Pediatrics Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2025 - Everest College, Henderson.

Peds Final Exam Due No due date Points 150 Questions 54 Available Jan 10 at 8am - Jan 10 at 11:59pm 15 hours and 59 minutes Time Limit 120 Minutes Attempt History Attempt Time Score LATEST Attempt 1 20 minutes 148 out of 150 * *Some questions not yet graded* Health promotion Illness management Health definitions Health restoration height and weight head circumference blood pressure scholastic achivement  Q uestion 3 2 / 2 pts  Correct answers are hidden. Score for this quiz: 148 out of 150 * Some questions not yet graded * Submitted Jan 10 at 10:20am This attempt took 20 minutes.  Question 1 2 / 2 pts Pediatric nursing is care of children from birth through adolescence. This includes: (select all that apply)  Question 2 1 / 1 pts Some physical development considerations for pediatrics include (select all that apply): 1/10/25, 10:20 AM Pediatrics Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024drowning birth defects SIDS malnourishment trust vs mistrust identify vs role confusion initiative vs guilt autonomy vs shame/doubt  Q uestion 5 2 / 2 pts anterior vas lateralis muscle anterior deltoid posterior buttock rectus femoris muscle  Q uestion 6 2 / 2 pts genital warts syphyllis gonorrhea chlamydia  Q uestion 7 2 / 2 pts giving the vaccine information sheet explaining the possible side effects of the vaccine Infant mortality can be caused from: (select all that apply)  Question 4 2 / 2 pts In this stage, as identified by Erickson, a pediatric patient works on his/her own identify. They are worried about how they are perceived by others and role confusion can occur. Choose the best injection site for a child under 12 months old. HPV is the human papilloma virus. This is a leading cause of cancer among young women in their early decades of life. It can also prevent this STD: The nurse is responsible for educating the patient's parents about the immunizations given. This would include: (select all that apply) 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024advising the parent whether or not to get the vaccine telling the parent the child will die if they don't vaccinate True False  Q uestion 9 2 / 2 pts preschoolers infants adolescents school age Your Answer:  Question 8 2 / 2 pts Your patient is here for her 15-month immunizations and checkup. She has a runny nose and a lowgrade fever. She is eating, sleeping okay. Will you give her vaccines? True: yes False: no This group of children loves to ride a tricycle, play pretend with dolls, cars and will love to draw pictures.  Question 10 5 / 5 pts Lymphoma is cancer of the _________________________. Leukemia is cancer of the __________________. There are two types of leukemia: ____________________ and _________________________. The gold standard of treatment for both cancers is _______________________________. 1. 2. 3. 4. 5. 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024orbit bones soft tissues muscles  Q uestion 12 2 / 2 pts growing pains inability to sleep at night frequent bruising cold sx  Q uestion 13 4 / 4 pts oxygenation circulation liver function brain function 1. lymphatic system 2. blood and bone marrow 3. acute kymphoblastic luekemia 4. acute myeloid leukemia 5. chemotherapy  Question 11 4 / 4 pts A sarcoma is cancer that can be found in these parts of the body: ________________________ and/or __________________________. Early onset of osteosarcoma can be symptoms of pain after a small injury that won't go away or be mistaken for: The primary goals of all lifesaving is to preserve or re-establish : (choose all that apply) 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024  Question 14 2 / 2 pts A child with cancer and on chemotherapy can become neutropenic. If a patient you are caring for is neutropenic, you may want to insist the patient has:no fresh flowers in the room cold water only a diet with only milk no visitors  Q uestion 15 2 / 2 pts FACES FLACC Numerical scale CULPS  Q uestion 16 2 / 2 pts respiratory school fight cardiac musculoskeletal teething attending daycare sleeping difficulties having a cold This is the most commonly used pain scale with children: Almost all pediatric emergencies involve ________________________ issues.  Question 17 3 / 3 pts Otitis media is an infection of the middle ear. Many causes for this condition lead to office visits for medications. Choose the reasons below: (all that apply)  Question 18 5 / 5 pts Asthma is considered an obstructive disease of the lung. These three things can happen when a child to has an asthma attack: ___________________, ___________________________ and ______________________________. There are several medications used to treat asthma in children. Name one of the medications that is placed in a cup and attached to a tube /machine that forces the medication into the lung to help open the breathing passages: _______________________________. 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024Your Answer: 1. 2. 3. 4. 1. Bronchoconstriction 2. Airway inflammation 3. Excess mucus production 4. Albuterol  Question 19 10 / 10 pts A child can develop anemia from many sources. List the most common anemia 1) _____________________. The laboratory tests that will be done to diagnose this condition of anemia are found in the complete blood count looking at the MCV, the 2) __________________ and the 3) ______________. The treatment for iron-deficient anemia is 4) ______________________ and it must be taken with 5) _________________ daily for absorption. 1. 2. 3. 4. 