Test Bank For Adult Health Nursing 8th Edition By Kim Cooper;
Kelly Gosnell 9780323484381 Chapter 1-17 Complete Guide .
The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four
congenital defects. What are the defects?
a) Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
b) Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
c) Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hypertrophy
d) Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy -
ANSWER: B
What is the most common clinical manifestation of coarctation of the aorta?
a) Clubbing of the digits
b) Upper extremity hypertension
c) Pedal edema and portal congestion
d) Loud systolic ejection murmur - ANSWER: B
Parents of a 6-month-old child, who has just been diagnosed with iron deficiency anemia, ask why it
was not diagnosed earlier. What would be the best response by the nurse?
a) "Are you sure your child has iron deficiency anemia?"
b) "This happens when the maternal stores of iron are depleted at about 6 months."
c) "This anemia is caused by blood loss."
d) "The child may not have had it for a long time." - ANSWER: B
What should the therapeutic management of iron deficiency anemia include?
a) Multivitamins
b) Calcium
c) Ferrous sulfate
d) Iodine - ANSWER: C
The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences
pain. What is the most likely cause of the pain?
a) Inflammation of the vessels
b) Obstructed blood flow
c) Overhydration
d) Stress-related headaches - ANSWER: B
The parents of a child recently diagnosed with sickle cell anemia ask what can be done to avoid a
sickle cell crisis. What should be included in the medical management of sickle cell crisis?
a) Information for the parents including home care
b) Provisions for adequate hydration and pain management
c) Pain management and administration of iron supplements
d) Adequate oxygenation and factor VIII - ANSWER: B
Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?
a) Prothrombin time
b) Bleeding time
c) Platelet count
, d) Partial thromboplastin time - ANSWER: D
The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining
remission of the disease. What would be the most effective therapy?
a) Surgery to remove enlarged lymph nodes
b) Long-term chemotherapy
c) Nutritional supplements to enhance blood cell production
d) Blood transfusions to replace ineffective red cells - ANSWER: B
What most influences the severity of respiratory distress syndrome (RDS)?
a) Poor cough and gag reflex
b) The gestational age at birth
c) Administering high concentrations of oxygen
d) The sex of the infant - ANSWER: B
A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The
oxygen level in the tent is 25%, and blood gases are normal. What would be the correct action by the
nurse?
a) Restrain the child in the tent and notify the physician
b) Increase the oxygen concentration in the tent
c) Take the child out of the tent and into the playroom
d) Ask the mother for help in comforting the child - ANSWER: B
The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO.
Which responses would be the most correct?
a) The epinephrine given causes nausea and vomiting
b) The child is being hydrated with IV fluids
c) The child is not hungry
d) The child's rapid respirations pose a risk for aspiration - ANSWER: D
What could suddenly occur in a child with acute epiglottitis?
a) Increased carbon dioxide levels
b) Airway obstruction
c) Inability to swallow
d) Bronchial collapse - ANSWER: B
When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs
the class that the infant should be placed in which position to sleep?
a) Right side-lying
b) Left side-lying
c) Prone
d) Supine - ANSWER: D
When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents
with:
a) encouraging the parents to have another baby.
b) encouraging the parents to remain stoic.
c) allaying feelings of guilt and blame.
d) learning how the event could have been prevented. - ANSWER: C
Kelly Gosnell 9780323484381 Chapter 1-17 Complete Guide .
The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four
congenital defects. What are the defects?
a) Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
b) Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
c) Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hypertrophy
d) Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy -
ANSWER: B
What is the most common clinical manifestation of coarctation of the aorta?
a) Clubbing of the digits
b) Upper extremity hypertension
c) Pedal edema and portal congestion
d) Loud systolic ejection murmur - ANSWER: B
Parents of a 6-month-old child, who has just been diagnosed with iron deficiency anemia, ask why it
was not diagnosed earlier. What would be the best response by the nurse?
a) "Are you sure your child has iron deficiency anemia?"
b) "This happens when the maternal stores of iron are depleted at about 6 months."
c) "This anemia is caused by blood loss."
d) "The child may not have had it for a long time." - ANSWER: B
What should the therapeutic management of iron deficiency anemia include?
a) Multivitamins
b) Calcium
c) Ferrous sulfate
d) Iodine - ANSWER: C
The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences
pain. What is the most likely cause of the pain?
a) Inflammation of the vessels
b) Obstructed blood flow
c) Overhydration
d) Stress-related headaches - ANSWER: B
The parents of a child recently diagnosed with sickle cell anemia ask what can be done to avoid a
sickle cell crisis. What should be included in the medical management of sickle cell crisis?
a) Information for the parents including home care
b) Provisions for adequate hydration and pain management
c) Pain management and administration of iron supplements
d) Adequate oxygenation and factor VIII - ANSWER: B
Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?
a) Prothrombin time
b) Bleeding time
c) Platelet count
, d) Partial thromboplastin time - ANSWER: D
The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining
remission of the disease. What would be the most effective therapy?
a) Surgery to remove enlarged lymph nodes
b) Long-term chemotherapy
c) Nutritional supplements to enhance blood cell production
d) Blood transfusions to replace ineffective red cells - ANSWER: B
What most influences the severity of respiratory distress syndrome (RDS)?
a) Poor cough and gag reflex
b) The gestational age at birth
c) Administering high concentrations of oxygen
d) The sex of the infant - ANSWER: B
A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The
oxygen level in the tent is 25%, and blood gases are normal. What would be the correct action by the
nurse?
a) Restrain the child in the tent and notify the physician
b) Increase the oxygen concentration in the tent
c) Take the child out of the tent and into the playroom
d) Ask the mother for help in comforting the child - ANSWER: B
The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO.
Which responses would be the most correct?
a) The epinephrine given causes nausea and vomiting
b) The child is being hydrated with IV fluids
c) The child is not hungry
d) The child's rapid respirations pose a risk for aspiration - ANSWER: D
What could suddenly occur in a child with acute epiglottitis?
a) Increased carbon dioxide levels
b) Airway obstruction
c) Inability to swallow
d) Bronchial collapse - ANSWER: B
When conducting a class for parents about sudden infant death syndrome (SIDS), the nurse instructs
the class that the infant should be placed in which position to sleep?
a) Right side-lying
b) Left side-lying
c) Prone
d) Supine - ANSWER: D
When interacting with the parents of a SIDS infant, the nurse should attempt to assist the parents
with:
a) encouraging the parents to have another baby.
b) encouraging the parents to remain stoic.
c) allaying feelings of guilt and blame.
d) learning how the event could have been prevented. - ANSWER: C
