FInal questions

Question 1

A child present to the clinical with signs of malnutrition, poor hygiene and unattended medical problems. The nurse recognizes this form of child abuse?

Answer 1

Neglect

Question 2

2.Normal BP measurement ranges in children are?

Answer 2

Determined from the child’s age, height and gender

Question 3

.A newly diagnosed 3 year old is admitted with type 1 DM. Having just had class on this you know how it caused by:

Answer 3

Caused by a deficiency of insulin secretion due to Pancreatic B cell damage.

Question 4

.The pediatric clinical instructor is reviewing pain and development with students. Which statement should be included about preschool children?

Answer 4

PRE-school may not be verbally report pain and believe their thinking magical that their pain is punishment for having bad thoughts.

Question 5

Child presents with short stature, amenorrhea, social difficulties, ad tanner 1 on physical exam5.

Answer 5

Support and educate your family on turner syndrome

Question 6

a child has clinical signs and symptoms including headaches, neurocognitive deficit, scoliosis and 8 café-au-lait macules on his skin. The nurse knows this child most likely has:

Answer 6

Neurofibromatosis

Question 7

the nurse observes a hemangioma, nevi, and a triple hair whorl on physical exam of a baby. The nurse understands:

Answer 7

These are examples of minor congenital anomalies, but because there are 3, the baby is at higher risk for a major anomaly or disability.

Question 8

. which of the following are the most common inherited cause of intellectual disability and has behavior issues such as, ADHD, gaze aversion, and low self esteem:

Answer 8

Fragile X syndrome
Trisomy 21
Trisomy 13
Trisomy 18

Question 9

osteogenesis imperfecta type 1 is an autosomal dominant trait. Which would best describe the inheritance pattern for the offspring of an affected father and a normal mother.

Answer 9

Offspring will have 50%

Question 10

all of the following are indications for genetic counseling except:

Answer 10

Paternal age of 37

Question 11

1. common risk factors of Otis media doesn’t include?

Answer 11

Non-smoking household

Question 12

12. alot the following are warning signs of primary immunodeficiency except?

Answer 12

HIV

Question 13

important nursing consideration about providing safe developmentally appropriate care to an infant includes all of the following except?

Answer 13

Keep rails down when the infant is in the crib

Question 14

14. the nurse is preparing the plan of care for a child experience respiratory distress. What action would it be top priority?

Answer 14

Maintain a patent airway

Question 15

15. when reviewing medical record of the child which of the following would a nurse interpret as the most sensitive indicator of intellectual disability?

Answer 15

Language delay

Question 16

16. the nurse is examining a 15 month old child who was able to walk at the last visit and now longer can walk. What would be the nurses best intervention in this case?

Answer 16

Schedule a full evaluation since this may indicate a neuro disorder

Question 17

17. a child presents to the ER with s/s of congenital HF which of the following questions would be a priority in the health history after the child is stabilized?

Answer 17

Does the Childs skin color change when crying. If so what color do you see?

Question 18

18. the neuro inspection and observations of the child should begin with which of the following?

Answer 18

LOC but vital signs maybe

Question 19

19. the mother reports to the nurse that her 4 month old infant has the following symptoms.. clear runny nose, feeding well, a low grade fever…..

Answer 19

RSV

Question 20

a mother asked the nurse what cause her child to have iron deficiency anemia. The best response by his nurse is which

Answer 20

Iron deficiency anemia is caused by a nutritional deficiency

Question 21

a 2 year old child is diagnosed with a severe form of autism. The parent is traumatized and wonders why what they have caused the disorder, as the nurse you comfort the parent by saying

Answer 21

The exact cause of autism is unknown but may be due to genetic makeup, brain abnormalities, altered chemistry, a virus, or toxic chemicals.

Question 22

the nurse is interviewing the mother of a 6 month old being seen at a well child visit, the mother reports that she has sued all OTC topical ointment intended for adults for her Childs skin rash. What is the most appropriate response by the nurse.

Answer 22

Children have thin skin and can absorb medications differently that adults.

Question 23

23. a parent asks how behavioral therapy is supposed to work for their child. The nurse explains that:

Answer 23

Child will have stimulus & response conditioning to manage or alter behavior. Desired behaviors are reinforced to replace inappropriate ones

Question 24

24. which of the following would lead the nurse to suspect that an adolescent has bulimia?

Answer 24

Calluses on back of knuckles, tooth loss & esophagitis

Question 25

Calluses on back of knuckles, tooth loss & esophagitis

Answer 25

Screen for child for autism spectrum disorder

Question 26

26. which of the following is NOT considered a warning sign for autisim?

