CPHON: NURSEBUILDERS BOOK QUESTIONS
TO REVIEW WITH 100% CORRECT ANSWERS
A 4 month old infant has been admitted with a diagnosis of
splenic sequestration. The nurse anticipates the treatment plan
will include:
a. splenectomy once hemodynamically stable
b. fluid resuscitation
c. oxygen supplementation
d. rapid blood administration - correct answer- c. oxygen
supplementation
-splenectomy ideally done after age 2
-blood not rapidly given (want to avoid autotransfusion)
A 4 year old with a VP shunt is being evaluated for possible
shunt malfunction. What would be most helpful in assessing for
increased ICP?
a. assessing the fontanel
b. asking the child to look up
,c. counting an apical pulse
d. asking the child to describe how his head feels - correct
answer- b. asking the child to look up
A 7 year old child with a CNS tumor has been diagnosed with
SIADH. Which of the following orders does the nurse question?
a. administration of hypertonic saline
b. administration of a loop diuretic
c. administration of DDAVP
d. fluid restrictions - correct answer- c. administration of
DDAVP
--DDAVP replaced ADH and there is PLENTY of this in SIADH;
DDAVP would be used for patient in DI
A 9 year old child, who was treated for cancer with radiation and
chemotherapy as a toddler, is being evaluated for decreased
peripheral vision. She also has complained of a headache and
eye pain. This is characteristic of:
a. cataracts
,b. glaucoma
c. uveitis
d. conjunctivitis - correct answer- b. glaucoma
A child asks the nurse why everyone keeps talking about her
'counts'. The nurse replies that her counts are her white blood
cells that are like superheroes whose job it is to protect her
against germs. For what age group would this explanation be
best?
a. toddler
b. preschool
c. school aged
d. adolescent - correct answer- c. school aged
A child experiencing persistent pain is to receive adjuvant
medications. The nurse would anticipate which medication?
a. fentanyl
b. ibuprofen
c. hydrocodone and acetaminophen
, d. amitriptyline - correct answer- d. amitriptyline
A child has been diagnosed with severe aplastic anemia. Which
of the following results corresponds with the severe
classification?
a. ANC <200
b. platelet count <20,000
c. bone marrow cellularity < 50%
d. one cell line is severely depressed - correct answer- b.
platelet count <20,000
A child is receiving an infusion of fresh stem cells. Which of the
following is a likely effect?
a. fluid overload
b. bradycardia
c. hypertension
d. complaints of a bad taste - correct answer- a. fluid
overload
TO REVIEW WITH 100% CORRECT ANSWERS
A 4 month old infant has been admitted with a diagnosis of
splenic sequestration. The nurse anticipates the treatment plan
will include:
a. splenectomy once hemodynamically stable
b. fluid resuscitation
c. oxygen supplementation
d. rapid blood administration - correct answer- c. oxygen
supplementation
-splenectomy ideally done after age 2
-blood not rapidly given (want to avoid autotransfusion)
A 4 year old with a VP shunt is being evaluated for possible
shunt malfunction. What would be most helpful in assessing for
increased ICP?
a. assessing the fontanel
b. asking the child to look up
,c. counting an apical pulse
d. asking the child to describe how his head feels - correct
answer- b. asking the child to look up
A 7 year old child with a CNS tumor has been diagnosed with
SIADH. Which of the following orders does the nurse question?
a. administration of hypertonic saline
b. administration of a loop diuretic
c. administration of DDAVP
d. fluid restrictions - correct answer- c. administration of
DDAVP
--DDAVP replaced ADH and there is PLENTY of this in SIADH;
DDAVP would be used for patient in DI
A 9 year old child, who was treated for cancer with radiation and
chemotherapy as a toddler, is being evaluated for decreased
peripheral vision. She also has complained of a headache and
eye pain. This is characteristic of:
a. cataracts
,b. glaucoma
c. uveitis
d. conjunctivitis - correct answer- b. glaucoma
A child asks the nurse why everyone keeps talking about her
'counts'. The nurse replies that her counts are her white blood
cells that are like superheroes whose job it is to protect her
against germs. For what age group would this explanation be
best?
a. toddler
b. preschool
c. school aged
d. adolescent - correct answer- c. school aged
A child experiencing persistent pain is to receive adjuvant
medications. The nurse would anticipate which medication?
a. fentanyl
b. ibuprofen
c. hydrocodone and acetaminophen
, d. amitriptyline - correct answer- d. amitriptyline
A child has been diagnosed with severe aplastic anemia. Which
of the following results corresponds with the severe
classification?
a. ANC <200
b. platelet count <20,000
c. bone marrow cellularity < 50%
d. one cell line is severely depressed - correct answer- b.
platelet count <20,000
A child is receiving an infusion of fresh stem cells. Which of the
following is a likely effect?
a. fluid overload
b. bradycardia
c. hypertension
d. complaints of a bad taste - correct answer- a. fluid
overload
