 10 year old boy with a suspected neuromuscular disease, which findings is a sign of Duchenne?

A

GOWERS SIGN

24
Q

Acute Glomerulitis?

A

STRPTHROAT AND COCACOLA

25
Q

The nurse is educating the parents of a diabetic child about the importance of establishing glucose control and reducing long-term complications of the disease which of the following would be appropriate management goals?

A

Promoting optimal serum glucose levels and Near normal hemoglobin A-1 C levels

26
Q

The nurse is developing a teaching plan for the parents of a 6-year-old boy with moderate hemophilia. To promote activity and safety the teaching plan should include all of the following except?

a. Wearing a helmet when bicycling
b. Playing on the football team
c. Trying out for the baseball team
d. Playing on the basketball team

A

b. Playing on the football team

27
Q

A child presents with a history of hypertonicity, contractures, and poor control of movement. The nurse knows to gear management towards:

a. Multidisciplinary care of spastic cerebral palsy including supportive, physical and occupational therapies
b. Physical therapy only
c. Medications
d. Strengthening exercises

A

Multidisciplinary care of spastic cerebral palsy including supportive, physical and occupational therapies

28
Q

Which of the following is not considered a benefit of circumcision?

a. Decreased incidence of UTI
b. Decreased incidence of sexually transmitted infections
c. Decreased incidence of AIDS
d. Decrease the urinary retention rates in ,ales with scrotal edema

A

d. Decrease the urinary retention rates in ,ales with scrotal edema

29
Q

An HIV infected mother of a newborn wishes to breastfeed her baby. Which of the following would be the most appropriate education to provide to the mother?

a. HIV cannot be transmitted to the infant through breastmilk
b. HIV infected mothers are strongly encouraged to breastfeed their infant to boost their immune system
c. Breastfeeding is discouraged as HIV infection can be passed from mother to infant through the breastmilk
d. Breastfeeding is often more difficult for HIV infected mothers

A

. Breastfeeding is discouraged as HIV infection can be passed from mother to infant through the breastmilk

30
Q

A child with juvenile idiopathic arthritis has involvement of five joints symmetrically. What is the name for this type of arthritis?

A

Polyarticular

31
Q

Your pt is being sent for VCUG (voiding cytourethrogram). The patient asks you why this is the test being done on their child. Your best response would be

A

a. The test is to determine if the child has a blockage or a backup of urine into the kidney, which can cause many…

32
Q

The pediatric oncology nurse is aware that pediatric cancers: select all that apply

A

More commonly found in blood, lymph, brain, bone kidney muscle

Arise from primitive embryonal neuroectodermal tissue

33
Q

The 3 P’s that stand for the symptoms of diabetes are which of the following?

a. Polyphagia, polydipsia, polyuria
b. Polyphagia, proteinuria, polyuria ??

A

Polyphagia, polydipsia, polyuria

34
Q

A nurse is reviewing the health history of an infant which of the following are significant findings related to genitourinary disorder?

A

All of the above

(single umbilical artery, maternal polyhydramnios, hydronephrosis

35
Q

A parent brings their 4 year old child to the clinic concerns regarding nocturnal enuresis. After ruling out other etiologies the nurse educated the mother on which of the following?

a. This is likely due to an infection and the child will require antibiotic therapy
b. The child should be started on a DDAVP regimen to treat the condition
c. Nocturnal enuresis is still considered developmentally normally at this age
d. The child will require further evaluation for developmental delay

A

Nocturnal enuresis is still considered developmentally normally at this age

36
Q

The nurse understands that which of the following types of muscular dystrophy is most fatal?

a. Myotonic
b. Becker
c. Duchenne
d. Limb-girdle

A

c. Duchenne

37
Q

Which of the following would the nurse expect to find initially in child with Guillain-Barre syndrome?

a. Symmetric flaccid weakness
b. Ataxia
c. Sensory disturbances
d. Lower extremity weakness

A

d. Lower extremity weakness

38
Q

. A patient presents to the ER with history significant for recent viral upper respiratory infection followed by progressively worsening weakness in the lower extremities, the nurse would be suspicious for which of the following diagnoses?

a. Myasthenia gravis
b. Juvenile idiopathic arthritis
c. Dermotamyositis
d. Guillian-barre syndrome

A

d. Guillian-barre syndrome

39
Q

A 16 yr old boy presents with an annual well-child visit the pediatrician is concerned about the lack of scrotal change and recommends additional testing which of the following would be a possible diagnosis for this condition.

A

Delayed puberty

40
Q

The nurse is assessing a patient and observes an area of hyperpigmented skin on the back of the neck, the nurse known which of the following based on the patients physical exam?

a. This is a benign finding requiring no further evaluation
b. This is a finding called acanthosis nigricans which is a common finding in pediatric patients with type II diabetes
c. This is a finding called acanthosis nigricans which is a common finding in pediatric patients with type I diabetes
d. This is s common finding in underweight patients

A

This is a finding called acanthosis nigricans which is a common finding in pediatric patients with type I diabetes

41
Q

Which part of the past medical history is most important to document in a child being assessed for spina bifida?

a. Family history of hypertension
b. 36 weeks gestation NSVD
c. No prenatal care or maternal folic acid supplementation
d. Maternal gestational diabetes

A

c. No prenatal care or maternal folic acid supplementation

42
Q

Which of the following best describes precocious puberty?

A

Development of secondary sexual characteristics in girls before the age of 8 and boys younger than the then 9 years