Answer 26

A toddler, gestational age 35 weeks, who is otherwise meeting the developmental milestones

Question 27

. a nurse files for report w/ child protective series on a 4yr old child seen for an annual physical who refuses to go to his mother for comfort. in addition, the nurse prob assessed which of the following physical findings?

Answer 27

Burn marks on his torso

Question 28

the nurse reviewing the chart on a child would become suspicious of munchausen syndrome by proxy if they find all the following patterns EXCEPT:

Answer 28

Diagnosis of ottis media

Question 29

the nurse would become suspicious of a mental health disorder if which behaviors were witnessed?

Answer 29

All of the above

Question 30

30. the school nurse is teaching parents risk factors for suicide in adolescents. What would the nurse NOT need to discuss?

Answer 30

Greatly improved school performances

Question 31

. mother presents to the clinic w/ her 1 mo. Old. The nurse suspects pyloric stenosis. Which of the following s/s would support this?

Answer 31

Projectile vomiting

Question 32

32. the nurse is teaching the parents of a 1mo old girl w/ down syndrome how to maintain good health for the child. Which instruction would the nurse be least likely to include?

Answer 32

- Getting cervical radiographs b/w 3-5 yrs of age - Adhering to the special diatery needs of the children - Getting an EKG before 3mo of age - Monitoring for s/s of resp. infection

Question 33

33. which are appropriate nursing interventions for mgt of UTI?

Answer 33

All the above

Question 34

34. which of the following would be appropriate for a child recently diagnosed w/ autisim?

Answer 34

All of the above

Question 35

35. which situation would cause the most concern for you to consider possible hearing loss w/ a child?

Answer 35

Infant that does not startle to lound sounds

Question 36

36. the major cause of death for children older than 1 yr is:

Answer 36

Unintentional injuries

Question 37

37. the nurse is assessing a newborn & doc. The presence of all these primitive reflexes EXCEPT:

Answer 37

Parachute

Question 38

38. toddlers are emotionally liable which corresponds to this psychosocial developmental theory:

Answer 38

Erikson autonomy vs. shame & doubt – ambivalence to move from dependence to autonomy causing mood fluctuations

Question 39

39. which developmental groups social & emotional development is affected mostly by changes in body image, peer groups, substance use, violence, suicide & homicide risk?

Answer 39

Adolescent

Question 40

40.the nurse providing family centered care in a hospital setting reflects on the focus of the health care provided in todays society. Which statement best describes the current definition of health?

Answer 40

Health is a state of complete physical, mental, and social well being

Question 41

41. a student nurse is reviewing the priority actions to take when ensuring pt safety during a seizure episode. Which of the following statements indicate the need for additional supervision?

Answer 41

Child refused to eat while the side rails were padded, so I removed them since she hasn’t had a seizure in 2 days

Question 42

42. when obtaining the nursing history from the mother of an infant w/ suspected intussusception, which of the following question would be MOST helpful?

Answer 42

Has your child has any episodes of vomiting?

Question 43

nurse is assessing a 4yr old boy whose mother was 40yrs old when he was born. Which of the following findings suggest this child has a genetic disorder?

Answer 43

Inspection reveals low-set ears w/ lobe creases

Question 44

44. child presents to the ER after MVA. All of the following are part of the nuerological exam EXCEPT:

Answer 44

Hypoactive bowel sounds

Question 45

45. a child presents to the ER w/ 1w of history of vomiting, diarrhea, & decreased oral intake. The childs pale, hypertensive, tachypenic, w/ weak distal pulses. The child is awake but in obvious distress. You act quickly recognizing that the child is probably:

Answer 45

Progressinging to decompensated hypovolemic shock

Question 46

managing shock in children includes which of the following responses?

Answer 46

All of the above

Question 47

child in PICU has progressed from hypovolemic shock to cardiac arrest. 2 person CPR is initiated correctly @ the bedside by:

Answer 47

Administering 15 compressions to 2 breathes w/o pausing compressions when ventilating

Question 48

. a child presents to the ER w/ report of sudden cardiac arrest. The nurse knows possible causes of this are:

Answer 48

All of the above

Question 49

a chid presents w/ a history of hypertonicity, contractures, and poor control of movement. The nurse knows to gear mgt towards:

Answer 49

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

Question 50

child is being assessed for allergic rhinitis and the nurse notes that she also has evidence of atopic dermatitis on her arms. What would be the most appropriate information to investigate during the health history?

Answer 50

Determine if the child has a history of asthma and if there is any family history of atropy