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A newborn has just been delievered
via C-Section with a myelomeningocele
which was detected pre-natally via am-
niocentecic. The child is scheduled to
have surgery within the first 48 hours.
Which of the following nursing actions is
appropriate?
A. Place child in semi-fowlers position to D
decrease pressure on the spinal cord
B. Apply heat lamp to facilitate drying and
toughening of the sac
C. Apply soft restraints to prevent disrup-
tion of the sac
D. Assess head circumference and fonte-
nals for signs of ICP.
A child with autism spectrum disor-
der (ASD) is admitted to the hospital
with pneuomonia. The nurse should plan
which priority intervention when caring
for this child?
A. Maintain a structured routine and keep
stimulation to a minimim A
B. Communicate at child;s level and
maintain eye contact
C. Use therapeutic touch to calm child
with procedures
D. Switch from one assessment activity
to another quickly?
A child is admitted with acute glomeru-
larnephritis. The nurse would expect the
UA during this acute phase to show
which of the following?
B
A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity
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A child has been admitted to the peda-
tric unit with suspected meningitis. The
CSF aanalysis reveals the following: Ap-
perance: Clear, WBC: within normal lim-
its, Protein: within normal limits, Glucose:
within normal limits, Culture: negative.
C
Based on the results, the nurse suspects
that the child has:
A. Bacertial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalous
A two year old has had one bout
of nephrosis (nephrotic syndrome) His
mother suspected a recurrence when
she observed swelling around his eyes.
The nurse helps to confirrm the condition
B
by recognizing what additional sympton?
A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections
The mother of a 1 month old infant tells
the nurse she worries that her baby will
get meningitits like her oldest son did
when he was an infant. The nurse should
base her response on which statement?
A. Meningitis rarely occurs during infan-
cy, however after the first year of life, it is
D
more common.
B. Often a genetic predisposition to
meningitis is found and family members
are more likely to get it.
C. Vaccination to prevent all types of
meningitits is now avaliable and should
be administered at 6 months.
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D. Vaccination to prevent Haemophilus
influenzae type B meningitits has de-
creased the frequency of this disease in
children.
A six week old infant is brought to the
pediatricians office for a well-baby visit.
During examinations the physcian dis-
places the femoral head and reduces it
back into place by manipulation of the
thighs and hips. The nurse recognizes
that the physcian is assessing:
A. Barlow and ortalani tests for develop- A
mental dysplasia of the hip
B. Gower test for developmental dyspla-
sia of the hip
C. Pavlik test for developmental dyspla-
sia of the hip
D. Trendelenburg test for developmental
dysplasia of the hip
A 10 year old is admitted with pos-
sible appendicitis. The doctor's history
and physical indicates a WBC count
of 17,000, increased segmented neu-
trophils, decreased lymphocytes, and
6% bands. The patient complains of ab-
dominal pain, localized at Mcberney's
point. Which statement most accurately
A
describes the data?
A. Lab work revels a left shift and pain
localized in the right lower quadrant
B. Lab work reveals a right shift and pain
localized in the left upper quadrant
C. Lab work reveals normal findings with
pain localized in the epigastric area.
D. Lab work reveals a possible viral infec-
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tion with pain localized in the left upper
quadrant.
A nurse is caring for a boy with proba-
ble intusseception. He had diarrhea be-
fore admission but while waiting for ad-
ministration of air pressure to reduce
the intusseception he produced a normal
brown stool. Which nursing action is the
A
most appropriete.
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pres-
sure.
The nurse is evaluating a child who is
being treated for nephrotic syndrome.
Which observation indicated successful
treatment of nephrosis?
A. Diuresis and weight loss A
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to
normal
A young child is brought to the emer-
gency room with suspected meningitis.
Blood work with cultures, a urine spec-
imen with a culture and sensitivity, and
the spinal tap were completed in the ER
and he is being admitted to the pedatric
unit for continued care. Which of the fol- C
lowing is a major priority of nursing care?
A. Encourage oral intake of clear liquids.
Progress diet as tolerated
B. Inititate isolation procedure if warrant-
ed after the CSF analysis is completed.
C. Inititate isolation procedire immediatly