PNR 308 FINAL EXAM ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+

PNR 308 FINAL EXAM ACTUAL EXAM COMPLETE ACCURATE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+ Hypospadias must be surgically corrected to preserve proper genitourinary function. - Correct Answer False" "What grains are avoided in celiacs disease? - Correct Answer Wheat, barely and rye" "Why are children more prone to fluid and electrolyte imbalances? - Correct Answer More fluid is lost through the skin than the kidneys, and children under age 2 yrs have a greater SURFACE AREA per KG OF WEIGHT than an adult A greater % of their body weight is water Metabolic rate are 2-3x greater in infants Less able to concentrate urine" "what is it called when foreskin is retracted and fixed - Correct Answer paraphimosis" "nephrotic syndrome - Correct Answer characterized by massive proteinuria caused by glomerular damage." "acute glomerulonephritis - Correct Answer nephritis, increased blood pressure, occasionally heart failure; can become chronic leading to kidney failure" "What daily nursing assessment should be omitted in a child diagnosed with a Wilms' tumor? - Correct Answer abdominal assessment" "what is the Erikson's psychological stage for an 8 year old child? - Correct Answer industry vs. infuriority" "what is Erickson's psychological stage for a 4 year old? - Correct Answer initiative vs. guilt" "what is the Erikson psychological stage for 14 year old? - Correct Answer identity vs. confusion" "according to Paiget, a 14 year old cognitive stage is: - Correct Answer formal operations" "what is the stage of Erikson's theory for a nine month old infant? - Correct Answer trust vs. mistrust" "what is the best way to assess a 9 month old infant? - Correct Answer in the mother's arms" "the oxygen saturation probe came off a 9 month old infant. What is the best location for a probe for a nine month old infant? - Correct Answer big toe" "what stage of Erikson theory is an 18 month old infant in? - Correct Answer Autonomy vs Shame and doubt" "Phimosis is normal in newborn males and usually disappears by the time a boy is 3 years old. - Correct Answer true" "Which instructions should the nurse give parents about activity restrictions for a child with acute glomerulonephritis? - Correct Answer Limit activity until gross hematuria subsides" "Which is a sign of a UTI in a 6-month-old child? - Correct Answer Perineal rash" "8 year old diagnosed with type 1 DM. according to piaget, her cognitive stage is: - Correct Answer concrete operations" "One goal for a child with nephrotic syndrome is the prevention of: - Correct Answer skin breakdown" "according to Paiget, the 18 month old infant is at what stage? - Correct Answer pre-operational" "what type of play is typical during the initial toddler years? - Correct Answer parallel play" "what is a major cause of death in children older than one year of age? - Correct Answer head injuries" "true or false sclerosis is more common in boys - Correct Answer false" "when is skeletal growth most rapid? - Correct Answer infancy and adolescence" "at what age is brain growth almost completed by? - Correct Answer 2 years of age" "what is a shunt? - Correct Answer flow of blood through an abnormal opening between two vessels of the heart" "the left ventricle pumps blood to the what? - Correct Answer aorta" "sickle cell anemia - Correct Answer an autosomal recessive genetic disorder characterized by production of abnormal shaped hemoglobin." "true or false leukaemia is the most common form of cancer in childhood - Correct Answer true" "mcburney's point - Correct Answer Pain in RLQ with appendicitis" "bladder capacity of children - Correct Answer age in years + 2 = oz" "Wilm's tumour (nephroblastoma) - Correct Answer most common malignancies of early life" "hydrocele - Correct Answer sac of clear fluid in the scrotum" "cryptorchidism - Correct Answer undescended testicles" "enuresis - Correct Answer bed wetting" "phimosis - Correct Answer foreskin is Advanced and fixed" "Encopresis - Correct Answer passage of feces into inappropriate places" "sickle cell trait - Correct Answer carrier" "sickle cell anemia - Correct Answer is more severe. RBC goes down. 6 months of age" "Reye Syndrome (RS) - Correct Answer acute non-inflammatory encephalopathy and hepatopathy that follows a viral infection in children" "cerebral palsy in children - Correct Answer a group of motor disorders caused by dysfunctions of various motor centres in the brain" "innocent murmurs - Correct Answer normal Cardiac anatomy and cardiac function" "Meningitis - Correct Answer inflammation of the meninges" "greenstick fracture - Correct Answer breaks on the outside" "osteogenesis imperfecta - Correct Answer brittle bone disease" "Adults who commit sexual abuse usually: - Correct Answer know the child" "A 14-year-old is admitted to the emergency department with a fracture of the right humerus epiphyseal plate through the joint surface. The nurse knows that this fracture will: - Correct Answer require different management to prevent bone growth complications." "A preadolescent has been diagnosed with scoliosis. The planned therapy is the use of a thoracolumbosacral orthotic brace. The patient asks how long she will have to wear the brace. The appropriate answer is: - Correct Answer until your vertebral column has reached skeletal maturity." "The higher the fever, the higher the risk of febrile seizure. - Correct Answer False" "A 7-year-old child was given baby aspirin when she exhibited flu-like symptoms. This puts the child at risk for - Correct Answer Reye's syndrome" "A nurse caring for a hospitalized 4-year-old boy with cerebral palsy should: - Correct Answer be sure that his