PRACTICE EXAMS FOR ESSENTIALS OF PEDIATRIC NURSING END-OFCHAPTER EXAM

PRACTICE EXAMS FOR ESSENTIALS OF PEDIATRIC NURSING END-OFCHAPTER EXAM 2 Vitamin A may be administered in significant amounts to children with this childhood communicable illness to decrease morbidity and mortality: a. Pertussis b. Varicella c. Rubella d. Measles - CORRECT ANSWER-d. A 10-year-old child with a peanut allergy would be expected to have which of these as an early manifestation of his allergy? Select all that apply. a. Wheezing b. Nausea c. Headache d. Trouble breathing e. Urticaria - CORRECT ANSWER-a, d, e. The recommended treatment for cow's milk protein allergy is the substitution of cow's milk-based formula for: a. Goat's milk b. Soy milk or a hydrolyzed formula c. Whole milk d. Evaporated milk - CORRECT ANSWER-b. Identify the interventions that can be safely used to manage diaper dermatitis. Select all that apply. a. Blow dry heat on skin with hair dryer. b. Apply a skin barrier paste such as zinc oxide. c. Keep skin surface irritants such as urine and stool off skin. d. Expose skin to air. e. Use only cloth diapers. - CORRECT ANSWER-b, c, d. Which factors are considered protective factors for sudden infant death syndrome (SIDS)? a. Side sleeping position, breastfeeding, updated childhood immunization status b. Supine sleeping position, breastfeeding, soft bedding c. Prone sleeping position, exposure to maternal tobacco use, updated childhood immunization status d. Supine sleeping position, breastfeeding, updated childhood immunization status - CORRECT ANSWER-d. A 3-month-old is being seen in the well-child clinic for positional plagiocephaly. The nurse knows that the initial interventions for this condition involve which of the following? Select all that apply. a. Place the infant to sleep in the prone position. b. Place the infant in a prone position when awake (approximately 15 minutes). c. Alternate the infant's head position (side of head) when asleep. d. Have the infant wear a soft helmet for 23 to 24 hours a day. e. Place the infant to sleep in an infant seat twice a day. - CORRECT ANSWER-b, c. The mother of a 4-year-old health clinic patient asks the nurse about night terrors. Which statement by the mother reveals a need for further teaching? Select all that apply. a. He will grow out of this stage when he is a little older. b. Getting into a specific routine is helpful and can be calming to my son. c. Watching TV with an adult is helpful so that he understands what is real. d. I can help my child with sleep by giving him his favorite stuffed animal or using a night-light. e. Our family often sleeps together, and this seems to help. - CORRECT ANSWER-a, c, e. A child is brought to the emergency department by his parents after noted to be "acting funny" a few hours ago while he was being cared for by his grandmother. When she went to take her evening medication, the grandmother noted that her pill container had been opened and some pills were missing. The parents state that the grandmother has a heart condition. Anticipating the emergency care this child will receive, you know: a. The majority of medications have a specific antidote. b. In this case, gastric lavage may be used. c. Activated charcoal will most likely be used, and it can be mixed with another drink (milk or juice) to make it more palatable. d. The main concerns are for vital sign assessment, assessment of mental status, and giving cardiac and respiratory support as needed. - CORRECT ANSWER-d. You are working with the family of a 4-year-old patient and have concerns about possible exposure to lead poisoning. Which information will determine if follow-up is needed? Select all that apply.