Pediatrics FINAL EXAM DUE 4TH JUNE 2024

Pediatrics FINAL EXAM DUE 4TH JUNE 2024 The Emergency room nurse is concerned about what findings when a 5 month old infant is assessed? A. Anterior Fontanel is closed B. Child rolls from side to side C. Child is able to lift head D. Rooting reflex has disapeared - CORRECT ANSWER-A. Anterior Fontanel is Closed The parents of a 3 month old are instructed to have all family members and caregivers to have there tdap and dtap booster vaccines to prevent the potentially fatal illness? A. Rubella B. Mumps C. Measles D. Pertussis - CORRECT ANSWER-D. Pertussis A first time mother wants to start her 6 month old on solid foods . The nurse would educate the parent that she should begin with what food choices? A. any food the family is eating B. Strained meats C. Rice cereal mixed with whole cows milk D. Rice cereal for infants mixed with formula - CORRECT ANSWER-D. Rice cereal for infants mixed with formula A 7 month child that was full term is in a clinic for a well child visit . A early intervention consult would be indicated for which of the following findings? Select all that apply A. Pincer grasp B. Head lag C. Does not roll over D. Stranger anxiety - CORRECT ANSWER-B. Head lag C. Does not roll over A 9 month old is in for there well child visit the child has met all milestones. The nurse will provide additional health and safety information and educates her on foods to avoid until 1 yr of age. What would she include? Select all that apply A. Strained Banana B. Honey C. Peanuts D. Strained Carrots - CORRECT ANSWER-B. Honey C. Peanuts The mother of a 2 year old is concerned that her child is a picky eater .He is gaining weight and is in the 75th percentile on the growth chart ? The nurse would respond with the following statement A. This is normal development for a 2 year old B. I will set up a appointment with a nutrition expert C. Force him to eat all the food on his plate D. You need to follow up with a gastroenterologist - CORRECT ANSWER-A. This is normal development for a 2 year old The mother of a 2 month old calls and states her child was in the Emergency room and has been diagnosed with colic . The nurse explains that colic is ? A. Self limiting resolves around 12-16 weeks B. Common in breast fed infants C. Intolerance to soy based formula D. Related to constipation - CORRECT ANSWER-B. Self limiting resolves around 12- 16 weeks What statements are true regarding the back to sleep campaign to prevent Sudden Infant Death Syndrome? Select all that apply A. The back to sleep campaign has dramatically reduced the incidence of SIDS B. the child should be placed prone C. the child should be placed supine D. With the back to sleep campaign the child is at greater risk for plagiocep - CORRECT ANSWER-A. The back to sleep campaign has dramatically reduced the incidence of SIDS C. the child should be placed supine D. With the back to sleep campaign the child is at greater risk for plagiocep The nurse is assessing a 3 year old what would be appropriate action to prepare the child for the exam ? A. Don't allow the child to hold a toy it may annoy the doctor B. allow the child to sit on parents lap C. Use medical terminology so the child doesn't understand the exam D. Separate the child from the parent - CORRECT ANSWER-B. allow the child to sit on parents lap A 12 month old is at her well child visit .What abnormal finding needs to be reported to the provider? A. Birth length Birth length has increased by 50% B. 8 teeth have erupted C. Birth weight has doubled D. Child is able to take 3 steps - CORRECT ANSWER-C. Birth weight has doubled The nurses is providing a health promotion course to a group of pre school moms.The focus is accidental poisoning the nurse educated them to ? A. Tell the child not to touch medications B. All medications should be in a locked cabinet C. Place medications on counters the children can't reach D. place medications in containers the children would not play with - CORRECT ANSWER-B. All medications should be in a locked cabinet The nurse is providing information on how to prevent burns in young children she will include? Select all that apply A. keep covers on outlets B. keep pot handles pointed back of stove when cooking C. Set water heaters at 160 degrees F D. use sunscreen on toddlers - CORRECT ANSWER-A. keep covers on outlets B. keep pot handles pointed back of stove when cooking D. use sunscreen on toddlers