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189 Cards in this Set

  • Front
  • Back
Hirschsprung disease
Hirschsprung disease

- A congenital anomaly in which inadequate motility causes mechanical obstruction of the intestine
Celiac disease
Celiac Disease

- A chronic malabsorption syndrome
Meckel's diverticulum
Meckel's divericulum

- When the omphalomesenteric duct, which connects the midgut to the yolk sac during embryonic development, fails to atrophy
Tracheoesophageal fistula
Esophageal atresia
Tracheoesophageal fistula
Esophageal atresia

- A malformation that results from failure of the seophagus to develop as a continuous tube during the fourth and fifth weeks of gestation
Pyloric stenosis
Pyloric stenosis

- Hypertrophic obstruction of the circular muscle of the pyloric canal
Intrassusception
Intrassusception

- Occurs when one portion of the intestine prolapses and then invaginates or telescopes into another
GERD
GERD

- The return of gastric contents into the esophagus, is the result of relaxation of the lower esophageal sphincter (LES)
Cleft lip/palate
Cleft lip/palate

- Failure of the maxillary processes to fuse with the elevations on the frontal prominence during the sixth week of gestation
Omphalocele
Omphalocele

- A congenital malformation in which intra-abdominal contents herniate through the umbilical cord
Gastroschisis
Gastroschisis

- A congenital defect of the ventral abdominal wall, characterized by herniation of abdominal viscera outside the abdominal cavity through a defect in the abdominal wall to the side (most often to the right) of the umbilicus
Gastroenteritis
Gastroenteritis

- An inflammation of the stomach and intestines that may be accompanied by vomiting and diarrhea
Enterobiasis
Enterobiasis

- Pinworm infection
Imperforate anus
Imperforate anus

- Absence of the anal opening
Phimosis
Phimosis

- When the foreskin over the glans penis cannot be retracted
Bladder exstrophy
Bladder exstrophy

- Rare congenital defect in which the bladder extrudes through the lower abdominal wall
Cryptorchidism
Cryptorchidism

- Occurs when one or both testes fail to descend through the inguinal canal into the scrotum
Enuresis
Enuresis

- Repeated involuntary voiding by a child who has reached an age at which bladder control is expected
Encorpresis
Encorpresis

- An abnormal elimination pattern characterized by the recurrent soiling or passage of stool at inappropriate times by a child who should have achieved bowel continence
Hypospadias
Hypospadias

- The urethral meatus located anywhere along the course of the urethra on the ventral surface of the penile shaft
Pyelonephritis
Pyelonephritis

- An upper UTI that involves the ureters, renal pelvis, and renal parenchyma
Acute glomerulonephritis
Acute glomerulonephritis

- Inflammation of the glomeruli of the kidneys
Nephrotic syndrome
Nephrotic syndrome

- A clinical state characterized by edema, massive proteinuria, hypoalbuminemia, hypoproteinemia, hyperlipidemia, and altered immunity
Hernia
Hernia

- The protrusion or projection of an organ or a part of an organ through the muscle wall of the cavity that normally contains it
Chordee
Chordee

- A fibrous line of tissue that results in ventral curvature of the penile shaft and can interfere with sexual function
Surgery for cleft palate, nurse interventions to prevent damage to surgical site? (Select all that apply)
Surgery for cleft palate, nurse interventions to prevent damage to surgical site? (Select all that apply)

- Elbow restraints
- Maintain pain management
- Give the infant soft finger foods
Celiac Disease, food in diet?
Celiac disease, food in diet?

- Rice
Neonate with esophogeal atresia, common finding?
Neonate with esophogeal atresia, common finding?

- Cyanosis
Neonate, visible peristalic waves across epigastrium, what disorder?
Neonate, visible peristalic waves across epigastrium, what disorder?

- Hypertrophic pyloric stenosis
Pyloric stenosis, 1st intervention?
Pyloric stenosis, 1st intervention?

- Weighing the infant
Which abdominal organs are directly affected by pyloric stenosis?
Which abdominal organs are directly affected by pyloric stenosis?

- Stomach and Duodenum
S/S acute appendicitis?
S/S acute appendicitis?

- Fever
5 year old with diarrhea, VS 98.8 temp, 132 HR, 28 RR, 88/56 BP, nursing priority?
5 year old with diarrhea, VS 98.8 temp, 132 HR, 28 RR, 88/56 BP, nursing priority?

- Implement NPO and begin IV stat
Neonate with TEF, initial assessment?
Neonate with TEF, initial assessment?

- Excessive drooling
What gastrointestinal disorder, S/S - painless bright bleeding?
What gastrointestinal disorder, S/S - painless bright bleeding?

- Meckel's diverticulum
6 month old, dehydrated, what assessment measures? (Select all that apply)
6 month old, dehydrated, what assessment measures? (Select all that apply)

- Record I&O accurately
- Take daily weights on the same scale, at the same time, with no clothes
- Document mucous membrane moisture every shift
- Check LOC
11 month with diarrhea, S/S?
11 month with diarrhea, S/S?

- Consistency of stool
Barium enema, with what Dx?
Barium enema, with what Dx?

- Intussusception
Vomiting (secondary to pyloric stenosis), what is the acid-base imbalance?
Vomiting (secondary to pyloric stenosis), what is the acid-base imbalance?

- Metabolic alkalosis
Dx, Meckel's Diverticulum, not a nursing action?
Dx, Meckel's Diverticulum, not a nursing action?

- Give the child a saline enema
S/S, pyloric stenosis?
S/S, pyloric stenosis?

- Projectile vomiting
Dehydration, orders? (Select all that apply)
Dehydration, orders? (Select all that apply)

- Initiating IV fluids
- Offer fluids frequently
- I&O records
- Take VS every 4 hours around clock
Dehydration, S/S?
Dehydration, S/S?

- Weak, thready pulse
Hirschsprung's disease, S/S?
Hirschsprung's disease, S/S?

- "The colon has a section that lacks nerves and prevents normal movements."
Greatest risk for dehydration?
Greatest risk for dehydration?

- 18 month old child with tachypnea (highest water content)
Early stage of dehydration, S/S? (besides dry mucous membranes)
Early stage of dehydration, S/S? (besides dry mucous membranes)

- Tachycardia
1 month old with diarrhea, S/S of severely dehydrated?
1 month old with diarrhea, S/S of severely dehydrated?

- Fontanels depressed, cap refill > 3 seconds
Gastroenteritis, which roommate assigned?
Gastroenteritis, which roommate assigned?

- Another child with gastroenteritis
20 mL every 3 hours, aspirates 15 mL of gastric residual, what action is taken?
20 mL every 3 hours, aspirates 15 mL of gastric residual, what action is taken?

- Withhold the feeding and notify the physician
Celiac disease, allowed food?
Celiac disease, allowed food?

- Fruit plate with gatorade
Dehydration, Intervention?
Dehydration, Intervention?

- Weigh the child and assess the % of weight loss
Diagnostic test results for appendicitis? (Select all that apply)
Diagnostic test results for appendicitis? (Select all that apply)

- Increased WBCs
- Increased band (immature neutrophil) count
14 year old, what's not a reason for TPN?
14 year old, what's not a reason for TPN?

- "It will help cut down on calories"
Urinalysis on child with AGN, expect which result?
Urinalysis on child with AGN, expect which result?

- Hematuria and proteinuria
Nursing intervention with AGN?
Nursing intervention with AGN?

- Measuring daily weight
AGN, most likely to develop?
AGN, most likely to develop?

- Strep infections from 2 weeks ago
Chordee?
Chordee?

- Ventral curvature of the penis
Hypospadias?
Hypospadias?

