State Exam Practice #2 Flashcards
According to eriksons theory of emotional development, infants will develop a sense of trust when
a) They can identify their mother and father
b) They feel a sense of belonging, accepted as part of the family
c) They can predict what is coming and needs are consistently met
d) Nutritional and hygiene needs are provided on a daily basis
b) They feel a sense of belonging, accepted as part of the family
Baby john was admitted with streptococcal pharyngitis. Upon discharge his mother was told to return to the doctors in 2 weeks with a urine specimen. The urine would mostly be examined
a) For fat and lipids to see if the kidneys are working
b) For protein to determine if acute glomerulonephritis is developing
c) To determine if the child is developing otitis media
d) To determine if the child should be kept on a liquid diet or progressed to a soft
b) For protein to determine if acute glomerulonephritis is developing
Reduction of complications of rheumatic fever can be accomplished through which of the following interventions
a) Administration of penicillin to children with strep throat or impetigo
b) Beginning speech therapy to reserve damage after antibiotics are completed
c) Pushing children with chorea to perform activities requiring fine motor movement to strengthen muscles
d) Withholding salicylates to prevent joint haemorrhage
a) Administration of penicillin to children with strep throat or impetigo
Newborns with heart disease are frequently brought to health professionals initially because the infant is having
a) Difficulty sleeping
b) Irritability and restlessness
c) Difficulty feeding
d) Cyanotic spells
d) Cyanotic spells
Pediculosis is common childhood infestation. It is commonly known as
a) Pin worms
b) Foot eczema
c) Head lice
d) Scabies
c) Head lice
Which of the following nurisng diagnosis would best apply to a child with rheumatic fever
a) Ineffective breathing pattern related to cardiomegaly
b) Activity intolerance related to inability of heart to sustain extra workload
c) Sleep pattern disturbance related to hyperexcitability
d) High risk of violence related to development of cerebral anoxia
b) Activity intolerance related to inability of heart to sustain extra workload
Fill in the gaps in the following statement
Type I (insulin dependant) diabetes is characterised by almost no __________ secretion. This contributes to a build up of __________ in the blood stream. If exogenous insulin is not administered __________ and __________ will develop
a) Insulin, glucose, hyperglycaemia and ketoacidosis
b) Glucose, insulin, hyperglycaemia and ketoacidosis
c) Glucose, insulin, hypoglycaemia, and unconsciousness
d) Insulin,hormones, ketoacidosis and unconsciousness
a) Insulin, glucose, hyperglycaemia and ketoacidosis
The grandmother has brought an infant to the clinic for a check up and has signed the consent for immunization administration. Which of the following would the nurse do first
a) ask who the infants legal guardian is
b) notify the physician immediately
c) administer the immunizations ordered
d) call the infants mother for verbal consent
a) ask who the infants legal guardian is
Which of the following would the nurse explain to the mother of a child receiving digoxin (lanoxin) as the primary reason for giving this drug
a) To relax the walls of the hearts arteries
b) To improve the strength of the heartbeat
c) To prevent irregularities in ventricular contractions
d) To decrease inflammation of the heart wall
b) To improve the strength of the heartbeat
Which of the following would first alert the nurse to suspect that a child with severe gastroenteritis who has been receiving intravenous therapy for the past several hours may be developing circulatory overload
a) A drop in blood pressure
b) Change to slow, deep respirations
c) Auscultation of moist crackles
d) Marked increase in urine output
c) Auscultation of moist crackles
The causative organism for rheumatic fever is
a) Haemophilus influenzae
b) Staphylococcus bacteria
c) Syncytial virus
d) Group A streptococcal bacteria
d) Group A streptococcal bacteria
The most serious complication of rheumatic fever is
a) Endocarditis
b) Pneumonia
c) Arthritis
d) Meningitis
a) Endocarditis
When preparing the teaching plan for the mother of a child with asthma, which of the following would the nurse include as signs to alert the mother that her child is having an asthma attack
a) Secretion of this, copious mucous
b) Tight, productive cough
c) Wheezing on expiration
d) Temperature of 37.4oC
c) Wheezing on expiration
An 8 year old child with asthma states, I want to play some sports like my friends. What can I do. The nurse responds to the child based on the understanding of which of the following
a) Physical activities are inappropriate for children with asthma
b) Children with asthma must be excluded from team sports
c) Vigorous physical exercise frequently precipitates an asthmatic episode
d) Most children with asthma can participate in sports if the asthma is controlled
d) Most children with asthma can participate in sports if the asthma is controlled
After instructing a mother about normal reflexes of term neonates, the nurse determines that the mother understands the instructions when she describes the tonic neck reflex as occurring when the neonate does which of the following
a) Steps briskly when held upright near a firm, hard surface
b) Pulls both arms and does not move the chin beyond the point of the elbows
c) Turns head to the left, extends left extremities, and flexes right extremities
d) Extends and abducts the arms and legs with the toes fanning open
c) Turns head to the left, extends left extremities, and flexes right extremities
After talking with the parents of a child with downs syndrome, which of the following would the nurse identify as an appropriate goal for care of the child
a) Encouraging self care skills in the child
b) Teaching the child something new every day
c) Encouraging more lenient behaviour limits for the child
d) Achieving age appropriate social skills
c) Encouraging more lenient behaviour limits for the child
Which of the following, if described by the parents of a child with cystic fibrosis, indicates that the parents understand the underlying problem of the disease
a) An abnormality in the bodys mucus secreting glands
b) Formation of fibrous cysts in various body organs
c) Failure of ht pancreatic ducts to develop properly
d) Reaction to the formation of antibodies against streptococcus
a) An abnormality in the bodys mucus secreting glands
A father brings his 3 month old infant to the clinic, reporting that the infant has a cold, is having trouble breathing and just doesn’t seem to be acting right. Which of the following actions would the nurse do first
a) Check the infants heart rate
b) Weight the infant
c) Assess the infants oxygen saturation
d) Obtain more information from the father
c) Assess the infants oxygen saturation
A mother of a 1 month old infant states that she is curious as to whether her infant is developing normally. Which of the following developmental milestones would the nurse expect the infant to perform
a) Smiling and laughing out loud
b) Rolling from side to side
c) Holding a rattle briefly
d) Turning the head from side to side
d) Turning the head from side to side
When developing the postoperative plan of care for an adolescent who has undergone an appendicectomy for a ruptured appendix, in which of the following positions would the nurse expect to place the client during the early postoperative period
a) The semi fowlers position
b) Supine
c) Lithotomy position
d) Prone
a) The semi fowlers position
