Peds Practice A B

Question 1

Normal level
hematocrit
Heg
WBC
Platelet
Sodium

Answer 1

a) 32% to 44% low= anemia
b) 9.5-14
c) 5,000-10,000
d) 150,000-400,000
e) 135-145 low=seizure activity

Question 2

a) Allergies Neomycin, which vaccine is contraindicate?
b) Toddler s/s dehydration, what s/s is priority findings?

Answer 2

a) MMR
b) tachypnea
When using the ABC, the nurse’s priority finding is the toddler’s tachypnea. Tachypnea is a result of the kidneys being unable to excrete hydrogen ions and produce bicarbonate, which leads to metabolic acidosis.

Question 3

a) infant who has RSV, what action nurse to take for infection contorl?
blood transfusion reaction?
b) Laryngeal edema?
c) Flank pain
d) destended necl pain

Answer 3

a) have a designated stethoscope in the room
b) allergic reaction
c) hemolytic reaction
d) muscle weakness
d) complication of a blood transfusion
e) complication of a blood transfusion

Question 4

a) Buck’s traction. what NC?
b) spastic cerebral palsy s/s?
c) nonspastic (dyskinetic) cerebral palsy s/s?

Answer 4

a) assess pulse q4hr
they should maintain supine position(no reposition)
b) positive Babinski reflex
Ankle clonus
Exaggerated stretch reflexes
Contractures
c) Uncontrollable movements of the face
Involuntary jerking movemen

Question 5

a) Substernal retraction s/s?
b) Sickle-turbidity test what for and how?
c) prevent infant from SIDS?

Answer 5

a) inc respiratory effort
b) sickle cell, finger stick
If the test is positive, hemoglobin electrophoresis is required
c) give pacifier and breastfeeding at bedtime

Question 6

a) scoliosis s/s?
b) anaphylactic reaction/ priarity action?
c) adolescent who had multople burns, shat factor identify as possible physical abuse?

Answer 6

a) rib hump with hip flexion
b) administer epineohrine IM
vidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis
c) reluctance to return home(嫌がる)
inconsisistent with details(一貫性のない)
blunted response to painful stimuli or injury(鈍い)

Question 7

a) 4Y,After burn what vital should concern?
b) what is a teaching for oral nystatin?
c) waht findings priority report of meningitis?

Answer 7

a) HR 150/min
HR should 70-120 tacycardia means shock states
b) Shake before give
should not mix the medication with food
c) petechiae or purpuric rach
this leads sepsis

Question 8

Compartment syndrome
a) what is it?
b) s/s
c) what is Child maltreatment?

Answer 8

a) pressure buildup from internal bleeding or swelling of tissues
b) swelling, sever pain,
c) includes all types of abuse and neglect of a child under the age of 18

Question 9

a) Aortic stenosis s/s
b) Which electrolyte imbalance occurs with gastroenteritis?
c) undergo barium swallow. what teaching?

Answer 9

a) hypotension, tachycardia
b)Hypokalemia
c) NPO 8hr before
procedure about 20min
stoll turn white

Question 10

a) 1M well visit check. what finding should be reported?
b) a child who has asthma and whose peak expiratory flow rate is in the red zone. what med?
c) what is ondansetron for?

Answer 10

a) non-removable white patches on the tongue
b) levalbuterol
c) nausea such as before chemo

Question 11

a) sunscreen re-apply every?
b) what is sodium polystyrene sulfonate for?
c) visual analog scale?

Answer 11

a) 2-3hr
b) hyperkalemia
c) mark their pain on a centimeter ruler from 8Y

Question 12

a) what renal disorder r/t temperature?
b) elevate cholesterol?
c) hypospadias repair?

Answer 12

a) hemolytic uremic syndrome and glomerulonephritis
b) nephrotic syndrome
c) surgery to correct a defect in the opening of the penis that is present at birth

Question 13

Intussusception s/s?

Answer 13

bloody stools that are currant jelly-like
Vomiting
Lethargy
weight loss

Question 14

Kawasaki disease s/s?

Answer 14

Fever
xerophthalmia(dryness of the eye)
reddening of the conjunctiva
enlarge cervical node on one side of the neck

Strawberry tongue
Cracked lips
Edema oral mucosa
Pharynx
tachycardic

Question 15

a) casted foot should what position?
b) dependent position?
c) Kussmaul respirations?

Answer 15

a) elevated on a pillow(minimize swelling)
b) hanging down
c) deep and rapid

Question 16

a) Mononucleosis rapid test: positive means?
b) Mononucleosis complications?
c) pertussis complications?

