• Have a high risk of suicide ATI PEDS PROCTORED EXAM QUESTIONS AND ANSWERS WITH NGN LATEST REVIEW STUDY GUIDE 2023 ➢ In addition to the child's history, symptoms, and blood studies, which of the following helps to confirm the diagnosis of leukemia? • Bone marrow aspiration ➢ The nurse is caring for a 10 -year-old recently diagnosed with attention deficit/hyperactivity disorder (ADHD). The nurse would expect to provide teaching regarding which medication? • Methylphenidate ➢ David, 17 has made some dietary changes over the past few months to be “healthier” and make weight for wrestling. He has eliminated several food group and refuses he hasn’t prepared for himself. What eating disorder is David at risk for? • Orthorexia Nervosa ➢ The major reservoir for MRSA is which of the following areas? • Anterior Nares ➢ A child with ALL is receiving methotrexate for therapy. What nursing diagnosis below would best apply to him? • Risk for impaired skin integrity related to oral ulcerations associated with chemotherapy ➢ A child who is the victim of sexual abuse may likely? ➢ The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which of the following best describes erythema? • Erythema is redness of the skin produced by congestion of the capillaries. ➢ A 7 year old child is diagnosed with a learning disability involving reading, writing and spelling. The nurse identifies this as which of the following? • Dyslexia . ➢ The nurse is caring for a child who has been hospitalized repeatedly at multiple hospitals. There is no clear medical diagnosis and the mother is threatening to leave the hospital against medical advice. The nurse suspects which of the following? • Munchhausen syndrome by proxy ➢ The nurse is assessing a child and notices pinpoint hemorrhages appearing on several different areas of the body. The hemorrhages do not blanch on pressure. The nurse documents this finding as what? • Petechiae ➢ A preschooler who received chemotherapy in the pediatric oncology outpatient department 1 week ago now has a temperature of 101.5°F (38.6°C). Which is the most appropriate response by the nurse? • Have the parent bring the child to the pediatric oncology clinic as soon as possible. ➢ Which is incorrect regarding the HPV vaccine? • The HPV helps to protect against anal, oropharyngeal, cervical, penile, and vaginal cancer ➢ After teaching nursing students about childhood exanthems, the instructor determines that the teaching was successful when the students identify what as the primary cause? • Viruses ➢ The drug most often abused by adolescents is: • Alcohol ➢ Which of the following is not likely a predisposing factor for child abuse? • Household with more than 2 children ➢ Which of the following family structures is the least likely to perpetrate abuse? • children living with two biological parents • Prodromal period ➢ A young child who has been reporting fatigue and running a low-grade fever for 4 days begins to have pustules over the entire body. The physician diagnoses chicken pox. The period before the pustules developed is referred to as which of the following? ➢ A child is brought to the clinic with fever, cough, and coryza. The nurse inspects the child's mouth and observes what look like tiny grains of white sand with red rings. The nurse documents this as which of the following? • Kolpik spots ➢ A child diagnose with sickle cell disease, which of the following clinical indicator of diagnoses would the nurse most likely see? • Decreased hemoglobin level ➢ You care for a 4-year-old with sickle cell anemia. A physical finding you might expect to see in him is: • Slightly yellow sclerae. ➢ Chemotherapy causes myelosuppression. Which risk of myelosuppression are the highest priority for the nurse to prevent? • Anemia, infection, and hemorrhage ➢ Which nursing diagnosis is most appropriate for a patient experiencing myelosuppression secondary to chemotherapy for cancer treatment? Risk for infection Myelosuppression is accompanied by a high risk of infection and sepsis ➢ The therapy you will expect to see prescribe for an adolescent with anorexia nervosa will be: • Counseling to improve feelings of control over her body ➢ Fluoxetine has been approved for the treatment of anorexia nervosa. Fluoxetine is from which drug classification? • Antidepressants SSRI ➢ A nurse is working in ER when a 3 -month -old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect? • Shaken baby syndrome ➢ The nurse in the well -child clinic observes that a 5 -year-old child in the waiting room is having trouble using a crayon to color. During the visit, the same child climbs off the table several times even after the nurse has asked him to stay on the table. E ach time the nurse reminds him he says, "Oh, yeah," and happily climbs back up. The nurse suspects that which of the following applies to this child? . • The child has attention deficit hyperactive disorder (ADHD). ➢ When developing the postoperative plan of care for a child with sickle cell anemia who has undergone a splenectomy, which of the following would the nurse identify as the priority? • Risk for Infection ➢ A child is receiving a chemotherapy for a diagnosis of ALL. The nurse monitors for side effects, which of the following is “NOT” a usual side effect of chemotherapy? • Priapism ➢ Select the priority nursing action following immunization administration : • Monitor for 15mins and be ready to administer epinephrine if needed ➢ A 8 years old with leukemia is receiving a chemotherapy and her CBC reveals a low neutrophil count, select the most accurate nursing action to decrease the incident of infection? • Remove all live flowers from the room
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