PEDIATRIC FINAL EXAM /PEDS FINAL EXAM VERSION B ACTUAL EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

PEDIATRIC FINAL EXAM /PEDS FINAL EXAM VERSION B ACTUAL EXAM ALL 150 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ Which is the leading cause of death during the toddler period Injuries Congenital disorders Infectious diseases Childhood diseases - ANSWER-Injuries Which is the most frequent source of acute childhood lead poisoning? Unglazed pottery Lead-based paint Cigarette butts and ashes Chewing on lead pencils - ANSWER-Lead-based paint 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 Unintentional injury Congenital neurologic problem Sudden infant death syndrome (SID - ANSWER-Shaken-baby syndrome Which is probably the most important criterion on which to base the decision to report suspected child abuse? A. Inappropriate parental concern for the degree of injury B. Inappropriate response of child C. Absence of parents for questioning about child's injuries D. Incompatibility between the history and injury observed - ANSWER-D. Incompatibility between the history and injury observed The father of a 12-year-old child tells the nurse that he is concerned about his son getting "fat." His son is at the 50th percentile for height and the 75th percentile for weight on the growth chart. What is the most appropriate nursing action? A. Explain that this is typical of the growth pattern of boys at this age B. Reassure the father that his child is not fat C. Reassure the father that his child is just growing D. Suggest a low-calorie, low-fat diet - ANSWER-A. Explain that this is typical of the growth pattern of boys at this age A 12-year-old male has short stature and appears depressed . What should the nurse be the most concerned about? A. Child's self-esteem B. Proper administration of thyroid hormone C. Proper administration of human growth hormones D. Helping child understand that he has not completed growing - ANSWER-A. Child's self-esteem Which is descriptive of bulimia during adolescence? A. Feelings of elation after the binge-purge cycle B. Profound lack of awareness that the eating pattern is abnormal C. Weight that can be normal, slightly above normal D. Strong sense of control over eating behavior - ANSWER-C. Weight that can be normal, slightly above normal Which is an important consideration when the nurse is discussing enuresis with the parents of a young child? Select all that apply A. Organic causes that may be related to enuresis should be considered first B. Enuresis is more common in boys than in girls C. Enuresis is neither inherited nor has a familial tendency. D. Psychogenic factors that cause enuresis persist into adulthood - ANSWER-A. Organic causes that may be related to enuresis should be considered first B. Enuresis is more common in boys than in girls The nurse is assisting the family of a child with a history of encopresis. Which should be included in the nurse's discussion with this family? A. Suggest the use of stimulant laxatives daily. B. Reassure the family that most problems are resolved successfully, with some relapses during periods of stress. C. Instruct the parents that the child will probably need to have daily enemas. D. Instruct the parents to sit the child on the toilet at twice-daily routine intervals. - ANSWER-B. Reassure the family that most problems are resolved successfully, with some relapses during periods of stress. A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session? A. Gay and lesbian adolescents are at a particularly high risk for suicide B. A sense of hopelessness and despair are a normal part of adolescence C. Problem-solving skills are of limited value to the suicidal adolescent. D. Previous suicide attempts are not an indication of risk for completed suicides - ANSWER-A. Gay and lesbian adolescents are at a particularly high risk for suicide The nurse is correctly educating a patient on the use of his inhalers when she tells the patient to A. hold his/her breath for 60 seconds after inhaling the medication. B. only take his long acting steroid inhaler when he has symptoms. C. take his bronchodilating (albuterol) inhaler first. D. wait 2 seconds between puffs. - ANSWER-C. take his bronchodilating (albuterol) inhaler first. The nurse reviews the chart for a 4 month-old patient 8.1kg with RSV patient has increased wheezing and mild retractions. Which of the following interventions would be MOST effective? A. Administer albuterol by nebulization. B. Administer Motrin 52mg C. Administer amoxicillin 200mg every 12 hours D. Fluid bolus 20ml/kg D5 NACL bous - ANSWER-A. Administer albuterol by nebulization The Emergency room nurse is concerned about what findings when a 5 month old infant is assessed? A. Anterior Fontanel is closed B. Child rolls from side to side C. Child is able to lift head D. Rooting reflex has disapeared - ANS