Answer 16

a) Epstein-Barr virus(people carry EBV in saliva)
b) ruptured spleen
c) pneumonia, seizures, apnea.encephalopathy

Question 16

a) emancipated minor
b) hypoxia s/s?
c) refrain from auscultating bowel sounds means? EN

Answer 16

a) minor can petition the court for emancipation
Adolescents or emancipated minors can provide their own consent for any medical treatment.
b) Restlessness and irritability
c) 控える

Question 16

a) cheiloplasty?
b) concussion?
c) increased intracranial pressure s/s?

Answer 16

a) surgery of the lip usually
b)brain injury
c) difficulty concentration, hypertension, somnolence,irritability
bradycardia is a late manifestation

Question 17

HF
a) DEC Pulmonary Blood Flow?
b) s/s?

Answer 17

a) Tetralogy of Fallot
b) acute cyanosis and hypoxia

Question 18

Nurse in HCP office is caring for school age child with varicella. Parent asks nurse when their child will no longer be contagious. Which response should the nurse make?”
When your child no longer has an increased temperature.”
“Three days after you first noticed the rash appear on your child.”
“When your child’s lesions are crusted, usually 6 days after they appear.”
“Two to three weeks, when your child’s lesions completely disappear.”

Answer 18

When your child’s lesions are crusted, usually 6 days after they appear.”:- The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the vesicles have crusted over, which usually takes about 6 days.
かびついた
“When your child no longer has an increased temperature.”:- The nurse should inform the parent that an absence of a fever does not indicate the child is no longer contagious.”Three days after you first noticed the rash appear on your child.”:- The nurse should inform the parent that the child will remain contagious longer than 3 days after the rash appears.

“Two to three weeks, when your child’s lesions completely disappear.”:- The incubation period of varicella is two to three weeks. However, this is not related to the appearance and disappearance of the lesions.

Question 19

a) what is the difference between fever and hyperthermia
b) hyperthermia treatment?
c) Meckel Diverticulum, post ope?

Answer 19

a) hyperthermia causes external condition
b) cooling blanket
antipyretics won’t work
assess temp q 30min
c) Ng tube for decompression

Question 20

a) acute acetylsalicylic acid poisoning EF?
b) acute lymphocytic leukemia. s/s?
c) muscular dystrophy. care plan?

Answer 20

a) hyperpyrexia
b) risk for bleeding, infection and anemia
c) incentive spirometry

Question 21

a) negative doll’s eye reflex?
b) How many words by 24M?
c) Compartment syndrome when is the highest risk?

Answer 21

a) severe brain stem dysfunction
b) 50-300 words
c) the first 24 hr after the injury occurred

Question 22

a) HF s/s?
b) encopresis management?
c) child who has HIV, what test is needed?

Answer 22

a) Tachypnea
b) defecate 15 minutes after each meal
c) TB every year

Question 23

a) phenylketonuria diet teaching?
b) common trigger that increases the risk of seizure?
c) what exually transmitted infections is nationally notifiable?

Answer 23

a) avoid food that contains milk products
b) lack of sleep
c) Gonorrhea

Question 24

a) tracheostomy care for a toddler?
b) Hodgkin’s lymphoma. s/s?
c) pertussis, needed to be report?

Answer 24

a) Have the child flex his head when securing the ties.
b) night sweat
c) yes to the public health department

Question 25

a) reports inhalation of gasoline.EF?
b) cystic fibrosis and has been receiving chest physiotherapy treatment.
what is EF for effectiveness?
c) submersion injury.nurse first action?

Answer 25

a) Ataxia means without coordination.
b) Inc expectoration
the act of coughing up and spitting out the material produced in the respiratory tract.
c) assist with intubation

Question 26

a) history of lead poisoning. action?
b) who has a brain tumor. what to notify?
c) night terrors, teaching?
d) halo vest, nurse action?

Answer 26

a) perform developmental testing for delay
b) diplopia/double vision
c) Avoid allowing your child to sleep in your bed夜驚症
d) Reposition the client using a turning sheet

Question 27

a) impetigo, teaching?
b) adolescent who has a major depressive disorder.first action?
c) developed respiratory stridor, wheezing and urticaria after receiving an IV medication.
What action?
d)varicella management?

Answer 27

a) Apply bactericidal ointment to lesions
(skin infection)
b) Ask the client if he is considering harming himself
c) Administer epinephrine
d) Apply calamine lotion to vesicles on the child’s skin

Question 28

Spica cast
a) dry with what?
b) Avoud turning?
c) Assist with crutch waking after dry?
d) Apply moleskin to the edges?

Answer 28

a) cool fan
b) turned q2
c) non-weight bearing till the cast removed
d) yes, prevent cast from rubbing
(tape?)

Question 29

Cominicable disease
precaution
a) Varicella
b) measles
c) pertussis
d) Rubella
e) Conjunctitis
f) fifthe disease
g) mononucleosis

Answer 29

a) airbone/contact
b) contact
c) droplet
d) droplet
e) standard
f) droplet
g) standard