- Urethral opening along the ventral surface of the penis
Patient with nephrotic syndrome with S/S of dependent edema, hypoalbuminemia, and frothy urine free from infection - what VS?
Patient with nephrotic syndrome with S/S of dependent edema, hypoalbuminemia, and frothy urine free from infection - what VS?

- Blood pressure of 100/60 mmHg
To prevent UTIs?
To prevent UTIs?

- Have child wear cotton underpants
UTI, S/S in young toddler and infant?
UTI, S/S in young toddler and infant?

- Feeding problem
Wetting self 3 times in 2 days is a sign of?
Wetting self 3 times in 2 days is a sign of?

- UTI
S/S wilm's tumor?
S/S wilm's tumor?

- Swelling within the abdomen
Nephrotic syndrome - S/S?
Nephrotic syndrome - S/S?

- Proteinuria
Intervention with APIGN (AGN)?
Intervention with APIGN (AGN)?

- Screen family members for strep throat
To reduce eyelid edema in a child with nephrotic syndrome?
To reduce eyelid edema in a child with nephrotic syndrome?

- Elevate the child's HOB
In a 2 year old, excess fluid volume, labs?
In a 2 year old, excess fluid volume, labs?

- HCT - 27%
Hypospadias, plan of care?
Hypospadias, plan of care?

- "Our child won't be circumcised until after surgery, so the skin can be used during the repair"
Older child - S/S of UTI?
Older child - S/S of UTI?

- Hematuria, dysuria, N/V
Diagnosis of glomerulonephritis? (AGN)
Diagnosis of glomerulonephritis? (AGN)

- Streptococcus
Exstrophy?
Exstrophy?

- An extension of the bladder through lower abdominal wall
Test for Strep?
Test for Strep?

- Positive ASO titer
Minimal change Nephrotic syndrome (MDNS), S/S?
Minimal change Nephrotic syndrome (MDNS), S/S?

- Massive proteinuria, hypoalbuminemia, and edema
A patient with Nephrotic syndrome is severely edematous with bedrest, nursing intervention?
A patient with Nephrotic syndrome is severely edematous with bedrest, nursing intervention?

- Reposition the child every 2 hours
AGN, S/S, blurred vision and Headache, what is intervention?
AGN, S/S, blurred vision and Headache, what is intervention?

- Obtain BP and notify Doctor
AGN, priority physical assessment?
AGN, priority physical assessment?

- Blood pressure, observation for dependent edema
Best response, 1st indication AGN is improving?
Best response, 1st indication AGN is improving?

- Urine output will increase
Food eliminate with AGN?
Food eliminate with AGN?

- Hot dog with ketchup and mustard
At High risk for poisoning?
At High risk for poisoning?

- 20 month old who has just learned to climb stairs
S/S of hydrocarbon poisoning?
S/S of hydrocarbon poisoning?

- Lethargy, weakness, tachypnea, cyanosis, grunting, retractions
Antidote Tylenol?
Antidote Tylenol?

- Mucomyst
Emetic agents indicated for?
Emetic agents indicated for?

- When the poison is a salicylate (ASA)
Overdose Tylenol - S/S?
Overdose Tylenol - S/S?

- Hepatic damage
Tylenol poisoning, S/S - 12-24 hours after ingestion?
Tylenol poisoning, S/S - 12-24 hours after ingestion?

- Profuse sweating
Irreversible adverse effect Lead poisoning, which body system?
Irreversible adverse effect Lead poisoning, which body system?

- CNS system (ADHD)
How is Lead poisoning (and Iron) treated?
How is Lead poisoning (and Iron) treated?

- Chelation therapy (EDTA)
Actions for a child with poisoning?
Actions for a child with poisoning?

- Determine what was taken
7 year old on Ritalin 10 days ago for ADHD, how do you know drug is effective?
7 year old on Ritalin 10 days ago for ADHD, how do you know drug is effective?

- "She spent 15 minutes last night working on homework without getting out of her chair"
Teen depressed, significant risks? (Select all that apply)
Teen depressed, significant risks? (Select all that apply)

- Teen gave music to brother
- "I don't want to live like this"
- Teen cries when talking about family
Daydreaming, poor school performance, fidgeting, etc?
Daydreaming, poor school performance, fidgeting, etc?

- ADHD
S/S FAS (Fetal alcohol syndrome)?
S/S FAS (Fetal alcohol syndrome)?

- Growth retardation, CNS abnormalities, and craniofacial abnormalities
Teen at risk for suicide?
Teen at risk for suicide?

- A male with guns at home and broke up with a girlfriend
S/S of cocaine use in teen?
S/S of cocaine use in teen?

- Pupils would be large
2 year old, broken nose, suspect child abuse?
2 year old, broken nose, suspect child abuse?

- The child's father alters the story each time he tells it
The infant weighed 9.1 kg (20 lb) before the onset of symptoms. During the assessment, his weight recorded as 8.2 (18 lb). His capillary refill takes about 3 seconds, and his skin turgor is decreased. Based on this information, the nurse should assess his level of dehydration at:
The infant weighed 9.1 kg (20 lb) before the onset of symptoms. During the assessment, his weight recorded as 8.2 (18 lb). His capillary refill takes about 3 seconds, and his skin turgor is decreased. Based on this information, the nurse should assess his level of dehydration at:

- Moderate
Which of the following fluids is an appropriate choice for rehydrating a child who has experienced diarrhea due to E. coli for the past 3 days?
Which of the following fluids is an appropriate choice for rehydrating a child who has experienced diarrhea due to E. coli for the past 3 days?

- Oral rehydration therapy (ORT)
Which of the following diagnostic or laboratory test results should cause the nurse to suspect that the child has appendicitis? (Select all that apply)
Which of the following diagnostic or laboratory test results should cause the nurse to suspect that the child has appendicitis? (Select all that apply)

- Increased WBCs
- Increased band (immature neutrophil) count
An infant has undergone surgical repair of a cleft palate. Which of the following instructions should the nurse provide for the infant's family regarding prevention of damage to the surgical site? (Select all that apply).
An infant has undergone surgical repair of a cleft palate. Which of the following instructions should the nurse provide for the infant's family regarding prevention of damage to the surgical site? (Select all that apply).

- Maintain pain management
- Use elbow restraints
- Give the infant soft finger foods
Which of the following findings should the nurse expect during an initial assessment of a UTI? (Select all that apply)
Which of the following findings should the nurse expect during an initial assessment of a UTI? (Select all that apply)

- Dysuria
- Foul-smelling urine
The nurse is providing teaching to the mother to help prevent another UTI. Which of the following instructions should the nurse include in the teaching? (Select all that apply)
The nurse is providing teaching to the mother to help prevent another UTI. Which of the following instructions should the nurse include in the teaching? (Select all that apply)

- Avoid giving the child bubble baths
- Change the child's bathing suit immediately after swimming
- Have the child wear cotton, rather than nylon, underpants
- Instruct the child to wipe from front to back after voiding
A child with acute post-streptococcal glomerulonephritis (APSGN) (AGN) is admitted to the pediatric ICU for overnight observation. Which of the following physical assessment findings should the nurse expect? (Select all that apply)
A child with acute post-streptococcal glomerulonephritis (APSGN) (AGN) is admitted to the pediatric ICU for overnight observation. Which of the following physical assessment findings should the nurse expect? (Select all that apply)

- Pallor
- Reports of anorexia
- Lethargy
A child who has nephrotic syndrome is admitted. Which of the following should the nurse expect to find?
A child who has nephrotic syndrome is admitted. Which of the following should the nurse expect to find?

- Proteinuria
- Hypoalbuminemia
- Hyperlipidemia
The parents tell the nurse they found their infant in the corner of the crib blue and not breathing. Which of the following questions should the nurse ask the parents?
The parents tell the nurse they found their infant in the corner of the crib blue and not breathing. Which of the following questions should the nurse ask the parents?

