NURS 307 Pediatrics Final Exam Quiz 3-6 Study Guides

1. The nurse is reviewing risk factors for the development of congenital heart defects with a client that wants to conceive. Which of the following conditions should the nurse include as a maternal risk factor? a. Placenta Previa b. Late prenatal care c. Preeclampsia d. Maternal infection with Rubella 2. The nurse is caring for a patient with Rheumatic Fever. The nurse anticipates which of the following laboratory values? a. Decreased Erythrocyte Sedimentation Rate b. Decreased C - reactive protein level c. Elevated Antistreptolysin O titer d. Elevated Red Blood Cell Count 3. The nurse is providing discharge instructions to a child with a central venous catheter. Which of the following instructions should the nurse include? a. Implement good oral hygiene b. Keep the child on bed rest for 72 hours c. Elevated body temperature is a common characteristic with a central venous catheter. d. Implement home seizure precautions 4. The nurse is assessing an 8-month-old infant for coarctation of the aorta. Which of the following findings is a manifestation of the condition? a. Clubbing of the fingers b. A continuous “machinery murmur” c. Skin warm to touch in the lower extremities d. Lower blood pressure in the legs compared to the arms 5. The nurse is assessing a patient in the community with suspected aortic stenosis. Which statement, made by the caregiver, is a symptom of the suspected diagnosis? a. “I’ve been told my child has a higher blood pressure in her arms thank her legs” b. “My child had a recent throat infection” c. “My child squats often when playing” d. My child has had several syncopal episodes recently” 6. The nurse is providing teaching to parents for a newborn with suspected Tetralogy of Fallot. What should the nurses include are the pathological defects seen in Tetralogy of Fallot? SATA a. Overriding aorta b. Aortic stenosis c. Pulmonary stenosis d. Right ventricular hypertrophy e. Ventricular septal defect f. Foramen Ovale 7. The nurse is caring for an infant 48 hours post heart surgery to correct Tetralogy of Fallot. Which of the following is the nurses greatest concern? a. Capillary refill 2 seconds b. Decreased appetite c. Respiratory rate of 48 bpm d. Decreased level of consciousness 8. The nurse is providing anticipatory guidance to the parents of a school – aged child with Pulmonary Arterial Hypertension. The parents ask the nurse what after- School activity would be most appropriate for their child. What is the nurses best response? a. Soccer b. Chess c. Cross- Country running d. Football 9. A nurse is providing teaching to the mother of an infant who has a prescription for digoxin. Which of the following statements indicated a need for further teaching? a. “My baby can have digoxin with or without food” b. “Digoxin will slow my baby’s heart rate” c. “I should give my baby Digoxin at regularly scheduled times” d. Digoxin will increase my baby heart rate 10. A nurse in the cardiac medical- surgical unit is caring for an infant with a continuous machine- like murmur. Which of the following interventions should the nurse anticipate? a. Administration of Nitroglycerin b. Administration of Prostaglandin c. Administration of Indomethacin d. Administration of Pulmozyme 11. The nurse is providing education to an adolescent with dyslipidemia. The nurses emphasize the recommended levels for the tested lipids would include which of the following ranges? SATA a. Triglycerides less than 90mg/dL b. Triglycerides less than 75 mg/dL c. Total Cholesterol less than 170 mg/dL d. HDL greater than 45 mg/dL e. HDL less than 45mg/ dL f. LDL less than 170 md/dL 12. A nurse is reviewing data for four children. Which of the following children should the nurse assess first? a. A 10- day old with central cyanosis during feeding b. A 10-year-old child with a ventricular septal defect c. A 2-year-old child with a patent ductus arteriosus d. A 7-year-old child with a higher blood pressure in the upper extremities when compared to the lower extremities 13. The nurse is educating a group of patients on the potential risk factors for Pulmonary Arterial Hypertension. Which risk factors should the nurse include? SATA a. Increased Pulmonary Blood Flow Defects b. Inflammatory Bowel Disease c. Bronchiolitis d. Right Ventricular Hypertrophy e. Genetics 