Download Jersey College Peds Exam 2 Final questions with answers and more Exams Pediatrics in PDF only on Docsity!
Jersey |College |Peds |Exam |2/Final |
questions |with |answers
A |child |is |brought |to |the |emergency |department |after |experiencing | a |series |of |continuous |seizures. |The |nurse |is |reviewing |the |orders | for |care |and |treatment. |Which |order |would |be |of |the |highest | priority? |- |CORRECT |ANSWERS |✔✔serum |glucose |level The |nurse |cares |for |a |7-year-old |child |with |new-onset |seizure | disorder. |Which |prescription |will |the |nurse |anticipate |for |this | client? |- |CORRECT |ANSWERS |✔✔use |of |anticonvulsant |medications To |detect |complications |as |early |as |possible |in |a |child |with | meningitis |who's |receiving |IV |fluids, |monitoring |for |which |condition | should |be |the |nurse's |priority? |- |CORRECT |ANSWERS |✔✔Cerebral | edema Dexamethasone |is |often |prescribed |for |the |child |who |has | sustained |a |severe |head |injury. |Dexamethasone |is |a(n): |- |CORRECT | ANSWERS |✔✔steroid While |in |a |pediatric |client's |room, |the |nurse |notes |that |the |client |is | beginning |to |have |a |tonic-clonic |seizure. |Which |nursing |action |is |
priority? |- |CORRECT |ANSWERS |✔✔Protect |the |child |from |hitting |the | arms |against |the |bed The |nurse |is |caring |for |a |child |with |a |suspected |head |injury. |The | nurse |observes |for |what |response |to |the |child's |eye |reflex | examination |that |would |indicate |potential |increased |intracranial | pressure |(ICP)? |- |CORRECT |ANSWERS |✔✔While |assessing |the |child's | pupils, |there |is |no |change |in |diameter |in |response |to |a |light Absence |seizures |are |marked |by |what |clinical |manifestation? |- | CORRECT |ANSWERS |✔✔Loss |of |motor |activity |accompanied |by |a | blank |stare The |nurse |is |caring |for |a |6-year-old |child |who |has |a |history |of | febrile |seizures |and |is |admitted |with |a |temperature |of |102.2°F | (39°C). |What |is |the |nurse's |highest |priority? |- |CORRECT |ANSWERS | ✔✔Institute |safety |precautions The |parent |of |a |12-year-old |child |with |Reye |syndrome |approaches | the |nurse |wanting |to |know |how |this |happened |to |the |child, | saying, |"I |never |give |my |children |aspirin!" |What |could |the |nurse | say |to |begin |educating |the |parent? |- |CORRECT |ANSWERS | ✔✔Sometimes |it |is |hard |to |tell |what |products |may |contain |aspirin Which |of |these |age |groups |has |the |highest |actual |rate |of |death | from |drowning? |- |CORRECT |ANSWERS |✔✔Toddlers
A |nurse |is |assessing |a |3-year-old |child |for |possible |bacterial | meningitis. |Which |sign |would |indicate |irritation |of |the |meninges? |- | CORRECT |ANSWERS |✔✔Positive |Kernig |sign Preterm |infants |have |more |fragile |capillaries |in |the |periventricular | area |than |term |infants. |This |put |these |infants |at |risk |for |which | problem? |- |CORRECT |ANSWERS |✔✔intracranial |hemorrhaging A |1-year-old |infant |has |just |undergone |surgery |to |correct | craniosynostosis. |Which |comment |is |the |best |psychosocial | intervention |for |the |parents? |- |CORRECT |ANSWERS |✔✔The |surgery | was |successful. |Do |you |have |any |questions? A |pregnant |client |asks |if |there |is |any |danger |to |the |development | of |her |fetus |in |the |first |few |weeks |of |her |pregnancy. |How |should | the |nurse |respond? |- |CORRECT |ANSWERS |✔✔During |the |first | 3 |to | 4 | weeks |of |pregnancy, |brain |and |spinal |cord |development |occur |and | are |affected |by |nutrition, |drugs, |infection, |or |trauma A |child |with |a |seizure |disorder |is |being |admitted |to |the |inpatient | unit. |When |preparing |the |room |for |the |child, |what |should |be | included? |- |CORRECT |ANSWERS |✔✔oxygen |gauge |and |tubing, | suction |at |bedside, |padding |for |side |rails The |parents |of |a |17-year-old |adolescent |diagnosed |with |bacterial | meningitis |tell |the |nurse, |"We |just |do |not |understand |how |this |
