• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/142

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

142 Cards in this Set

  • Front
  • Back
A 7-year-old girl is a diabetic. Her mother asks why she must use the blood glucose monitoring machine. The most appropriate response is that the machine

A. Is easier than urine testing.
B. Is more accurate than urine testing.
C. Is less expensive than urine testing.
D. Gives the child a better sense of control over the disease.
A 7-year-old girl is a diabetic. Her mother asks why she must use the blood glucose monitoring machine. The most appropriate response is that the machine

A. Is easier than urine testing.
B. Is more accurate than urine testing.!!!!!!!!!!!!!!!
C. Is less expensive than urine testing.
D. Gives the child a better sense of control over the disease.
An 8-year-old is newly diagnosed with diabetes mellitus. Which of the following symptoms is different from what you would expect to find in maturity-onset (Type II) diabetes?

A. Increased appetite.
B. Increased thirst.
C. Increased urination.
D. Weight loss.
An 8-year-old is newly diagnosed with diabetes mellitus. Which of the following symptoms is different from what you would expect to find in maturity-onset (Type II) diabetes?

A. Increased appetite.
B. Increased thirst.
C. Increased urination.
D. Weight loss.!!!!!!!!!!!!!!!!
A 7-year-old is newly diagnosed with diabetes mellitus. She had an injection of regular and NPH insulin at 7:30 A.M. At 3:10 P.M. she complains that she does not feel well. She is pale, perspiring, and trembling. The nurse should:

A. Tell her to lie down and wait for the dinner trays to arrive.
B. Ask her to give a urine specimen and test it for sugar and acetone.
C. Give her a carbohydrate snack.
D. Administer the afternoon dose of regular insulin.
A 7-year-old is newly diagnosed with diabetes mellitus. She had an injection of regular and NPH insulin at 7:30 A.M. At 3:10 P.M. she complains that she does not feel well. She is pale, perspiring, and trembling. The nurse should:

A. Tell her to lie down and wait for the dinner trays to arrive.
B. Ask her to give a urine specimen and test it for sugar and acetone.
C. Give her a carbohydrate snack.!!!!!!!!!!!!!!!!!!!
D. Administer the afternoon dose of regular insulin.
The nurse teaches the teenager and his parents that the signs of diabetic ketoacidosis (DKA) include which of the following? (Select all that apply.)

A. Tachycardia
B. Abdominal pain
C. Fruity breath odor
D. Change in mental status
E. Rapid, shallow respirations
The nurse teaches the teenager and his parents that the signs of diabetic ketoacidosis (DKA) include which of the following? (Select all that apply.)

A. Tachycardia
B. Abdominal pain !!!!!
C. Fruity breath odor !!!!!!!!!
D. Change in mental status !!!!!!!!!!!!
E. Rapid, shallow respirations
The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). The nurse should question which of the following physician's orders?

A. Stat serum electrolytes
B. Neurological checks hourly
C. NPH insulin IV at 0.1 units/kg per hour.
D. Insert urinary catheter and measure output hourly.
The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). The nurse should question which of the following physician's orders?

A. Stat serum electrolytes
B. Neurological checks hourly
C. NPH insulin IV at 0.1 units/kg per hour. !!!!!!!!!!!!!!
D. Insert urinary catheter and measure output hourly.
6. A teenager has arrived in the Emergency Department (ED) with confusion. The physician suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 76l5 mg/dL. The nurse expects that this teen has which of the following symptoms?
A. Dry skin, shallow rapid breathing, and dehydration
B. Tachycardia, dehydration, and abdominal pain
C. Sweating, photophobia, and tremors
D. Dry mucous membranes, blurred vision, and weakness
6. A teenager has arrived in the Emergency Department (ED) with confusion. The physician suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 76l5 mg/dL. The nurse expects that this teen has which of the following symptoms?
A. Dry skin, shallow rapid breathing, and dehydration
B. Tachycardia, dehydration, and abdominal pain
C. Sweating, photophobia, and tremors
D. Dry mucous membranes, blurred vision, and weakness !!!!!!!!!!!
7. A 10-year-old with insulin dependent diabetes mellitus, (type 1 DM) might display the following signs of hypoglycemia:

A. Blurred vision and excessive thirst
B. Fruity odor to breath and dry skin
C. Sweating and tremors
D. Blood glucose greater than 200 mg/dl
7. A 10-year-old with insulin dependent diabetes mellitus, (type 1 DM) might display the following signs of hypoglycemia:

A. Blurred vision and excessive thirst
B. Fruity odor to breath and dry skin
C. Sweating and tremors!!!!!!!!!!
D. Blood glucose greater than 200 mg/dl
Which of the following is an important concept to teach parents and a school-age child who has recently been diagnosed with insulin-dependent diabetes?

A. Blood sugar monitoring will be required every 1 to 2 days.
B. Symptoms of hypoglycemia include glycosuria, blood sugar above 120 mg/dl, and dizziness
C. Insulin injections will be required, and the child and parents should be taught how to administer injections.
D. The child’s diet will remain the same as long as the child exercises daily.
Which of the following is an important concept to teach parents and a school-age child who has recently been diagnosed with insulin-dependent diabetes?

A. Blood sugar monitoring will be required every 1 to 2 days.
B. Symptoms of hypoglycemia include glycosuria, blood sugar above 120 mg/dl, and dizziness
C. Insulin injections will be required, and the child and parents should be taught how to administer injections.!!!!!!!!!
D. The child’s diet will remain the same as long as the child exercises daily.
Lipoatrophy can be avoided in the type I diabetic by:

A. Rotating injection sites.
B. Administration of insulin via insulin pump.
C. Using a sliding scale for additional coverage.
D. Checking blood sugars at mealtime and bedtime.
Lipoatrophy can be avoided in the type I diabetic by:

A. Rotating injection sites.!!!!!!!
B. Administration of insulin via insulin pump.
C. Using a sliding scale for additional coverage.
D. Checking blood sugars at mealtime and bedtime.
Which finding by the nurse best indicates that the child is experiencing diabetic ketoacidosis?

