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Question: 1 of 50

An experienced nurse is explaining lead poisoning treatment to a new nurse. Which of the following statement by the nurse indicates an understanding of lead poison treatment?

Gastric Lavage is the treatment option for lead toxicity

IV Ferrous Sulfate is the preferred treatment for lead toxicity

Dialysis will be us to treat lead toxicity:

Chelation therapy is the treatment option for lead toxicity

Question: 2 of 50

What nursing diagnosis is seen with acute lymphocytic leukemia and thrombocytopenia

Self-care deficit

Potential for injury

Potential for self-harm

Alteration in comfort

Question: 3 of 50

When caring for a client with a diagnosis of thrombocytopenia, the nurse should plan to

Encourage the use of a hard, brittle toothbrush

Assess temperature readings every six hours

Discourage the use of stool softeners

Avoid invasive procedures

 

Question: 31 of 50

A nurse is assessing a toddler who has suspected lead poisoning. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?

Anorexia

Increased urinary output

Diarrhea

Jaundice

Question: 30 of 50

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?

Bradycardia

Weight loss

Increased urine output

Orthopnea.

Question: 33 of 50

Which nursing diagnosis is seen in patient with acute Leukemia?

Self care deficit

Potential for self harm

Alteration in comfort

Potential for injury

Question: 32 of 50

Antibiotics are prescribed for a child with otitis media who underwent a myringotomy with insertion of ear tubes. The nurse provides discharge

instructions to the parents regarding the administration of antibiotics. Which statement, if made by the parents, indicates understanding of the instructions provided?

Admanister the antibiotics of the child has a feve

Begin to taper the antibiotics after 3 days of a full course

Adminster the antibiotics until they are finished

Administer the antibiotics until the child feels better

Question: 41 of 50

The nurse is aware the neonate’s blood circulation is different before birth than after birth. Which circulation pattern does the nurse recognize as occurring prior to birth?

For a short time after birth, the neonate continues to depend on the mother for oxygen supply.

Oxygenated blood flows from the right atrium to the left atrium through the foramen vale

Once the neonate takes a first breath, the ductus venosus doses and blood goes to the lungs Oxygenated blood flows from the right ventricle to the lungs and then to the left ventricle

Question: 40 of 50

A new mother brings her 2-week-old neonate to the pediatrician’s office, stating. “I think something is wrong with my baby.” When the infant is undressed, the nurse notices signs of possible cardiac problems. Which assessment findings support the nurse’s suspicions?

Brisk capillary refill time

Mottled appearance of skin

Peripheral cyanosis of the left leg

Arriount of uriruay output

Question: 38 of 50

A nurse is caring for a child who was admitted with the diagnosis of ventricular septal defect. This defect will allow:

increased pressure in the left atrium, impeding circulation of sygenated blood in the circulating volume

blood to shunt left to right, causing increased pulmonary flow and no cyanosis

no-shunting because of high pressure in the left ventricies

blood to shunt right to left, causing decreased pulmonary flow and cyanosis

Question: 37 of 50

The comment made by a parent of a 1-month-old that would alert the nurse about the presence of a congenital heart defect is:

“He tires out during feedings”

“He is always hungry

He is fussy for several hours every day “He

“He sleeps all the time”

Question: 29 of 50

A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire?

Have you noticed changes in your alertness

Have you noticed a change in sleeping habits recently?

“Have you lost weight recently

Have you had a respiratory infection in the last 6 months

Question: 36 of 50

A nurse is obtaining a health history from a child who has suspected congenital heart defect. Which of the following questions should the nurse ask?

“What did you eat during your pregnancy?

“Has your child had any infections?

was your child born with down syndrome?

“Have you given your child aspirin in the past 2 weeks?

 

Question: 35 of 50

A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first?

Administer 0.99 sodium chloride IV solution.

Initiate Vantibiotics

Place the child on droplet precautions

Assist with obtaining an xray of the child’s neck

Question: 34 of 50

Doctor orders Digoxin 0.92 mg daily for a child that weighs 16 lbs. The safe dosage for this medication is 8-12 mcg/kg/day. Is this a safe dosage for this child?

Yes this is a safe dose because it is within the recommended dose

No this is not a safe dose. A safe dose is 1-2 mg/day

Yes this is a safe dose

No, this is not a safe dose. A safe dose is 0.05-0.09 mg/day

Question: 28 of 50

A child weighs 52 lbs. The child has a fever and the Nurse Practitioner orders Tylenol. The safe dose range of this medication is 10-15 mg/kg every 6 hours. What is the maximum safe dose this child can have per day? Please round your answer to the nearest whole number.