The nurse is providing care to the family of a preschool-age child who is diagnosed with sickle cell disease. Which statement made by the sibling would initiate a teaching session is needed? Select all that apply A. "I like it when my brother is not sick ." B. "I am afraid that I caused my brother to get sick again because I was mad at him." C. "I never get to go over to my friends' houses because we are always taking my brother to the doctor." D. When I lied to my parents, I was punished for a week and my brother never gets punished." - CORRECT ANSWER-B. "I am afraid that I caused my brother to get sick again because I was mad at him." C. "I never get to go over to my friends' houses because we are always taking my brother to the doctor." D. When I lied to my parents, I was punished for a week and my brother never gets punished." A nurse is developing a plan of care for an infant with nonorganic failure to thrive. What is the most important aspect of care to be incorporated into the plan? A. Periodically changing the seating arrangement during meals B. Force the child to eat everything on there plate C. Following a structured routine throughout the day D. Maintaining silence while feeding the infant - CORRECT ANSWER-C. Following a structured routine throughout the day An 18 month-old child with RSV is admitted to the pediatric unit. The admitting nurse reviews the instructions from the healthcare provider. Which order should the nurse question? A. Encourage oral fluids B. Albuterol treatments every 3 hours C. Child may go to the playroom D. Chest physiotherapy twice a day - CORRECT ANSWER-C. Child may go to the playroom A nurse is caring for a preschooler. Which of the following is an expected behavior of this age group? A. Understanding causes off illness B. Magical Thinking C. Understands all the function of the body D. Is self conscience of body image - CORRECT ANSWER-B. Magical Thinking A Nurse is providing teaching about expected changes during puberty to a group of parents of of early adolescent girls. Which statement indicates that the parents understand what was taught ? Select all that apply A. ''Breast development usually occurs after menarche" B. ''Breast development is usually the first manifestation of puberty" C. ''Girls may gain up to 75lbs before puberty D. '" Girls stop growing about 2 years after menarche"" - CORRECT ANSWER-B. ''Breast development is usually the first manifestation of puberty" D. '" Girls stop growing about 2 years after menarche"" Which drug is usually the best choice for a hospitalized child receiving a patientcontrolled analgesia (PCA) in the immediate postoperative period? A. Methadon B. Meperidine C. Morphine D. Codeine - CORRECT ANSWER-C. Morphine A child is diagnosed with failure to thrive. The nurse understands that the criteria for this includes? A. Weight below 35th percentile for height and age B. Weight below 25th percentile for height and age C. Weight below the 15th percentile for height and age D. Weight below 5th percentile for height and age - CORRECT ANSWER-D. Weight below 5th percentile for height and age What statement by a 4 year old mom indicates that further teaching is needed? Select all that apply A. I don't put him in a car seat anymore he cries to much B. I stay with him when he is bathing C. All of our medications are in locked cabinets D. He is able to warm up his food in the microwave - CORRECT ANSWER-A. I don't put him in a car seat anymore he cries to much D. He is able to warm up his food in the microwave A patient on an intravenous opioid analgesic has become apneic. The nurse should implement which interventions FIRST ? A. Call parents to wake child B. Administer epinephrine C. Prepare to calm the child as analgesia is reversed D. Administer the prescribed naloxone (Narcan) dose by slow IV push. - CORRECT ANSWER-D. Administer the prescribed naloxone (Narcan) dose by slow IV push Augmentin 150mg is to administered every 8 hours po to a child weighing 33lbs Available is 125mg/5ml. How much much would you give per dose? 10ml 5ml 15ml 6ml - CORRECT ANSWER-6ml The mother of a 4 month old states she is not immunizing her child because she is afraid of the child will develop Autism .The nurses best response would be ? A. Get some of the vaccines and see how he does B. There is no indication that there is any correlation between vaccines and autism C. I am calling Children's Services this is neglect