A. Blood glucose level of 120 mgldl
B. Fruity-smelling breath
C. Pale-colored face
D. Excessive perspiration
Which finding by the nurse best indicates that the child is experiencing diabetic ketoacidosis?

A. Blood glucose level of 120 mgldl
B. Fruity-smelling breath!!!!!!!!
C. Pale-colored face
D. Excessive perspiration
The nurse is doing discharge teaching with the parents of a newly diagnosed type I diabetic. The nurse knows that the mother needs more teaching when she states:

A. "I will give my child insulin if she experiences shakiness, pallor, and sweating."
B. "I will give my child a snack before she practices afterschool soccer."
C. "I will bring my child to the doctor every three months to have her HbA1c checked."
D. "I understand my child might be experiencing hyperglycemia if she has thirst and flushed skin."
The nurse is doing discharge teaching with the parents of a newly diagnosed type I diabetic. The nurse knows that the mother needs more teaching when she states:

A. "I will give my child insulin if she experiences shakiness, pallor, and sweating." !!!!!!!!!!!!!
B. "I will give my child a snack before she practices afterschool soccer."
C. "I will bring my child to the doctor every three months to have her HbA1c checked."
D. "I understand my child might be experiencing hyperglycemia if she has thirst and flushed skin."
What is the priority nursing action if a child develops hypoglycemia?

A. Give the child orange juice to drink
B. Give the child 10% glucose I.V.
C. Notify the physician immediately
D. Administer a second dose of insulin
What is the priority nursing action if a child develops hypoglycemia?

A. Give the child orange juice to drink!!!!!!!!!!!!!
B. Give the child 10% glucose I.V.
C. Notify the physician immediately
D. Administer a second dose of insulin
13. A newborn weighing 3.8 kg has been diagnosed with congenital hypothyroidism. The dose of levothyroxine prescribed by the physician is 10/mcg/kg daily by mouth. The oral syrup comes in 50 mcg per 2 mL. The dose the nurse needs to teach the mother to give is ____ mL.
13. A newborn weighing 3.8 kg has been diagnosed with congenital hypothyroidism. The dose of levothyroxine prescribed by the physician is 10/mcg/kg daily by mouth. The oral syrup comes in 50 mcg per 2 mL. The dose the nurse needs to teach the mother to give is __1.5__ mL.
When performing a newborn assessment, the nurse notes hypotonia, macroglossia, posterior fontanel of 2 cm, and difficulty feeding. Which problem should the nurse suspect?

A. Hyperthyroidism
B. Cushing's syndrome
C. Congenital hypothyroidism
D. Graves' disease
When performing a newborn assessment, the nurse notes hypotonia, macroglossia, posterior fontanel of 2 cm, and difficulty feeding. Which problem should the nurse suspect?

A. Hyperthyroidism
B. Cushing's syndrome
C. Congenital hypothyroidism!!!!!!!!!
D. Graves' disease
A 10-year-old male child with type 1 diabetes mellitus is exhibiting acetone breath and ketonuria. The nurse realizes these symptoms are due to

A. Failure to produce insulin.
B. Increased osmolarity.
C. Production of glucose from protein and fat stores
D. Wasting of lean body mass.
A 10-year-old male child with type 1 diabetes mellitus is exhibiting acetone breath and ketonuria. The nurse realizes these symptoms are due to

A. Failure to produce insulin.
B. Increased osmolarity.
C. Production of glucose from protein and fat stores!!!!!!!!!!!
D. Wasting of lean body mass.
An 18-year-old patient is admitted with diabetic ketoacidosis. Which of the following would help confirm this diagnosis?

A. hypoglycemia and proteinuria
B. bradycardia and pallor
C. blood glucose level over 300 mg/dL and drowsiness
D. blood glucose level under 150 mg/dL and hypokalemia
An 18-year-old patient is admitted with diabetic ketoacidosis. Which of the following would help confirm this diagnosis?

A. hypoglycemia and proteinuria
B. bradycardia and pallor
C. blood glucose level over 300 mg/dL and drowsiness!!!!!!!!!!!!
D. blood glucose level under 150 mg/dL and hypokalemia
Nursing care for the child with eczema includes:

A. Keeping the child in the same position
B. Keeping the child fully clothed
C. Keeping the skin clean and dry
D. Warm moist dressings to relieve the itching
Nursing care for the child with eczema includes:

A. Keeping the child in the same position
B. Keeping the child fully clothed
C. Keeping the skin clean and dry!!!!!!!!!!!!!!!!
D. Warm moist dressings to relieve the itching
2. A preschooler visiting the pediatrician is diagnosed with eczema. His father asks what can be causing the disease, and the nurse tells him that a likely cause is:
A. A metabolic disorder
B. An allergic disorder
C. A nutritional disorder
D. An infectious disorder
2. A preschooler visiting the pediatrician is diagnosed with eczema. His father asks what can be causing the disease, and the nurse tells him that a likely cause is:

A. A metabolic disorder
B. An allergic disorder!!!!!!!!!!!
C. A nutritional disorder
D. An infectious disorder
The primary goals in the initial treatment of major burns in a child are:

