Pediatric Test Bank
A 2 year old is being treated for congenital hypothyroidism. The parents are seeking medical
attention today due to the child's change in behavior. They have noticed a decrease in appetite
and difficulty sleeping over the past several weeks. The nurse expects the physcian to check the
throid levels and then:
A. Increase the amount of thyroid hormone as these are signs of insufficent replacement
therapy.
B. Decrease the amount of thyroid horomone as these are signs of too much replacement
therapy.
C. Maintain the current dose of thyroid horomone as these are normal behaviors in a 2 year old
child
D. Prescribe vitamin C to be given with the replacement therapy to enhance absorption. -
ANS-B
A 3 month old is admitted to the hospital with gastroenteritits and moderate dehydration. His
electrolyte panel is as follows: NA 124 and K 3.4. Based on this lab work, which type of
dehydration does the infant have?
A. Isotonic
B. Hypotonic
C. Hypertonic
D. Metabolic - ANS-B
A child is admitted with acute glomerularnephritis. The nurse would expect the UA during this
acute phase to show which of the following?
A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity - ANS-B
A child is being admitted to rule out acute glomerular nephritis. Parents report that the child had
a sore through two weeks ago. Upon admission an Antistreptolysin O (ASO) titer test was done
and revealed a result of 12 units. The upper limits of the normal ASO titer is 250 units. The titer
level indicated that
A. The child is currently suffering from an over-whelming steptoccoal infections
B. The child has recovered from a streptococcal infection in the recent past
C. The child had long ago developed immunicty against all strains of streptocci
D. The child's throat infection probably was caused by an organism other than streptoccus. -
ANS-B
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