could |have |happened. |Our |adolescent |has |always |been |healthy | and |just |received |a |booster |vaccine |last |year." |How |should |the | nurse |respond? |- |CORRECT |ANSWERS |✔✔I |understand |your | frustration. |Unfortunately, |immunizations |are |not |100% |effective |in | preventing |the |infection Antibiotic |therapy |to |treat |meningitis |should |be |instituted | immediately |after |which |event? |- |CORRECT |ANSWERS |✔✔Collection | of |cerebrospinal |fluid |(CSF) |and |blood |for |culture A |nurse |on |the |neurology |unit |is |monitoring |an |8-year-old |child | admitted |with |seizures. |The |child |experiences |a |prolonged |tonic- clonic |seizure. |What |should |the |nurse |do |next? |- |CORRECT | ANSWERS |✔✔The |nurse |should |first |ensure |proper |oxygenation | followed |by |administer |intravenous |(IV) |or |intramuscular |(IM) | benzodiazepine A |6-year-old |has |had |a |viral |infection |for |the |past | 5 |days |and |is | having |severe |vomiting, |confusion, |and |irritability, |although |he |is | now |afebrile. |During |the |assessment, |the |nurse |should |ask |the | parent |which |question? |- |CORRECT |ANSWERS |✔✔Did |you |use |any | medications, |like |aspirin, |for |the |fever? A |child |has |been |diagnosed |with |a |basilar |skull |fracture. |The |nurse | identifies |ecchymosis |behind |the |child's |ear. |This |would |be | documented |as: |- |CORRECT |ANSWERS |✔✔Battle |sign
Which |nursing |action |should |be |included |in |the |care |plan |to | promote |comfort |in |a |4-year-old |child |hospitalized |with |meningitis? |- |CORRECT |ANSWERS |✔✔Avoid |making |noise |when |in |the |child's | room The |nurse |is |interviewing |the |caregivers |of |a |child |brought |to |the | emergency |unit. |The |caregiver |states, |"She |has |a |history |of | seizures |but |this |time |it |lasted |more |than | 30 |minutes |and |she |just | keeps |having |them." |The |most |accurate |description |of |this |child's | condition |would |be: |- |CORRECT |ANSWERS |✔✔The |child |is |in |status | epilepticus A |group |of |nursing |students |are |reviewing |cerebral |vascular | disorders |and |risk |factors |in |children. |The |students |demonstrate | understanding |of |the |material |when |they |identify |which |as |a |risk | factor |for |hemorrhagic |stroke? |- |CORRECT |ANSWERS | ✔✔arteriovenous |malformations |(AVMs) The |nurse |helps |position |a |child |for |a |lumbar |puncture. |Which | statement |describes |the |correct |positioning |for |this |procedure? |- | CORRECT |ANSWERS |✔✔For |a |lumbar |puncture, |the |child |will |be | placed |in |a |side-lying |position |with |knees |bent |and |neck |flexed |to | assist |with |arching |the |back
A |9-year-old |boy |is |suffering |from |headaches |but |has |no |signs |of | physical |or |neurologic |illness. |Which |intervention |would |be |most | appropriate? |- |CORRECT |ANSWERS |✔✔Teach |the |child |and |his | parents |to |keep |a |headache |diary During |the |newborn |examination, |the |nurse |notes |that |an |infant | who |is |appropriate |for |gestational |age |by |birth |weight |has |a |head | circumference |below |the |10th |percentile |and |the |fontanels | (fontanelles) |are |not |palpable. |What |action |would |the |nurse |take? |- | CORRECT |ANSWERS |✔✔Report |the |findings |to |the |pediatric | healthcare |provider The |nurse |is |educating |parents |of |a |male |infant |with |Chiari |type |II | malformation. |Which |statement |about |their |child's |condition |is | most |accurate? |- |CORRECT |ANSWERS |✔✔Take |your |time |feeding | your |baby The |nurse |is |educating |the |parents |of |a |7-year-old |girl |with | epilepsy |about |managing |treatment |of |the |disorder |at |home. | Which |intervention |is |most |effective |for |eliminating |breakthrough | seizures? |- |CORRECT |ANSWERS |✔✔Understanding |the |side |effects | of |medications A |preschool-age |child |has |just |been |admitted |to |the |pediatric |unit | with |a |diagnosis |of |bacterial |meningitis. |The |nurse |would |include |