5. Your Answer: 1. iron deficiency anemia 2. hemoglobin 3. hematocrit 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024 Q uestion 20 2 / 2 pts True False family characteristic coming through the birth canal laying on one side more often a neural tube defect  Q uestion 22 2 / 2 pts lack of folic acid lack of niacin lack of calcium lack of potassium  Q uestion 23 2 / 2 pts anacephaly spina bifida scoliosis Tufts disease  Q uestion 24 2 / 2 pts 4. iron supplements 5. Vitamin C Neurological development begins in the embryonic period.  Question 21 2 / 2 pts Plagiocephaly is an uneven head. This can be caused by: (select all that apply) Neural tube defects are thought to be caused by this: A birth defect in the baby that occurs when the spine and the spinal cord do not develop completely. Cerebral palsy is a group of disorders that affect movement, muscle tone, balance and posture. One of the first signs of CP can be this ____________________ found during routine wellness exams. 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024developmental delay lack of head growth not eating solids not receiving vaccines rapid increase in head circumference or unusually large head size rapid increase in head circumference or unusually large head size loss of weight Downward deviation of the eyes, called “sunsetting eyes”  Q uestion 26 2 / 2 pts postictal phase ataxic phase atonic phase myclonic phase must watch blood levels very closely for therapeutic range can cause constipation can cause neurotoxic effects can increased appetite  Q uestion 28 2 / 2 pts strabismus  Question 25 3 / 3 pts Two types of hydrocephalus: congenital or acquired. Choose some of the signs/symptoms of hydrocephalus: (select all that apply) You are the nurse. You just witnessed your patient having a seizure. You recognize it as a tonic-clonic seizure because of the jerking and movements. After, the patient is quiet and resting/sleeping. This is called:  Question 27 2 / 2 pts A common treatment for seizures is phenytoin. What you nurse know about phenytoin? (select all that apply) A condition where a child's eyes do not focus congruently is called: 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024astigmatism glaucoma myopia writing down on paper having an interpreter learn sign language have the mother answer all the questions nasopharyngitis (common cold) appendicitis strep throat anemia sinus and throat heart and kidney liver and skin kidney and throat  Q uestion 32 2 / 2 pts vomiting and diarrhea vomiting and bleeding  Question 29 6 / 6 pts Communicating with a child who is hearing impaired can be difficult. Choose some of the ways to communicate with a child who is hearing impaired: (all that apply)  Question 30 2 / 2 pts You are the nurse. You are caring for a patient who has a sore throat, low grade fever and today has developed nasal congestion, sinus pain and a cough. This patient is exhibiting signs of:  Question 31 4 / 4 pts Strep throat is due to Streptococcal A infection, usually in the throat. On top of a sore throat, the patient will come in with fever, general aches and malaise. If the patient is not treated with antibiotics, lifelong conditions can affect the ____________________ and _________________. Acute gastroenteritis is a fancy medical term for: 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024diarrhea and heart palpitations stomach ulders hypertonic, potassium isotonic, potassium hypotonic, sodium hypertonic, sodium  Q uestion 34 2 / 2 pts gastroesophageal reflux pyloric stenosis acute gastroenteritis spit up red currant jelly strawberry jam grape jelly apple butter  Q uestion 36 2 / 2 pts  Question 33 4 / 4 pts You are the nurse. Your patient was just admitted through the ER with acute gastroenteritis. The child has been vomiting and was given 2 mg. zofran in the ER. You are responsible for rehydration. Abnormal electrolytes include: potassium low, sodium low. You know the hydration will improve with this type of fluid ___________________. In addition you will replace this electrolyte IV piggyback. You understand that this electrolyte _________________________ can cause problems in the surrounding tissue if it's leaked from the vein. This is a condition when gastric contents reflux back up into the esophagus making mucosa vulnerable to injury from the acid.  Question 35 4 / 4 pts This condition is when the bowel telescopes within itself. The telltale sign is when type of stool presents itself like: Failure to pass meconium in the first 24-48 hours after birth may indicate a congenital megacolon. This is also known as: 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024Hirschprung's disease Huntington's disease Barlow's disease Pyloric stenosis  PartialQuestion 37 2 / 4 pts bubble baths wearing a diaper holding urine not drinking enough water/dehydration  Q uestion 38 2 / 2 pts prerenal post renal intrarenal No answer text provided. Continuous Renal Replacement Therapy Constant Renal Reperfusion Therapy Contact Radiological Renal Therapy hemodialysis  Q uestion 40 4 / 4 pts Urinary tract infections cause a lot of pain, inability to have good flow of urine for many children/adolescents. What are some of the most common causes? (select all that apply) Inability of the kidney to excrete waste from dehydration, poisoning is considered this type of Acute Kidney Injury:  Question 39 2 / 2 pts Acute Kidney Injury means the patient's kidney is not able to function properly. This can result in olguria, cardiovascular abnormalities on ECG and uremia. You have a patient with AKI. You note that the charts states there will be dialysis