14. A nurse is preparing to administer digoxin 8 mcg/kg/day PO to divide equally every 12hr for a preschool who weighs 33lb. Available is digoxin elixir 0.05mg/mL. How many mL should the nurse administer per dose? 1.2 mL 15. The nurse is caring for an infant post Cardiac catherization who has experienced hemorrhage with severe blood loss. Which of the following clinical manifestations would the nurse be most concerned with? a. 2 second capillary refill b. Decreased pain response c. Respiratory rate of 40 bpm d. Heart rate of 115 bpm 16. Which of the following symptoms should the nurse recognized is typically the first indication of a congenital heart defect in an infant? a. Bradypenia b. Heart murmur c. Acrocyanosis d. polycythemia 17. The nurse is caring for the child 1-week post-surgical repair of a ventricular septal defect. The child has a central venous catheter and is presenting with fever, myalgia, chest pain, and diaphoresis. The nurse should anticipate which of the following diagnostic procedure to be ordered by the provider? a. Cardiac catherization b. Blood culture c. Throat culture d. Urine culture 18. The infant with Tetralogy of Fallot becomes dysgenic while crying, which intervention is most appropriate for the nurse to perform a. Position child knee to chest b. Position child prone c. Position child in reverse Trendelenburg d. Position child Supine 19. The nurse for a 3-month-old infant receiving Digoxin. Which of the following clinical manifestation would require the nurse to hold the dose of the scheduled digoxin? a. Potassium level of 2.5 b. Heart Rate is 180 c. Heart rate is 95 bpm d. Never hold a dose of schedule Digoxin 20. The infant admitted with cyanosis has a history of Trisomy 18, Edwards Syndrome. Which do the following congenital heart defects would the nurse most likely expect in the patient? a. Tetralogy of Fallot b. Trancus Ateriouosis c. Transposition of the Great Arteries d. Hypoplastic Left Heart Syndrome 21. The nurse is caring for a patient with suspected aortic stenosis. Which of the following should the nurse expect? a. Machine-like murmur b. Hypertension c. Hyper cyanotic Tet-spells d. dizziness 22. The nurse is caring for a patient on furosemide. Which of the following nursing intervention is appropriate? a. encourage a diet high in sodium b. encourage a diet high in potassium c. Encourage a diet and calcium d. encourage a diet in low potassium 23. the nurse is reviewing a risk factor for the development of congenital heart defects with a client who wants to conceive. Which of the following condition should the nurse include as a maternal risk factor? a. preeclampsia b. placenta previa c. rubella infection d. late prenatal care 24. a nurse is providing care instructions to the parent of a 10-year-old child following a cardiac catherization. Which of the following intervention should the nurse include? a. Remove pressure dressing b. Maintain extremity elevated c. Maintain serenity dependent d. Increase fluid intake 25. A nurse is caring for a child who has Kawasaki disease. Which of the following complication should the nurse assess? a. Mitral Valve regurgitation b. Coronary Aneurysm c. Respiratory Infection d. D Gastrointestinal Malabsorption 26. Which of the following manifestation should the nurse recognize as being characteristic of Kawasaki Disease? SATA a. Elevated ASO Titer b. Elevated erythrocytes sedimentation (ESR) c. Subcutaneous nodules d. Edema e. High fever f. Strawberry Tongue 27. After receiving change of shift report, which patient should the nurse see first? a. 5-yro with endocarditis who has crackles audible throughout both lungs b. 3-year-old with rheumatic fever who reports severe knee pain c. 18-month-old with coarction of the aorta who has diminished pedal pulse d. 8-year-old with Kawasaki disease who has a temperature of 102.2 degrees Fahrenheit 28. The nurse is caring for a child with a congenital heart defect. The nursing assessment revealed clubbing of the fingernails and toenails what congenital heart defect should the nurse anticipate? a. Call auction of the aorta b. patent ductus arteriosus c. atrial septal defect d. tricuspid artresia 29. A nurse is assessing a child with untreated aortic stenosis. Which of the following findings should the nurse expect? a. Ascitis b. jugular venous distention c. dependent