A. Maintenance of airway and preventing shock
B. Inserting an indwelling catheter and monitoring intake and output
C. Controlling pain and reducing the risk of infection
D. Preventing malnutrition and dehydration
3. The primary goals in the initial treatment of major burns in a child are:
A. Maintenance of airway and preventing shock!!!!!!!!!!!!!!!
B. Inserting an indwelling catheter and monitoring intake and output
C. Controlling pain and reducing the risk of infection
D. Preventing malnutrition and dehydration
4. The nurse is instructing the parents how to care for their baby who is experiencing diaper dermatitis. Which of the following should be included in these instructions?
A. Use cotton diapers
B. Change the diaper once during the day
C. Use waterproof pants
D. Avoid using disposable baby wipes
4. The nurse is instructing the parents how to care for their baby who is experiencing diaper dermatitis. Which of the following should be included in these instructions?
A. Use cotton diapers
B. Change the diaper once during the day
C. Use waterproof pants
D. Avoid using disposable baby wipes !!!!!!!!!!!!!!!!!!
5. An 8-year-old is hospitalized for treatment of extensive partial-and full-thickness burns on his face, neck, anterior chest and left arm. Which manifestations of the full-thickness burns would the nurse anticipate?
A. Pain due to exposed nerve endings
B. Edema formation throughout the area
C. The appearance of blister formation
D. Noted destruction of the epidermis
5. An 8-year-old is hospitalized for treatment of extensive partial-and full-thickness burns on his face, neck, anterior chest and left arm. Which manifestations of the full-thickness burns would the nurse anticipate?
A. Pain due to exposed nerve endings
B. Edema formation throughout the area
C. The appearance of blister formation
D. Noted destruction of the epidermis!!!!!!!!!!!!!!!!!!
Which nursing interventions are essential to restore the child’s fluid and electrolyte balance during the emergent phase of burn care and treatment? Select all that apply.

A. Initiate the administration of I.V. fluids
B. Track the child’s vital signs
C. Give the child sips of water
D. Encourage the child to consume protein-rich feedings
E. Monitor the child’s urine output
F. Insert a large-bore catheter
Which nursing interventions are essential to restore the child’s fluid and electrolyte balance during the emergent phase of burn care and treatment? Select all that apply.

A. Initiate the administration of I.V. fluids!!!!!!!!!!
B. Track the child’s vital signs!!!!!!!!!!!!!
C. Give the child sips of water
D. Encourage the child to consume protein-rich feedings
E. Monitor the child’s urine output!!!!!!!!!!
F. Insert a large-bore catheter!!!!!!
During the post-burn care, it is especially important for the nurse to closely monitor which of the following?

A. Unburned skin
B. Bowel elimination
C. I.V. fluid therapy
D. Pupillary response to light
During the post-burn care, it is especially important for the nurse to closely monitor which of the following?

A. Unburned skin
B. Bowel elimination
C. I.V. fluid therapy!!!!!!!!!!!!!!
D. Pupillary response to light
8. Which finding documented by the nurse is most indicative of the presence of a Curling’s ulcer?
A. Absence of bowel sounds
B. A positive hemoccult test
C. An elevated hematocrit
D. A distended abdomen
8. Which finding documented by the nurse is most indicative of the presence of a Curling’s ulcer?
A. Absence of bowel sounds
B. A positive hemoccult test!!!!!!
C. An elevated hematocrit
D. A distended abdomen
In a burn patient, which one of the following snacks best meets the child’s need for protein?

A. Strawberry milkshake
B. Apple sprinkled with cinnamon
C. Cubes of flavored gelatin
D. Chocolate candy bar
In a burn patient, which one of the following snacks best meets the child’s need for protein?

A. Strawberry milkshake!!!!!!!!!!
B. Apple sprinkled with cinnamon
C. Cubes of flavored gelatin
D. Chocolate candy bar
A new mother brings her 1-week-old infant into the clinic. The baby is experiencing a red raised rash over the perineal region. After assessing the baby, the nurse asks the mother questions about the use of soap, lotions, or laundry detergent. Why is this information important?

A. To determine if the baby's sebaceous glands are functioning
B. To determine if any harmful substances were absorbed through the skin
C. To determine if the infant has lanugo
D. To determine if the infant has sebum
A new mother brings her 1-week-old infant into the clinic. The baby is experiencing a red raised rash over the perineal region. After assessing the baby, the nurse asks the mother questions about the use of soap, lotions, or laundry detergent. Why is this information important?

A. To determine if the baby's sebaceous glands are functioning
B. To determine if any harmful substances were absorbed through the skin!!!!!!!!!!!
C. To determine if the infant has lanugo
D. To determine if the infant has sebum
In preparation to care for a 4-year-old child with eczema, the nurse reviews the prescribed method of treatment. Which of the following would best help this child's condition?

A. Apply a wet dressing
B. Apply a dry dressing
C. Avoid topical steroids
D. Avoid humid environments
In preparation to care for a 4-year-old child with eczema, the nurse reviews the prescribed method of treatment. Which of the following would best help this child's condition?

A. Apply a wet dressing!!!!!!!!!!
B. Apply a dry dressing
C. Avoid topical steroids
D. Avoid humid environments
The community health nurse is consulted for an outbreak of head lice in a day-care center. Which of the following should this nurse provide to the parents of the children in this center?

A. Tell the parents to use pesticides on carpeting and furniture in the home.
B. Hairbrushes or combs should be discarded.
C. Comb hair with alcohol.
D. No treatment is needed.
The community health nurse is consulted for an outbreak of head lice in a day-care center. Which of the following should this nurse provide to the parents of the children in this center?

A. Tell the parents to use pesticides on carpeting and furniture in the home.
B. Hairbrushes or combs should be discarded.!!!!!!!!!!!!!!!!
C. Comb hair with alcohol.
D. No treatment is needed.
A 5-year-old child is seen in the clinic with hair loss, broken hairs, white scales, and mild itching. Which of the following types of tinea infection might this child be experiencing?

A. Tinea capitis
B. Tinea corporis
C. Tinea cruris
D. Tinea pedis
A 5-year-old child is seen in the clinic with hair loss, broken hairs, white scales, and mild itching. Which of the following types of tinea infection might this child be experiencing?

A. Tinea capitis!!!!!!!!!!!!!!
B. Tinea corporis
C. Tinea cruris
D. Tinea pedis
The paramedics remove a child from a burning apartment building. Which of the following is the first step of treatment for this child?