944mg/dayy

289mg/day)

1,416mg/day

148mg/day

Question: 27 of 50

The nurse is caring for a child with Kawasaki disease in the acute phase. All of the following clinical manifestations would be expected EXCEPT

Administer all of the prescribed antibiotic

Support hydration with fluid increases

Call the office if symptoms worsens

Monitor temperature and report increases

Question: 5 of 50

A nurse is discussing childhood cancer with the parents of a child in an oncology unit. Which statement by the nurse would be the most accurate

Children with leukemia have a higher survival rate if they are older than 11 when diagnosed

The prognosis for children with cancer isn’t affected by treatment strategies

All childhood cancers have a high mortality rate

The most common site for children’s cancer is the bone marrow.

Question: 4 of 50

The nurse is providing care for an infant who is 2 months old. Which assessment finding will cause the nurse to suspect an upper respiratory infection?

A stuffy nose and reddened eardrums

A fever, lethargty, and skin pallor

Adventitious lung sounds bilaterally

Araspy cry and occasional cough

Question: 6 of 50

The nurse in a pediatric clinic is performing assessments on multiple infants. Which infant does the nurse recognize as being at greatest risk for a respiratory disorder?

The infant born at 36 weeks who exhibited respiratory problems at birth

The infant with recurrent sore throats and both pets and smokers in the house

The infant who was born at term and recently adopted from another country

The infant who sleeps all night, exhibus eczema, and has a family history of asthma

Question: 7 of 50

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?

Respiratory

Gastrointestinal

00 Cardiovascular

Zintegumentary

Question: 10 of 50

 

A new nurse ask an experienced nurse what isolation protocol should be instituted for a child who was just admitted with suspected diagnosis of pertussis. The nurse replies

Patient should be placed on droplet precaution

Patient should be placed on respiratory precaution

An isolation precaution is not indicated because pertusis is not contagious

Patient should be placed on standard precaution

Question: 9 of 50

A 3-month-old infant is diagnosed with pulmonary stenosis. Which parent teaching does the nurse provide?

Options for treatment include a repair of the artery or the valve

Balloon angioplasty is performed as an outpatient procedure

Pulmonary stenosis repair can be delayed until 1 year of age age.

After repair, the child is no longer at risk for cardiac problems.

Question: 8 of 50

A newborn is diagnosed with a congenital heart defect (CHD). The test results reveal that the lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as:

Patient ductus arteriosus

Atrial septal defect (ASD)

Ventricular septal defect (VSD)

Transposition of the great vessel

Question: 12 of 50

 

A nurse is admitting a child who has leukemia. Which of the following would be most important for the nurse to inquire?

Have you noticed a change in your sleep habits recently?

Have you lost weight recently?

Have you had a respiratory infection recently?

Have you noticed changes in your alertness?

Question: 11 of 50

The nurse is providing information to the parents of a toddler who is scheduled for surgery for the replacement of the pulmonic valve. The parents have many questions about the function of the valve. Which information from the nurse is correct?

If the valve does not work correctly, blood is kept from entering the heart.

When the valve is defective, the blood leaving the heart is decreased.

A defect in the valve causes less blood to get to the lungs for oxygenation.

The valve must work correctly to get oxygen from the lungs to the body.

Question: 13 of 50

A nurse is caring for a client who has a benign brain tumor. The client asks the nurse if he can expect this same type of tumor to occur in other areas of his body. Which of the following is an appropriate response by the nurse?

It probably started in another area of your body and spread to your brain

It can spread to lungs and kidneys

It is limited to brain tissue

It can develop in your Gi tract

Question: 16 of 50

A nurse is teaching an assistive personnel to measure a newborn’s respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

Newborns are abdominal breathers”

“Newborns do not expand their lungs fully with each respiration.”

Activity will increase the respiratory rate.

The rate and rhythm of breath are irregular in newborns.”

Question: 15 of 50

Which of the following manifestation will be directly associated with Hodgkin’s disease?

Bone pain

Petechaiae and purpura

00 Generalized edema

Painless enlarged lymph nodes

Question: 14 of 50

A nurse is caring for an 8-year-old child who has acute rheumatic heart disease. Which of the following assessments is the nurse’s priority immediately after admission?

Auscultating the rate and characteristics of the child’s heart sounds

Assessing the client’s erythematous rash

identifying the degree of parental anxiety related to the diagnosis

Using a pain-rating tool to determine the severity of the joint pain

Question: 18 of 50

Which of the following manifestations would be directly associated with Hodgkin’s disease?

Petechiae and purpura

bone pain

Painless, enlarged lymph node

Generalized edema

Question: 17 of 50

A child is diagnosed with Willms tumor. In planning teaching interventions, what key point should the nurse emphasize to the parents?

Encourage the child to remain active

Do not put pressure on the abdomen.

Appropriate protective equipment should be wom for contact sports

Frequent visits from friends and family will improve morale

Question: 19 of 50

A nurse is caring for a client who has asthma and developed viral tonsillitis. Which of the following findings should the nurse expect?

WBC 14,000/mm³

Severe hyperemia of pharyngeal mucosa

Negative throat culture

Petechiae on the chest and the abdomen

Question: 21 of 50

Doctor orders 200 mg of Ibuprofen every 8 hrs. The child weighs 49 lbs. The safe dosage range for this medication is 5-10 mg/kg/dose. What is the safe dosage range for this particular child?