D. I would do the same thing - CORRECT ANSWER-B. There is no indication that there is any correlation between vaccines and autism A 12 month old child is in the being sent up from the Emergency Room with a fever and cough for 2 days the nurse suspects influenza .The charge nurse is following best practice by? A. Allow child to go to the playroom as long as they wash there hands B. Place child in a private room C. Place child in a room with another child that has the same symptoms D. Place child in a warm mist tent - CORRECT ANSWER-B. Place child in a private room A 6 month old comes in with otitis media .The PCP prescribes Zithromax 10mg /kg for the first day. Available 100mg/5ml .How many ml will the child get her weight is 22lb 3ml 0.5ml 1ml 5ml - CORRECT ANSWER-5ml The nurse is doing a assessment on a 4 year old with a viral infection and temperature 103.2 she recognizes a opportunity to educate the parents by which statements? Select alll that apply A. I will give her children's Motrin B. I will increase her fluids and make sure she is not dehydrated C. I will give her the adult tylenol it is cheaper D. I will wrap her up in blankets to help break her fever. That what my grandma said to do - CORRECT ANSWER-C. I will give her the adult tylenol it is cheaper D. I will wrap her up in blankets to help break her fever. That what my grandma said to do The nurse is administering a intramuscular injection (IM) to a 1 year old .What site should the nurse use? ventrogluteal Deltoid Vastus lateralis Dorsal gluteal - CORRECT ANSWER-Vastus lateralis A infant just had blood drawn the nurse has determined that he is in pain by the following observations ? Rigid body Silent withdrawn Smiling - CORRECT ANSWER-Rigid body While giving discharge instructions to the father of a child that was diagnosed with Asthma the nurse reviews all the following to prevent exacerbation ? Select all that apply A. get yearly flushot B. Keep rescue inhalers available at all times C. Remove molds and dust mites from the home. D. avoid flu shot if symptomatic - CORRECT ANSWER-A. get yearly flushot B. Keep rescue inhalers available at all times C. Remove molds and dust mites from the home. A mom cries out that her daughter is will not wake up and has stopped breathing. The nurse goes in the room the 7 month old HR is 80 the nurse has hit the button for help.What does she do next? A. Administer oxygen via face mask 4liters B. Administer 100% oxygen via bag valve mask C. administer oxygen via nasal canula 2liters D. give a albuterol treatment - CORRECT ANSWER-B. Administer 100% oxygen via bag valve mask A 8 year old has a 3 day history of vomiting and diarrhea he is difficult arouse BP 76/48 this would be classified as ? normal blood pressure hypertension bradycardia hypotension - CORRECT ANSWER-hypotension CPR is initiated in a 6 year old child with a non palpable blood pressure. The nurse was unable to start a IV .What would the nurse expect to occur NEXT? A. Intramuscular needle access B. no access needed C. Intraosseous Needle access D. Subcutanous needle access - CORRECT ANSWER-C. Intraosseous Needle access The nurse is assessing vital signs on a 12 month old the respiratory rate is 30 breaths per minute .Based on these findings the nurse? A. Administers oxygen B. administers a breathing treatment C. Documents findings D. Notifies the doctor - CORRECT ANSWER-C. Documents findings A single mom states she is very tired and the baby cries she is afraid she is "going to lose it" the nurses best response would be? A. just stick it out things will get better B. drink some coffee and hold the baby C. place the baby in the crib let her cry and call a family member or friend to help care for the baby D. have a few drinks to relax - CORRECT ANSWER-C. place the baby in the crib let her cry and call a family member or friend to help care for the baby Prednisone 12mg is ordered to be given each day available is 15mg/5ml. How many milliliters will be given per day? 1ml 12ml 8ml 4ml - CORRECT ANSWER-4ml Which approach would be best to use to ensure a positive response from a toddler? A. Stand by the toddler, addressing him or her by name B. Call the toddler's name while picking him or her up C. Assume an eye-level position and talk quietly D. Call the toddler's name and say, "I'm your nurse" - CORRECT ANSWER-C. Assume an eye-level position and talk quietly What is the single most important factor to consider