The |nurse |caring |for |an |infant |with |craniosynostosis, |specifically | positional |plagiocephaly, |should |prioritize |which |activity? |- |CORRECT | ANSWERS |✔✔moving |the |infant's |head |every | 2 |hours The |nurse |is |caring |for |a |child |who |has |suffered |a |febrile |seizure. | While |speaking |with |the |child's |parents, |which |statement |by |a | parent |indicates |a |need |for |further |education? |- |CORRECT | ANSWERS |✔✔I |hate |to |think |that |I |will |need |to |be |worried |about | my |child |having |seizures |for |the |rest |of |his |life A |7-year-old |client |has |been |complaining |of |headache, |coughing, | and |an |aching |chest. |The |care |provider |makes |a |diagnosis |of |a | viral |infection. |The |child's |mother |tells |the |nurse |that |when |she | first |said |she |had |a |headache, |the |child's |father |gave |her |half |of | an |adult |aspirin. |The |mother |has |heard |of |Reye |syndrome |and | asks |the |nurse |if |her |child |could |get |this. |Which |statement |would | be |the |best |response |by |the |nurse? |- |CORRECT |ANSWERS |✔✔This | might |or |might |not |be |a |problem. |Watch |your |daughter |for |signs |of |lethargy, |unusual |irritability, |confusion, |or |vomiting. |If |you |notice | any |of |these, |bring |her |to |the |emergency |room |immediately |so | she |can |be |checked |for |Reye |syndrome. What |is |a |true |statement |regarding |status |epilepticus? |- |CORRECT | ANSWERS |✔✔It |is |a |common |neurologic |emergency |in |children.
In |caring |for |a |child |with |meningitis, |the |nurse |recognizes |which | nursing |diagnosis |would |be |most |important |to |include |in |this |child's |plan |of |care? |- |CORRECT |ANSWERS |✔✔Risk |for |injury |related |to | seizure |activity A |child |is |hospitalized |and |diagnosed |with |bacterial |meningitis. | What |can |the |nurse |anticipate |will |be |included |in |the |plan |of |care | and |treatment? |- |CORRECT |ANSWERS |✔✔Acetaminophen, |tepid | baths |as |needed, |antibiotic |therapy The |nurse |is |providing |teaching |to |the |parents |of |a |child |recently | prescribed |carbamazepine |for |a |seizure |disorder. |Which |statement | by |a |parent |indicates |successful |teaching? |- |CORRECT |ANSWERS |✔✔I |need |to |watch |for |any |new |bruises |or |bleeding |and |let |my | healthcare |provider |know |about |it The |student |nurse |is |discussing |the |plan |of |care |for |a |child | admitted |to |the |hospital |for |treatment |of |an |infection. |Which | action |should |be |taken |first? |- |CORRECT |ANSWERS |✔✔Obtain |blood | cultures The |mother |of |a |10-year-old |child |diagnosed |with |rubella |asks | what |can |be |done |to |help |her |child |feel |better |during |her |illness. | What |information |can |be |provided? |- |CORRECT |ANSWERS | ✔✔Encourage |rest |and |relaxation