edema d. cough 30. the nurse is caring for an infant with tricuspid atresia. Which of the following interventions would be most appropriate for the nurse to implement? a. Prostaglandin administration b. antibiotic administration c. indomethacin administration d. cardiac catheterization 31. a nurse is providing preoperative education for an 8-year-old who will be undergoing cardiac surgery. Which of the following action should the nurse take? a. Minimize exposure of medical equipment b. plan a teaching session that will last at least 60 minutes c. use a medical doll with tools and decisions to explain the surgery d. discuss methods to hide the scar once healing has occurred Quiz 4 1. Which is the best position for an 8yr old who has just returned to the pediatric unit after an appendectomy for a ruptured appendix? a. High-Fowler b. Prone c. Right side lying d. Left side lying 2. The nurse is providing education to the parents of a child who is prolonged steroid therapy for a pre-existing condition. The parents share with the nurse that the child wants to participate in sport like most of his friends. Which of the following activities should the nurse recommend? a. Hockey b. Lacrosse c. Football d. Tennis 3. The nurse is providing education to the caregiver of an infant with cleft lip and palate. The parents ask the nurse what future healthcare resources the infant will require. What is the nurse’s best response? a. The infant will require orthodontic care b. The infant will require physical therapy c. The infant will require neurological follow up d. The infant will require cardiology follow up 4. What is the daily fluid maintenance requirement of a pediatric patient that weights 27kg? 1640 10+10+7= 27kg 100x 10 = 1000 500x10 = 500 20x7= 140 ---------------= 1640 mL 5. A nurse is caring for an infant who has gastroesophageal reflex. The nurse should recognize that which of the following findings are associated with this conditions SATA a. Arching of back b. Frequent spit ups c. Irritability d. Abdominal pain at mcburners point (appendix related) e. Fever f. (Pyloric stenosis) Olive-shaped mass in the right upper quadrant 6. The nurse is caring for 4-month-old infant in the family health clinic who is being seen for their 4-month well child checkup. The parent reports when the infant cries or strains that a bulge at the umbilicus forms and that she has been banding the abdomen in order to prevent the protrusion. Which of the following is the nurse’s best response? a. This protrusion rarely resolves on its own and surgery will be necessary b. Application of abdominal banding is appropriate in reducing the protrusion c. This protrusion is probable a tumor and must be evaluated immediately d. Application of abdominal banding can lead to constriction of the intestine 7. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft palate. Which of the following actions is most important for the nurse to take? a. Offer the infant a pacifier for comfort b. Position the infant upright c. Administer aspirin as needed for pain d. Assess placement of elbow restraints 8. A nurse is caring for a pre-school aged child who has suspected appendicitis. What clinical manifestation can be seen in the patient suspected appendicitis? a. Leukocytosis (high WBC) b. Abdominal pain in left lower quadrant c. Positive ASO titer d. Heart rate of 105 bpm 9. The nurse is education the parent of a child with gastroenteritis on health promotion activities. What health promotion activities should the nurse recommend? SATA a. Encourage raw fruits and vegetables b. Immunizations c. Use of prophylactic antibiotics d. Short, clipped nails e. Frequent hand washing f. Sanitations of toys 10. The nurse is teaching a student nurse about the presenting clinical manifestation of type 1 diabetes mellitus. Which of the following statements by the student indicates an understanding of the teaching? (clinical manifestation: polyuria, polydipsia, weight loss, polyphagia, ketoacidosis) a. Weight loss is a common presenting clinical manifestation of type 1 diabetes mellitus b. Weight gain is a common presenting clinical manifestation of type 1 diabetes mellitus c. Decreased urine output is a presenting clinical manifestation of type 1 diabetes mellitus d. A decreased appetite is a presenting clinical manifestation of type 1 diabetes mellitus