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Quiz_________________?
A 1 year-old child is receiving temporary total parental nutrition (TPN) through a central
venous line. This is the first day of TPN therapy. Although all of the following nursing
actions must be included in the plan of care of this child, which one would be a priority at
this time?
A. Use aseptic technique during dressing changes
B. Check results of liver enzyme tests
C. Maintain central line catheter integrity
D. Monitor serum glucose levels -
Answer✅
D
Hyperglycemia may occur during the first day or two as the child adapts to the high-glucose
load of the TPN solution. Thus, a priority nursing responsibility is blood glucose testing.
Quiz_________________?
A 10-month old infant is admitted with a diagnosis of bacterial meningitis. Several hours
after admission, during a planning conference, which of the actions suggested to the
registered nurse (RN) by the practical nurse (PN) would be appropriate to add to the plan
of care?
A. Provide an over-the-crib protective top
1
, B. Measure head circumference
C. Initiate droplet precautions
D. Provide passive range of motion -
Answer✅
B
In meningitis, assessment of neurological signs should be done frequently. Head
circumference is measured because subdural effusions and obstructive hydrocephalus can
develop as a complication of meningitis. The client would have already been placed on
droplet precautions and had a crib top applied to the bed when he was admitted to the unit.
Quiz_________________?
A 12 year-old pediatric cancer client is distraught about the alopecia that occurred after the
last chemotherapy treatment. Which nursing interventions are appropriate for this side
effect of chemotherapy? (Select all that apply.)
A. Practice and teach thorough hand washing
B. Administer prescribed antiemetic medication before nausea is too severe
C. Encourage visits from friends before discharge from the hospital
D. Allow the child to choose a cap, scarf, wig or other head cover to use -
Answer✅
C,D
Alopecia is the loss of hair, which is a frequent side effect of certain types of chemotherapy.
Although it is not life-threatening, the body image change is difficult for many individuals,
particularly children and adolescents. Encouraging visits from friends before discharge helps
the young client and friends adjust. Wearing preferred forms of head cover-ups increases
comfort and decreases embarrassment. The other options are proper interventions for
chemotherapy, but do not help the client with hair loss.
Quiz_________________?
2
, A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for
treatment of Kawasaki disease and treatment involving immunoglobulins. The nurse should
recognize which scheduled immunizations will be delayed?
A. Inactivated polio vaccine (IPV)
B. Haemophilus Influenzae Type b (Hib)
C. Mumps, measles, rubella (MMR)
D. Diptheria, tetanus, pertussis (DTaP) -
Answer✅
C
Medical management of Kawasaki involves administration of immunoglobulins. Measles,
mumps, rubella (MMR) is a live virus vaccine. Following administration of immunoglobulins,
live vaccines should be held due to possible interference with the body's ability to form
antibodies.
Quiz_________________?
A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this
child enters the hospital room for the first time, the toddler runs to the mother, clings to
her and begins to cry. What should be an initial action by the nurse?
A. Arrange to change client care assignments
B. Explain that the child needs extra attention
C. Discuss the appropriate use of "time-out"
D. Explain that this behavior is expected -
Answer✅
D
During normal development, fear of strangers becomes prominent and begins around age 6
to 8 months-old. Such behaviors include clinging to parent, crying and turning away from the
stranger. These fears and behaviors extend into the toddler period. In the toddler period,
separation anxiety is at its peak. As the child ages the behavior has a tendency to wane.
3
, Quiz_________________?
A 2-year-old child has just been diagnosed with cystic fibrosis. The child's parent asks the
nurse what the most important concerns are at this time. Which is the appropriate
response from the nurse?
A. "Thick, sticky secretions from the lungs are a constant challenge."
B. "Cystic fibrosis results in nutritional concerns that can be dealt with."
C. "You will work with a team of experts and have access to a support group."
D. "There is a high probability of life-long complications." -
Answer✅
A
The primary factor, and the one responsible for many of the clinical manifestations of cystic
fibrosis, is mechanical obstruction caused by the increased viscosity of mucous gland
secretions.Because of the increased viscosity of bronchial mucus, there is greater resistance
to ciliary action (probably secondary to infection and ciliary destruction), a slower flow rate
of mucus and incomplete expectoration, which also contributes to the mucus obstruction.
This retained mucus serves as an excellent medium for bacterial growth. Reduced oxygen-
carbon dioxide exchange causes variable degrees of hypoxia, hypercapnia and acidosis.In
severe cases, progressive lung involvement, compression of pulmonary blood vessels and
progressive lung dysfunction frequently lead to pulmonary hypertension, cor pulmonale,
respiratory failure and death. Pulmonary complications are present in almost all children
with cystic fibrosis, but the onset and extent of involvement are variable.
Quiz_________________?
A 3 year-old child has findings that may suggest a neuroblastoma. While listening to the
concerns of the parents, which finding is consistent with this diagnosis and requires follow-
up by the health care provider?
A. "He seems to be getting weaker and weaker and is sometimes unsteady on his feet."
B. "We keep having to buy him larger size pants because he's growing so big around the
waist."
