Nursing 102 Med Surge Pediatric Final Exam Questions with Answers, Exams of Nursing

Download Nursing 102 Med Surge Pediatric Final Exam Questions with Answers and more Exams Nursing in PDF only on Docsity! Nursing 102 Med surge pediatric final Exam Questions With Answers RATED A+ A nurse is caring for a child who has been physically abused by a family member. which of the following statements should the nurse say to the child? A. " I promise I wont tell anyone about this" B. "Lets discuss what happened with your family" C. "Your family is bad for doing this to you" D. "It's not your fault this happened to you" Correct answer: D. "It's not your fault this happened to you" 6 types of poisioning Acetaminophen (tylenol) Acetylsalicylic Acid (aspirin) Iron Hydrocarbons Corrosives Lead What can happen if a frustrated parent shakes a baby? Blindness seizures Learning disabilities Death 4 medications that can be given down an ET tube during an emergency? L-Lidocaine E-Epinephrine A-Atropine N-Naloxone What percentage of babies that are shaken die? 30% What is NOT one of the emergency medications that can be given via endotracheal tube? Narcotics A. "Evidence must exist prior to reporting" B. "If the potential abuser commits to stopping the abuse, health care workers are not required to report" C. "I don't want to defame someone if the report is false" D. " If suspicion of abuse exist then reporting is mandatory" Correct answer: D. " If suspicion of abuse exist then reporting is mandatory" A nurse in a pediatricians office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. which of the following instructions should the nurse provide to the parent? A. Provide a high-carbohydrate meal B. Give the child syrup of ipecac C. Contact the poison control center D. Bring the child to the office for a rapid infusion of deferoxamine Correct answer: C. Contact the poison control center What does PURPLE stand for in the training for parents to prevent shaken baby syndrome A nurse is caring for an adolescent who has Spina bifida and is paralyzed from the waist down. which of the following statements by the client should indicate a need for further teaching? A. "I only need to straight catheterize myself twice every day" B. "I carry a water bottle with me because i drink a lot of water." C. "I use a suppository every night to have a bowel movement." D. " I do wheelchair exercises while watching TV." A 7-year-old child with cerebral palsy has been admitted to the hospital. which information is most important for the nurse to obtain in the history? A. age the child learned to walk B. parents expectations of the child's development C. functional status related to eating and mobility D. birth history to identify cause of cerebral palsy Correct answer: C. functional status related to eating and mobility Osteogenesis imperfecta is treated with which medication? A. intrathecal baclofen B. pamidronate C. botox injections D. none of the above Correct answer: B. pamidronate IV daily maintenance rate for children First 10 Kg= 100ml per Kg Second 10 Kg= 50ml per Kg remaining Kg= 20ml per Kg A nurse is planning care for a 6-year-old who has bacteria meningitis. Which of the following interventions is unnecessary in the the clients plan of care? A. Place the client in a semi-Fowler's position B. Admit the client to a private room C. Measure head circumference every shift D. Implement seizure precautions Correct answer: C. Measure head circumference every shift A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take? A. Attempt to stop the seizure B. Restrain the child's arms C. Use a padded tongue blade D. Position the child laterally Correct answer: D. Position the child laterally A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should a nurse include in the plan of care? A. Keep the infant NPO for 6 hours prior to the procedure. B. Apply an and eutectic mixture of lidocaine and prilocaine cream topically 15 min prior to the procedure. C. Place the infant in an infant seat for 2 hours following the procedure. D. Hold the infant's chin to his chest and knees to his abdomen during the procedure. B. Seizures C. Reyes syndrome D. None of the above Correct answer: B. Seizures Down Syndrome is trisomy: A. 23 B. 20 C. 21 D. 19 Correct answer: C. 21 Down syndrome patient have an increased risk for several medical complications and assessment findings. Which complications listed below are down syndrome patients more likely to have? (select all that apply) A. Leukemia B. Congenital heart defects C. Pneumonia D. Hypertonic Correct answer: A. Leukemia B. Congenital heart defects C. Pneumonia The nurse observes a child for neurological disorders. Which is the earliest indicator of improvement of deterioration of neurological status A. Vital signs B. Motor function C. Level of consciousness D. Reflexes Correct answer: C. Level of consciousness A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis? A. Sweat chloride test. B. A sputum culture. C. A stool fat content analysis. D. Pulmonary function tests. Correct answer: A. Sweat chloride test. A nurse is teaching an assistive personnel to measure a newborns respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute? A. "newborns are abdominal breathers" B. "newborns do not expand their lungs fully with each respiration." C. "actively will increase the respiratory rate." D. "the rate and rhythm of breath are irregular in newborns." Correct answer: D. "the rate and rhythm of breath are irregular in newborns." B. " You should stop playing basketball, but you can swim instead." C. "Use your peak expiratory flow meter once a week." D. "Avoid triggers that cause an attack." Correct answer: D. "Avoid triggers