MCN 374 Exam 3 Questions and Answers Already Passed Rated A+
Which intervention is included in the management of nosebleeds in children? SATA
a) instruct the child to breathe through the mouth
b) have the child sit down & tilt the head backward
c) avoid inserting tissues into the nostrils in an attempt to stop the bleeding
d) apply warm compresses to the bridge of the nose if bleeding is persistent
e)apply cont. pressure to the nose wit thumb & forefinger for at least 10 minutes - AnswersA, C, E
Which drug is not recommended for treating pain during sickle cell disease episodes?
a) Morphine
b) Ketolorac
c) Ibuprofen
d) Meperidine - AnswersMeperidine
which child has anemia caused by decreased RBC production?
a) pallor, HA, enlarged liver & spleen
b) elevated HR, fatigue, decreased peripheral pulses
c) elevated HR, cool skin, low BP
d) elevated HR, SOB, Pica - Answersd) elevated HR, SOB, Pica
Which manifestations indicate a severe prognosis of Sickle Cell Anemia?
a) Dactylitis
b) Severe anemia
c) Leukocytosis
d) painful joints
e) chronic anemia - Answersa, b, c
which symptom would the nurse recognize as an AIDs-defining condition in an American child with HIV?
a) Parotitis
,b) Oral candidiasis
c) Hepatosplenomegaly
d) Cytomegalovirus - Answersd) Cytomegalovirus
Which order to perform emergency Tx of epistaxis
a) have the child sit up & lean forward
b) insert cotton into each nostril
c) apple ice or cold cloth to the bridge
d) apply cont. pressure for 10 minutes - Answersa, d, b, c
A child with beta-thalassemia has received numerous blood transfusion * now is being started on
Deferoxamine. The parents want to know why the child has been started on the new medication. Which
is the most appropriate response?
a) the medication helps prevent iron overload
b) the medication provides vitamin supplements
c) the medication stimulates RBC production
d) the medication helps prevent blood transfusion reactions - Answersa) the medication helps prevent
iron overload
What important education topic should the family be aware and to report to recognize signs of the
major cause of death for children under the age of 5 with sickle cell disease?
a) presence of ever
b) s/s of stroke
c) presence of respiratory symptoms
d) localized swelling over joints - Answersa) presence of fever
A child is brought to the hospital with a suspected fracture. The child is crying & refuses to walk. Which
intervention helps relieve the child from pain & discomfort?
a) administer an anesthetic agent as prescribed
b) apply a hot bag to the affected area & rub gently
c) apply a splint that covers the joint above & below the fracture
, d) massage the affected area, apply a local anesthetic, and bandage - Answersc) apply a splint that
covers the joint above & below the fracture
Which would be considered the effective treatment for overuse syndrome? SATA
a) acetaminophen
b) rest
c) NSAIDs
d) alternative exercise
e) PT - Answersb, c, d, e
Which is a characteristic of fractures in children?
a) rapidity of healing is inversely related to the child's age
b) the pliable bones of growing children are less porous than those of adults
c) fractures rarely occur at the growth plate sire because it absorbs shock well
d) the peritoneum of a child's bone is thinner and weaker and has less osteogenic potential than that of
the adult - Answersa) rapidity of healing is inversely related to the child's age
An infant is born with one lower limb deficiency. Which would be the optimal time for the child to be
fitted with a prosthetic device?
a) as soon as possible after birth
b) when the infant is developmentally ready to stand up
c) at around 12 to 15 months of age, when most children are walking
d) at around 4 years, when the healthy limb is not growing so rapidly - Answersb) when the infant is
developmentally ready to stand up
which would be the initial therapy for Legg-Calve-Perthes Disease?
a) traction
b) rest & casting
c) abduction brace
d) avoidance of weight bearing - Answersd) avoidance of weight bearing
Which intervention is included in the management of nosebleeds in children? SATA
a) instruct the child to breathe through the mouth
b) have the child sit down & tilt the head backward
c) avoid inserting tissues into the nostrils in an attempt to stop the bleeding
d) apply warm compresses to the bridge of the nose if bleeding is persistent
e)apply cont. pressure to the nose wit thumb & forefinger for at least 10 minutes - AnswersA, C, E
Which drug is not recommended for treating pain during sickle cell disease episodes?
a) Morphine
b) Ketolorac
c) Ibuprofen
d) Meperidine - AnswersMeperidine
which child has anemia caused by decreased RBC production?
a) pallor, HA, enlarged liver & spleen
b) elevated HR, fatigue, decreased peripheral pulses
c) elevated HR, cool skin, low BP
d) elevated HR, SOB, Pica - Answersd) elevated HR, SOB, Pica
Which manifestations indicate a severe prognosis of Sickle Cell Anemia?
a) Dactylitis
b) Severe anemia
c) Leukocytosis
d) painful joints
e) chronic anemia - Answersa, b, c
which symptom would the nurse recognize as an AIDs-defining condition in an American child with HIV?
a) Parotitis
,b) Oral candidiasis
c) Hepatosplenomegaly
d) Cytomegalovirus - Answersd) Cytomegalovirus
Which order to perform emergency Tx of epistaxis
a) have the child sit up & lean forward
b) insert cotton into each nostril
c) apple ice or cold cloth to the bridge
d) apply cont. pressure for 10 minutes - Answersa, d, b, c
A child with beta-thalassemia has received numerous blood transfusion * now is being started on
Deferoxamine. The parents want to know why the child has been started on the new medication. Which
is the most appropriate response?
a) the medication helps prevent iron overload
b) the medication provides vitamin supplements
c) the medication stimulates RBC production
d) the medication helps prevent blood transfusion reactions - Answersa) the medication helps prevent
iron overload
What important education topic should the family be aware and to report to recognize signs of the
major cause of death for children under the age of 5 with sickle cell disease?
a) presence of ever
b) s/s of stroke
c) presence of respiratory symptoms
d) localized swelling over joints - Answersa) presence of fever
A child is brought to the hospital with a suspected fracture. The child is crying & refuses to walk. Which
intervention helps relieve the child from pain & discomfort?
a) administer an anesthetic agent as prescribed
b) apply a hot bag to the affected area & rub gently
c) apply a splint that covers the joint above & below the fracture
, d) massage the affected area, apply a local anesthetic, and bandage - Answersc) apply a splint that
covers the joint above & below the fracture
Which would be considered the effective treatment for overuse syndrome? SATA
a) acetaminophen
b) rest
c) NSAIDs
d) alternative exercise
e) PT - Answersb, c, d, e
Which is a characteristic of fractures in children?
a) rapidity of healing is inversely related to the child's age
b) the pliable bones of growing children are less porous than those of adults
c) fractures rarely occur at the growth plate sire because it absorbs shock well
d) the peritoneum of a child's bone is thinner and weaker and has less osteogenic potential than that of
the adult - Answersa) rapidity of healing is inversely related to the child's age
An infant is born with one lower limb deficiency. Which would be the optimal time for the child to be
fitted with a prosthetic device?
a) as soon as possible after birth
b) when the infant is developmentally ready to stand up
c) at around 12 to 15 months of age, when most children are walking
d) at around 4 years, when the healthy limb is not growing so rapidly - Answersb) when the infant is
developmentally ready to stand up
which would be the initial therapy for Legg-Calve-Perthes Disease?
a) traction
b) rest & casting
c) abduction brace
d) avoidance of weight bearing - Answersd) avoidance of weight bearing
