PEDS FINAL EXAM PRACTICE QUESTIONS AND ANSWERS

A patient is admitted with suspected rheumatic fever. When obtaining the child's history, the nurse considers which information to be most important? A. history of 3 day long fever B. lack of interest in food C. recent episode of pharyngitis D. vomiting for 2 days - Answer- A recent episode of pharyngitis A nurse is assessing reflexes in a 9mo old baby; which is normal? A. rooting B. parachute c. moro d. persistent clenching of fist - Answer- B. parachute A 5 yr old was recently Dx with Kawasaki's disease. Apart from the identified symptoms of the disease, she may also likely develop which of the following? A. sepsis B. meningitis C. mitral valve disease D. coronary artery aneurysm formation - Answer- D. coronary artery aneurysm formation Which of the following disorders leads to cyanosis from deoxygenated blood entering systemic arterial circulation? A. aortic stenosis b. coarctation of aorta c. PDA d. Tet of Fallot - Answer- D. Tet of Fallot A child hasn't passed meconium in the first 24 hours after birth; this indicates which of the following? (SATA) A. CF B. hyperthyroidism C. Intussusception D. Celiac E. Hirschsprung's - Answer- A. CF E. Hirschprung's Disease also hypothyroidism Which of the following is an example of a sex chromosome aneuploidy? SATA A. Trisomy 21 B. Klinefelter syndrome C. CF D. Turner syndrome - Answer- B. Klinefelter D. Turner Most common cause of UTIs in children? A. klebsiella B. Staph C. E. Coli D. Pseudomonas - Answer- C. E. Coli Which is Gower's sign seen in? A. Duchenne's B.CP C. Epilepsy D. DDH - Answer- A. Duchennes Which of the following statements made by a parent of a 4 month old would indicate that the child has CP? A. he holds his leg so stiff that I have a hard time putting on his diapers B. My baby won't lift his head and look at me, he's so floppy C. My baby's hip tilts when I pull him to standing D. I'm very worried b/c my baby hasn't rolled all the way over yet - Answer- B. My baby won't lift his head and look at me, he's so floppy Fluid intake and output should relate in which way? - Answer- Intake = Output In children diagnosed with SCD, tissue damage occurs from which of the following? A. air hunger and respiratory alkalosis due to deoxygenated blood cells B. Hypersensitivity of the CNS due to elevated bilirubin levels C. general inflammatory response due to hypoxia D. local tissue damage with ischemia and necrosis due to obstructed circulation - Answer- D. local tissue damage with ischemia and necrosis due to obstructed circulation A nurse is instructed to give IV K for a child in DKA. What should she check before giving? A. UO