EVOLVE PEDATRICS PRACTICE EXAM
QUESTIONS AND ANSWERS
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down
syndrome?
A) Congenital heart disease.
B) Fragile X chromosome.
C) Trisomy 13.
D) Pyloric stenosis. - ANSWER-a (Congenital heart disease, A, is the most common
associated defect in children with Down syndrome. C, might have seemed possible
since Down syndrome is a trisomal chromosomal abnormality of chromosome 21. B,
is a sex-linked abnormality also causing mental retardation. D, is not associated with
Down syndrome.)
When assessing a child with asthma, the nurse should expect intercostal retractions
during
A) inspiration.
B) coughing.
C) apneic episodes.
D) expiration. - ANSWER-a (Intercostal retractions result from respiratory effort to
draw air into restricted airways, A)
a full term infant is admitted to the newborn nursery. after careful assessment, the
nurse suspects that the infant may have esophageal atresia. which symptoms is this
newborn likely to have exhibited?
a- chocking, coughing, and cyanosis
b- projectile vomiting and cyanosis
c- apneic spells and grunting
d- scaphoid abdomen and anorexia - ANSWER-a (A, includes the "3 Cs" of
esophageal atresia caused by the overflow of secretions into the trachea. Projectile
vomiting, B, is characteristic of pyloric stenosis in the infant. Apneic spells often
occur with prematurity or sepsis, and grunting, C, is a sign of respiratory distress. A
scaphoid abdomen, D, is characteristic of diaphragmatic hernia.)
The nurse expects a 2-year-old child to exhibit which behavior?
A. Build a house with blocks.
B. Ride a small tricycle 6 feet.
C. Display possessiveness with toys.
QUESTIONS AND ANSWERS
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down
syndrome?
A) Congenital heart disease.
B) Fragile X chromosome.
C) Trisomy 13.
D) Pyloric stenosis. - ANSWER-a (Congenital heart disease, A, is the most common
associated defect in children with Down syndrome. C, might have seemed possible
since Down syndrome is a trisomal chromosomal abnormality of chromosome 21. B,
is a sex-linked abnormality also causing mental retardation. D, is not associated with
Down syndrome.)
When assessing a child with asthma, the nurse should expect intercostal retractions
during
A) inspiration.
B) coughing.
C) apneic episodes.
D) expiration. - ANSWER-a (Intercostal retractions result from respiratory effort to
draw air into restricted airways, A)
a full term infant is admitted to the newborn nursery. after careful assessment, the
nurse suspects that the infant may have esophageal atresia. which symptoms is this
newborn likely to have exhibited?
a- chocking, coughing, and cyanosis
b- projectile vomiting and cyanosis
c- apneic spells and grunting
d- scaphoid abdomen and anorexia - ANSWER-a (A, includes the "3 Cs" of
esophageal atresia caused by the overflow of secretions into the trachea. Projectile
vomiting, B, is characteristic of pyloric stenosis in the infant. Apneic spells often
occur with prematurity or sepsis, and grunting, C, is a sign of respiratory distress. A
scaphoid abdomen, D, is characteristic of diaphragmatic hernia.)
The nurse expects a 2-year-old child to exhibit which behavior?
A. Build a house with blocks.
B. Ride a small tricycle 6 feet.
C. Display possessiveness with toys.