A. Begin CPR
B. Place the child in cold water
C. Give the child oxygen
D. Remove any jewelry and clothing
The paramedics remove a child from a burning apartment building. Which of the following is the first step of treatment for this child?

A. Begin CPR
B. Place the child in cold water
C. Give the child oxygen
D. Remove any jewelry and clothing!!!!!!!!!!!!!
15. An integral part of burn wound care is thorough cleansing as a form of debridement. Which of the following would accomplish this objective?
A. Use hot water and break any blisters
B. Scrub burn wounds vigorously
C. Use tap water
D. Use cold water and detergent
15. An integral part of burn wound care is thorough cleansing as a form of debridement. Which of the following would accomplish this objective?
A. Use hot water and break any blisters
B. Scrub burn wounds vigorously
C. Use tap water!!!!!!!!!!!!!!
D. Use cold water and detergent
A school-age child is bitten by an unfamiliar dog while walking home from school. The wound is bloody with the skin ragged and torn. Which of the following should be done first for this child?

A. Flush the wound with water and call the police
B. Clean the wound as soon as possible and take the child to the emergency room for treatment
C. Irrigate with sterile saline and debride
D. Scrub the wound with hot soapy water and cover it with a dry dressing
A school-age child is bitten by an unfamiliar dog while walking home from school. The wound is bloody with the skin ragged and torn. Which of the following should be done first for this child?

A. Flush the wound with water and call the police
B. Clean the wound as soon as possible and take the child to the emergency room for treatment!!!!!!!!!!
C. Irrigate with sterile saline and debride
D. Scrub the wound with hot soapy water and cover it with a dry dressing
1. A 16-year-old girl has been diagnosed with infectious mononucleosis. When her mother asks how her daughter might have gotten the disease, the nurse explains to her that it is caused by:
A. Not getting enough sleep
B. Poor health habits
C. The Epstein-Bar virus
D. Streptococcus bacterial infection
1. A 16-year-old girl has been diagnosed with infectious mononucleosis. When her mother asks how her daughter might have gotten the disease, the nurse explains to her that it is caused by:
A. Not getting enough sleep
B. Poor health habits
C. The Epstein-Bar virus!!!!!!!!!!!
D. Streptococcus bacterial infection
Of the following antibiotics, which one of is usually ordered for the treatment of acute otitis media?

A. Vancomycin
B. Amoxicillin
C. Gentamicin
D. Ribavirin
Of the following antibiotics, which one of is usually ordered for the treatment of acute otitis media?

A. Vancomycin
B. Amoxicillin!!!!!!!!!!!!
C. Gentamicin
D. Ribavirin
3. A nurse’s daughter, age 8 years, has developed a red, raised rash on her face, neck, and trunk. She also has a temperature of 101.6° F and whitish spots inside her cheeks. From these symptoms the nurse suspects that the child has:
A. Chickenpox
B. Measles (rubeola)
C. Eczema
D. German measles (rubella)
3. A nurse’s daughter, age 8 years, has developed a red, raised rash on her face, neck, and trunk. She also has a temperature of 101.6° F and whitish spots inside her cheeks. From these symptoms the nurse suspects that the child has:
A. Chickenpox
B. Measles (rubeola)!!!!!!!!!!!!
C. Eczema
D. German measles (rubella)
Which isolation category is most appropriate for a child with chickenpox in the early stage of infection?

A. Airborne precautions
B. Droplet precautions
C. Contact precautions
D. Standard precautions
Which isolation category is most appropriate for a child with chickenpox in the early stage of infection?

A. Airborne precautions!!!!!!!!!!!!
B. Droplet precautions
C. Contact precautions
D. Standard precautions
A 2-month-old infant with HIV infection is discharged from the hospital. At age 4 months, the infant is seen in the physician’s office for a routine checkup. Which of the following assessment data documented by the nurse is considered a high-risk factor for developing acquired immunodeficiency syndrome (AIDS)?

A. The child has pinpoint white spots on her nose.
B. The mother states that her daughter has had thrush twice.
C. The child’s respirations have an irregular pattern.
D. The mother states that her daughter has six wet diapers per day.
A 2-month-old infant with HIV infection is discharged from the hospital. At age 4 months, the infant is seen in the physician’s office for a routine checkup. Which of the following assessment data documented by the nurse is considered a high-risk factor for developing acquired immunodeficiency syndrome (AIDS)?

A. The child has pinpoint white spots on her nose.
B. The mother states that her daughter has had thrush twice.!!!!!!!!
C. The child’s respirations have an irregular pattern.
D. The mother states that her daughter has six wet diapers per day.
A father expresses frustration because is daughter has frequent outbreaks of impetigo. The nurse assesses his knowledge of the disease process. Which statement by the father indicates that he requires additional teaching?

A. “I can give oral antihistamines to decrease the inflammation and itching.”
B. “Antibiotic treatment isn’t necessary because the infection is self-limiting.”
C. “I’ll be sure to trim my child’s nails to prevent scratching of the lesions.”
D. “I’ll take the necessary precautions to prevent my child from spreading the infection to others.”
A father expresses frustration because is daughter has frequent outbreaks of impetigo. The nurse assesses his knowledge of the disease process. Which statement by the father indicates that he requires additional teaching?