that cause an attack." A nurse is teaching the mother of a 5 year old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following? A. "I will give my son the enzymes between meals." B. "The enzyme probably won't cause many adverse effects." C. "The enzyme helps him digest fat." D. "I will put the enzyme crystals in his applesauce." Correct answer: A. "I will give my son the enzymes between meals." A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching? A. "My child will take the enzymes to improve her metabolism." B. "My child will take the enzyme following meals." C. "My child will take the enzyme to help digest the fat in foods." D. "My child will take the enzyme two hours before meals." Correct answer: C. "My child will take the enzyme to help digest the fat in foods." A preceptor is working with a new nurse in the nursery. She will know further teaching of the new RN is necessary if the new nurse says? A. "Surfactant is necessary for premature babies." B. "Surfactant is given IV." C. "Surfactant decreases surface tension and helps premature babies breath." D. Surfactant is kept in the refrigerator and should be warmed to room temperature before giving." Correct answer: B. "Surfactant is given IV." You are called to the delivery of a mom with ruptured membranes as the nursery nurse. You are told that the fluid is green. You know there is potential for which diagnosis? A. Meconium Aspiration B. Surfactant insufficiency C. BPD D. Asthma Correct answer: B. "The fever is causing an increase in your baby's heart rate." A nurse is caring for an 8 year old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately following admission? A. Ausculating the rate and characteristics of the child's heart sounds. B. Using a pain-rating tool to determine the severity of the joint pain. C. Identifying the degree of parental anxiety related to the diagnosis. D. Assessing the client's erythematous rash. Correct answer: A. Ausculating the rate and characteristics of the child's heart sounds. A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parents, the nurse should recognize that significance of which of the following data as the possible source of the child's infection? A. A classmate with fifth disease. B. A sibling who had a sore throat 3 weeks ago. C. The father who had gastritis 2 weeks ago. D. A neighbor's child who has chickenpox. Correct answer: B. A sibling who had a sore throat 3 weeks ago. A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate? A. Carotid artery. B. Apex of the heart. C. Brachial artery. D. Radial artery. Correct answer: B. Apex of the heart. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis? A. Cardiovascular B. Gastrointestinal C. Integumentary D. Respiratory Correct answer: A. Cardiovascular An infant is being prepared for surgical repair of a ventricular septal defect (VSD). Which of the following problems will be prevented by closing the defect? Please choose from one of the following options? A. Failure to thrive B. Ventricular dysrhythmias C. Heart block D. Respiratory alkalosis Correct answer: A. Failure to thrive Approximately what size is an infants heart? A. the size of a pin head B. the size of a walnut C. the size of an elephant. D. the size of a baseball. correct answer: B. the size of a walnut Scoliosis repair intervention PCA pump A 3-month old with flu like symptoms has Bronchiolitis Spina bifida surgery care latex free environment Infant in a vehicle crash, monitor for increased ICP signs and symptoms increased amount of sleep ingested kerosene priority Respiratory rate Sweat chloride test ion diaphoresis Sickle cell anemia teaching Offer fluids to your child multiple times Suctioning has been effective if clear breath sounds Ingestion of acetylcylic acid perform gastric lavage with activated charcoal at home suctioning tips suction for less than 10 seconds Impetigo contagiosa wash clothing in hot water 1 week old with oxygen going home needs further teaching ASO titer strep infection can lead to rheumatic fever heart failure assessment daily weight ausculating heart sounds cap refill I & O's hypokalemia Meningitis and reyes monitor for ICP seizure precautions head circumference in infants Interventions for juvenile idiopathic arthritis exercise relaxation techniques and pain management evaluate analgesics PT support groups ROM activities encourage self care well balanced diet w/ plenty of fluids teach family exacerbation worsens w/illness routine exams apply heat/warm moist packs to joints prior to exercise Meds: NSAIDs, methotrexate, corticosteroids- prednisone, etanercept Spina Bifida -head circumference -assess skin integrity -assess for allergies especially latex allergy -assess cognitive development -assess bowel and bladder function -assess motor development -monitor for infections -address body image concerns -offer support to the family -assist with client independence -assist with obtaining medical supplies/equipment Neural tube defects Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month of pregnancy, often before a woman even knows that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In spina bifida, the fetal spinal column doesn't close completely. Kawasaki disease Kawasaki disease is a disease in which blood vessels throughout the body become inflamed. [1] The most common symptoms include a fever that lasts for more than five days and is not controlled by usual medications, large lymph nodes in the neck, a rash in the genital area, and red eyes, lips, palms or bottoms of the feet. Other symptoms include sore throat and diarrhea. Within three weeks of the onset of symptoms the skin from the hands and feet may peel. Recovery then typically occurs. In