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Paediatric Nursing
Module 7 • 20 Questions
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Paediatric Nursing
Module 7
Question 1
Which of the following organisms is responsible for the development of rheumatic fever?
A
Group A β-hemolytic streptococcus
B
Haemophilus influenza
C
Staphylococcus aureus
D
Streptococcal pneumonia
Question 2
How does the nurse appropriately administer mycostatin suspension in an infant?
A
Place mycostatin on the nipple of the feeding bottle and have the infant suck it
B
Mix mycostatin with formula
C
Swab mycostatin on the affected areas
D
Have the infant drink water, and then administer mycostatin in a syringe
Question 3
A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother?
A
provide quiet environment for the child before meals
B
do not give snacks to the child before meals
C
make the child seat with the family in the dining room until he finishes his meal
D
put the child on a chair and feed him
Question 4
The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
A
respirations are irregular, abdominal, 30-60 bpm
B
heart rate is 80 bpm
C
uneven head shape
D
(+) moro reflex
Question 5
Which of the following situations increase risk of lead poisoning in children?
A
playing plastic balls with other children
B
playing in the park with heavy traffic and with many vehicles passing by
C
playing with stuffed toys at home
D
playing sand in the park
Question 6
Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?
A
Normal hematocrit
B
Normal total iron-binding capacity (TIBC)
C
Increased hemoglobin
D
Decreased mean corpuscular volume (MCV)
Question 7
At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out “who they are,” and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as:
A
career experimentation.
B
relationship testing
C
identity vs. role confusion.
D
adolescent rebellion.
Question 8
The nurse is assessing a 9-month-old boy for a well-baby check up. Which of the following observations would be of most concern?
A
The baby cries whenever the mother goes out.
B
The baby cannot say “mama” when he wants his mother.
C
The mother has not given him finger foods.
D
The child does not sit unsupported.
Question 9
Cheska, the mother of an 11-month-old girl, KC, is in the clinic for her daughter’s immunizations. She expresses concern to the nurse that Shannon cannot yet walk. The nurse correctly replies that, according to the Denver Developmental Screen, the median age for walking is:
A
12 months.
B
14 months.
C
10 months.
D
15 months.
Question 10
Buck’s traction with a 10 lb. weight is securing a patient’s leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:
A
every day.
B
every 4 hours.
C
every shift.
D
every 15 minutes.
Question 11
Carol Smith is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:
A
tachycardia, nausea, vomiting, heart palpitations, inability to sleep, restlessness, and seizures.
B
blurred vision, tachycardia, hypertension, headache, insomnia, and oliguria.
C
tachycardia, headache, dyspnea, temp . 101 F, and wheezing.
D
restlessness, insomnia, blurred vision, hypertension, chest pain, and muscle weakness.
Question 12
The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:
A
throat and ear culture.
B
lumbar puncture.
C
blood culture.
D
CAT scan.
Question 13
The parents of a child, age 6, who will begin school in the fall ask the nurse for anticipatory guidance. The nurse should explain that a child of this age:
A
Rebels against scheduled activities
B
Is highly sensitive to criticism
C
Loves to tattle
D
Still depends on the parents
Question 14
While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topic in the teaching session?
A
Nursery schools
B
Safety guidelines
C
Preparation for surgery
D
Toilet Training
Question 15
After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching?
A
“Our child must maintain these dietary restrictions until adulthood.”
B
Well follow these instructions until our child’s symptoms disappear.”
C
“We’ll follow these instructions until our child has completely grown and developed.”
D
“Our child must maintain these dietary restrictions lifelong.”
Question 16
Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:
A
Heart failure
B
Hypovolemic shock
C
Cerebral edema
D
Dehydration
Question 17
The mother of Gian, a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons, and that she recently had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to:
A
Color dyes
B
Latex
C
Kiwifruit
D
Bananas
Question 18
Cristina, a mother of a 4-year-old child tells the nurse that her child is a very poor eater. What’s the nurse’s best recommendation for helping the mother increase her child’s nutritional intake?
A
se specially designed dishes for children – for example, a plate with the child’s favorite cartoon character
B
Only serve the child’s favorite foods
C
Allow the child to eat at a small table and chair by herself
D
Allow the child to feed herself
Question 19
Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN?
A
5% glucose
B
10% glucose
C
15% glucose
D
17% glucose
Question 20
When planning care for a 8-year-old boy with Down syndrome, the nurse should:
A
Assess the child’s current developmental level and plan care accordingly
B
Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays
C
Direct all teaching to the parents because the child can’t understand
D
Plan interventions according to the developmental level of a 7-year-old child because that’s the child’s age
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