head is not tilted back when eating or drinking." "A nurse sees a 5-year-old child fall and bump his head in the parking lot. What question should the nurse ask the child in order to assess the child's level of consciousness? - Correct Answer What is your name" "Diabetic ketoacidosis (DKA) results from an excessive accumulation of: - Correct Answer Ketone bodies from fat metabolism" "The "honeymoon period" after diagnosis of type 1 diabetes in the child may result in: - Correct Answer parental denial of child's need for lifetime insulin." "Children can usually give their own insulin injections after the age of: - Correct Answer 7 years" "The nurse determines a parent understands teaching about hypoglycemia when he identified which as a cause of hypoglycemia in children? - Correct Answer poorly planned exercise" "How does the squatting (Tet) position relieve dyspnea? - Correct Answer improves blood return to the heart" "Why are platelets usually not given in patients with idiopathic thrombocytopenic purpura (ITP)? - Correct Answer they would be destroyed by the autoimmune response that is causing the ITP" "What daily nursing assessment should be omitted in a child diagnosed with a Wilms' tumor? - Correct Answer Abdominal assessment" "a type of fracture in a young child that may be indicative of child abuse is: - Correct Answer spiral fracture of the femur" "a teenager who had a cast applied after a TB of fracture complains that his pain medication is not working and it's pain is still a 9 or 10. The nurse noticed some edema of the toes and a capillary refill of 6 seconds. The priority action of the nurse would be to: - Correct Answer call the health care provider immediately." "a neurovascular check for tissue perfusion includes which of the following observations - Correct Answer pulse, colour and capillary refill, movement and sensation." "an abnormal s-shaped curvature of the spine seen in school-age children is - Correct Answer scoliosis" "yellow bruise is approximately how many days old? - Correct Answer 7 to 10 days old" "the nurse reinforces home care instructions for parents of a child who has had an above-the-knee cast applied - Correct Answer contact the health care provider if a child complains of any numbness" "symptoms of an earache in an infant include what? - Correct Answer tugging at the ear and rolling the head from side to side" "signs of a crease intracranial pressure in a three-year-old child includes - Correct Answer headache, lethargy" "the priority nursing intervention when administering Dilantin to a patient diagnosed with epilepsy is - Correct Answer providing detail oral hygiene" "a practice that has been helpful in preventing intellectual disabilities is - Correct Answer a blood test at Birth" "distinct stages of a grand mal epileptic seizures include - Correct Answer aura, tonic or clonic movements, and postical lethargy" "a nursing responsibilities when a child has a seizure includes - Correct Answer time to seizure, move furniture away from the child, and observe and record behaviour is immediately following the seizure" "when administering digoxin do an infant, the medication should be withheld and the healthcare provider notified if the - Correct Answer pulse rate is below 100 beats per minute" "an infant with tetralogy of fallot is experiencing a tet spell involving cyanosis and dyspnea. in which position should the infant be placed? - Correct Answer knee-chest" "prevention of rheumatic fever can best be accomplished by - Correct Answer having sore throats cultured as soon as possible" "the nurse is assessing a child admitted with possible Kawaski disease. A characteristic sign or symptom that the nurse should observe and document would be - Correct Answer peeling skin on fingers" "a child who has had heart surgery return to the Pediatric unit with a chest tube and a gradient bottle in place. What is a priority nursing responsibilities when caring for a child with chest tube? - Correct Answer keep a drainage bottle below the chest level at all times" "the nurse is recording the vital signs of an infant admitted with signs of respiratory distress. Which of the following should be reported to the health care provider? - Correct Answer blood pressure is lower in the legs then in the arms and cyanosis of the lips" "when the patient experiences apprehension and urticaria while receiving a blood transfusion, the nurse - Correct Answer stop the transfusion, allows normal saline solution to run slowly, and notify the charge nurse" "a child who is in of Vaso occlusion crisis caused by sickle cell anemia is experiencing acute pain. The nurse understands that Demerol is not an appropriate pain medication to administer to this child because it - Correct Answer May induce seizures" "Which principle should the nurse teach the parents concerning administering liquid iron preparations with a child with iron deficiency anemia - Correct Answer administering between meals" "which of the following orders written for a child admitted with a diagnosis of sickle cell anemia should the nurse question? - Correct Answer restrict fluids and administer meperidine" "a nurse is caring for a five-year-old child with leukaemia admitted to the hospital with a primary diagnosis of pneumonia. What does the nurse expect as most likely cause a child's pneumonia? - Correct Answer neutropenia" "what is a classic symptom of idiopathic thrombocytopenia purpura? - Correct Answer bruising" "between which two ages of the highest incidence of iron deficiency anemia occur? - Correct Answer 9 and 24 months" "the mother of a three-year-old tells the nurse she is concerned about her child bow-legged appearance. What is the best response from the