- "Could you tell me more about how you found her?"
A child who has swallowed paint thinner is brought to the emergency department by her parent. The child is lethargic, gagging, and cyanotic. Which of the following emergency interventions should the nurse implement?
A child who has swallowed paint thinner is brought to the emergency department by her parent. The child is lethargic, gagging, and cyanotic. Which of the following emergency interventions should the nurse implement?

- Prepare for intubation with cuffed endotracheal tube
Hypospadias
Hypospadias

- Urethral meatus located on the ventral side of the glans penis
Epispadias
Epispadias

- Urethral meatus located on the dorsal side of the glans penis
Phimosis
Phimosis

- Narrowing of the preputial opening of the foreskin that prevents retraction of the foreskin over the glans penis
Bladder Exstrophy
Bladder Exstrophy

- Protrusion of bladder through lower abdominal wall
Cryptorchidism
Cryptorchidism

- Failure of one or both testicles to descend into the scrotum
Chordee
Chordee

- A fibrous band on the ventral side of the penis resulting in a ventral curvature of the penis
Hydrocele
Hydrocele

- Collection of fluid in the scrotal sac
Acetaminophen poisoning
Acetaminophen poisoning

- Liver failure occurring without treatment
Generic (Aspirin) poisoning
Generic (Aspirin) poisoning

- Nausea/vomiting, ringing in ears and lightheadedness (dizzyness)
Lead poisoning
Lead poisoning

- Mental impairment and blindness
Corrosive substances poisoning
Corrosive substances poisoning

