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Pediatric Diseases & Disorders Exam
Question and Answer
A 9 year old girl is admitted into the hospital with severe abdominal pain, joint pain, swelling of the hands and feet and a fever. which condition does this result from? a.) cystic fibrosis b.) rheumatic arthritis c.) osteoarthritis d.) sickle cell anemia - Answer -sickle cell anemia A school nurse receives information that a student, in the same classroom as another student diagnosed with PANDAS, has contracted strep throat. what should the nurse do first? a.) call the parents of the child with PANDAS and inform them of the incident b.) have the child with PANDAS sit far away from the kid with strep c.) have the child with PANDAS change classrooms D.) have the kid with strep wear a mask - Answer - call the parents of the child with PANDAs and inform them of the incident What foods should the child have on the first or second postoperative day (tonsillitis)
red popsicles cool water, crushed ice, cooked fruits milk ice cream pudding tomatoes, oranges, pineapple - Answer -cool water, crushed ice, cooked fruits What is the cause of tonsillitis virus bacteria pathogenic organisms both a and b - Answer -virus and bacteria What are the contraindications for a tonsillectomy or an adenoidectomy? cletft palate acute infections asthma over the age of 12 broken arm - Answer - The nurse instructs the parent of a child with ADHD to administer methamphetamine before 4 pm. Which side effect is the nurse addressing by giving this instruction nausea insomnia lethargy anorexia - Answer -insomnia
the clinic nurse asks a 13 year old female to bed forward at the waist with the arms hanging freely. which of the following assessments is the nurse most likely conducting spinal flexibility leg lenght hypostatic BP scoliosis - Answer -scoliosis the nurse should assess a teenage child suspected of having early stage scoliosis for which of the following clinical manifestations (select all that apply) truncal asymmetry altered gait with limp limites used of one arm unequal shoulder level prominence of one scapula curved spinal column - Answer -unequal shoulder level, prominence of one scapula, curved spinal column, truncal asymmetry a child with autism is being admitted to the hospital for diagnostic tests. the nurse should assign this child to a private room semiprivate four bed ward
contact isolation - Answer -private room a clinic nurse is observing a child diagnosed with autistic disorder. the nurse would expect to observe which characteristic of this disorder normal social play lack of social interaction normal responses to sensory stimuli normal verbal but abnormal nonverbal communication - Answer -lack of social interaction a nurse in the day care center is told that a child with autism will be attending the center. the nurse collaborates with the staff of the day care center and plans activities that will meet the child's needs. the priority consideration in planning activities for the child is to ensure safety with activities the activies provide verbal stimu social interaction with other children same age familiarity with all activities - Answer -safety with activities a child has a bone biopsy done that shows abnormal collagen that suggests osteogenesis imperfecta, what physical signs and symptoms might you see bowlegged tall stature
applying topical antibiotics as perscribed continuing to adminster antibiotics for 21 days - Answer -administering systemic antibiotics as prescribed a 10 year old child comes to the clinic with sores around his mouth that are oozing fluid and look crusty. he reports that he has came in contact with a child at school with similar sores, the sores are not painful but are sometimes itchy. what is he diagnosed with chicken pox measles impetigo ring worm - Answer -impetigo a patient with impetigo would have which of the following psychosocial issues increased risk for radiation exposure social isolation with restrictions decresed personal hygiene none of the options are correct - Answer -social isolation with restrictions with physical activity a child has just been recently diagnosed with GERD. when educating the child about diet modication which foods should teh nurse stree that the child avoid eating
hot and spicy perppermint patties green beans tomato soup almonds - Answer -hot and spicy peppermint patties tomato soup after provinding education to theparent of a 3 year old about how to prevent signs and symptoms of GERD in teh child you ask teh parte to list 4 preventative measures back to you. which statmne would inidcate the parent needs further teaching - Answer -i will lie my child down after eating a meal to decrease pressure on teh lower esophageal disorder after dinner time, during hourly rounding, the child with GERD awakes and reports feeling like food is coming up in their throat and they have a bitter taste in their mouth. what nursing intervention would you perform first perform deep suctioning assist patient to semi-fowlers keep patient NPO instruct patient to avoid milk products - Answer - assist the patient into the semi-fowler's position
after reading about kawaskaki disease what diagnosti or lab test is used to diagnose kawasaki disease x ray ekg there is no test Ecg - Answer -there is no specific test 6 weeks after a child is diagnosed with kawasaki disease the being to develop continuing heart problems. based on what you know about treatments for kawaski disease which of teh following is correct - Answer -anticoagulant drugs: used to prevent clots from forming autism spectrum disorders or ASDs are a group of complex disorders of brain development characterized by difficult in social interation and sterotyped behavior verbal and nonverbal communication both - Answer -difficultly in social interaction and stereotyped behavior verbal and non-verbal communication reading disorder is a developmet disorder and is characterized b reading achievement being signifcanly below standards expected for which of the following