A. “I can give oral antihistamines to decrease the inflammation and itching.”
B. “Antibiotic treatment isn’t necessary because the infection is self-limiting.”!!!!!!!!!!!!
C. “I’ll be sure to trim my child’s nails to prevent scratching of the lesions.”
D. “I’ll take the necessary precautions to prevent my child from spreading the infection to others.”
The nurse is teaching young parents on the proper techniques for feeding young children who are bottle-fed. The nurse should instruct the parents to feed the children in an upright position in order to prevent

A. Sinus infection.
B. Choking.
C. Aspiration.
D. Otitis media.
The nurse is teaching young parents on the proper techniques for feeding young children who are bottle-fed. The nurse should instruct the parents to feed the children in an upright position in order to prevent

A. Sinus infection.
B. Choking.
C. Aspiration.
D. Otitis media. !!!!!!!!!!!!!!!!!
A child is diagnosed with HIV. The child's mother expresses concern with transmission at the day care setting. The nurse informs the mother that soiled diapers need to be handled using:

A. Standard precautions.
B. Gowns and goggles.
C. Gowns, gloves, and masks.
D. Gowns and gloves.
A child is diagnosed with HIV. The child's mother expresses concern with transmission at the day care setting. The nurse informs the mother that soiled diapers need to be handled using:

A. Standard precautions!!!!!!!!!!!!!!
B. Gowns and goggles.
C. Gowns, gloves, and masks.
D. Gowns and gloves.
The nurse is working in an immunization clinic. Which of the following immunizations is administered into the subcutaneous tissue?

A. Varicella
B. hepatitis B (Recombivax HB)
C. DTaP
D. pneumococcal (Prevnar)
The nurse is working in an immunization clinic. Which of the following immunizations is administered into the subcutaneous tissue?

A. Varicella !!!!!!!!!!!!!!!!!
B. hepatitis B (Recombivax HB)
C. DTaP
D. pneumococcal (Prevnar)
A child comes to the hospital after exposure to diphtheria and is given antitoxin. This is what type of immunity?

A. Active natural immunity
B. Active artificial immunity
C. Passive natural immunity
D. Passive artificial immunity
A child comes to the hospital after exposure to diphtheria and is given antitoxin. This is what type of immunity?

A. Active natural immunity
B. Active artificial immunity
C. Passive natural immunity
D. Passive artificial immunity!!!!!!!!!!!
11. A nurse has been asked to provide information to staff at a day-care on controlling the spread of infectious diseases in the day-care center. The best information the nurse can provide to the staff is
A. About growth and development milestones of the young child.
B. About hand washing procedures
C. About the etiology of common infectious diseases.
D. About the physiology of the immune system
11. A nurse has been asked to provide information to staff at a day-care on controlling the spread of infectious diseases in the day-care center. The best information the nurse can provide to the staff is
A. About growth and development milestones of the young child.
B. About hand washing procedures!!!!!!!!
C. About the etiology of common infectious diseases.
D. About the physiology of the immune system
12. A child stepped on a rusty nail in the family's barnyard. The child is not adequately immunized against tetanus. To prevent the child from tetanus, the nurse would give the child
A. Tetanus toxoid.
B. Diphtheria, tetanus, and pertussis
C. Antibiotics
D. Tetanus immune globulin
12. A child stepped on a rusty nail in the family's barnyard. The child is not adequately immunized against tetanus. To prevent the child from tetanus, the nurse would give the child
A. Tetanus toxoid.
B. Diphtheria, tetanus, and pertussis
C. Antibiotics
D. Tetanus immune globulin!!!!!!!!
A child's mother calls the doctor's office because her child has been exposed to chickenpox. Historical information that is necessary for the nurse to find out from the mother before making any recommendations is:

A. The child's age
B. If the child has had a rubella vaccination
C. The relationship of the person to whom the child was exposed.
D. The immune status of the child, and exposure
A child's mother calls the doctor's office because her child has been exposed to chickenpox. Historical information that is necessary for the nurse to find out from the mother before making any recommendations is:

A. The child's age
B. If the child has had a rubella vaccination
C. The relationship of the person to whom the child was exposed.
D. The immune status of the child, and exposure!!!!!!!!!!!!!
14. A mother of a child that has a congenital heart defect asks the nurse why the doctor has recommended that her child receive the flu vaccine when her other children did not receive it. The best nursing response is
A. Your other children are too old to get the flu.
B. To make sure he doesn't get the flu
C. I am not sure why the doctor made this recommendation.
D. A child with a heart condition may become very sick if that child gets the flu.
14. A mother of a child that has a congenital heart defect asks the nurse why the doctor has recommended that her child receive the flu vaccine when her other children did not receive it. The best nursing response is
A. Your other children are too old to get the flu.
B. To make sure he doesn't get the flu
C. I am not sure why the doctor made this recommendation.
D. A child with a heart condition may become very sick if that child gets the flu.!!!!!!!!!!!!!!
A child presents to the immunization clinic with a runny nose and a low-grade fever. He is scheduled to receive the MMR vaccine and DTaP. The nurse would

A. Send the mother to the doctor to get permission to administer the vaccine
B. Administer the vaccine as scheduled
C. Defer the vaccine until the child is well
D. Administer the DPT vaccine but defer the MMR (measles, mumps, and rubella) because it is a live vaccine
A child presents to the immunization clinic with a runny nose and a low-grade fever. He is scheduled to receive the MMR vaccine and DTaP. The nurse would

A. Send the mother to the doctor to get permission to administer the vaccine
B. Administer the vaccine as scheduled!!!!!!!!!!!!!!!!!!
C. Defer the vaccine until the child is well
D. Administer the DPT vaccine but defer the MMR (measles, mumps, and rubella) because it is a live vaccine
A parent brings her 3-year-old child into the immunization clinic for DTaP vaccine. During the interview the mother states the child was taking a dose pack of steroid because of a severe case of poison ivy. The nurse should

A. Provide the child with the scheduled vaccine; poison ivy is not a contraindication to administration.
B. Cleanse the injection site with Betadine instead of alcohol and administer the vaccine
C. Assess the child's response to the medication to see if the desired effect is achieved
D. Delay the vaccine administration for one month after the pills are gone.
A parent brings her 3-year-old child into the immunization clinic for DTaP vaccine. During the interview the mother states the child was taking a dose pack of steroid because of a severe case of poison ivy. The nurse should

A. Provide the child with the scheduled vaccine; poison ivy is not a contraindication to administration.
B. Cleanse the injection site with Betadine instead of alcohol and administer the vaccine
C. Assess the child's response to the medication to see if the desired effect is achieved
D. Delay the vaccine administration for one month after the pills are gone!!!!!!!!!!!!!!!!
Assessing a child who has painful ear, a bulging tympanic membrane is an indication of