- Edema of lips, hemoptysis and drooling
1. At the time of delivery, an infant is born with its abdominal organs, covered by a sac, protruding through an abdominal opening in the umbilical ring. This condition is known as:
1. Intussusception
2. Diaphragmatic hernia
3. Omphalocele
4. Gastroschisis
1. At the time of delivery, an infant is born with its abdominal organs, covered by a sac, protruding through an abdominal opening in the umbilical ring. This condition is known as:
1. Intussusception
2. Diaphragmatic hernia
3. Omphalocele!!!!!!!!!!!!!!!
4. Gastroschisis
2. When talking to the mother of a 6-month-old girl who has just been diagnosed as having intussusception, she asks what intussusception means. The nurse’s best response is:
1. “A hole has developed between two parts of her intestine, the duodenum and the ileum.”
2. “The lower segment of her bowel has no anal opening.”
3. “One portion of her intestine has telescoped into another portion of the intestine.”
4. “A portion of her bowel has twisted around itself, causing a blockage.”
2. When talking to the mother of a 6-month-old girl who has just been diagnosed as having intussusception, she asks what intussusception means. The nurse’s best response is:
1. “A hole has developed between two parts of her intestine, the duodenum and the ileum.”
2. “The lower segment of her bowel has no anal opening.”
3. “One portion of her intestine has telescoped into another portion of the intestine.”!!!!!!!!!!!!!!
4. “A portion of her bowel has twisted around itself, causing a blockage.”
3. The nurse has taught the parents of a child with celiac disease about foods that are allowed in the child's diet. Which of the following would have been included in the education as an allowed meal?
1. Pizza with milk
2. Spaghetti and meat sauce with juice
3. Hot dog on a bun with a shake
4. Fruit plate with Gatorade
3. The nurse has taught the parents of a child with celiac disease about foods that are allowed in the child's diet. Which of the following would have been included in the education as an allowed meal?
1. Pizza with milk
2. Spaghetti and meat sauce with juice
3. Hot dog on a bun with a shake
4. Fruit plate with Gatorade!!!!!!!!!!
4. A newborn with Hirschsprung’s disease (Megacolon) will often exhibit classic signs and symptoms including:
1. Respiratory distress, wheezing
2. Pallor, bruising, low hemoglobin
3. An olive-shaped mass in the abdomen, projectile vomiting
4. Lack of meconium stool, bile-stained emesis
4. A newborn with Hirschsprung’s disease (Megacolon) will often exhibit classic signs and symptoms including:
1. Respiratory distress, wheezing
2. Pallor, bruising, low hemoglobin
3. An olive-shaped mass in the abdomen, projectile vomiting
4. Lack of meconium stool, bile-stained emesis!!!!!!!!!!!!!!
5. One type of treatment that is contraindicated for infants and young children with gastroenteritis is:
1. IV fluids with electrolytes
2. Oral rehydration with Pedialyte
3. Age appropriate solid foods when tolerated
4. Antidiarrheal drug therapy
5. One type of treatment that is contraindicated for infants and young children with gastroenteritis is:
1. IV fluids with electrolytes
2. Oral rehydration with Pedialyte
3. Age appropriate solid foods when tolerated
4. Antidiarrheal drug therapy!!!!!!!!!
6. The initial treatment of choice for an intussusception is:
1. Reduction by manual abdominal pressure
2. Surgical bowel resection
3. Temporary colostomy
4. Barium enema
6. The initial treatment of choice for an intussusception is:
1. Reduction by manual abdominal pressure
2. Surgical bowel resection
3. Temporary colostomy
4. Barium enema!!!!!!!!!!
7. A 6-month-old is brought to the emergency room with symptoms of dehydration. The nurse would expect to see the following symptoms of moderate dehydration. (Select all that apply.)
1. Decrease urine output
2. Tenting of skin
3. Decreased tears
4. Dry mucous membranes of the mouth
5. Sunken anterior fontanel
6. Capillary refill greater than 4 sec
7. A 6-month-old is brought to the emergency room with symptoms of dehydration. The nurse would expect to see the following symptoms of moderate dehydration. (Select all that apply.)
1. Decrease urine output!!!!!!!!!
2. Tenting of skin
3. Decreased tears!!!!!!!!
4. Dry mucous membranes of the mouth!!!!!!!!!!!!
5. Sunken anterior fontanel
6. Capillary refill greater than 4 sec
8. Symptoms of celiac disease include which of the following:
1. Constipation, anorexia, malnutrition
2. Malnutrition, severe thirst, weight loss
3. Distended abdomen, constipation, anorexia
4. Bulky, greasy stools, distended abdomen, malnutrition
8. Symptoms of celiac disease include which of the following:
1. Constipation, anorexia, malnutrition
2. Malnutrition, severe thirst, weight loss
3. Distended abdomen, constipation, anorexia
4. Bulky, greasy stools, distended abdomen, malnutrition!!!!!!!!!!!!
9. Of the following foods, which is contraindicated in the diet of a child with celiac disease?
1. Rye breads
2. Lean meats
3. Fresh fruits
4. broccoli
9. Of the following foods, which is contraindicated in the diet of a child with celiac disease?
1. Rye breads!!!!!!!!!!!!!!!!
2. Lean meats
3. Fresh fruits
4. broccoli
10. Hirschsprung’s disease is caused by:
1. An autoimmune reaction causing damage to the muscles of the large intestines
2. Damage to the bowel from a birth injury or accident
3. A congenital absence of the ganglion nerve cell in the lower colon
4. An infectious organism that causes inflammations and swelling in the lower bowel
10. Hirschsprung’s disease is caused by:
1. An autoimmune reaction causing damage to the muscles of the large intestines
2. Damage to the bowel from a birth injury or accident
3. A congenital absence of the ganglion nerve cell in the lower colon!!!!!!!!!!!!!!!!!!
4. An infectious organism that causes inflammations and swelling in the lower bowel
11. Infectious gastroenteritis in the infant is most often caused by:
1. Rotavirus infection
2. Respiratory syncytial virus infection
3. E. coli infection
4. Staphylococcal infection
11. Infectious gastroenteritis in the infant is most often caused by:
1. Rotavirus infection!!!!!!!!!!
2. Respiratory syncytial virus infection
3. E. coli infection
4. Staphylococcal infection
12. A 1-month-old infant is admitted to the Emergency Department with severe diarrhea. Which of the following assessments suggests the infant is severely dehydrated?
1. Skin moist and flushed; mucous membranes dry
2. Low urine specific gravity; skin color pale
3. Fontanels depressed; capillary refill greater than four seconds
4. High urine specific gravity; moist mucous membranes
12. A 1-month-old infant is admitted to the Emergency Department with severe diarrhea. Which of the following assessments suggests the infant is severely dehydrated?
1. Skin moist and flushed; mucous membranes dry
2. Low urine specific gravity; skin color pale
3. Fontanels depressed; capillary refill greater than four seconds !!!!!!!!!!!!!!!!!!!!
4. High urine specific gravity; moist mucous membranes
13. A complication that commonly occurs in the child with cleft palate is:
1. Chronic otitis media
2. Failure to thrive
3. Inability to taste formula and foods
4. Gastroenteritis
13. A complication that commonly occurs in the child with cleft palate is:
1. Chronic otitis media!!!!!!!!!!!!!!!!!!
2. Failure to thrive
3. Inability to taste formula and foods
4. Gastroenteritis
14. The best indicator of possible esophageal atresia during feeding of a newborn would be:
1. Respiratory rate of 36 per minute
2. Poor sucking reflex
3. Swallowing sound heard during feeding
4. Excessive oral secretions, coughing, and choking during feeding
14. The best indicator of possible esophageal atresia during feeding of a newborn would be:
1. Respiratory rate of 36 per minute
2. Poor sucking reflex
3. Swallowing sound heard during feeding
4. Excessive oral secretions, coughing, and choking during feeding!!!!!!!!!!!!!!!!!!!!
15. Select all of the following that apply to the postoperative care of a neonate having surgical repair of a cleft lip:
1. Prevent crying and sucking
2. Position on the abdomen
3. Cuddle and hold infant
4. Keep suture line clean and free of crusts
15. Select all of the following that apply to the postoperative care of a neonate having surgical repair of a cleft lip:
1. Prevent crying and sucking!!!!!!!!!!!!!
2. Position on the abdomen
3. Cuddle and hold infant!!!!!!!!!!!
4. Keep suture line clean and free of crusts!!!!!!!!!!!!!!!!!
16. The nurse is caring for a child with a history of severe diarrhea. Which of the following acid-base abnormalities would the nurse assess for as a possible consequence of the diarrhea?
1. Metabolic alkalosis
2. Metabolic acidosis
3. Respiratory acidosis
4. Respiratory alkalosis
16. The nurse is caring for a child with a history of severe diarrhea. Which of the following acid-base abnormalities would the nurse assess for as a possible consequence of the diarrhea?
1. Metabolic alkalosis
2. Metabolic acidosis!!!!!!!!!!!!!!!
3. Respiratory acidosis
4. Respiratory alkalosis
17. A 4-year-old child is seen in the clinic with severe perianal itching and vaginal itching that worsens at night. The nurse recognizes this disorder and asks the mother
1. Do you have any pets?
2. Does your child attend daycare?
3. Is your child wearing shoes outside?
4. Are you wearing gloves when handling your child's stool?