when communicating with children? A. Presence or absence of the child's parent B. The child's developmental level C. The child's physical condition D. The child's nonverbal behaviors - CORRECT ANSWER-B. The child's developmental level An infant gains head control before sitting unassisted. The nurse recognizes that this is which type of development? A. Proximodistal B. Sequential C. Cephalocaudal D. Mass to specific - CORRECT ANSWER-C. Cephalocaudal A nurse is assessing a family's structure. Which describes a family in which a mother, her children, and a stepfather live together? Blended Nuclear Extended Binuclear - CORRECT ANSWER-Blended The nurse demonstrates understanding of family-centered care by? A. expecting the child to perform self-care in activities of daily living B. assuming total care for the child C. limiting visitation to three time periods per day D. encouraging family visitation - CORRECT ANSWER-D. encouraging family visitation Which factor is most important in predisposing toddlers to frequent infections? A. Toddlers have a short, straight ear canal and large lymph tissue B. Defense mechanisms are less efficient than those during infancy. C. Respirations are abdominal D. Pulse and respiratory rates are slower than those in infancy. - CORRECT ANSWERA. Toddlers have a short, straight ear canal and large lymph tissue The nurse is caring for a hospitalized 4-year-old boy. His parents tell the nurse that they will be back to visit at 6 PM. When the child asks the nurse when his parents are coming, the nurse's best response is? A. "They will be here soon." B. "Let me show you on the clock when 6 PM is." C. "They will come after dinner." D. "I will tell you every time I see you how much longer it will be." - CORRECT ANSWER-C. "They will come after dinner." Which is the leading cause of death during the toddler period Injuries Congenital disorders Infectious diseases Childhood diseases - CORRECT ANSWER-Injuries Which is the most frequent source of acute childhood lead poisoning? Unglazed pottery Lead-based paint Cigarette butts and ashes Chewing on lead pencils - CORRECT ANSWER-Lead-based paint A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect? Shaken-baby syndrome Unintentional injury Congenital neurologic problem Sudden infant death syndrome (SID - CORRECT ANSWER-Shaken-baby syndrome Which is probably the most important criterion on which to base the decision to report suspected child abuse? A. Inappropriate parental concern for the degree of injury B. Inappropriate response of child C. Absence of parents for questioning about child's injuries D. Incompatibility between the history and injury observed - CORRECT ANSWER-D. Incompatibility between the history and injury observed The father of a 12-year-old child tells the nurse that he is concerned about his son getting "fat." His son is at the 50th percentile for height and the 75th percentile for weight on the growth chart. What is the most appropriate nursing action? A. Explain that this is typical of the growth pattern of boys at this age B. Reassure the father that his child is not fat C. Reassure the father that his child is just growing D. Suggest a low-calorie, low-fat diet - CORRECT ANSWER-A. Explain that this is typical of the growth pattern of boys at this age A 12-year-old male has short stature and appears depressed . What should the nurse be the most concerned about? A. Child's self-esteem B. Proper administration of thyroid hormone C. Proper administration of human growth hormones D. Helping child understand that he has not completed growing - CORRECT ANSWERA. Child's self-esteem Which is descriptive of bulimia during adolescence? A. Feelings of elation after the binge-purge cycle B. Profound lack of awareness that the eating pattern is abnormal C. Weight that can be normal, slightly above normal D. Strong sense of control over eating behavior - CORRECT ANSWER-C. Weight that can be normal, slightly above normal Which is an important consideration when the nurse is discussing enuresis with the parents of a young child? Select all that apply A. Organic causes that may be related to enuresis should be considered first B. Enuresis is more common in boys than in girls C. Enuresis is neither inherited nor has a familial tendency. D. Psychogenic factors that cause enuresis persist into adulthood - CORRECT ANSWER-A. Organic causes that may be related to enuresis should be considered first