NR328 Exam 1 Peds:100 % Verified Questions & Answers
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with thready
pulses, and urinary output is diminished. This is most suggestive of which of the following? - ANSWER:-
Decreased contractility
Which of the following procedures uses high-frequency sound waves obtained by a transducer to
produce an image of cardiac structures? - ANSWER:- Echocardiography
Nursing interventions for the child after a cardiac catheterization would include which of the following? -
ANSWER:- Assess the affected extremity for temperature and color.
Which of the following is an early sign of heart failure that the nurse should recognize? - ANSWER:-
Tachypnea
Nursing care of the infant and child with heart failure would include which of the following? - ANSWER:-
Organize activities to allow for uninterrupted sleep.
Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood
is entering the systemic circulation? - ANSWER:- Tetralogy of Fallot
Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective
surgery should stress which of the following? - ANSWER:- Administer analgesics before procedure.
Therapeutic management of the child with rheumatic fever includes - ANSWER:- administration of
penicillin.
The primary therapy for secondary hypertension in children is - ANSWER:- treatment of underlying cause
Which of the following is an important nursing responsibility when a dysrhythmia is suspected? -
ANSWER:- Count the apical rate for 1 full minute and compare with radial rate.
Assessment findings of heart failure - ANSWER:- Sweating
- Weak, thready pulses
- Dependent edema
- Fatigue
- Tachycardia
The nurse is explaining blood components to an 8-year-old child. The nurse's best description of platelets
is that they do which of the following? - ANSWER:Help your body stop bleeding by forming a clot (scab)
over the hurt area
When hemoglobin falls sufficiently to produce clinical manifestations, the signs and symptoms are
caused by - ANSWER:- tissue hypoxia
, The nurse suspects a child is having an adverse reaction to a blood transfusion. The first action by the
nurse should be which of the following? - ANSWER:- Stop transfusion and maintain a patent intravenous
line with normal saline and new tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's stools are a tarry green
color. The nurse should explain that this is a(n) - ANSWER:- normally expected change resulting from the
iron preparation.
An important nursing consideration when caring for a child with sickle cell anemia is which of the
following? - ANSWER:Teach the parents and child how to recognize the signs and symptoms of crisis.
The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about
narcotic analgesics causing addiction. The nurse should explain which of the following concerning
narcotic analgesics? - ANSWER:- When they are medically indicated, children rarely become addicted.
Chelation therapy is begun on a child with α-thalassemia major. The purpose of this therapy is to do
which of the following? - ANSWER:- Eliminate excess iron.
The school nurse is caring for a child with hemophilia who fell on his arm during recess.
Which of the following supportive measures should the nurse do until factor replacement therapy can be
instituted? - ANSWER:- Elevate the arm above the level of the heart.
The school nurse is discussing prevention of acquired immunodeficiency syndrome with some
adolescents. Which of the following is appropriate to include? - ANSWER:- Recreational drug users
should not share needles or other equipment.
Which of the following is the best therapy for long-term remission of chronic idiopathic
thrombocytopenic purpura (ITP)? - ANSWER:- Splenectomy when the child is age 5 or older
Nursing actions to stop nosebleed would include all of the following except - ANSWER:- have him lie
down with his head tilted up.
Case Study: Katherine is a 16-year-old African American young woman admitted with vasoocclusive
sickle cell crisis. She complains of weakness and fatigue. After completing her assessment, the nurse
finds Katherine has a fever of 38° C (100° F) and has right upper quadrant abdominal pain on palpation.
In addition to the above, the nurse's assessment would most likely reveal - ANSWER:- painful joints.
Case Study: Katherine is a 16-year-old African American young woman admitted with vasoocclusive
sickle cell crisis. She complains of weakness and fatigue. After completing her assessment, the nurse
finds Katherine has a fever of 38° C (100° F) and has right upper quadrant abdominal pain on palpation.
