Peds Exam 5 EXAM VERIFIED
SOLUTIONS, SCORED A+
The .nurse .is .assessing .a .7 .year .old .child .at .a .pediatric .clinic. .The .nurse
.notices .that .several .developmental .milestones .have .been .missed .or .late .during
.previous .visits. .parent .states ." .I .know .she .is .a .little .slow .but .she .will .catch .up
.quickly" .how .should .the .nurse .respond?
A.Explain .that .raid .development .takes .place .in .infancy .and .early .childhood
B.Suggest .activities .in .the .home .that .may .improve .mental .status .and .physical
.development
C. .Recommend .that .the .child .be .placed .in .special .classes .aimed .at .promoting
.development
D. .Ask .the .parent .detailed .questions .about .the .pregnancy .birth .and .early
.childhood .health. .- .CORRECT .ANSWER-D. .Ask .the .parent .detailed .questions
.about .the .pregnancy .birth .and .early .childhood .health.
The .nurse .is .assessing .a .4 .month .old .infant .during .a .routine .well .baby .visit.
.During .the .neurological .assessment .which .findings .is .a .reason .for .concern?
A. .when .the .cheek .is .brushed .the .head .is .turned .toward .stimuli
B. .Toes .fan .out .when .the .sole .of .the .foot .is .stroke .upward .
C. .placing .a .small .object .in .the .palm .inconsistently .elicits .a .grasp
D. .A .light .puff .of .air .in .the .face .causes .the .eyes .to .close .- .CORRECT .ANSWER-
A. .when .the .cheek .is .brushed .the .head .is .turned .toward .stimuli
The .nurse .is .presenting .a .class .to .high .school .females .about .decreasing .the
.developmental .risks .related .to .pregnancy. .Which .info .does .the .nurse .consider
.to .be .most .important?
A. .young .women .should .begin .taking .600mg .of .calcium .2x .daily
B. .All .females .of .child .bearing .age .should .take .folic .acid .daily
C. .Early .prenatal .care .is .essential .for .a .health .pregnancy .and .baby
D. .Important .fetal .development .occurs .before .pregnancy .is .suspected .-
.CORRECT .ANSWER-B. .All .females .of .child .bearing .age .should .take .folic .acid
.daily
The .nurse .in .the .newborn .nursery .is .providing .care .for .a .neonate .with .an .open
.spinal .cord .defect. .The .neonate .will .be .transported .to .a .pediatric .surgery
.hospital .ASAP. .Which .description .of .the .nurse's .care .of .the .neonate .is
.correct?
A. .Using .aseptic .technique ., .place .a .sterile .plastic .bag .around .the .defect .and
.loosely .tie .it .closed .
, B. .Place .the .newborn .prone .on .a .loose .diaper .and .cover .the .defect .w/ .a
.second .saline-moistened .diaper
C. .Position .the .newborn .on .the .side .with .a .moistened .dressing .on .defect; .wrap
.the .defect .and .newborn .in .a .blanket
D. .Cover .the .defect .with .a .sterile .dressing .moistened .w/ .warm .sterile .normal
.saline ., .using .aseptic .technique .- .CORRECT .ANSWER-D. .Cover .the .defect .with
.a .sterile .dressing .moistened .w/ .warm .sterile .normal .saline ., .using .aseptic
.technique
The .nurse .in .the .emergency .department .of .a .pediatric .hospital .is .providing
.care .for .a .toddler .with .a .sudden .high .fever. .The .parent .states .' .she .has .been
.grumpy .all .day .and .I .thought .she .just .needed .a .nap. .Which .finding .does .the
.nurse .recognize .as .an .indication .of .an .immediate .medical .emergency?
A.The .toddler .keeps .eyes .closed .or .covers .at .all .times
B. .the .nurse .elicits .a .positive .brudzinki's .sign
C. .A .rash .of .scattered .red .bumps .is .found .on .the .skin
D. .The .toddler .cries .when .head .and .neck .are .moved .- .CORRECT .ANSWER-C. .A
.rash .of .scattered .red .bumps .is .found .on .the .skin
The .nurse .in .a .pediatric .unit .is .providing .care .for .a .2 .month .old .infant .just .Dx
.with .spinal .muscle .atrophy. .Which .characteristics .of .the .condition .does .the
.nurse .expect .to .find .during .physical .assessment .SATA
A. .Hyperreflexia .in .deep .tendons
B. .few .spontaneous .movements
C. .Deep .rapid .respirations
D. .Fasciculations .of .the .tongue
E. .Proximal .muscle .atrophy .- .CORRECT .ANSWER-B. .few .spontaneous
.movements
D. .Fasciculations .of .the .tongue
The .NICU .nurse .is .providing .care .for .a .neonate .exhibiting .manifestations .of
.congenital .Zika .syndrome. .Which .distinct .features .does .the .nurse .associate
.with .the .syndrome? .SATA
A. .partially .collapsed .skull
B. .decreased .brain .tissues
C. .damage .to .the .back .of .the .eyes
D. .multiple .Joint .Contractures
E. .agitated .body .movement .- .CORRECT .ANSWER-A. .partially .collapsed .skull
B. .decreased .brain .tissues
C. .damage .to .the .back .of .the .eyes
D. .multiple .Joint .Contractures
In .a .child .with .a .suspected .head .injury ., .bradycardia .is .an .indication .of .what? .-
.CORRECT .ANSWER-Increased .ICPs
When .caring .for .a .child .with .myelomeningiocele .what .should .be .your .nursing
.priority .- .CORRECT .ANSWER-Cove .the .sac .with .a .warm .moist .sterile .saline
.dressing
SOLUTIONS, SCORED A+
The .nurse .is .assessing .a .7 .year .old .child .at .a .pediatric .clinic. .The .nurse
.notices .that .several .developmental .milestones .have .been .missed .or .late .during
.previous .visits. .parent .states ." .I .know .she .is .a .little .slow .but .she .will .catch .up
.quickly" .how .should .the .nurse .respond?