4
Quiz_________________?
A 1 year-old child is receiving temporary total parental nutrition (TPN) through a central
venous line. This is the first day of TPN therapy. Although all of the following nursing
actions must be included in the plan of care of this child, which one would be a priority at
this time?
A. Use aseptic technique during dressing changes
B. Check results of liver enzyme tests
C. Maintain central line catheter integrity
D. Monitor serum glucose levels -
Answer✅
D
Hyperglycemia may occur during the first day or two as the child adapts to the high-glucose
load of the TPN solution. Thus, a priority nursing responsibility is blood glucose testing.
Quiz_________________?
A 10-month old infant is admitted with a diagnosis of bacterial meningitis. Several hours
after admission, during a planning conference, which of the actions suggested to the
registered nurse (RN) by the practical nurse (PN) would be appropriate to add to the plan
of care?
A. Provide an over-the-crib protective top
1
, B. Measure head circumference
C. Initiate droplet precautions
D. Provide passive range of motion -
Answer✅
B
In meningitis, assessment of neurological signs should be done frequently. Head
circumference is measured because subdural effusions and obstructive hydrocephalus can
develop as a complication of meningitis. The client would have already been placed on
droplet precautions and had a crib top applied to the bed when he was admitted to the unit.
Quiz_________________?
A 12 year-old pediatric cancer client is distraught about the alopecia that occurred after the
last chemotherapy treatment. Which nursing interventions are appropriate for this side
effect of chemotherapy? (Select all that apply.)
A. Practice and teach thorough hand washing
B. Administer prescribed antiemetic medication before nausea is too severe
C. Encourage visits from friends before discharge from the hospital
D. Allow the child to choose a cap, scarf, wig or other head cover to use -
Answer✅
C,D
Alopecia is the loss of hair, which is a frequent side effect of certain types of chemotherapy.
Although it is not life-threatening, the body image change is difficult for many individuals,
particularly children and adolescents. Encouraging visits from friends before discharge helps
the young client and friends adjust. Wearing preferred forms of head cover-ups increases
comfort and decreases embarrassment. The other options are proper interventions for
chemotherapy, but do not help the client with hair loss.
Quiz_________________?
2
, A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for
treatment of Kawasaki disease and treatment involving immunoglobulins. The nurse should
recognize which scheduled immunizations will be delayed?
A. Inactivated polio vaccine (IPV)
B. Haemophilus Influenzae Type b (Hib)
C. Mumps, measles, rubella (MMR)
D. Diptheria, tetanus, pertussis (DTaP) -
Answer✅
C
Medical management of Kawasaki involves administration of immunoglobulins. Measles,
mumps, rubella (MMR) is a live virus vaccine. Following administration of immunoglobulins,
live vaccines should be held due to possible interference with the body's ability to form
antibodies.
Quiz_________________?
A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this
child enters the hospital room for the first time, the toddler runs to the mother, clings to
her and begins to cry. What should be an initial action by the nurse?
A. Arrange to change client care assignments
B. Explain that the child needs extra attention
C. Discuss the appropriate use of "time-out"
D. Explain that this behavior is expected -
Answer✅
D
During normal development, fear of strangers becomes prominent and begins around age 6
to 8 months-old. Such behaviors include clinging to parent, crying and turning away from the
stranger. These fears and behaviors extend into the toddler period. In the toddler period,
separation anxiety is at its peak. As the child ages the behavior has a tendency to wane.
3
, Quiz_________________?
A 2-year-old child has just been diagnosed with cystic fibrosis. The child's parent asks the
nurse what the most important concerns are at this time. Which is the appropriate
response from the nurse?
A. "Thick, sticky secretions from the lungs are a constant challenge."
B. "Cystic fibrosis results in nutritional concerns that can be dealt with."
C. "You will work with a team of experts and have access to a support group."
D. "There is a high probability of life-long complications." -
Answer✅
A
The primary factor, and the one responsible for many of the clinical manifestations of cystic
fibrosis, is mechanical obstruction caused by the increased viscosity of mucous gland
secretions.Because of the increased viscosity of bronchial mucus, there is greater resistance
to ciliary action (probably secondary to infection and ciliary destruction), a slower flow rate
of mucus and incomplete expectoration, which also contributes to the mucus obstruction.
This retained mucus serves as an excellent medium for bacterial growth. Reduced oxygen-
carbon dioxide exchange causes variable degrees of hypoxia, hypercapnia and acidosis.In
severe cases, progressive lung involvement, compression of pulmonary blood vessels and
progressive lung dysfunction frequently lead to pulmonary hypertension, cor pulmonale,
respiratory failure and death. Pulmonary complications are present in almost all children
with cystic fibrosis, but the onset and extent of involvement are variable.
Quiz_________________?
A 3 year-old child has findings that may suggest a neuroblastoma. While listening to the
concerns of the parents, which finding is consistent with this diagnosis and requires follow-
up by the health care provider?
A. "He seems to be getting weaker and weaker and is sometimes unsteady on his feet."
B. "We keep having to buy him larger size pants because he's growing so big around the
waist."
4
