Pedia Disorders Exam

8/8/2019 Pedia Disorders Exam

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Respiratory Disorders

Pediatric Nursing



1. When caring for a very low-birth-weight

neonate, the nurse carefully monitors

inspiratory pressure and O2

concentration to prevent which of the

following?a. Respiratory Distress Syndrome (RDS)

b. Respiratory Syncytial Virus (RVS)

c. Bronchopulmonary Dysplasia (BPD)

d. Meconium Aspiration Syndrome (M AS)



2. Which of the following infants is least

likely to develop SIDS?

a. An infant who was premature

b. A sibling of an infant who died of SIDS

c. An infant with prenatal drug exposure

d.

An infant wh

o sleeps onh

is back



3. Which of the following instructions should be

included in the teaching plan for parents of young child with otitis media?

a. Cleaning the inside of the ear canals with cotton swabs

b. Placing the child in the supine position to

bottle-feed

c. Avoiding contact with people who have URTI

d. Giving prescribed amoxicillin (Amoxil) on an

empty stomach



4. Ribavirin (Virazole) is used to treat which

of the following?

a. Bronchiolitis

b. Respiratory Syncytial Virus (RVS)

c. Otitis Media

d. Cystic Fibrosis



5. Which of the following respiratory

conditions is always considered a

medical emergency?

a. LTB

b. Epiglottitis

c. Asthma

d. Cystic Fibrosis



6. Immunization of children with Hib baccine

decreases the incidence of which of the

following conditions?

a. LTB

b. Epiglottitis

c. Pneumonia

d. Bronchiolitis



7. In a child with asthma, beta adrenergic

agonists, such as albuterol are

admnistered primarily to do which of the

following?

a. Decrease postnasal drip

b. Dilate the bronchioles

c. Reduce airway inflammation

d. Reduce secondary infections



8. Which of the following would the nurse

expect to assess in an older child with

pneumococcal pneumonia?

a. Bulging fontanel

b. Mild cough

c. Slight fever

d. Chest pain



9. Which of the following statements by the family

of a child with asthma indicated a need for further teaching?

a. ³We need to identify what things trigger his

attacks.´

b. ³He is to use his bronchodilator inhaler beforethe steroid inhaler .´

c. ³We¶ll make sure he avoids exercise to prevent

attacks.´

d. ³He should increase his fluid intake regularly tothin secretions.´



10. Baby Rodilito weighs 44 lbs and has

been given an order for amoxicillin 500

mg bid. The drug text notes that the daily

dose of amoxicillin is 50 mg/kg/day in

two divided doses. What dose in mg issafest for this child?

____________________



Cardiovascular Disorders

Pediatric Nursing



1. Which of the following disorders leads to

cyanosis from deoxygenated blood

entering the systemic circulation?

a. PDA

b. TOF

c. COA

d. AS



2. While assessing a child with COA, the

nurse would expect to find which of the

following?

a. Absent or diminished femoral pulses

b. Tet spells

c. Squatting posture

d. Severe cyanosis at birth



3. Which of the following nursing interventions

would be appropriate to promote optimalnutrition in an infant with heart failure?

a.

Providing large feedings evenly spaced every4 hours

b. Offering formula that is high in sodium and

calories

c. Replacing regular nipples with easy-to-suckones

d. Allowing the infant to feed for atleast 1 hour



4. When developing a teaching plan for the

parents of a child with PS, the nurse wouldkeep in mind that this disorder involves which

of the following?

a. Return of blood to the heart without entry to

the left atrium

b. Obstruction of flow from the right ventricle

c. Obstruction of flow from the left ventricle

d. A single vessel arising from both ventricles



5. Which of the following represents an effective

nursing intervention to reduce cardiacdemands and decrease cardiac workload?

a.

Scheduling care to provide for uninterruptedrest

b. Developing and implementing a consistent

care plan

c. Feeding the infant over long periods

d. Allowing the infant to have her way to avoid

conflict



6. Which of the following defects are

associated with TOF?

a. COA, AVS, MVS, PDA

b. VSD, OA, PS, RVH

c. TVA, ASD, VSD, HLHS

d. Two non-communicating circulation




expect to see as a cardinal sign or

symptom of Digitalis toxicity?

a. Respiratory distress

b. Extreme bradycardia

c. Constipation

d. Headache



8. Which of the following indicates that a

child with heart failure is carefully

following the prescribed medical

regimen?

a. Elevation of in RBC

b. Normal weight for age

c. PR <50 bpm

d. Daily use of antibiotic



9. Which of the following instructions would

the nurse include in a teaching plan that

focuses on initial prevention of RF?

a. Using a corticosteroid to reduce

inflammation

b. Treating strep infections with antibiotic

c. Providing an antibiotic before dental work

d. Giving penicillin to clients with RF



10. Children with Kawasaki Disease may

develop:

a. Aneurysm formation

b. Mitral valve disease

c. Sepsis

d. Meningitis



Gastrointestinal Disorders

Pediatric Nursing



1. While assessing a neonate with CL the

nurse would be alert that which of the

following will most likely be

compromised?

a. Sucking ability

b. Respiratory status

c. Locomotion

d. GI function



2. When providing post op care for the child

with CP, the nurse should position the

child in which of the following positions?

a. supine

b. prone

c. In an infant seat

d. On his side



4. Which of the following Nursing dx would

be inappropriate for the infant with GER?

a. Fluid volume deficit

b. Risk for aspiration

c. Imbalanced nutrition: less than body

req¶ts.

d. Impaired oral mucous membrane



5. Which of the following parameters would

the nurse monitor to evaluate the

effectiveness of thickened feedings for

an infant with GER?

a. Vomiting

b. Stools

c. Urine

d. Weight



6. Discharge teaching for a child with Celiac

disease would include instructions about

avoiding which of the following?

a. Rice

b. Milk

c. Wheat

d. Chicken




expect to assess in a child with celiac

disease having a celiac crisis secondary

to URTI?

a. Respiratory distress

b. Lethargy

c. Watery diarr hea

d. Weight gain



8. Which of the following should the nurse

do first after noting that a child with Hirschprung¶s disease has a fever andwatery explosive diarr hea?

a. Notify the health care provider immediately

b. Administer an anti diarr heal

c. Monitor the child every 30 minutes

d. Nothing (this is expected)



9. A neonate¶s failure to pass meconium

within the first 24 hours after birth may

indicate?

a. Hirschprung¶s disease

b. Celiac Disease

c. Intussusception

d. Abdominal wall defect



10. When assessing a child for possible

intussusception, which of the following

would be least likely provide a valuable

information?

a. Stool inspection

b. Pain pattern

c. Family history

d. Abdominal palpation

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Pedia Disorders Exam

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