today starting at 10 a.m. They type of kidney dialysis that will be short term is called: Match the following dermatitis to it's cause/treatment 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024Atopic dermatitis allergen reaction Diaper dermatitis contact with stool and urine Seborrheic dermatitis Selsun blue shampoo Contact dermatitis Poison ivy  Q uestion 41 2 / 2 pts impetigo, antibiotic ointment folliculitis, antibiotic ointment impetigo, soap and water only acne, benzoyl peroxide hyperthyroid, levothyroxine hypothyroid, levothyroxine hyperthyroid, methimazole hypothyroid, methimazole  Question 43 10 / 10 pts You are the nurse. You notice your patient has a yellow-crusted infected area under his left nostril extending above the lip. This could be an infectious type of rash called ____________________________ and is usually treated with ________________________.  Question 42 4 / 4 pts The thyroid gland is responsible for growth and development in children. A child who is __________________________ will have a TSH (on lab studies) of 8.42 mg/ dL. and may need to have _____________________________ (medication) started to ensure continued growth and development. 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024Your Answer: spiral fracture oblique nondisplaced fracture greenstick fracture communiated fracture Duchenne muscular dystrophy Diabetes affects children as well as adults. TYPE ____________ diabetes is insulin-dependent. TYPE ______________ is often controlled through environmental, oral glycemic agents. At well checks, we often test the urine of the children. We look for _________________________ and ________________ in the urine which can indicate onset of diabetes. The Lab test used to diagnose diabetes is the _________________. 1. 2. 3. 4. 5. 1. type 1 2. type 2 3. ketones 4. glucose 5. HbA1c  Question 44 2 / 2 pts When evaluating a child who comes into the ER with a fracture, it's always important to note the type of fracture. This type of fracture can indicate child abuse:  Question 45 1 / 1 pts A progressive degeneration of the symmetric skeletal muscle groups causing wasting. and can lead to deformity and disability: 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024Stylis muscular dystropy Gowers muscular dystrophy osteoporosis Atrial septal defect transposition of the great arteries kawasaki disease endocarditis refer to nutrition discuss "My Plate" for ideas on balance Daily vitamin with iron Give the child protein shakes everyday pain medication fluids for dehydration high flow oxygen blood transfusions 95% room air 94% room air 99% room air  Question 46 2 / 2 pts There are two types of heart defects: congenital and acquired. Please choose the congenital heart defects (all that apply)  Question 47 2 / 2 pts A child who is on a full milk-based diet can be a prime candidate for iron- deficiency anemia. Not only do we need to treat the anemia, but as nurses, we need to provide verfication of education and referral sources. Choose from below your choices to help this family:  Question 48 2 / 2 pts You have a child in sickle cell crisis in your care today. The main objective is to these types of assistance/care to a child in sickle cell crisis: (choose all that apply)  Question 49 2 / 2 pts Normal oxygenation for a child should not fall below: 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 202492% room air on daily long acting beta agonist and having a short acting inhaler available. having a short acting inhaler available only sometimes on a leukotriene inhibitor (Singulair) Has a peak-flow meter in order to watch inhalations/ lung function strong genetic component affects the GI, skin and respiratory tracts can have steatorrhea needs pancreatic enzymes and fat soluable vitamins daily RSV Bronchitis Pertussis PCV  Question 53 2 / 2 pts 1. intermittent (using usually only an inhaler prn) 2. mild persistent (using an inhaler during times of illness, exercise or seasonal) 3. moderate persistant (__________________________) 4. severe persistent (will be under the care of a pulmonologist)  Question 51 2 / 2 pts CF (Cystic Fibrosis) is a respiratory disorder resulting from a mutated gene. Mucous glands that increasingly secrete thick, tenacious mucous which leads to mechanical obstruction of organs. What else do you know about CF? (select all that apply)  Question 52 2 / 2 pts Many respiratory illnesses can be DIRECTLY prevented with immunizations. Examples would be: (select all that apply) 1/10/25, 10:20 AM Peds Final Exam: PN 1400_Introduction to Maternal Child Nursing _Fall 2024  Question 50 2 / 2 pts Four categories of asthma diagnosed in pediatric patients. Each one uses at least one inhaler to control. In the moderate persistent asthma, please list the daily type of inhaler the child will be using:depression, SSRI anxiety, tricyclics depression, benzodiazepines ADHD, stimulants Attention deficit hyperactive disorder Attention deficit inattentive disorder Autism normal 8 year old boy activity Quiz Score: 148 out of 150 * Some questions not yet graded Adolescents face many adversities in today's society. This can cause as many as 5 in 7 adolescents to have _________________________. The most likely medication used to treat this condition is a ___________________________  Question 54 2 / 2 pts You are in the clinic. You are observing a child who will not sit still, talks back to parents, won't cooperate with your request to obtain vitals and is jumping up and down on the table. The parents are here to discuss his lack of attention and poor grades. A summation of this could be: