1 >>Which nursing intervention is most important to perform before administering digoxin (Lanoxin) to a child? ?
- (A) Checking apical pulse for 1 full minute
- (B) Positioning the child with the head slightly elevated
- (C) Counting the child’s respiratory rate for 1 full minute
- (D) Calculating the child’s urine output
2 >>An infant is diagnosed with PDA. Which drug may be administered to achieve pharmacologic closure of the defect? ?
- (A) digoxin (Lanoxin)
- (B) prednisone (Deltasone)
- (C) furosemide (Lasix)
- (D) indomethacin (Indocin)
3 >>Which cardiac defect is associated with VSD, right ventricular hypertrophy, right ventricular outflow obstruction, and an overriding aorta? ?
- (A) Tricuspid atresia
- (B) Hypoplastic left heart syndrome
- (C) PDA
- (D) Tetralogy of Fallot
4 >>In which anatomic structure does gas exchange take place? ?
- (A) Nasopharynx
- (B) Trachea
- (C) Bronchioles
- (D) Alveoli
5 >>A child with difficulty breathing and a “barking cough” is displaying signs associated with which condition? ?
- (A) Cystic fibrosis
- (B) Asthma
- (C) Epiglottitis
- (D) Croup
6 >>The nurse is assessing the lung sounds of a child with asthma. Which sound is the nurse most likely to hear? ?
- (A) Murmur
- (B) Wheezing
- (C) Crackles
- (D) Pleural friction rub
7 >>Which condition can rapidly obstruct the airway, requiring immediate attention? ?
- (A) Tonsillitis
- (B) Bronchiolitis
- (C) Epiglottitis
- (D) Tuberculosis
8 >>Which sign or symptom suggests cystic fibrosis? ?
- (A) Steatorrhea (fat in the stool)
- (B) Decreased appetite
- (C) Decreased respiratory rate
- (D) Early passage of meconium in the neonatal period
9 >>The main functioning unit of the kidney is the: ?
- (A) renal cortex.
- (B) renal medulla.
- (C) nephron.
- (D) ureter.
10 >>An X-ray done with I.V. contrast media to show the structure of the urinary system is called: ?
- (A) KUB.
- (B) excretory urography.
- (C) VCUG.
- (D) renal biopsy.
11 >>A child has decreased output of pink-tinged urine, facial edema, and a history of a sore throat “a little while ago.” The nurse anticipates the doctor will be evaluating the child for: ?
- (A) cryptorchidism.
- (B) adverse effects of hemodialysis.
- (C) HUS.
- (D) acute poststreptococcal glomerulonephritis.
12 >>A child is admitted to the pediatric unit with a new diagnosis of nephrotic syndrome. Which set of symptoms would the nurse expect to see? ?
- (A) Periorbital edema, polyuria, proteinuria, and hyperproteinemia
- (B) Hypercholesterolemia, hypoproteinemia, proteinuria, and periorbital edema
- (C) Pedal edema, hypolipidemia, hematuria, and oliguria
- (D) Hyperlipidemia, glycosuria, hyperproteinemia, and generalized edema
13 >>The growth plate of the bone is known as: ?
- (A) the epiphyseal plate.
- (B) the metaphyseal plate.
- (C) the diaphyseal plate.
- (D) the medullary plate.
14 >>When teaching parents about treatment for their baby’s clubfoot, the nurse should educate the parents that the casts will be: ?
- (A) placed on the affected foot for 2 weeks only.
- (B) placed on both feet for 6 weeks.
- (C) placed on the affected foot initially then changed every 2 to 3 weeks as the baby’s foot grows and is manipulated.
- (D) placed on both feet initially and then changed every 4 to 5 weeks as the baby’s feet grow and are manipulated
15 >>Initial treatment of JIA includes: ?
- (A) gold salts.
- (B) methotrexate.
- (C) aspirin.
- (D) NSAIDs.
16 >>A nurse is caring for a child with an SCFE. What findings would she expect on exam? ?
- (A) Pain in the affected hip only and a noticeable limp
- (B) Pain in the knee, hip, groin, or thigh; possible complaints of stiffness; and perhaps a limp
- (C) Pain and swelling of the affected hip and a severe limp
- (D) Redness, swelling, and pain above the knee of the affected side
17 >>A 2-month-old male infant is admitted with a diagnosis of pyloric stenosis. Due to the projectile vomiting he has had, he’s at risk for: ?
- (A) metabolic acidosis.
- (B) metabolic alkalosis.
- (C) hyperkalemia.
- (D) hypernatremia.
18 >>A 12-year-old boy is admitted to the pediatric unit with complaints of RLQ abdominal pain and vomiting. When the nurse checks on the child 2 hours later, he states that the pain has stopped. The nurse should suspect that: ?
- (A) he had indigestion, which has been relieved.
- (B) he’s afraid of going to surgery.
- (C) his appendix has ruptured.
- (D) he has irritable bowel syndrome.
19 >>An 18-month-old child is admitted to the pediatric unit with intussusception. As the nurse is preparing the child for a barium contrast reduction, he passes a soft brown stool. What should the nurse do? ?
- (A) Notify the doctor in order to cancel the procedure.
- (B) Prepare the child for emergency surgery.
- (C) Take vital signs and monitor for abdominal sounds.
- (D) Administer an enema to clear the rectal area for testing.
20 >>The nurse is completing discharge teaching for a child and her parents regarding her diet to treat celiac disease. Which meal selection would be appropriate for this child? ?
- (A) A bologna sandwich on whole wheat bread, a chocolate chip cookie, and a glass of milk
- (B) A vegetable pizza, an apple, and a diet cola
- (C) A corn tortilla with hamburger and cooked vegetables and a glass of fruit juice
- (D) A hot dog on a roll, celery and carrot sticks, and a chocolate milk shake
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