17. A 4-year-old child is seen in the clinic with severe perianal itching and vaginal itching that worsens at night. The nurse recognizes this disorder and asks the mother
1. Do you have any pets?
2. Does your child attend daycare?!!!!!!!!!!!!!!
3. Is your child wearing shoes outside?
4. Are you wearing gloves when handling your child's stool?
18. An infant is being discharged with mild gastroesophageal reflux (GER). The nurse should advise the parents to do which of the following?
1. Administer prescribed medications after each feeding
2. Position infant on the left side with head flat after each feeding
3. Increase the amount of water in formula to guard against aspiration
4. Add rice cereal to formula and feed frequently
18. An infant is being discharged with mild gastroesophageal reflux (GER). The nurse should advise the parents to do which of the following?
1. Administer prescribed medications after each feeding
2. Position infant on the left side with head flat after each feeding
3. Increase the amount of water in formula to guard against aspiration
4. Add rice cereal to formula and feed frequently!!!!!!!!!!!!!!
19. During a baby's postoperative visit for a cleft lip/palate repair, the nurse wants to address the baby's -Altered nutrition, less than body requirements. Which of the following would be an expected outcome for this diagnosis?
1. The infant shows no signs of respiratory infection.
2. Lip/palate heals without complications.
3. Gains weight appropriately.
4. Tissues are intact and pink.
19. During a baby's postoperative visit for a cleft lip/palate repair, the nurse wants to address the baby's -Altered nutrition, less than body requirements. Which of the following would be an expected outcome for this diagnosis?
1. The infant shows no signs of respiratory infection.
2. Lip/palate heals without complications.
3. Gains weight appropriately.!!!!!!!!!!!!!!
4. Tissues are intact and pink.
20. The nurse is planning oral rehydration therapy (ORT) for a child with diarrhea and mild-to-moderate dehydration. Which of the following fluids would the nurse offer the child?
1. Any clear fluids
2. Beef or chicken broth
3. Carbonated soft drink
4. Pedialyte and electrolyte solution
20. The nurse is planning oral rehydration therapy (ORT) for a child with diarrhea and mild-to-moderate dehydration. Which of the following fluids would the nurse offer the child?
1. Any clear fluids
2. Beef or chicken broth
3. Carbonated soft drink
4. Pedialyte and electrolyte solution!!!!!!!!!!!!!!!
21. A child has been admitted to the hospital with dehydration. Which of the following measures would the nurse expect to be included in the plan of care? (Select all that apply.)
1. Urine specific gravity
2. Daily weights
3. Upper-gastrointestinal series
4. 72-hour fecal fat collection
5. Intake and output
21. A child has been admitted to the hospital with dehydration. Which of the following measures would the nurse expect to be included in the plan of care? (Select all that apply.)
1. Urine specific gravity!!!!!!!!!!!!
2. Daily weights!!!!!!!!!!!!!!!!!
3. Upper-gastrointestinal series
4. 72-hour fecal fat collection
5. Intake and output!!!!!!!!!!!
22. The medication of choice of school-age children with pinworms is:
1. Mebendazole (Vermox)
2. Antifungal ointment
3. Pediculocide cream
4. Ribavirin
22. The medication of choice of school-age children with pinworms is:
1. Mebendazole (Vermox)!!!!!!!!!!!!!
2. Antifungal ointment
3. Pediculocide cream
4. Ribavirin
1. Bulimia is an eating disorder characterized by:
1. Anorexia with severe weight loss
2. Binge eating followed by induced vomiting
3. Sudden weight gain
4. Chronic diarrhea
1. Bulimia is an eating disorder characterized by:
1. Anorexia with severe weight loss
2. Binge eating followed by induced vomiting!!!!!!!!!!!!!!!!!!!!!!
3. Sudden weight gain
4. Chronic diarrhea
2. An 18-year-old girl is seen in the clinic and is diagnosed with anorexia nervosa. Her symptoms would most likely include:
1. Constipation
2. Dysmenorrhea
3. Abdominal distention
4. Tachycardia
2. An 18-year-old girl is seen in the clinic and is diagnosed with anorexia nervosa. Her symptoms would most likely include:
1. Constipation!!!!!!!!!!!!!
2. Dysmenorrhea
3. Abdominal distention
4. Tachycardia
3. Abuse of the drug ecstasy (MDMA) has increased in adolescents. This drug is classified as a/an:
1. Stimulant
2. Hallucinogen
3. Opiate
4. Depressant
3. Abuse of the drug ecstasy (MDMA) has increased in adolescents. This drug is classified as a/an:
1. Stimulant!!!!!!!!!!!!!!!!!!!!!
2. Hallucinogen
3. Opiate
4. Depressant
4. The nurse is admitting a child with a diagnosis of trisomy 21. Another term for this genetic problem is:
1. Turner’s syndrome
2. Down syndrome
3. Marfan syndrome
4. Tourette syndrome
4. The nurse is admitting a child with a diagnosis of trisomy 21. Another term for this genetic problem is:
1. Turner’s syndrome
2. Down syndrome!!!!!!!!!!!!!!!!!!!!!
3. Marfan syndrome
4. Tourette syndrome
5. Bulimia is an eating disorder that is characterized by:
1. Self-imposed starvation with weight loss and body image disturbance
2. Episodes of binge eating, purging, and dissatisfaction with body size
3. Abnormal glandular function resulting in accumulation of excessive body fat
4. Compulsive overeating to satisfy emotional rather than physical needs
5. Bulimia is an eating disorder that is characterized by:
1. Self-imposed starvation with weight loss and body image disturbance
2. Episodes of binge eating, purging, and dissatisfaction with body size!!!!!!!!!!!!!!!!!!!!!!!!!!!
3. Abnormal glandular function resulting in accumulation of excessive body fat
4. Compulsive overeating to satisfy emotional rather than physical needs
6. An adolescent who exhibits changes in behavior patterns, an increase in school absences, and a decrease in academic performance and who starts to spend time with people other than his regular friends may be sowing signs of:
1. Manic-depression
2. Schizophrenia
3. Drug abuse
4. Obsessive-compulsive disorder
6. An adolescent who exhibits changes in behavior patterns, an increase in school absences, and a decrease in academic performance and who starts to spend time with people other than his regular friends may be sowing signs of:
1. Manic-depression
2. Schizophrenia
3. Drug abuse!!!!!!!!!!!!!!!!!!!!!!!!
4. Obsessive-compulsive disorder
7. Which symptom reported by the parents is the best indicator of amphetamine abuse by the adolescent?
1. Watery eyes
2. Drowsiness
3. Excessive nasal drainage
4. Marked nervousness
7. Which symptom reported by the parents is the best indicator of amphetamine abuse by the adolescent?
1. Watery eyes
2. Drowsiness
3. Excessive nasal drainage
4. Marked nervousness!!!!!!!!!!!!!!!!!
8. A nurse caring for an autistic child who requires traction of the lower extremity related to a fracture, should make sure all harmful objects are removed from the environment and
1. The child is placed in a room close to the nursing station
2. The child is placed in a room with several other children
3. Limit parental visits
4. Hold and cuddle the child as much as conditions will allow, offering comfort.
8. A nurse caring for an autistic child who requires traction of the lower extremity related to a fracture, should make sure all harmful objects are removed from the environment and
1. The child is placed in a room close to the nursing station!!!!!!!!!!!!!!!!
2. The child is placed in a room with several other children
3. Limit parental visits
4. Hold and cuddle the child as much as conditions will allow, offering comfort.
9. The least restrictive method of restraining an autistic adolescent with aggressive and self-abusive behavior is
1. a mummy restraint
2. wrist and leg restraints
3. vest restraint
4. bike helmet and mitts
9. The least restrictive method of restraining an autistic adolescent with aggressive and self-abusive behavior is
1. a mummy restraint
2. wrist and leg restraints
3. vest restraint
4. bike helmet and mitts!!!!!!!!!!!!!!!!!
10. A nurse caring for a diabetic child with an attention deficit disorder can promote the nutritional status of the child by
1. Taking the child to the dining room to eat with other people.
2. providing diabetic instruction during meal times
3. Turning on the television during meal time.
4. providing a quiet environment during meals
10. A nurse caring for a diabetic child with an attention deficit disorder can promote the nutritional status of the child by
1. Taking the child to the dining room to eat with other people.
2. providing diabetic instruction during meal times
3. Turning on the television during meal time.
4. providing a quiet environment during meals!!!!!!!!!!!!!!!!!!!!!!
11. A nurse caring for a child that has just been diagnosed with attention deficit disorder is discussing designing a behavioral management plan with the child's parents. When discussing punishment it is important that the parents understand
1. They should delay punishment for inappropriate behavior until both parents are present.
2. Spanking is the most effective deterrent of offensive behavior.
3. Punishment should occur quickly after the offensive behavior.
4. Punishment should be done in public so the child is embarrassed
11. A nurse caring for a child that has just been diagnosed with attention deficit disorder is discussing designing a behavioral management plan with the child's parents. When discussing punishment it is important that the parents understand