While providing care to Katherine, the nurse should emphasize to her the importance of which of these
measures? - ANSWER:- Drinking large amounts of fluids
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with thready
pulses, and urinary output is diminished. This is most suggestive of which of the following? - ANSWER:-
Decreased contractility
Which of the following procedures uses high-frequency sound waves obtained by a transducer to
produce an image of cardiac structures? - ANSWER:- Echocardiography
Nursing interventions for the child after a cardiac catheterization would include which of the following? -
ANSWER:- Assess the affected extremity for temperature and color.
Which of the following is an early sign of heart failure that the nurse should recognize? - ANSWER:-
Tachypnea
Nursing care of the infant and child with heart failure would include which of the following? - ANSWER:-
Organize activities to allow for uninterrupted sleep.
Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood
is entering the systemic circulation? - ANSWER:- Tetralogy of Fallot
Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective
surgery should stress which of the following? - ANSWER:- Administer analgesics before procedure.
Therapeutic management of the child with rheumatic fever includes - ANSWER:- administration of
penicillin.
The primary therapy for secondary hypertension in children is - ANSWER:- treatment of underlying cause
Which of the following is an important nursing responsibility when a dysrhythmia is suspected? -
ANSWER:- Count the apical rate for 1 full minute and compare with radial rate.
Assessment findings of heart failure - ANSWER:- Sweating
- Weak, thready pulses
- Dependent edema
- Fatigue
- Tachycardia
The nurse is explaining blood components to an 8-year-old child. The nurse's best description of platelets
is that they do which of the following? - ANSWER:Help your body stop bleeding by forming a clot (scab)
over the hurt area
When hemoglobin falls sufficiently to produce clinical manifestations, the signs and symptoms are
caused by - ANSWER:- tissue hypoxia
, The nurse suspects a child is having an adverse reaction to a blood transfusion. The first action by the
nurse should be which of the following? - ANSWER:- Stop transfusion and maintain a patent intravenous
line with normal saline and new tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's stools are a tarry green
color. The nurse should explain that this is a(n) - ANSWER:- normally expected change resulting from the
iron preparation.
An important nursing consideration when caring for a child with sickle cell anemia is which of the
following? - ANSWER:Teach the parents and child how to recognize the signs and symptoms of crisis.
The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about
narcotic analgesics causing addiction. The nurse should explain which of the following concerning
narcotic analgesics? - ANSWER:- When they are medically indicated, children rarely become addicted.
Chelation therapy is begun on a child with α-thalassemia major. The purpose of this therapy is to do
which of the following? - ANSWER:- Eliminate excess iron.
The school nurse is caring for a child with hemophilia who fell on his arm during recess.
Which of the following supportive measures should the nurse do until factor replacement therapy can be
instituted? - ANSWER:- Elevate the arm above the level of the heart.
The school nurse is discussing prevention of acquired immunodeficiency syndrome with some
adolescents. Which of the following is appropriate to include? - ANSWER:- Recreational drug users
should not share needles or other equipment.
Which of the following is the best therapy for long-term remission of chronic idiopathic
thrombocytopenic purpura (ITP)? - ANSWER:- Splenectomy when the child is age 5 or older
Nursing actions to stop nosebleed would include all of the following except - ANSWER:- have him lie
down with his head tilted up.
Case Study: Katherine is a 16-year-old African American young woman admitted with vasoocclusive
sickle cell crisis. She complains of weakness and fatigue. After completing her assessment, the nurse
finds Katherine has a fever of 38° C (100° F) and has right upper quadrant abdominal pain on palpation.
In addition to the above, the nurse's assessment would most likely reveal - ANSWER:- painful joints.
Case Study: Katherine is a 16-year-old African American young woman admitted with vasoocclusive
sickle cell crisis. She complains of weakness and fatigue. After completing her assessment, the nurse
finds Katherine has a fever of 38° C (100° F) and has right upper quadrant abdominal pain on palpation.
While providing care to Katherine, the nurse should emphasize to her the importance of which of these
measures? - ANSWER:- Drinking large amounts of fluids