A. Strep throat.
B. Perforation of tympanic membrane.
C. Thickened tympanic membrane
D. Acute otitis media.
Assessing a child who has painful ear, a bulging tympanic membrane is an indication of

A. Strep throat.
B. Perforation of tympanic membrane.
C. Thickened tympanic membrane
D. Acute otitis media.!!!!!!!!!!!!!!!
18. A mother brings her 8-year-old daughter into the immunization clinic for the varicella virus vaccine. Prior to administration the nurse needs to know if

A. The child has received any blood products recently.
B. The child is allergic to penicillin.
C. The child has had her spleen removed
D. The child has any allergies to milk.
18. A mother brings her 8-year-old daughter into the immunization clinic for the varicella virus vaccine. Prior to administration the nurse needs to know if

A. The child has received any blood products recently.!!!!!!!!!!!!!
B. The child is allergic to penicillin.
C. The child has had her spleen removed
D. The child has any allergies to milk.
19. The nursing rationale for providing the flu vaccine to a child with rheumatoid arthritis on aspirin is to

A. Decrease the risk of Reye’s syndrome related to aspirin therapy, and prevent influenza.
B. To ensure they maintain their activity levels and maintain their fluid balance.
C. To keep them pain-free and to prevent infectious diseases.
D. To promote their general health
19. The nursing rationale for providing the flu vaccine to a child with rheumatoid arthritis on aspirin is to

A. Decrease the risk of Reye’s syndrome related to aspirin therapy, and prevent influenza.!!!!!!!!!!
B. To ensure they maintain their activity levels and maintain their fluid balance.
C. To keep them pain-free and to prevent infectious diseases.
D. To promote their general health
20. The nurse is caring for a young child with otitis media. The parent asks the nurse what causes otitis media. Which of the following is the best response by the nurse?
A. The eustachian tube is shorter and more horizontal in younger children.
B. The eustachian tube is longer, more narrow, and vertical in younger children.
C. The eustachian tube is shorter, more narrow, and horizontal in younger children.
D. The eustachian tube is longer, wider, and vertical in younger children.
20. The nurse is caring for a young child with otitis media. The parent asks the nurse what causes otitis media. Which of the following is the best response by the nurse?
A. The eustachian tube is shorter and more horizontal in younger children. !!!!!!!!!!!!
B. The eustachian tube is longer, more narrow, and vertical in younger children.
C. The eustachian tube is shorter, more narrow, and horizontal in younger children.
D. The eustachian tube is longer, wider, and vertical in younger children.
In Summer more physically active, child has Type 1, what changes in plan of care?
In Summer more physically active, child has Type 1, what changes in plan of care?

- Increase food intake
(FYI: Strenuous excersize, eating too little food, and injecting too much insulin can cause hypoglycemia)
10 year old Type 1, what indicates a problem?
10 year old Type 1, what indicates a problem?

- A fasting serum glucose of 130mg/dL
Child with ketoacidosis, highest priority
Child with ketoacidosis, highest priority

- Nurse should assess neurological status carefully
Infant, subtle sign of hypothryroidism?
Infant, subtle sign of hypothryroidism?

- Lethargy
S/S, possible hypothyroidism?
S/S, possible hypothyroidism?

- Irritability
Blood glucose possible DKA?
Blood glucose possible DKA?

- 300mg/dL
Condition that can cause hypoglycemia?
Condition that can cause hypoglycemia?

- Excessive exercise without a carbohydrate snack
Neonate congenital hypothyroidism, most serious consequence?
Neonate congenital hypothyroidism, most serious consequence?

- Delayed CNS development
Short stature is from?
Short stature is from?

- Anterior pituitary gland hypofunction
Expect to assess with ketoacidosis in a child?
Expect to assess with ketoacidosis in a child?

- Deep rapid respirations
Support a Diagnosis of insulin dependent diabetes in a unconscious 8 year old secondary to ketoacidosis?
Support a Diagnosis of insulin dependent diabetes in a unconscious 8 year old secondary to ketoacidosis?

- "He started to wet his bed at night for the first time in 3 years."
S/S of hyperglycemia (Select all that apply)
S/S of hyperglycemia (Select all that apply)

- Thirst, Lethargy
Type 1 hypoglycemic reaction?
Type 1 hypoglycemic reaction?

- Child complains of being shaky
Teenager with type 1, actions for glucose of 250mg/dL?
Teenager with type 1, actions for glucose of 250mg/dL?

- Take insulin and drink water
Diabetic teenager, develops flushed face, increased urine output, and fruity breath? - Put in order

- Call the primary care provider
- Administer regular insulin on sliding scale
- Obtain a blood glucose level
- Increase oral intake of water
- Review the Intake and Output record
Diabetic teenager, develops flushed face, increased urine output, and fruity breath? - Put in order

5 - Call the primary care provider
2 - Administer regular insulin on sliding scale
1 - Obtain a blood glucose level
4 - Increase oral intake of water
3 - Review the Intake and Output record
2 month infant, S/S congenital hypothyroidism (Select all that apply)?
2 month infant, S/S congenital hypothyroidism (Select all that apply)?

- Protruding tongue
- Hypotonia
S/S of hypoglycemia (Select all that apply)?
S/S of hypoglycemia (Select all that apply)?

- Increased HR, hunger, sweating, tremors, and confusion
IV Insulin type?
IV insulin type?

- Regular Insulin
Nursing priority in Hypoglycemia?
Nursing priority in Hypoglycemia?

- Give the child Orange Juice to drink
Full ABX therapy, deep cut near knee, what finding should be reported?
Full ABX therapy, deep cut near knee, what finding should be reported?