1. They should delay punishment for inappropriate behavior until both parents are present.
2. Spanking is the most effective deterrent of offensive behavior.
3. Punishment should occur quickly after the offensive behavior!!!!!!!!!!!!!.
4. Punishment should be done in public so the child is embarrassed
12. Prematurity places an infant at risk of displaying below-normal cognitive development. The nurse should encourage parents of premature infants to
1. Have frequent neurological and developmental examinations.
2. Keep the child in a quiet environment.
3. Introduce semi-solid food for brain development at two weeks of age.
4. Increase folic acid in the diet for brain development.
12. Prematurity places an infant at risk of displaying below-normal cognitive development. The nurse should encourage parents of premature infants to
1. Have frequent neurological and developmental examinations.!!!!!!!!!!
2. Keep the child in a quiet environment.
3. Introduce semi-solid food for brain development at two weeks of age.
4. Increase folic acid in the diet for brain development.
13. When promoting safety to high school students, the school nurse places highest priority on teaching students in a health class about risks associated with which most commonly used drug during adolescence?
1. Cocaine
2. Prescription drugs
3. Alcohol
4. Phencyclidine (PCP)
13. When promoting safety to high school students, the school nurse places highest priority on teaching students in a health class about risks associated with which most commonly used drug during adolescence?
1. Cocaine
2. Prescription drugs
3. Alcohol!!!!!!!!!!!!!!!!!
4. Phencyclidine (PCP)
14. A 14-year-old female with mild mental retardation asks the nurse if it is possible for her to have a baby. The nurse would begin to respond by doing which of the following?
1. Asking her if she has been engaging in any sexual activity
2. Determining why she wants to know and how much knowledge she currently has
3. Telling her how conception occurs
4. Telling her that people with mental retardation should not have children
14. A 14-year-old female with mild mental retardation asks the nurse if it is possible for her to have a baby. The nurse would begin to respond by doing which of the following?
1. Asking her if she has been engaging in any sexual activity
2. Determining why she wants to know and how much knowledge she currently has!!!!!!!!!!!!!!!!!!!
3. Telling her how conception occurs
4. Telling her that people with mental retardation should not have children
15. While caring for a 1-year-old who has been abused by her parent, which of the following factors obtained from the history is most likely to be associated with an increased risk for physical abuse?
1. The mother states that she was abused as a child
2. The mother states that she has support from her extended family
3. The mother states that she is working, but doesn’t have much extra money
4. The mother states that she participates in social activities
15. While caring for a 1-year-old who has been abused by her parent, which of the following factors obtained from the history is most likely to be associated with an increased risk for physical abuse?
1. The mother states that she was abused as a child!!!!!!!!!!!!!!!!!!!
2. The mother states that she has support from her extended family
3. The mother states that she is working, but doesn’t have much extra money
4. The mother states that she participates in social activities
16. Which of the following situations poses an increased risk for a child to be physically abused by the parent?
1. A chronically ill child
2. A child whose parent works outside the home
3. A child with two other siblings
4. A child who was adopted at birth
16. Which of the following situations poses an increased risk for a child to be physically abused by the parent?
1. A chronically ill child!!!!!!!!!!!!!!!
2. A child whose parent works outside the home
3. A child with two other siblings
4. A child who was adopted at birth
1. Acetaminophen poisoning is treated by gastric lavage and:
1. A dose of activated charcoal
2. Administration of acetylcysteine (Mucomyst)
3. Several doses of a chelating agent
4. Administration of vitamin k for bleeding tendencies
1. Acetaminophen poisoning is treated by gastric lavage and:
1. A dose of activated charcoal
2. Administration of acetylcysteine (Mucomyst)!!!!!!!!!!!!!
3. Several doses of a chelating agent
4. Administration of vitamin k for bleeding tendencies
2. The child in the above question is taken to the ER and admitted. If the nurse documents all the following data on admission, which of these findings best indicates that the child needs to be monitored with a pulse oximeter?
1. Substernal and intercostal retractions
2. Red, swollen lips
3. Thin, clear mucous drooling from the lips
4. Pulse rate of 105 beats/minute
2. The child in the above question is taken to the ER and admitted. If the nurse documents all the following data on admission, which of these findings best indicates that the child needs to be monitored with a pulse oximeter?
1. Substernal and intercostal retractions!!!!!!!!!!!!!!
2. Red, swollen lips
3. Thin, clear mucous drooling from the lips
4. Pulse rate of 105 beats/minute
3. In addition to monitoring the child with pulse oximetry, which intervention would the nurse expect to perform?
1. Administering gastric lavage
2. Implementing pain-relief measures
3. Maintaining the child on nothing-by-mouth status
4. Performing neurovascular checks
3. In addition to monitoring the child with pulse oximetry, which intervention would the nurse expect to perform?
1. Administering gastric lavage
2. Implementing pain-relief measures!!!!!!!!!!!!!!!!!!
3. Maintaining the child on nothing-by-mouth status
4. Performing neurovascular checks
4. Johnny age 3 had a screening blood test for lead which came back positive. The nurse when counseling the parents would inform them
1. to move from their current residence
2. their child should come in for further testing or go to his doctor
3. to take the child to the emergency room right away
4. of treatment protocols for lead poisoning
4. Johnny age 3 had a screening blood test for lead which came back positive. The nurse when counseling the parents would inform them
1. to move from their current residence
2. their child should come in for further testing or go to his doctor!!!!!!!!!!!!!!
3. to take the child to the emergency room right away
4. of treatment protocols for lead poisoning
5. When monitoring a child with lead poisoning, the nurse should be alert for which condition that commonly appears first?
1. Anemia
2. Diarrhea
3. Overeating
4. Paralysis
5. When monitoring a child with lead poisoning, the nurse should be alert for which condition that commonly appears first?
1. Anemia!!!!!!!!!!!!!!!!!
2. Diarrhea
3. Overeating
4. Paralysis
6. A 2 year old has eaten half a bottle of his grandmother’s ferrous sulfate tablets. When the mother calls the clinic, the nurse will tell the mother to
1. Take him to the hospital immediately.
2. Give him syrup of ipecac to induce vomiting.
3. Contact the poison control center by phone.
4. Do nothing because vitamins are nonpoisonous.
6. A 2 year old has eaten half a bottle of his grandmother’s ferrous sulfate tablets. When the mother calls the clinic, the nurse will tell the mother to
1. Take him to the hospital immediately.
2. Give him syrup of ipecac to induce vomiting.
3. Contact the poison control center by phone.!!!!!!!!!!!!!!!!
4. Do nothing because vitamins are nonpoisonous.
7. The mother of a 3-year-old child calls her nurse neighbor in a panic state, saying that the child just swallowed most of a bottle of aspirin. The nurse determines that the child is still alert. In addition to calling the poison control center, the nurse should
1. Induce vomiting in the child.
2. Observe the child carefully until the ambulance arrives.
3. Immediately start CPR.
4. Give the child lots of milk to drink.
7. The mother of a 3-year-old child calls her nurse neighbor in a panic state, saying that the child just swallowed most of a bottle of aspirin. The nurse determines that the child is still alert. In addition to calling the poison control center, the nurse should
1. Induce vomiting in the child.!!!!!!!
2. Observe the child carefully until the ambulance arrives.
3. Immediately start CPR.
4. Give the child lots of milk to drink.
8. A mother calls her local emergency room (ER) and tells the nurse, “My 4-year-old just swallowed a bottle of aspirin. What should I do?” After verifying that the child is still awake and alert, the triage nurse would give what advice to the mother?
1. Call 911, and then give one glass milk to protect the esophagus.
2. Call 911, and then give syrup of ipecac.
3. Bring child to local pediatrician.
4. Call a poison control center.
8. A mother calls her local emergency room (ER) and tells the nurse, “My 4-year-old just swallowed a bottle of aspirin. What should I do?” After verifying that the child is still awake and alert, the triage nurse would give what advice to the mother?
1. Call 911, and then give one glass milk to protect the esophagus.
2. Call 911, and then give syrup of ipecac.
3. Bring child to local pediatrician.
4. Call a poison control center.!!!!!!!!!!!!!!
9. When a child has been poisoned, identifying the ingested poison is an important treatment goal. Which action would help determine which poison was ingested?
