A nurse caring for Paulo , an infant born with a cleft palate

A nurse caring for Paulo , an infant born with a cleft palate, notices that the parents rarely interact with their child. The nurse overhears the mother telling her husband that she “feels like crying “every time she looks at their son. Which response by the nurse would be most appropriate?

I sense you could use more information on caring for a cleft palate. Would you be interested in meeting with other parents who have dealt with this?

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2. For the care plan for the child being treated for cancer, all of the following are appropriate measure except

A. Observe for signs of infiltration of IV site to prevent complications

B. Administer live attenuated viral vaccines to prevent common childhood illnesses

C. Have emergency equipment and emergency drugs readily available to avoid a delay in treatment

D. Screen all visitors and staff for signs of infection to decrease chance of he spread of infection

3. The nurse is examining a child with hypoparathyroidism. The nurse would expect to assess which signs and symptoms? Select all that apply

Chvostek sign and trousseau sign

4. A nurse is caring for a child who has Hirschsprung’s disease. Which of the following actions should the nurse take?

Prepare the family for the child’s surgery and temporary colotomy

5. Craniosynostosis is a condition that results from

Premature closure of the fontanels and cranial sutures

6. ———- Is the only immunoglobulin to both cross the placenta and be transferred through breast milk.

Immunoglobulin G

7. Essential postoperative nursing management of a child after removal of a brain tumor includes

Measuring all fluid intake and output

8. Beth is a 6month old with retinoblastoma. In planning long term care for Beth and her family, which teaching point below would be most important to plan for?

A. They should know that retinoblastoma may be inherited

B. It would never be advisable for her to wear contact lenses

C. To assess for reoccurrence of this same retinal tumor in early toddlerhood

D. They should know to avoid all corticosteroid therapy

9. When describing the negative feedback system that controls endocrine function, the nurse explains that a decreased secretion of which substance correlates with a decrease in blood glucose levels?

Insulin

10. The nurse is caring for an infant newly diagnosed with Turner syndrome. Which intervention or goal takes priority?

A. Monitor Growth and development

B. Educate parents on genetic disorders

C. Perform focused assessments on every body part

D. Provide referrals for appropriate developmental therapies

11. The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil. The nurse should interpret this as

Neurosurgical emergency

12. In young pubertal female, von Willebrand disease can present as ……….. which is serious hemorrhaging during the menstrual cycle

A. Dysphagia

B. Porphyria

C. Hemophilia

D. Menorrhagia

13. Parotid gland swelling is the hallmark presentation of

Mumps

14. A school -age child with leukemia experienced severe nausea and vomiting when receiving Chemotherapy for the first time. which of the following actions is most appropriate to prevent or minimize these reactions with subsequent treatments?

Administer an antiemetic before chemotherapy begin

15. Which of the following factors place young child at risk of abuse?

They are demanding , non-verbal, and easily accessible

16. A nurse is assessing a 4-month-old infant who has meningitis. Which of the following manifestations should the nurse expect?

A. Depressed anterior fontanel

B. Constipation

C. Pressure of the rooting reflex

D. Hight fever and stiff neck

17. The nurse is preparing an 18-month-old for discharge following treatment for dehydration secondary to diarrhea. What instruction would the nurse most likely include in the discharge teaching?

A. Implement plain water

B. Offer high sodium drinks such as Pedialyte

C. Provide plenty of 100% fruit juice

D. Without fluids even when vomiting

18. ————— typically presents with swollen, painless, and rubbery-lymph nodes in the cervical or supraclavicular region.

A. Neuroblastoma

B. Hodgkin disease

C. Kaposi sarcoma

D. Non-Hodgkin lymphoma

19. Neuroblastoma is often classified as a silent tumor because

Diagnosis is not usually made until after metastasis

20. PKU follows an autosomal recessive inheritance pattern and:

A. Result from a deficiency of a liver enzyme, and can result in irreversible brain damage unless PKU is detected and treated

B. Result from a lack of iron in the system, and can cause increased heart and respiratory rates until it is resulted with iron infusion and oral

C. Cause increased intercranial pressure and must be surgically corrected before the patient suffers headaches, vomiting and possible

D. Causes increased mucus production the body , changes in chloride levels, and slows growth, and must be treated as soon as an exocrine

A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should the nurse carefully assess for in this client?