nurse? - Correct Answer is your child having any pain or difficulty walking" "what is the most accurate diagnosis tool in diagnosing suspected osteomyelitis in the Pediatric patient? - Correct Answer bone scan" "a 14 year old girl has been diagnosed with scoliosis with the curve of 30 degrees. What medical intervention will treatment include for this patient? - Correct Answer use of a Milwaukee brace" "the nurse is caring for a 15 year old boy after left lower extremity amputation surgery after diagnosis of osteosarcoma. The patient reports that his left foot is in severe pain. What should the nurse do first? - Correct Answer medication for pain as ordered" "A priority nursing responsibility in the care of a child with Wilms' tumor is to: - Correct Answer omit abdominal palpitation during daily assessments." "The nurse is caring for a child diagnosed with nephrosis. Symptoms that are characteristic of nephoris include which of the following? - Correct Answer massive proteinuria and edema" "What vaccinations are completed at 2, 4, 6 months? - Correct Answer rotavirus" "What vaccination are completed at 2, 4, 6, 18 months? - Correct Answer diphtheria, tetanus, pertussis, polio and haemophilus B (HIB)" "What vaccination are given at 2 months, 4 months and 1 year of age? - Correct Answer pneumococcal" "What vaccination is given at 1 year old? - Correct Answer measles, mumps, rubella and meningococcal-ACYW" "What vaccination is given at 15 months? - Correct Answer varicella" "When does anxiety start? - Correct Answer after 6 months of age" "What is Piaget theory? - Correct Answer Cognitive development" "What is coup syndrome? - Correct Answer barking cough" "Respiratory Syncytial Virus - Correct Answer A highly contagious virus that causes an infection of the upper and lower respiratory system." "Apgar scale - Correct Answer heart rate, respiratory effort, muscle tone, reflex irritability and colour. 2 pts each" "Why is Vit K given to newborns - Correct Answer assists with blood clots" "Erythromycin eye ointment - Correct Answer ophthalmia and chlamydia" "weight of a newborn? - Correct Answer grams" "When does the fontanel close? - Correct Answer 12-18 months" "What shape is the anterior fontanel? - Correct Answer diamond" "What shape is the posterior fontanel? - Correct Answer triangle" "What is the care for the umbilical cord? - Correct Answer soap and water" "what is the most important nursing intervention to identify and minimize compartment syndrome? - Correct Answer perform frequent neurovascular checks" "what diagnosis is related to the development of race syndrome in conjunction with aspirin Administration in the Pediatric patient? - Correct Answer varicella" "what is the most useful diagnostic procedure and Diagnostic in a seizure disorder - Correct Answer electroencephalography" "which disorder causes unoxygenated blood to enter the systemic arterial circulation? - Correct Answer tetralogy of fallot" "the nurse is caring for a child receiving digoxin for the diagnosis of heart failure. Which manifestation does the nurse recognize as a cardinal sign of digoxin box and toxicity - Correct Answer Sudden Change in pulse" "a child who has diabetes mellitus asked why he cannot take insulin orally instead of buy subcutaneously injections. The best response of the nurse would be that - Correct Answer digestive enzymes destroyed insulin" "what may indicate a need for insulin in a diabetic child? - Correct Answer red lips and fruity odor to the breath" "the nurse teaches a diabetic child to rotate sites of insulin injections so as to - Correct Answer prevent lipoatrophy and subcutaneous fat" "I'll teach him a child with type 1 diabetes mellitus how to prevent hypoglycemia during afternoon volleyball practice, the nurse should reinforce teaching that includes - Correct Answer drink half of a cup of orange juice before practice and check the blood glucose before a practice" "What may be included in the treatment of salicylate poisoning? - Correct Answer Vitamin K" "Which organism is the most common cause of urinary tract infections in children? - Correct Answer Escherichia coli" "Which diagnosis often accompanies cryptorchidism? - Correct Answer Inguinal Hernia" "A 16-year-old boy enters the emergency department reporting acute scrotal pain. He is diagnosed with testicular torsion. What treatment for this condition will the nurse expect? - Correct Answer Immediate surgery" "What is the approximate bladder capacity of a 4-year-old child? - Correct Answer 6 ounces" "What is the name of the condition in which the urinary meatus is located on the underside of the penis? - Correct Answer Hypospadias" "Which term is a narrowing of the preputial opening of the foreskin, which prevents the foreskin from being retracted over the penis. - Correct Answer Phimosis" "Which menu selections are best for a child diagnosed with celiac disease? - Correct Answer corn tortilla and fresh fruit" "the nurse is monitoring a two-year-old child for signs of dehydration. Which of the following techniques of monitoring body temperature is appropriate? - Correct Answer axillary, tympanic and temporal artery" "How are pinworms diagnosed? - Correct Answer A "Scotch tape test" in the early morning" "the nurse understands that genitourinary surgery affects growth and development. When caring for a 4-year-old child postoperative, a priority nursing responsibility would include: - Correct Answer strategies to preserve the child's body image" "The administration of predisone to children with nephrosis creates the problem of: - Correct Answer increased risk of infection" "Daily weights are obtained in children with nephrosis to monitor: - Correct Answer changes in the amount of edema"