1. Call the local poison control center
2. Ask the child
3. Ask the parents
4. Save all evidence of poison
9. When a child has been poisoned, identifying the ingested poison is an important treatment goal. Which action would help determine which poison was ingested?
1. Call the local poison control center
2. Ask the child
3. Ask the parents
4. Save all evidence of poison!!!!!!!!!!!!!!
10. The emergency department nurse is educating a parent on safety measures for a child who has been treated for accidental ingestion of acetaminophen (Tylenol). The nurse concludes that the parent has understood the teaching instructions when the parent makes which statements?
1. “I will use warning stickers like Mr. Yuk on all medications containers.”
2. “I will buy products with childproof caps.”
3. “I will keep magnesium citrate available.”
4. “I will put the poison control center number by every phone in the house.”
5. “I will keep activated charcoal in the house and use it readily if needed.”
10. The emergency department nurse is educating a parent on safety measures for a child who has been treated for accidental ingestion of acetaminophen (Tylenol). The nurse concludes that the parent has understood the teaching instructions when the parent makes which statements?
1. “I will use warning stickers like Mr. Yuk on all medications containers.”!!!!!!!!!!!!!!!!!!!
2. “I will buy products with childproof caps.”!!!!!!!!!!!!!
3. “I will keep magnesium citrate available.”
4. “I will put the poison control center number by every phone in the house.”!!!!!!!!!!!!!!!!!!!
5. “I will keep activated charcoal in the house and use it readily if needed.”
11. The nurse in the Emergency department should question the order to administer syrup of ipecac to which of the following children?
1. A 2-year-old with accidental ingestion of aspirin
2. A 3-year-old with accidental ingestion of a drain cleaner
3. A 4-year-old with accidental ingestion of acetaminophen
4. A 10-month-old with accidental ingestion of vitamins
11. The nurse in the Emergency department should question the order to administer syrup of ipecac to which of the following children?
1. A 2-year-old with accidental ingestion of aspirin
2. A 3-year-old with accidental ingestion of a drain cleaner!!!!!!!!!!!!!!
3. A 4-year-old with accidental ingestion of acetaminophen
4. A 10-month-old with accidental ingestion of vitamins
12. A child has been admitted to the emergency room after an accidental ingestion of acetaminophen (Tylenol). During the course of the emergency treatment, a physician orders the child be given N-acetylcysteine (Mucomyst). The mother, who is a medical-surgical nurse, asks the emergency room nurse why her child is receiving a mucolytic agent. The nurse responds:
1. “Tylenol poisoning causes pneumonia.”
2. “This drug will prevent the child from having lung damage due to the overdose.”
3. “The Mucomyst will bind with the drug’s breakdown product and prevent liver damage.”
4. “I think you must have misheard the doctor. Let me ask your physician what he wants the child to receive.”
12. A child has been admitted to the emergency room after an accidental ingestion of acetaminophen (Tylenol). During the course of the emergency treatment, a physician orders the child be given N-acetylcysteine (Mucomyst). The mother, who is a medical-surgical nurse, asks the emergency room nurse why her child is receiving a mucolytic agent. The nurse responds:
1. “Tylenol poisoning causes pneumonia.”
2. “This drug will prevent the child from having lung damage due to the overdose.”
3. “The Mucomyst will bind with the drug’s breakdown product and prevent liver damage.”!!!!!!!!!!!!!!!!!!
4. “I think you must have misheard the doctor. Let me ask your physician what he wants the child to receive.”
13. The parents of a 4-month-old who apparently died from sudden infant death syndrome (SIDS) are signing consent for the post-mortem examination when the paternal grandfather arrives and questions why it is necessary. The nurse should explain to him that an autopsy is performed:
1. To rule out child abuse
2. To determine the infant’s cause of death
3. On all infants who die before the age of 12 months
4. To convince the parents that they are not at fault
13. The parents of a 4-month-old who apparently died from sudden infant death syndrome (SIDS) are signing consent for the post-mortem examination when the paternal grandfather arrives and questions why it is necessary. The nurse should explain to him that an autopsy is performed:
1. To rule out child abuse
2. To determine the infant’s cause of death!!!!!!!!!!!!!!!!!!!!
3. On all infants who die before the age of 12 months
4. To convince the parents that they are not at fault
14. When obtaining information from the parents of an infant who just died from sudden infant death syndrome (SIDS), it is important to ask the parents:
1. If they heard the child cry out during the night
2. If they suspect any type of abuse
3. If they know what might have caused the infant’s death
4. Factual questions about the infant’s status when found
14. When obtaining information from the parents of an infant who just died from sudden infant death syndrome (SIDS), it is important to ask the parents:
1. If they heard the child cry out during the night
2. If they suspect any type of abuse
3. If they know what might have caused the infant’s death
4. Factual questions about the infant’s status when found!!!!!!!!!!!!!!!!!
15. The nurse is administering magnesium sulfate with activated charcoal to a child who has had an accidental poisoning. The child’s mother asks “What is the purpose of the magnesium sulfate?” The nurse’s explanation will incorporate that magnesium is administered to:
1. Promote evacuation of activated charcoal and to act as an antagonist to the agent ingested
2. Prevent systemic absorption of the drug ingested
3. Serve as an antidote for the drug ingested
4. Induce vomiting of the gastric contents
15. The nurse is administering magnesium sulfate with activated charcoal to a child who has had an accidental poisoning. The child’s mother asks “What is the purpose of the magnesium sulfate?” The nurse’s explanation will incorporate that magnesium is administered to:
1. Promote evacuation of activated charcoal and to act as an antagonist to the agent ingested!!!!!!!!!!!!
2. Prevent systemic absorption of the drug ingested
3. Serve as an antidote for the drug ingested
4. Induce vomiting of the gastric contents
1. A child is admitted to the hospital with marked symptoms of nephrosis. The following information should be included in the admission nurse’s notes. Which information is most pertinent in terms of the child’s condition?
1. Color of the skin and mucous membranes.
2. Pattern of bowel elimination and extent of bowel training.
3. Degree and distribution of edema.
4. Pulse and respiratory rate and temperature.
1. A child is admitted to the hospital with marked symptoms of nephrosis. The following information should be included in the admission nurse’s notes. Which information is most pertinent in terms of the child’s condition?
1. Color of the skin and mucous membranes.
2. Pattern of bowel elimination and extent of bowel training.
3. Degree and distribution of edema.!!!!!!!!!!!!!!!!!!!!
4. Pulse and respiratory rate and temperature.
2. A young child has a diagnosis of nephrosis. Which of the following medications would the nurse plan to discuss with his parents?
1. Glucocorticoids.
2. Long-term antibiotics.
3. Anti-hypertensives.
4. Antiemetic drugs
2. A young child has a diagnosis of nephrosis. Which of the following medications would the nurse plan to discuss with his parents?
1. Glucocorticoids.!!!!!!!!!!!!!!!!!!
2. Long-term antibiotics.
3. Anti-hypertensives.
4. Antiemetic drugs
3. When assessing a patient for nephrosis, which of the following clinical signs and symptoms would the nurse expect?
1. Gross hematuria, weight gain, and hypertension.
2. Proteinuria, edema, and decreased albumin.
3. Fever, weight gain, and hematuria.
4. Bacteriuria and hypotension.
3. When assessing a patient for nephrosis, which of the following clinical signs and symptoms would the nurse expect?
1. Gross hematuria, weight gain, and hypertension.
2. Proteinuria, edema, and decreased albumin.!!!!!!!!!!!!!!
3. Fever, weight gain, and hematuria.
4. Bacteriuria and hypotension.
4. When assessing the male child with hypospadias, the nurse would observe for
1. The absence of a testicle.
2. A smaller-than-normal penis.
3. A urethral opening along the ventral surface of the penis.
4. A herniation into the scrotal sac.
4. When assessing the male child with hypospadias, the nurse would observe for
1. The absence of a testicle.
2. A smaller-than-normal penis.
3. A urethral opening along the ventral surface of the penis.!!!!!!!!!
4. A herniation into the scrotal sac.
5. The nurse is asked why infants are more prone to fluid imbalances than adults. The response is
1. Adults have a greater body surface area.
2. Adults have a greater metabolic rate.
3. Infants have functionally immature kidneys.
4. Infants ingest a lesser amount of fluid per kilogram.
5. The nurse is asked why infants are more prone to fluid imbalances than adults. The response is
1. Adults have a greater body surface area.
2. Adults have a greater metabolic rate.
3. Infants have functionally immature kidneys.!!!!!!!!!!!!!!!!!!!!!
4. Infants ingest a lesser amount of fluid per kilogram.