A. Severe erosion of teeth

B. Atherosclerosis

C. Hypertension

D. Diabetes mellitus

21. The most common cause of hyperpituitarism is pituitary

A. Atresia

B. Edema

C. Polydipsia

D. Adenoma

22. The cornerstone of effectiveness treatment for autism spectrum disorder (ASD). Select all that apply

A. Chelation

B. Early identification

C. Referral to an intervention program

D. Citalopram

23. Structural defect of the neurologic system includes: Select all that apply

A. Defect in the structure of the brain

B. Malformation of the spinal cord

C. Diabetes Mellites

D. Leukemia

24. The nurse is assessing a 3month old baby for potential hearing problem. Which of the following assessments would be most appropriate?

A. A sudden loud noise

B. The weber test

C. The moro reflex

D. The Rinne test

25. It is important to tend height and weight in the care of children. A child whose height and weight gradually drop in percentiles as she grows may be experiencing a hormone deficiency and require:

A. Injections of recombinant Human Growth Hormone

B. Treatment for transient Diabetes Insipidus

C. Intranasal or oral desmopressin

D. Lifelong cortisol replacement therapy

26. Diabetes insipidus a disorder of the posterior pituitary resulting in deficient secretion of which hormone?

A. Antidiuretic hormone

B. Adrenocorticotropic hormone

C. Thyroid stimulating hormone

D. Luteinizing hormone

27. Hydrocephalus refers to:

A. The abnormal buildup of cerebrospinal fluids in the ventricles of the brain

B. Abnormally small brain structure, typically at least 2 standard deviation from normal

C. Low levels of sodium in the system, causing dehydration

D. An overwhelming amount of fluid in the circulatory system

28. An 11.6kg patient is ordered cefazolin (Ancef) 275mg IV every 8hrs. The recommended safe dose for Ancef is 50-100mg/kg/day. What is the maximum safe dose a child this weight could receive in a 24 hour period. Show work

29. What should be included in the teaching plan for a child with type 1 diabetes mellitus who is going home on insulin therapy?

A. Children show an increased need for insulin during the first months after glucose control is established

B. Once glucose control is established, there will never be a need for an increase in the amount of insulin administered

C. It is absolutely normal for the growing child to require an increase in insulin; This does not mean his/her condition is getting worse

D. All children should be on at least two types of insulin to establish glucose control

30. Phenobarbitol 50mg po bid is ordered for a 42lb pediatric patient. The recommended safe dose for Phenobarbitol is 3-6 mg/kg/day. Is this order safe. Please show work

31. Primary focus of nursing care of a child with human immunodeficiency virus (HIV) is taking measures to recognize early sign of infections to avoid the development of HIV————-and acquired immunodeficiency syndrome (AID)

A. Toxoplasmosis

B. Wasting syndrome

C. Encephalopathy

D. Candidiasis

45. Which nursing action below BEST demonstrates an important step toward the prevention of child abuse?

A. Assessing the child during a well child visit for signs of abuse

B. Reporting actual causes of child abuse

C. Suggesting that a child be admitted for observation when abuse in suspected

D. Assessing mothers during the postpartum period for data that supports the potential for child abuse

46. ————— immunity is when an individual receives premade, full formed antibodies against an antigen either naturally or artificially

A. Innate

B. Passive

C. Active

D. Adoptive

47. Children with varicella are contagious:

A. From as soon as the rash appears until all the lesions have crusted over

B. After all the crusted lesions fall off

C. Beginning 1 to 2 days before rash onset until all the lesions have crusted over

D. Immediately after receiving the vaccine

48. All of the following children had a seizure. Which one most likely had a febrile seizure?

A. 10 year old with fever 99.4,on Dilantin for epilepsy

B. 15 year old hit by a car with a head injury

C. 3 year old with ear infection, temperature 104 F

D. 2 month old bulging fontanel and unequal pupils

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