Peds Nursing Exam Final Questions With Verified Answers

c. Vitamin C - Answer The presence of which vitamin is most effective in enhancing absorption of iron? a. Vitamin A b. Vitamin B c. Vitamin C d. Vitamin D a. - Answer Which of the following children with sickle cell anemia is at greatest risk for exacerbation of the disease? a. Anita, who lives in Pittsburgh and is visiting Denver, CO to go snow skiing b. Jacques, who is spending a warm summer day swimming with his friends c. Ed, who is learning how to rollerblade d. Janessa, who is in a gymnastics class d. - Answer Takisha, age 8, has been admitted tot he hospital in sickle cell crisis. She complains of pain all over her body. Which intervention by the new nurse requires the supervising nurse to intervene? The new nurse: a. allows Takisha to determine the level of activity she can tolerate b. provides Takisha passive range of motion exercises c. administers fluids to maintain hydration status d. applies ice packs to specific painful areas of the body b. - Answer In a child with beta-thalassemia major, the nurse would expect to find which of the following clinical manifestations? a. long thin nose b. malocclusion c. narrow set eyes d. concave forehead a. - Answer The first line of treatment for type I, or mild type II, von WIllebrand's diease is: a. desmopressin b. heparin c. warfarin sodium d. protamine b. - Answer Which of hte following over-the-counter medications should not be taken by a child who has immune thrombocytopenic purpura? a. ibuprofen (Motrin) b. asprin c. acetaminophen (Tylenol) d. ibuprofen (Advil) c. - Answer The child with disseminated intravascular coagulation is at greatest risk for the development of which complication? a. infection b. airway obstruciton c. hemorrhage d. impaired skin integrity a. - Answer A caregiver of a child with a bleeding disorder has been taught the actions to take for treatment of a nosebleed. Which statement by teh caregiver indicates that more teaching is needed? If the child experiences a nosebleed I will: a. lie the child down b. pinch the child's nose c. hold the nose for at least 10 minutes d. apply ice to the bridge of the nose d. - Answer Which of the following is considered appropriate treatment for hemophilia B? a. factor VIII concentrates b. Desmopressin c. aspirin d. factor IX concentrates c. - Answer Which of the following is a side effect associated with cyclosporine therapy fo rhte treatment of aplastic anemia? a. decreased blood pressure b. loss of body hair c. gingival hyperplasia d. decreased potassium a,c,d,e - Answer Which of the following are compensatory mechanisms for anemia? Select all that apply. a. increased erythropoiesis b. decreased heart rate c. retention of sodium d. increased respiratory rate e. retention of water f. leukocytosis a,b,d,e,f - Answer Marty, age 14, has iron deficiency anemia. When talking wtih him about which types of foods to choose that are high in iron conent, the nurse suggests which of the following? Select all that apply. a. peas b. potatoes c. bananas d. peaches e. rasins f. shrimp b,c,d,e,f - Answer Initial signs and symptoms of iron overdose include which of the following? Select all that apply. a. skin rash b. vomiting c. abdominal pain d. bloody diarrhea e. lethargy f. dsypnea b,c,d - Answer Which of the following are stimuli for sickle cell crisis? Select all that apply. a. exposure to heat b. infection c. fever d. acidosis e. diet high in carbohydrates f. immunizations a - Answer A student nurse is obtaining a height for an 18-month old infant. Which action by the student nurse requires the supervising nurse to intervene? The student nurse: a. records the child's height to the nearest full inch b. uses the supine position to measure the child's height c. places the soles of the child's feet in a 90-degree angle to the footboard d. measures the child when the child is barefoot c - Answer Which statement by a parent of a child receiving growth hormone replacement therapy indicates taht more teaching is needed? I will call the primary care provider immediately if my child experiences: a. rapid weight gain b. headaches c. nausea d. painful hip joints a - Answer Which of the following interventions should the nurse follow when administering a medication intranasally? a. have the child lie on the same side where the medication was administered for several minutes after teh medication is given. b. have the child lie on teh opposite side of where the medication was administered for several minutes after the medication is given c. have the child blow his or her nose after administering the medication d. ask the child if he or she swallowed the medication, as this indicates taht the medication will be absorbed b - Answer Maria, age 6, has been diagnosed with hyperthyroidism. The nurse would expect Maria to exhibit which clinical manifestation? a. bradycardia b. proptosis c. cool skin d. drowsiness a - Answer Which statement by the caregiver of a child with hyperthyroidism indicates that mroe teaching is needed? Because my child has hyperthyroidism, she will need to be treated with: a. thyroid transplant b. subtotal thyroidectomy c. radioactive iodine therapy d. antithyroid medication b - Answer The nurse is working with a newborn with a diagnosis of pseudohermaphrodism. The nurse should avoid doing which of the following interventions? a. address the newborn with ambiguous gneitalia as "it" b. encourage the parents to determine the gender of the baby as soon as possible c. administer cortisone as prescribed d. describe the sex organs of the newborn as the penis until corrective surgery can take place b - Answer The nurse is teaching children with diabetes mellitus and their families about insulin administration. The nurse informs these individuals that the name of the intermediate acting insulin is: a. insulin lispro (Humalog) b. NPH c. insulin (Ultralente) d. Regular c - Answer William is 5 years old. He is taking insulin therapy to manage his diabetes mellitus. According to the developmental target ages for technical skills training in diabetes management, the nurse should expect William to be able to be responsible for which one of the following skills? a. insulin dosage adjustment b. insulin injections c. blood testing d. nutrition decision making a - Answer Matthew is 13 years old. He has just been diagnosed with diabetes mellitus. Matthew is learning how to perform blood glucose testing. WHich statement by Matthew indicates that more teaching is needed? a. I will use the tip of my finger to obtain the blood specimen b. I will use areas of my fingers with calluses to obtain the blood specimen when possible c. I will warm my fingers before obtaining the blood specimen d. I will wash my hands with soap and water before obtaining the blood specimen c - Answer When discussing hypoglycemia with a 10-year-old child with diabetes mellitus and the child's caregivers, which of the following statements by the nurse is true? a. Hypoglycemia occurs when the blood sugar is at 90 mg/dL b. Hypoglycemia is caused by less insulin being available than is necessary c. The most common symptoms include drowsiness, lightheadedness, irritability, tremors, sweating, and confusion d. Severe hypoglycemia is a common complication of diabetes that most children experience on a regular basis. b - Answer A 10-year-old child has been taught about signs and symptoms of hyperglycemia. Which response by the child indicates taht mroe teaching is needed? If I experience hyperglycemia, I will most likely have: a. an inability to urinate b. a heart beat that is really slow c. no desire to drink d. fruity odor to my breath c - Answer A student nurse is preparing to teach a class to senior-level nursing students regarding type 2 diabetes in children. Which statement included in the student's notes requires the faculty to intervene? The student's notes states: a. Diabetes is a complex metabolic disorder b. Diabetes is a genetic disease c. Typically, the child with type 2 diabetes is underweight at the time of diagnosis d. The target cells in the body resist insulin stimulated glucose uptake, resulting in hyperinsulinism or insulin resistance.