0.256-300 mg/dose

456-550 mg/dose

1114-222.7 mg/dase

224.8-444.4 mg/dose

Question: 20 of 50

A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

Tetralogy of Fallot

Coarctation of the aortal

Tricuspid atresia

Patent ductus arteriosus

Question: 22 of 50

the nurse is aware that a major difference between Hodgkin’s lymphoma and non-Hodgkin’s lymphoma is that

Hodgkin’s lymphoma occurs only in young adult

Non-Hodgion’s lymphoma is treated only with radiation therapy

Hodgkin’s lymphoma is considered potentially curable

Non-Hodglon’s lymphoma can manifest in multiple organs

Question: 21 of 50

Doctor orders 200 mg of Ibuprofen every 8 hrs. The child weighs 49 lbs. The safe dosage range for this medication is 5-10 mg/kg/dose. What is the safe dosage range for this particular child?

0.256-300 mg/dose

456-550 mg/dase

111-4-222.7 mg/dose

224.8-444.4 mg/dose

Question: 26 of 50

During a well-child checkup for an infant with tetralogy of Fallot (TOF), the child develops severe respiratory distress and becomes cyanotic. The nurse’s first action should be to

Hold the child in knee-chest position to decrease venous blood return

Lay the child flat to promote hemostasis

Lay the child flat with legs elevated to increase blood flow to the heart.

Sit the child on the parent’s lap, with legs dangling to promote venous pooling.

Question: 25 of 50

When checking a client’s capillary refill, the nurse finds that the color returns in 10 seconds. The nurse should understand that this finding indicates which of the following?

Thrombus formation in the vein.

Within the expected range

Venous insufficiency

Arterial insufficiency

Question: 24 of 50

A 10 year old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer an:

Intravenous infusion of factor Vill

Intravenous infusion of iron

Injection of factor x X

intramuscular injection of iron using the Z track method

Question: 23 of 50

A 6-year-old patient is being assessed by the pediatrician for breathing difficulties. The pediatrician expresses a need for diagnostic tests to identify or rule out asthma. Which tests does the nurse anticipate ordering?

Pulmonary function tests

Peak flow meter

Electrocardiogram

Throat culture

Question: 44 of 50

The nurse is providing teaching to the parent of a toddler 2 years of age diagnosed with otitis media. The toddler presented with a fever of 100.9°F

(38.3°C) and does not indicate symptoms related to pain. Which information does the nurse give the parent when the physician orders 48 to 72 hours of supportive care?

Provide age appropriate analgesics and hydration as needed

Go to the ER if temperature reading is 99.5 degree Fahrenheit

Admininister antibiotics as prescribed

Apply topical steriods as instructed

 

Question: 43 of 50

A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate

Influenza vaccine

Pneumococcal polysaccharide vaccine

Bacille Calmette-Guérin (BCG) vaccine

Meningococcal polysaccharide vaccine

Question: 42 of 50

A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

Keep the child home for 1 week

Assist the child to take a tub bath for the first 3 days

Give the child acetaminophen for discomfort.

Offer the child clear liquids for the first 24 hr.

Question: 47 of 50

The nurse is providing care to two children on a pediatric unit. One child is diagnosed with iron-deficiency anemia, and the other has sickle cell disease. Which manifestation does the nurse recognize as being different between the two children?

Achild with sickle cell disease experiences varying amounts of joint pain.

A child with iron deficiency expresses significant pain and discomfort.

Sickle cell disease is transmitted as a dominant trait from one parent

A child with iron-deficiency anemia experiences normal physical growth,

Question: 46 of 50

A nurse is caring for a toddler who has acute laryngotracheobronchitis (croup) and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?

Improved hydration

Barking cough

Decreased stridor

Decreased temperature

 

Question: 45 of 50

A 15 month old child is recovering from surgery to remove Wilms tumor. Which findings best indicates that the child is free from pain?

Increased heart rate

Increased interest in play

Decreased urine output

Decreased appetite

Question: 49 of 50

“When assessing a child with Wilm’s tumor, the nurse should keep in mind that it is most important to avoid which of the following

Measuring the child’s chest circumference

Palpating the child’s abdomen

Measuring the child’s occipitofrontal circumference

Placing the child in an upright position

Question: 48 of 50

A child is diagnosed with Wilms tumor. During assessment, the nurse in charge expects to detect

Nausea and vomitting

Dysuria

An abdominal mass

Gross hematuria

Question: 50 of 50

The nurse explains that a ventricular septal defect will allow:

Blood to shunt from left to right, causing increased pulmonary flow and no cyanosis

No-shunting because of high pressure in the left ventride

Blood to shunt from right to left, causing decreased pulmonary flow and cyanosis

Increased pressure in the left atrium, impeding circulation of coxygenated blood in the circulatory volume

 

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