- Swollen lymph nodes in the groin
Environment temperature
Environment temperature

- Humid for Eczema (R/T allergies)
S/S seborrheic dermatitis
S/S seborrheic dermatitis

- Yellow scaly patches on scalp
Acne Treatment
Acne Treatment

- "May take several months to see improvement in skin."
Plan of care, for impetigo?
Plan of care, for impetigo?

- Soak and remove crusts on lesion several times a day (Burrow solution)
Itchy, red, scaly, areas with deep fissures between toes, which action?
Itchy, red, scaly, areas with deep fissures between toes, which action?

- Wear flip flops in the locker room
Eczema, parents understands teaching?
Eczema, parents understands teaching?

- Parents dress the child in loose cotton clothing
Suspect tinea capitis?
Suspect Tinea Capitis?

- Scaling of the scalp
(Tinea Capitis is a fungal infection of the scalp)
Head lice, concept that should be taught?
Head lice, concept that should be taught?

- The hair should be cut if lice can't be removed
Burns by boiling water, nurse interventions?
Burns by boiling water, nurse interventions?

- If fever is present, start ABX immediately, administer IV fluids, and apply moist soaks
Nurse intervention for frostbite?
Nurse intervention for frostbite?

- Administer analgesics
8 year old with 2nd and 3rd degree burns on right thigh, which roommate?
8 year old with 2nd and 3rd degree burns on right thigh, which roommate?

- 4 year old with asthma (non-contagious)
Fire, priority given to which client?
Fire, priority given to which client?

- Person that is coughing
Circumferential burns on both legs, priority assessment?
Circumferential burns on both legs, priority assessment?

- Assessing peripheral pulses
Presence of inhalation injury?
Presence of inhalation injury?

- The presence of singed nasal hair
Burn victim, oral diet restarted, which foods?
Burn victim, oral diet restarted, which foods?

- High protein and high carbohydrate
Full thickness 4th degree burn, what's noted at site of injury?
Full thickness 4th degree burn, what's noted at site of injury?

- Charring at the wound site
Full thickness burns to hands, why use sheet graph?
Full thickness burns to hands, why use sheet graph?

- Better cosmetic result
Tar burn, immediate priority?
Tar burn, immediate priority?

- Cool the injury with water
Atopic dermatitis, instruct parents to?
Atopic dermatitis, instruct parents to?

- Wrap child's hand in mittens or socks to prevent scratching
Describes scabies?
Describes scabies?

- Multiple straight or wavy thread lines beneath skin

FYI: Scabies AKA: sarcoptes scabiei.
- Greyish brown, thread like burrows with black dot at end (mite)
- Exematous eruption in infants
- intense itching->sores->infection
-patterned lesions:interdigital, antecubital, popliteal, inguinal
-pruritic
-may take 30-60 days to develop
Stage 1 lyme disease, S/S?
Stage 1 lyme disease, S/S?

- Skin Rash (Bull's eye)
FYI:
- Stage 1: red-ringed rash about 3-31 days after tick bite, flu-like Sx
-Stage 2: Neurologic, cardiac, and musculoskeletal involvement
- Stage 3: Musculoskeleal pain in joints and supporting structures
Eczema, priority?
Eczema, priority?

- Prevent infection of lesions
Burn treatment in recovery management complication?
Burn treatment in recovery management complication?

- A burn wound infection
Which of the following are the manifestations of scabies? (Select all that apply.)
Which of the following are the manifestations of scabies? (Select all that apply.)

- Thread-like rash between fingers and other moist areas
- Pruritis
- Eczematous eruptions in infants

FYI:
manifestations of scabies:
> Grayish-brown, threadlike burrows with a black dot at the end (mite)
> Eczematous eruption in infants
> Intense itching can cause sores to become infected
> Pattern of lesions including interdigital, antecubital, popliteal, and inguinal areas
> Pruritic
> May take 30 to 60 days to develop
The primary goal in the initial treatment of major burns in a child are:
The primary goal in the initial treatment of major burns in a child are:

- Maintenance of airway and preventing shock
Which of the following is the most common complication seen in children during the recovery-management phase of burn treatment?
Which of the following is the most common complication seen in children during the recovery-management phase of burn treatment?

- Burn-wound infection
A nurse is caring for a child admitted 24 hours ago with full thickness burns to 40% of her body. Which of the following are expected findings for this client? (Select all that apply.)
A nurse is caring for a child admitted 24 hours ago with full thickness burns to 40% of her body. Which of the following are expected findings for this client? (Select all that apply.)

- Hypotension
- Tachycardia
Which of the following should the nurse include when instructing the adolescents about signs and symptoms related to hypoglycemia? (Select all that apply.)
Which of the following should the nurse include when instructing the adolescents about signs and symptoms related to hypoglycemia? (Select all that apply.)

- Nausea
- Irritability
- Sweating and pallor
Which of the following should the nurse include when identifying causes of a hypoglycemic reaction? (Select all that apply.)
Which of the following should the nurse include when identifying causes of a hypoglycemic reaction? (Select all that apply.)

- Skipping breakfast
- Exercising strenuously
- Taking an extra dose of insulin
Impetigo contagiosa
Impetigo contagiosa

- Staphylococcus
Head lice
Head lice

- Pediculosis humanus capitis
Lyme disease
Lyme disease

- Borrelia burgdorferi
Cold sore and fever blister
Cold sore and fever blister

- Herpes simplex virus type 1
Ringworm
Ringworm

- Trichophyton tonsurans
A nurse is caring for several children who have communicable diseases. Which of the following communicable diseases may lead to pneumonia? (Select all that apply)
A nurse is caring for several children who have communicable diseases. Which of the following communicable diseases may lead to pneumonia? (Select all that apply)

- Rubeola (measles)
- Pertussis (whooping cough)
- Varicella (chickenpox)
A nurse is caring for an adolescent client who has mononucleosis. The nurse assesses fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse discuss with the adolescent and her parents? (Select all that apply.)