A.Explain .that .raid .development .takes .place .in .infancy .and .early .childhood
B.Suggest .activities .in .the .home .that .may .improve .mental .status .and .physical
.development
C. .Recommend .that .the .child .be .placed .in .special .classes .aimed .at .promoting
.development
D. .Ask .the .parent .detailed .questions .about .the .pregnancy .birth .and .early
.childhood .health. .- .CORRECT .ANSWER-D. .Ask .the .parent .detailed .questions
.about .the .pregnancy .birth .and .early .childhood .health.
The .nurse .is .assessing .a .4 .month .old .infant .during .a .routine .well .baby .visit.
.During .the .neurological .assessment .which .findings .is .a .reason .for .concern?
A. .when .the .cheek .is .brushed .the .head .is .turned .toward .stimuli
B. .Toes .fan .out .when .the .sole .of .the .foot .is .stroke .upward .
C. .placing .a .small .object .in .the .palm .inconsistently .elicits .a .grasp
D. .A .light .puff .of .air .in .the .face .causes .the .eyes .to .close .- .CORRECT .ANSWER-
A. .when .the .cheek .is .brushed .the .head .is .turned .toward .stimuli
The .nurse .is .presenting .a .class .to .high .school .females .about .decreasing .the
.developmental .risks .related .to .pregnancy. .Which .info .does .the .nurse .consider
.to .be .most .important?
A. .young .women .should .begin .taking .600mg .of .calcium .2x .daily
B. .All .females .of .child .bearing .age .should .take .folic .acid .daily
C. .Early .prenatal .care .is .essential .for .a .health .pregnancy .and .baby
D. .Important .fetal .development .occurs .before .pregnancy .is .suspected .-
.CORRECT .ANSWER-B. .All .females .of .child .bearing .age .should .take .folic .acid
.daily
The .nurse .in .the .newborn .nursery .is .providing .care .for .a .neonate .with .an .open
.spinal .cord .defect. .The .neonate .will .be .transported .to .a .pediatric .surgery
.hospital .ASAP. .Which .description .of .the .nurse's .care .of .the .neonate .is
.correct?
A. .Using .aseptic .technique ., .place .a .sterile .plastic .bag .around .the .defect .and
.loosely .tie .it .closed .
, B. .Place .the .newborn .prone .on .a .loose .diaper .and .cover .the .defect .w/ .a
.second .saline-moistened .diaper
C. .Position .the .newborn .on .the .side .with .a .moistened .dressing .on .defect; .wrap
.the .defect .and .newborn .in .a .blanket
D. .Cover .the .defect .with .a .sterile .dressing .moistened .w/ .warm .sterile .normal
.saline ., .using .aseptic .technique .- .CORRECT .ANSWER-D. .Cover .the .defect .with
.a .sterile .dressing .moistened .w/ .warm .sterile .normal .saline ., .using .aseptic
.technique
The .nurse .in .the .emergency .department .of .a .pediatric .hospital .is .providing
.care .for .a .toddler .with .a .sudden .high .fever. .The .parent .states .' .she .has .been
.grumpy .all .day .and .I .thought .she .just .needed .a .nap. .Which .finding .does .the
.nurse .recognize .as .an .indication .of .an .immediate .medical .emergency?
A.The .toddler .keeps .eyes .closed .or .covers .at .all .times
B. .the .nurse .elicits .a .positive .brudzinki's .sign
C. .A .rash .of .scattered .red .bumps .is .found .on .the .skin
D. .The .toddler .cries .when .head .and .neck .are .moved .- .CORRECT .ANSWER-C. .A
.rash .of .scattered .red .bumps .is .found .on .the .skin
The .nurse .in .a .pediatric .unit .is .providing .care .for .a .2 .month .old .infant .just .Dx
.with .spinal .muscle .atrophy. .Which .characteristics .of .the .condition .does .the
.nurse .expect .to .find .during .physical .assessment .SATA
A. .Hyperreflexia .in .deep .tendons
B. .few .spontaneous .movements
C. .Deep .rapid .respirations
D. .Fasciculations .of .the .tongue
E. .Proximal .muscle .atrophy .- .CORRECT .ANSWER-B. .few .spontaneous
.movements
D. .Fasciculations .of .the .tongue
The .NICU .nurse .is .providing .care .for .a .neonate .exhibiting .manifestations .of
.congenital .Zika .syndrome. .Which .distinct .features .does .the .nurse .associate
.with .the .syndrome? .SATA
A. .partially .collapsed .skull
B. .decreased .brain .tissues
C. .damage .to .the .back .of .the .eyes
D. .multiple .Joint .Contractures
E. .agitated .body .movement .- .CORRECT .ANSWER-A. .partially .collapsed .skull
B. .decreased .brain .tissues
C. .damage .to .the .back .of .the .eyes
D. .multiple .Joint .Contractures
In .a .child .with .a .suspected .head .injury ., .bradycardia .is .an .indication .of .what? .-
.CORRECT .ANSWER-Increased .ICPs
When .caring .for .a .child .with .myelomeningiocele .what .should .be .your .nursing
.priority .- .CORRECT .ANSWER-Cove .the .sac .with .a .warm .moist .sterile .saline
.dressing