chronological age IQ schooling experience all of teh above - Answer -chronoligial age Iq schooling experience as teh pediatric nurse listens to a 9 year old child read to his 6 year old roommate, the nurse assesses possible dyslexia when the child bcomes hyperactive and ceases to read reads the word dog as GOD makes up a story rather than reading the text stutters as he reads - Answer -reads the word dog as God dyslexia is the difficulty performing which of the following activities writing reading recognizing body parts comprehending language - Answer -reading A nurse is evaluating care of a client who is 14yo and is diagnosed with schizophrenia. The nurse should keep
reduced listening skills - Answer -frequent tongue profusion the nurse is assessing a child with a tic disorder with no history of brain injury. the child repeadly bangs her head on teh wall. you should consult a behavioral therapis you should make the child wear a helmet you should get a scan of your childs brain you should stop your child from benging his or her head - Answer -you should make the child wear a helmet a 14 year old male is seen at a clinic for possible H1N1 swine flue. which of the following will be used to determine diagnosis clean catch urine sample and culture respiratory samples including swab of nose and/or throat blood specimen chest x-ray - Answer -respiratory samples including swab of nose and or throat a mother of a 5 year old reports to the emergency room declaring her son has swine flu, all of the folling factors are correct except that it swine flu is transported from person to person swine flue is a strain of influenza
it can be spread easily through saliva or mucus it can be caused by eating undercooked pork products - Answer -can be caused by eating unercooked pork products which of the following nursing interventions should be implemented for a child with swine flu administer antibiotics instruct the parent to send the child to school as normal recommend the flu vaccine yearly ensure client stays away from swine for teh next two weeks - Answer -recommend the flu vaccination yearly the child has been vomiting up her food consistently but do not appear to have any signs or symptoms of the flu, or a common cold. what is a priority question to ask that will help determine the disorder is rumination syndrome rather than another gastrointestinal disorder where does the pain hurt most when does the child vomit the most does the child appear nausous prior to vomiting what does the food taste like when it comes up - Answer -what does the food taste like when it comes up
severe and rigid cconscience fastidiousness all of the above - Answer -lack of normal capactity for relaxation underlying hostility severe and rigid conscience fastidiousness all of the following are poor prognostic factors in OCD except childhood onset dominant symptoms of depression and phobia obsession premorbid personality long history of illness - Answer -dominant symptoms of depression and phobia a client states that she recently received info that hand and foot mouth disease has been diagnosed in a few of her child's preschool clasmates. the viral infection has which characteristics low-grade fever, followed by vesicular lesions on the trunk, face, and scalp mild, self-limited eruption of vesicles on the buccal mucosa, tongue, soft palate, hands and feet purpuric, maculopapuar lesions with GI sypmptoms and joint pain bright red rash with a red outer border circling a bite mark - Answer -mild, self limited eruption of vesicles
on teh buccal mucosa, tongue, soft palate, hands and feet hand food and mouth disease is caused by cytomegalovirus ebstein barr virus cozsackie a virus hiv infection - Answer -coxsackie A virus a young child was recently diagnosed with hand food and mouth. understanding of the teaching - Answer -i will continue to take my child to daycare because he is not contagious aminophylline is prescribed for a client with actue bronchitis. a nurse administers medication, knowing that the primary action of this medication is to - Answer -relax smooth muscles of the bronchial airway a client is receiving isoetharine hydrochloride (bronkosol) via nebulizer. the nurse monitors the client for which side effect of this medicaton - Answer -tachycardia a nurse teaches a client about the use of a respiratory inhaler. which action by the client
which of the following are potential nursing diagnoses for a client with bipolar disorder - Answer -disturbed thought process interrupted family process impaired social interaction sudden infant death syndrome is confirmed by - Answer -autopsy SIDS prevention - Answer -the infant should be placed on their back to sleep sally went to ER with fits of coughing low grade fever and apnea. blood work was take and sally was diagnosed with bronchitis pertussis croup strep throat - Answer -pertussis Prader-Willi syndrome involves many difficulties one being - Answer -cant stop eating a mother with 4 children calls the clinic for advice on how to care for her oldest child who has developed chicken pox. which indicates a need for further teaching i should keep child home from school
i can use calamine lotion if needed i should remove the crusts so the skin can heal i can use mittens if scratching becomes a problem - Answer -i should remove the crusts so the skin can heal a parent asks the nurse to tell her what cerebral palsy is - Answer -motor disability caused by a nonprogressive disturbance in brain development the pediatric nurse is conducting a 4 month old well child checkup. which statement by the parent should alert the nurse to suspect that the child has cerebral palsy - Answer -when i put my child down for tummy time he does not lift his head the nurse on the pediatric floor is caring for a 4 year old child with cerebral palsy. developmentally the child is at the infant stage. appropriate developemental stimulation for this child would be - Answer -putting a colorful mobile with music on the bed a diabetic patient has the following presentation: unresponsive to voice or touch, tachycardia, diaphoresis, and pallor. which of the following actiosn by healthcare provider is teh priority send blood to the laboratory for analysis