6. A 4-year-old has just been diagnosed as having nephrotic syndrome. His potential for impairment of skin integrity is related to
1. Joint inflammation.
2. Drug therapy.
3. Edema.
4. Generalized body rash.
6. A 4-year-old has just been diagnosed as having nephrotic syndrome. His potential for impairment of skin integrity is related to
1. Joint inflammation.
2. Drug therapy.
3. Edema.!!!!!!!!!!!!!!!!!!!!
4. Generalized body rash.
7. A baby boy is born with a hypospadias. The parents decide to wait until the child is 6 months old for the repair. The father asks the nurse why the doctor said not to have the baby circumcised. The nurse’s best response is,
1. “It is best to wait until the baby is older and understands the surgery.”
2. ”Circumcision carries a high infection rate and that may delay his hypospadias repair.”
3. “The foreskin may be used during the hypospadias repair.”
4. “He will need the foreskin to help anchor the Foley catheter after the repair.”
7. A baby boy is born with a hypospadias. The parents decide to wait until the child is 6 months old for the repair. The father asks the nurse why the doctor said not to have the baby circumcised. The nurse’s best response is,
1. “It is best to wait until the baby is older and understands the surgery.”
2. ”Circumcision carries a high infection rate and that may delay his hypospadias repair.”
3. “The foreskin may be used during the hypospadias repair.”!!!!!!!!!!!!!!!!!!!!!
4. “He will need the foreskin to help anchor the Foley catheter after the repair.”
8. A 5-year-old girl recovered from a strep infection 2 weeks ago. She now presents with loss of appetite, dark colored urine, and orbital edema. What is the nurse’s assessment?
1. Nephrotic syndrome.
2. Glomerulonephritis.
3. Renal tubular acidosis.
4. Hemolytic uremic syndrome.
8. A 5-year-old girl recovered from a strep infection 2 weeks ago. She now presents with loss of appetite, dark colored urine, and orbital edema. What is the nurse’s assessment?
1. Nephrotic syndrome.
2. Glomerulonephritis.!!!!!!!!!!!!!!!!!
3. Renal tubular acidosis.
4. Hemolytic uremic syndrome.
9. Which intervention would be appropriate when a nurse is caring for a child with acute post-infectious glomerulonephritis (APIGN)?
1. Maintain strict fluid restriction.
2. Offer a high-protein diet.
3. Monitor the child for hyperactivity.
4. Screen family members for strep throat
9. Which intervention would be appropriate when a nurse is caring for a child with acute post-infectious glomerulonephritis (APIGN)?
1. Maintain strict fluid restriction.
2. Offer a high-protein diet.
3. Monitor the child for hyperactivity.
4. Screen family members for strep throat!!!!!!!!!!!!!!!!!!!!!
10. A three-year-old child is has nephrotic syndrome. As the amount of protein loss in the urine decreases, what response would the nurse expect?
1. Weight gain
2. Increased hyperlipidemia
3. Decreased edema
4. Decreased appetite
10. A three-year-old child is has nephrotic syndrome. As the amount of protein loss in the urine decreases, what response would the nurse expect?
1. Weight gain
2. Increased hyperlipidemia
3. Decreased edema!!!!!!!!!!!!!!
4. Decreased appetite
11. An important nursing intervention to support the therapeutic management of the child with acute glomerulonephritis would include which measure?
1. Measuring daily weight
2. Increasing oral fluid intake
3. Providing sodium supplements
4. Monitoring the client for signs of hypokalemia
11. An important nursing intervention to support the therapeutic management of the child with acute glomerulonephritis would include which measure?
1. Measuring daily weight!!!!!!!!!!!!!!
2. Increasing oral fluid intake
3. Providing sodium supplements
4. Monitoring the client for signs of hypokalemia
12. Which finding most likely indicates a urinary tract infection (UTI) in a 5-year-old child?
1. Incontinence
2. Lack of thirst
3. Concentrated urine
4. Subnormal temperature
12. Which finding most likely indicates a urinary tract infection (UTI) in a 5-year-old child?
1. Incontinence!!!!!!!!!!!!!!!!!!!!!
2. Lack of thirst
3. Concentrated urine
4. Subnormal temperature
13. A 20-month-old is admitted to the hospital with a diagnosis of cryptorchidism. Surgical correction is performed at this time to prevent
1. Difficulty in urinating.
2. Sterility.
3. Herniation.
4. Peritonitis.
13. A 20-month-old is admitted to the hospital with a diagnosis of cryptorchidism. Surgical correction is performed at this time to prevent
1. Difficulty in urinating.
2. Sterility.!!!!!!!!!!!!!!
3. Herniation.
4. Peritonitis.
14. The parents of a newborn who has hypospadias ask about surgical repair. They are told that the preferred time to schedule surgical repair of hypospadias is when the boy is
1. 9 months old.
2. 5 years old.
3. 12 years old.
4. 17 years old.
14. The parents of a newborn who has hypospadias ask about surgical repair. They are told that the preferred time to schedule surgical repair of hypospadias is when the boy is
1. 9 months old.!!!!!!!!!!!!!!!!!!!!!!
2. 5 years old.
3. 12 years old.
4. 17 years old.
15. When evaluation the urinalysis report of a child with acute glomerular nephritis, the nurse would expect which result?
1. Proteinuria and decreased urine specific gravity
2. Bacteriuria and increased urine specific gravity
3. Hematuria and proteinuria
4. Bacteriuria and hematuria
15. When evaluation the urinalysis report of a child with acute glomerular nephritis, the nurse would expect which result?
1. Proteinuria and decreased urine specific gravity
2. Bacteriuria and increased urine specific gravity
3. Hematuria and proteinuria!!!!!!!!!!!!!
4. Bacteriuria and hematuria
16. Which food should the nurse eliminate from the diet of a child who’s diagnosed with acute glomerulonephritis?
1. Turkey sandwich with mayonnaise
2. Hot dog with ketchup and mustard
3. Chocolate cake with icing
4. Apple with peanut butter
16. Which food should the nurse eliminate from the diet of a child who’s diagnosed with acute glomerulonephritis?
1. Turkey sandwich with mayonnaise
2. Hot dog with ketchup and mustard!!!!!!!!!!!!!!!!!!!
3. Chocolate cake with icing
4. Apple with peanut butter
17. The treatment of a child with nephrotic syndrome includes administration of corticosteroids to:
1. Decrease the amount of proteinuria
2. Increase the amount of albumin in the blood
3. Help control hypertension
4. Reduce edema of the face, extremities, and abdomen
17. The treatment of a child with nephrotic syndrome includes administration of corticosteroids to:
1. Decrease the amount of proteinuria
2. Increase the amount of albumin in the blood
3. Help control hypertension
4. Reduce edema of the face, extremities, and abdomen!!!!!!!!!!!!!!
18. A 4-year-old boy is admitted with a diagnosis of nephrotic syndrome. Treatment for this child will include:
1. High Fowler’s position
2. Regular diet
3. Diuretics as ordered
4. Sodium and potassium supplements
18. A 4-year-old boy is admitted with a diagnosis of nephrotic syndrome. Treatment for this child will include:
1. High Fowler’s position
2. Regular diet
3. Diuretics as ordered!!!!!!!!!!!!!!!!
4. Sodium and potassium supplements
19. The failure of one or both testes to descend into the scrotal sac is known as:
1. Epispadias
2. Hypospadias
3. Cryptorchidism
4. Nephrotic syndrome
19. The failure of one or both testes to descend into the scrotal sac is known as:
1. Epispadias
2. Hypospadias
3. Cryptorchidism!!!!!!!!!!!!!!!!!!!
4. Nephrotic syndrome
20. During the initial assessment of a 7-year-old boy with nephrotic syndrome, the nurse should expect to see:
1. Absence of tears
2. Increased urine output
3. Jaundice
4. Edema of the eyes and ankles
20. During the initial assessment of a 7-year-old boy with nephrotic syndrome, the nurse should expect to see:
1. Absence of tears
2. Increased urine output
3. Jaundice
4. Edema of the eyes and ankles!!!!!!!!!!!!!!!!!!!!!!
21. Diagnosis of nephrotic syndrome in a child is based on:
1. Symptoms of edema, hyperalbuminemia, orange urine
2. Results of renal ultrasound, proteinuria, increased levels of protein in the blood
3. Increased proteinuria, edema, decreased serum protein, renal biopsy
4. Edema of the face and abdomen, positive renal CT scan, increased serum protein
21. Diagnosis of nephrotic syndrome in a child is based on:
1. Symptoms of edema, hyperalbuminemia, orange urine
2. Results of renal ultrasound, proteinuria, increased levels of protein in the blood
3. Increased proteinuria, edema, decreased serum protein, renal biopsy!!!!!!!!!!!!!!!!!!!!!!!!!
4. Edema of the face and abdomen, positive renal CT scan, increased serum protein
22. A mother of a 5-year-old child who has recurrent urinary-tract infections asks the nurse how she can help prevent infections. Which of the following indicates the parents needs further teaching?
1. Wash and wipe perineal area from front to back.
2. Encourage the child to drink plenty of fluids
3. Provide cotton underwear.
4. Frequent bubble baths to encourage hygiene.
22. A mother of a 5-year-old child who has recurrent urinary-tract infections asks the nurse how she can help prevent infections. Which of the following indicates the parents needs further teaching?
1. Wash and wipe perineal area from front to back.
2. Encourage the child to drink plenty of fluids
3. Provide cotton underwear.
4. Frequent bubble baths to encourage hygiene.!!!!!!!!!!!!!!!!!!!!!!!!!