University Of California - Davis- School Of Medicine
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1. Cystic fibrosis (CF) is a genetic disorder that causes the endocrine glands to work incorrectly. 
False: Cystic fibrosis (CF) is a genetic disorder that causes the EXOCRINE (not endocrine) glands to work incorrectly. Exocrine glands are glands that produce and transfer its secretions (ex: mucous, tears, sweat, digestive enzymes) via DUCTS to an intended area of the body, rather than directly into the bloodstream. This is different from endocrine glands that don’t have ducts but directly sec...
1. Which statement is correct regarding the role of the epiglottis? 
A. This structure prevents food from entering the nasopharynx. 
B. The epiglottis helps with vocal cord vibration. 
C. After swallowing this structure moves downward to prevent swallowed contents from entering the trachea. 
D. The epiglottis is found in between the vocal folds. 
The answer is C. Option A is wrong because this is the role of the uvula (NOT epiglottis). Option B is wrong because this is the role of the GLOTTIS (n...
1. During a routine pediatric visit, a 2 month old patient will need which of the following vaccines? 
A. MMR (Measles, Mumps, Rubella) 
B. Hepatitis A 
C. Hepatitis B 
D. DTaP (Diphtheria, Tetanus, Pertussis) 
E. Hib (Haemophilus Influenzae Type B) 
F. Varicella 
G. Polio 
H. RV (Rotavirus) 
I. PCV (Pneumococcal Conjugate Vaccine) 
The answers are C, D, E, G, H, and I. At 2 months the patient should receive: DTaP, Hepatitis B, Hib, Polio, RV, and PCV. 
2. A mother calls the pediatric clinic to ...
1. You’re assessing a 10-month-old infant. You note on examination the anterior fontanelle is open. The nurse will: 
A. Document this as an abnormal finding because this fontanelle should close at 2 months 
B. Document this as a normal finding because this fontanelle closes at about 18 months 
C. Document this as a normal finding because this fontanelle closes at about 12 months 
D. Document this as an abnormal finding because this fontanelle should close at 6 months 
The answer is B. This is ...
A 14 month old boy is hospitalized with dehydration. He is unconsolable, screaming, and rejecting your physical contact. What best describes the infants response to you? 
•	Separation anxiety-PROTEST PHRASE 
•	Fear of injury and pain 
•	Separation anxiety-DESPAIR 
•	Loss of Control 
 
What nursing intervention would you NOT include in the plan of care with a two-year old experiecning loss of control? 
•	Provide routines and rituals the 2-year old is familiar with. 
•	Distract the...
1. You’re providing an in-service to a group of new nurses who will be caring for patients who have Tetralogy of Fallot. Which statement below is INCORRECT concerning how the blood normally flows through the heart? 
A. Unoxygenated blood enters through the superior and inferior vena cava and travels to the left atrium. 
B. The pulmonic valve receives blood from the right ventricle and allows blood to flow to the lungs via the pulmonary artery. 
C. The left atrium allows blood to flow down thro...
1. A newborn baby is born with transposition of the great arteries (TGA). You’re explaining the condition to the parents. Which statement by the father demonstrates he understood the education provided about this condition? 
A. “The pulmonary vein and artery are switched, which causes the pulmonary vein to deliver unoxygenated blood to the systemic circulation while the pulmonary artery delivers oxygenated blood back to the lungs.” 
B. “The aorta and pulmonary vein are switched, which ca...
1. A newborn is diagnosed with truncus arteriosus. You’re educating the parents about this heart defect. Which statement by the mother demonstrates she understood the education provided about this condition? 
A. “My baby has narrowing in the pulmonary artery, and the aorta is arising out of the right ventricle rather than the left ventricle.” 
B. “My baby’s heart shares one artery that connects the right and left ventricles.” 
C. “The left side of my baby’s heart is not fully dev...
1. True or False: Atrial septal defects are characterized by a hole in the interatrial septum that allows blood to mix in the right and left atria, which are the lower chambers of the heart. 
The answer is FALSE. Atrial septal defects are characterized by a hole in the interatrial septum that allows blood to mix in the right and left atria, which are the UPPER (not lower) chambers of the heart. 
2. A patient is diagnosed with a large atrial septal defect. You’re providing information for the p...
1. A 15-month-old child weighs 26 lbs. and is 35 inches. What type of car seat below is considered the SAFEST for this child to use while riding in a motor vehicle? 
A. rear-facing 
B. forward-facing 
C. booster seat 
D. seat belt 
The answer is A. According the AAP (American Academy of Pediatrics) a child should use a rear-facing car seat starting at birth and up until the time the child outgrows the device based on the manufacture’s limits. This typically is until about 4 years of age. In 20...