Peds exam 6

Question 1

The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which of the following a greater likelihood in the child?

Answer 1

The child has a greater risk for trauma to the kidney

Question 2

The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections (UTI’s). The caregiver is puzzled about why her daughter has had three urinary tract infections but her son has had none. She reports that their diets and fluid intake is similar. Which of the following statements would be accurate for the nurse to tell this mother?

Answer 2

“A girl’s urethra is much shorter and straighter than a boy’s, so it can be contaminated fairly easily

Question 3

The nurse is discussing urinary tract infections (UTI’s) in children with a group of peers. Which of the following is the most accurate regarding urinary tract infection seen in children?

Answer 3

) The most common age for UTI’s in children is 2 to 6 years of age

Question 4

Most urinary tract infections seen in children are caused by which of the following?

Answer 4

) Intestinal bacteria

Question 5

The nurse is teaching a group of nursing students about genitourinary conditions. The nurse tells these students about a condition that occurs when there is an inflammation of the kidney and renal pelvis. The condition the nurse is referring to is which of the following?

Answer 5

Pyelonephritis

Question 6

When caring for a child who has a urinary tract infection, which of the following nursing interventions would be most appropriate. (select all that apply

Answer 6

C) The nurse observes for signs of pain or burning on urination.
D) The nurse monitors intake and output. F) The nurse administers antipyretics as needed

Question 7

The nurse is collecting data on a 6-year-old child admitted with acute glomerulonephritis. Which of the following vital signs would the nurse anticipate with this child’s diagnosis?

Answer 7

D) Blood Pressure 136/84

Question 8

The nurse is caring for a child admitted with acute glomerulonephritis. Which of the following clinical manifestations would likely have been noted in the child

Answer 8

B) Smoky colored urine

Question 9

The nurse is caring for an 8-year-old hospitalized child with nephrotic syndrome. Which of the following nursing interventions would be appropriate for this child

Answer 9

Measure the abdominal girth daily

Question 10

A 12-year-old girl who has not yet reached menarche comes to the pediatrician’s office for her annual well-child check. As the nurse is weighing and measuring her, the child says emphatically that she does not want to get her period. Which of the following responses would be most appropriate for the nurse to make to this child?

Answer 10

“What have you heard about it that makes you worried?

Question 11

A group of nursing students is discussing terminology related to the genitourinary system during a post-conference setting. One of the students asks what mittelschmerz is or what it means. A classmate of this student correctly answers that mittelschmerz is which of the following

Answer 11

A dull, aching abdominal pain at ovulation

Question 12

The nurse is doing a presentation for a group of nursing students about the topic of menstrual disorders. After discussing the disorder secondary amenorrhea the students make the following statements. Which statement made by the nursing students is the most accurate regarding the cause of secondary amenorrhea

Answer 12

“Emotional stress can be a cause of this disorder

Question 13

The nurse is discussing genitourinary conditions with a group of 16-year-old girls. One of the girls says she has heard about girls who have stopped taking birth control pills and now don’t have periods. The condition the girl is referring to is which of the following

Answer 13

Amenorrhea

Question 14

An 18-month-old was brought to the emergency department by her mother, who states, “I think she broke her arm.” The child is sent for a radiograph to confirm the fracture. Additional assessment of the child leads the nurse to suspect possible child abuse. Which type of fracture would the radiograph most likely reveal

Answer 14

b) Spiral fracture

Question 15

An 8-year-old girl was diagnosed with a closed fracture of the radius at approximately 2 p.m. The fracture was reduced in the emergency department and her arm placed in a cast. At 11 p.m. her mother brings her back to the emergency department due to unrelenting pain that has not been relieved by the prescribed narcotics. Which action would be the priority

Answer 15

d) Notifying the doctor immediately

Question 16

The caregiver of a 2-year-old who has a polyurethane resin cast on her arm calls the clinic to report that her child is crying and says that the cast has sand in it. The caregiver states that she has had casts of her own and knows how badly they can itch. She says she always used a hanger to scratch but is worried that it will be too sharp for the child. Which of the following statements would be appropriate for the nurse to make to this caregiver?

Answer 16

“Nothing should be put into the cast. You can blow cool air into it with a hair dryer.”

Question 17

The type of traction in which a pin, wire, tongs, or other device is surgically inserted through a bone is which of the following

Answer 17

) Skeletal traction

Question 18

The type of traction in which tape, rubber, or plastic materials are used to indirectly exert pull on a fractured bone is which of the following type of traction?

Answer 18

Skin traction

Question 19

A nursing student tells the staff nurse on the pediatric orthopedic unit that she has heard of a musculoskeletal disorder in which there is an infection of the bone. Which of the following disorders does this statement describe?

Answer 19

Osteomyelitis
Osteomyelitis leads to limited joint movement (most important)

Question 20

A 2-year-old is diagnosed with osteomyelitis. Which of the following would you anticipate as a primary nursing intervention to include in the child’s plan of care?

Answer 20

Maintaining intravenous antibiotic therapy

Question 21

The nurse is caring for a child admitted with juvenile rheumatoid arthritis. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?

Answer 21

Inflammation of the joints

Question 22

The school nurse is doing a presentation to a group of caregivers of children diagnosed with scoliosis. One of the caregivers asks the nurse about structural scoliosis. The nurse explains that which of the following is involved with the diagnosis of structural scoliosis?

Answer 22

Rotated and malformed vertebraeJ

Question 23

The nurse is reviewing the integumentary system during a presentation to a group of nurses. Which of the following statements made by the nurses is the most accurate regarding the integumentary system?”

Answer 23

“The largest organ of the integumentary system helps regulate body temperature.”

Question 24

The nurse is caring for a newborn who was delivered vaginally. The infant has a white coating in the mouth that looks like milk curds. The nurse suspects that the infant has which of the following?

Answer 24

Thrush caused by Candida albicans

Question 25

When developing the plan of care for a child with burns requiring fluid replacement therapy, which of the following would the nurse expect to include?

Answer 25

Administration of most of the volume during the first 8 hours

Question 26

Infectious mononucleosis (“mono”) is caused which of the following

Answer 26

Epstein-Barr virus

Question 27

The caregiver of a 17-year-old boy reports that her normally active son has a temperature of 101 degrees Fahrenheit, a sore throat, a headache, and seems completely exhausted. He has just had a nosebleed. The care provider sees the child and makes a diagnosis of infectious mononucleosis. The treatment most likely to be recommended for this child would include

Answer 27

Increased fluids, bed rest, analgesics