A-Take antibiotics until symptoms subside
B- Drink plenty of liquids
C- avoid participating in strenuous activities
D- Allow for periods of rest
E- Take aspirin as needed for fever and discomfort
F- Gargle with salt water everu 2-3 hours
A nurse is caring for an adolescent client who has mononucleosis. The nurse assesses fever, fatigue, swollen lymph nodes, sore throat, and a sore upper abdomen. Which of the following instructions should the nurse discuss with the adolescent and her parents? (Select all that apply.)

B- Drink plenty of liquids
C- Avoid participating in strenuous activities
D- Allow for periods of rest
F- Gargle with salt water every 2 to 3 hours
A nurse is caring for a 2 year old who has had three ear infections in the past 5 months. The nurse should know that the child is at risk for developing which of the following as a long-term complication?
A nurse is caring for a 2 year old who has had three ear infections in the past 5 months. The nurse should know that the child is at risk for developing which of the following as a long-term complication?

- Speech delays
An infant who has signs and symptoms of acute otitis media (AOM) is brought to an outpatient facility by his parent. The nurse should recognize that which of the following factors, if present, place the infant at risk for otitis media? (Select all that apply)
An infant who has signs and symptoms of acute otitis media (AOM) is brought to an outpatient facility by his parent. The nurse should recognize that which of the following factors, if present, place the infant at risk for otitis media? (Select all that apply)

- The infant attends day care
- The infant was born with a cleft palate
- The infant's father smokes cigarettes
A parent of a child with HIV is at risk for disease transmission in which of the following situations? (Select all that apply.)

A- Hugging the child
B- Being kissed by the child
C- sharing finger food with the child from a central plate
D- cleaning up after the child has a nose bleed
E- wiping the child's tears with a handkerchief when she is crying
F- Assisting the child to wash after she has been sweating
G- Sharing the same toothbrush
A parent of a child who has HIV is at risk for disease transmission in which of the following situations? (Select all that apply.)

D- Cleaning up after the child has a nose bleed
G- Sharing the child's toothbrush
Chickenpox early stage
Chickenpox early stage?

- Airborne precautions
MMR and IPV, Don't give MMR if...
MMR and IPV, Don't give MMR if...

- The child is currently receiving immunosuppressive drugs
Check allergic reaction to what before giving varicella vaccine?
Check allergic reaction to what before giving varicella vaccine?

- Neomycin
Varicella in child, what is the appropriate action by nurse?
Varicella in child, what is the appropriate action by nurse?

- Keeping the child's nails cut short
Before immunization given to infant, what is the primary contraindication?
Before immunization given to infant, what is the primary contraindication?

- If infant has an active infection
Vaccines given at 12 months?
Vaccines given at 12 months?

- Varicella vaccination (Varicex)
Immunizations given SQ?
Immunizations given SQ?

- Varicella (and MMR)
When is Pneumococcal vaccine (Prevnar) contraindicated?
When is Pneumococcal vaccine (Prevnar) contraindicated?

- At 2 weeks old (should be 6 weeks)
Otitis media, S/S
Otitis media, S/S

- Temperature of 39 degrees Celsius and loss of appetite
Questions before giving MMR vaccine?
Questions before giving MMR vaccine?

- "Has your child had an allergic reaction to eggs?"
Viral infection, S/S - red blotchy rash and koplik's spots
Viral infection, S/S - red blotchy rash and koplik's spots

- Rubeola
Immunity by antibody formation during disease?
Immunity by antibody formation during disease?

- Active natural immunity
Encephalitis can be a complication of?
Encephalitis can be a complication of?

- Chickenpox
Child with Rubeola, S/S?
Child with Rubeola, S/S?

- High fever and koplik spots
Herpes Zoster (shingles), S/S?
Herpes Zoster (shingles), S/S?

- Clustered and grouped skin vesicles
Complication of acute otitis media?
Complication of acute otitis media?

- Eardrum perforation
Severe combined immunodeficiency disease, what is priority?
Severe combined immunodeficiency disease, what is priority?

- Prevent infection
AIDS in child, how would you encourage effective lung expansion?
AIDS in child, encourage effective lung expansion

- Bubble blowing (make it fun for the child)
Immunizations given SQ?
Immunizations given SQ?

- MMR and Varicella
Virus that causes chickenpox can also cause?
Virus that causes chickenpox can also cause?

- Herpes Zoster (Shingles)
Injection with bacterial cells that are modified (changed)?
Injection with bacterial cells that are modified (changed)?

- A vaccine
Given Antitoxin?
Given Antitoxin?

- Passive artificial immunity
Papule rash with vesicles, rash is profuse on trunk and sparse on the distal limbs?
Popular rash with vesicles, rash is profuse on trunk and sparse on the distal limbs?

- Chickenpox
(FYI: Macules -> Papules -> Vessicles -> crusted
After all lesions crusted, no longer contagious)
Instruction teaching about chickenpox in child?
Instruction teaching about chickenpox in child?

- Administer antipruritics as ordered
2 month old, what immunizations (Select all that apply)
2 month old, what immunizations (Select all that apply)

- DTaP, HBV, Hib, pneumococcal vaccine
8 year old, varicella virus vaccine, nurse needs to know?
8 year old, varicella virus vaccine, nurse needs to know?

- If the child has received any blood products recently (immunocompromised)
Child stepped on rusty nail, child could get?
Child stepped on rusty nail, child could get?

- Laryngospasms (spasms) (Tetanus)
Runny nose and low grade fever, Scheduled MMR and DTaP, what does nurse do?
Runny nose and low grade fever, Scheduled MMR and DTaP, what does nurse do?

- Administer the vaccine as scheduled
AIDS, don't give which vaccine?
AIDS, don't give which vaccine?

- Varicella vaccine (live virus)
Health practices with multiple ear infections?
Health practices with multiple ear infections?

- Avoid second hand smoke
Lyme disease characteristic?
Lyme disease characteristic?

- RIng shaped rash