health |history, |what |question |should |the |nurse |ask |first? |- | CORRECT |ANSWERS |✔✔Have |you |traveled |outside |North |America? Which |collaborative |intervention |will |the |nurse |provide |when |caring | for |an |infant |diagnosed |with |pertussis? |- |CORRECT |ANSWERS | ✔✔Have |suction |available |in |the |room, |Encourage |small, |frequent | feedings, |Administer |erythromycin |for | 10 |days, |Utilize |droplet |and | standard |precautions A |group |of |nursing |students |are |reviewing |the |functions |of |white | blood |cells. |The |students |demonstrate |an |understanding |of |the | information |when |they |identify |which |white |blood |cell |as | responsible |for |combating |allergic |disorders? |- |CORRECT |ANSWERS | ✔✔Eosinophils What |is |the |leading |cause |of |neonatal |sepsis |and |death? |- | CORRECT |ANSWERS |✔✔Group |B |streptococcus The |rash |in |roseola |is |pruritic. |Which |measure |would |you |teach |the | parent |to |provide |comfort? |- |CORRECT |ANSWERS |✔✔Apply |cool | compresses |to |the |skin |to |stop |local |itching The |physician |has |ordered |ibuprofen | 150 |mg |every | 6 |hours |as | needed |for |a |3-year-old |child |for |a |fever |greater |than |38°C | (100.4°F). |The |label |of |the |ibuprofen |bottle |reads |"ibuprofen |oral | suspension | 100 |mg/5 |ml." |How |much |ibuprofen |liquid |will |the |nurse
|administer |if |the |child's |temperature |goes |above |38°C |(100.4°F)? |- | CORRECT |ANSWERS |✔✔7.5 |mL Which |child |will |the |nurse |identify |as |at |greatest |risk |for | developing |a |urinary |tract |infection? |- |CORRECT |ANSWERS |✔✔an |8- month-old |bottle-fed |female |with |HIV A |nurse |is |preparing |a |presentation |for |parents |about |common | childhood |infectious |diseases. |What |conditions |would |the |nurse | include |as |being |caused |by |a |tick |bite? |- |CORRECT |ANSWERS | ✔✔Lyme |disease, |Rocky |Mountain |spotted |fever The |nurse |is |providing |teaching |to |the |parents |of |a |child |with | varicella. |Which |statement |by |the |parents |indicates |the |teaching | was |successful? |- |CORRECT |ANSWERS |✔✔We |need |to |make |sure | that |our |child |washes |their |hands |frequently The |nurse |is |triaging |a |child |diagnosed |with |poliomyelitis. |After | ensuring |appropriate |precautions |are |in |place, |what |will |the |nurse | do |next? |- |CORRECT |ANSWERS |✔✔Auscultate |the |child's |lungs The |parents |of |a |4-month-old |diagnosed |with |sepsis |tell |the |nurse | that |the |physician |explained |sepsis |to |them |but |they |don't |really | understand |it. |The |parents |state, |"Could |you |please |explain |it |to | us?" |What |is |the |best |response |by |the |nurse? |- |CORRECT |ANSWERS | ✔✔The |infection |your |child |has |causes |the |release |of |toxins |into |
The |nurse |at |an |outpatient |facility |is |obtaining |a |blood |specimen | from |a |9-year-old |girl. |Which |technique |would |most |likely |be | used? |- |CORRECT |ANSWERS |✔✔Puncturing |a |vein |on |the |dorsal | side |of |the |hand Nursing |students |are |learning |about |the |infectious |process. |They | correctly |identify |the |first |stage |of |an |infectious |disease |to |be |which |period? |- |CORRECT |ANSWERS |✔✔Incubation |period A |child |has |been |having |episodes |of |diarrhea. |The |health |care | provider |prescribes |stool |collection |to |assess |for |parasites. |Before | obtaining |the |stool |specimen, |what |question |should |the |nurse | ask? |- |CORRECT |ANSWERS |✔✔Have |you |given |your |child |any | antidiarrheal |medication |containing |bismuth? The |public |health |nurse |is |discussing |immunizations |with |a |group | of |caregivers |of |infants. |One |of |the |mothers |asks |the |nurse |why | the |child |will |need |immunizations. |Which |statement |would |be |the | most |appropriate |for |the |nurse |to |make |to |this |mother? |- | CORRECT |ANSWERS |✔✔The |infant |is |born |with |immunity |to |some | diseases, |but |those |immunities |decrease |over |the |first |year |of |life Parents |bring |their |9-year-old |child |to |the |clinic |for |a |well-child | visit. |They |are |concerned |because |several |children |in |the | neighborhood |have |developed |Lyme |disease |and |ask |for | suggestions |on |what |to |do |to |reduce |their |child's |risk. |What |would |
