NUR 298 TEST #3 PEDS QUESTIONS
AND ANSWERS
A nurse is caring for an adolescent who has sustained a spinal cord injury. Which
complication may occur as a result of a disruption in the descending sympathetic
pathways with loss of vasomotor tone and sympathetic innervation of the
cardiovascular system? - ANSWER-neurogenic shock
A 3-year-old has cerebral palsy and is hospitalized for an upcoming orthopedic
surgery. The child's mother states that the child has difficulty swallowing and cannot
hold a utensil to self-feed. The child is slightly underweight for height. Which would
be the most appropriate nursing action related to feeding? - ANSWER-stabilizing the
child's jaw with one hand (either from a front or side position) to facilitate swallowing
Which is the type of neural tube defect is not visible externally in the lumbosacral
area? - ANSWER-spina bifida occulta
The nurse is caring for a child who has sustained a spinal cord injury in an accident.
Which immediate step would the nurse take to prevent the complications of spinal
cord injury? - ANSWER-assess the child's respiratory status and pattern
The nurse is teaching the parents of a child with spina bifida about latex allergies.
Which suggestion by the nurse is helpful in preventing the occurrence of allergic
reactions to latex? - ANSWER-reduce intake of avocado
A nurse is caring for an infant born with an unrepaired myelomeningocele. Which
would be the priority nursing goal for this infant? - ANSWER-prevent infection
Which is the initial symptom of tetanus? - ANSWER--progressive stiffness
-difficulty opening mouth
-progressive tenderness of muscles in neck and jaw
Which statement would the nurse understand about the neural defect anencephaly?
- ANSWER-it is the most serious neural tube defect and is incompatible with life
Which statement best describes pseudohypertrophic (duchenne) muscular dystrophy
(DMD)? - ANSWER-DMD is characterized by muscle weakness, usually beginning
around 3 years of age
Mild problems related to intellectual disability - ANSWER-self-esteem issues related
to presence or absence of physical features, largely determined by the cause of the
intellectual disability
social isolation and loneliness
depression
The nurse is assessing the level of consciousness of a patient who has received a
high dose of morphine. Which medication would allow the nurse to reverse the
effects of morphine in this patient - ANSWER-naloxone
AND ANSWERS
A nurse is caring for an adolescent who has sustained a spinal cord injury. Which
complication may occur as a result of a disruption in the descending sympathetic
pathways with loss of vasomotor tone and sympathetic innervation of the
cardiovascular system? - ANSWER-neurogenic shock
A 3-year-old has cerebral palsy and is hospitalized for an upcoming orthopedic
surgery. The child's mother states that the child has difficulty swallowing and cannot
hold a utensil to self-feed. The child is slightly underweight for height. Which would
be the most appropriate nursing action related to feeding? - ANSWER-stabilizing the
child's jaw with one hand (either from a front or side position) to facilitate swallowing
Which is the type of neural tube defect is not visible externally in the lumbosacral
area? - ANSWER-spina bifida occulta
The nurse is caring for a child who has sustained a spinal cord injury in an accident.
Which immediate step would the nurse take to prevent the complications of spinal
cord injury? - ANSWER-assess the child's respiratory status and pattern
The nurse is teaching the parents of a child with spina bifida about latex allergies.
Which suggestion by the nurse is helpful in preventing the occurrence of allergic
reactions to latex? - ANSWER-reduce intake of avocado
A nurse is caring for an infant born with an unrepaired myelomeningocele. Which
would be the priority nursing goal for this infant? - ANSWER-prevent infection
Which is the initial symptom of tetanus? - ANSWER--progressive stiffness
-difficulty opening mouth
-progressive tenderness of muscles in neck and jaw
Which statement would the nurse understand about the neural defect anencephaly?
- ANSWER-it is the most serious neural tube defect and is incompatible with life
Which statement best describes pseudohypertrophic (duchenne) muscular dystrophy
(DMD)? - ANSWER-DMD is characterized by muscle weakness, usually beginning
around 3 years of age
Mild problems related to intellectual disability - ANSWER-self-esteem issues related
to presence or absence of physical features, largely determined by the cause of the
intellectual disability
social isolation and loneliness
depression
The nurse is assessing the level of consciousness of a patient who has received a
high dose of morphine. Which medication would allow the nurse to reverse the
effects of morphine in this patient - ANSWER-naloxone