be |appropriate |for |the |nurse |to |suggest? |- |CORRECT |ANSWERS | ✔✔Wearing |protective |clothing |when |playing |in |wooded |areas, | Inspecting |the |skin |closely |for |ticks |after |the |child |plays |in |wooded | areas, |Contacting |the |health |care |provider |if |there |is |any |area |of | inflammation |that |might |be |a |bite The |nurse |is |assessing |a |child |who |presents |with |a |history |of |fever, | malaise, |fatigue, |and |headache. |The |nurse |notes |a |bulls-eye |rash |on |the |child's |right |leg. |Which |action |will |the |nurse |take? |- |CORRECT | ANSWERS |✔✔Notify |the |primary |health |care |provider A |nursing |instructor |has |presented |a |class |on |the |stages |of |an | infectious |disease |to |a |group |of |students |and |asks |the |students |to | place |the |stages |in |their |proper |sequence |from |beginning |to |end. | Place |the |stages |in |their |proper |sequence. |- |CORRECT |ANSWERS | ✔✔Incubation, |Prodrome, |Illness, |Convalescence The |nurse |is |attempting |to |control |the |infectious |process |while | caring |for |a |client. |The |nurse |changes |the |client's |wound |dressing | when |the |dressing |becomes |soiled. |Which |link |of |the |chain |of | infection |is |the |nurse |interrupting |with |this |intervention? |- | CORRECT |ANSWERS |✔✔Reservoir When |caring |for |a |child |diagnosed |with |West |Nile |virus, |the |nurse | will |question |which |prescription |from |the |primary |health |care |
since |he |was |immunized |according |to |her |physician's | recommendations. |What |is |the |best |response |by |the |nurse? |- | CORRECT |ANSWERS |✔✔While |immunizations |are |highly |effective | they |aren't |100% |effective |at |preventing |infectious |diseases The |trigger |of |prostaglandins |to |increase |the |body's |temperature | set |point |is |caused |by |what? |- |CORRECT |ANSWERS |✔✔Pyrogens Monocytes |use |what |as |means |to |eliminate |pathogens? |- |CORRECT | ANSWERS |✔✔Phagocytosis B |cells |use |what |to |attack |specific |foreign |substances |- |CORRECT | ANSWERS |✔✔Antibodies Fever |can |increase |the |production |of |what |and |slow |the |growth |of | bacteria |and |viruses? |- |CORRECT |ANSWERS |✔✔Neutrophils Acetaminophen |and |what |administered |at |the |appropriate |dose | and |interval, |are |safe |and |effective |for |reducing |fever |in |children? |- | CORRECT |ANSWERS |✔✔Ibuprofen A |10-year-old |girl |with |long |hair |is |brought |to |the |emergency |room | because |she |began |acting |irritable, |reported |a |headache, |and |was | very |sleepy. |Which |question |is |most |appropriate |for |the |nurse |to |
ask |the |parents? |- |CORRECT |ANSWERS |✔✔What |were |you |doing | before |she |began |to |feel |sick? A |6-year-old |boy |is |suspected |of |having |late-stage |Lyme |disease. | Which |assessment |should |the |nurse |use |to |produce |findings | supporting |this |concern? |- |CORRECT |ANSWERS |✔✔Asking |the |child |if |his |knees |hurt The |nurse |is |preparing |to |administer |acetaminophen |to |a |4-year- old |girl |to |provide |comfort |to |the |child. |Which |precaution |is | specific |to |antipyretics? |- |CORRECT |ANSWERS |✔✔Ensure |proper |dose |and |interval A |10-year-old |boy |has |an |unknown |infection |and |will |need |to | provide |a |urine |specimen |for |culture |and |sensitivity. |To |ensure |that | the |sensitivity |results |are |accurate, |which |step |is |most |important? |- | CORRECT |ANSWERS |✔✔Obtain |a |specimen |before |antibiotics |are | given The |nurse |at |an |outpatient |facility |is |obtaining |a |blood |specimen | from |a |9-year-old |girl. |Which |technique |would |most |likely |be | used? |- |CORRECT |ANSWERS |✔✔Puncturing |a |vein |on |the |dorsal | side |of |the |hand
