Exam Review
- Which signs may indicate a need for insulin in a child with diabetes?A)Confusion and lethargyB)Headache and pallorC)Diaphoresis and tremorsD)Polydipsia and polyuria
- The nurse planning care for a child with nephrotic syndrome knows the classification of medication used to reduce edema in nephrotic syndrome is:A)SteroidsB)AntibioticsC)FungicidesD)Analgesics
- The home health nurse is monitoring an 8-month-old child with hypothyroidism taking levothyroxine (Synthroid). Which symptoms does the nurse recognize as signs of overdose? (Select all that apply)(SATA)A)Weight gainB)VomitingC)IrritabilityD)TachycardiaE)Diaphoresis
- A child with nephrotic syndrome is prescribed a corticosteroid. The nurse should ensure the child is:A)Taken off the medication after 1 weekB)Monitored closely for signs of infectionC)Administered the medication with milkD)Given the medication at bedtime
Exam Review
- A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?A)Urine specific gravity 1.025B)Blood glucose 110 mg/dLC)Potassium 2.5 mEq/LD)Sodium 142 mEq/L
- What is the treatment of choice for a child with intussusception?A)A barium enemaB)IV fluids until the spasms subsideC)Immediate surgeryD)Gastric lavage
- A nurse is giving a newborn her first feeding when the baby starts coughing and choking. This is indicative of which condition?A)EnterocolitisB)Pyloric stenosisC)Tracheoesophageal atresiaD)Celiac disease
- Which finding in a newborn is suggestive of tracheoesophageal fistula?A)Choking on the first feedingB)Palpable mass in the sternal areaC)Visible peristalsis across abdomenD)Failure to pass meconium in 24 hours
Exam Review
- A child with diabetes is brought to the emergency department. He is flushed and drowsy, and his skin is dry. His father states that the child has been feeling progressively worse since the morning. What is this child most likely experiencing?A)KetoacidosisB)Somogyi phenomenonC)Water intoxicationD)Dawn phenomenon
- Which menu selections are best for a child diagnosed with celiac disease?A)Chicken sandwich on whole-wheat breadB)Pizza and chocolate cakeC)Corn tortilla and fresh fruitD)Spaghetti and a blueberry muffin
- A nurse is caring for a child who has acute diarrhea and reports that he is thirsty. Which of the following fluids should the nurse give the child?A)PedialyteB)Cherry gelatinC)BrothD)Apple juice
- A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?A)Mucus in stoolsB)Increased appetiteC)JaundiceD)Drooling
Exam Review
- A nurse is reinforcing teaching about self-administration of insulin with a parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?A)I will be sure my child aspirates before injecting the insulinB)The insulin can be injected anywhere there is adipose tissueC)The insulin should be injected at a 90-degree angleD)I will be sure my child rotates sites after two injections into one site
- What nursing action would be avoided when caring for a child diagnosed with Wilms’ tumor?A)Palpating the abdomenB)Monitoring vital signsC)Administering pain medicationD)Providing emotional support
- A nurse is caring for a child who has Hirschsprung’s disease. Which of the following findings should the nurse expect? (Select all that apply)A)Diminished peristalsisB)Failure to thriveC)VomitingD)Ribbon-like stools
- A nurse is reinforcing discharge teaching with the parent of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent requires a clarification of the teaching?A)The onset of low blood glucose usually occurs rapidlyB)My son might have nausea and trembling with hypoglycemiaC)My son might complain of feeling hot when he has a low blood glucose levelD)Sweating can occur with hypoglycemia
Exam Review
- A nurse at a pediatrician’s office answers a phone call from a parent whose child just ingested 15 vitamin tablets with added ferrous sulfate. Which of the following instructions should the nurse give to the parent?A)Administer syrup of ipecacB)Give the child 120 mL (8 oz) of orange juiceC)Provide the child with a high carbohydrate snackD)Contact the poison control center
- A nurse is reinforcing teaching with a parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?A)I should move my baby into a side-lying position during sleepB)I will have to feed my baby formula, rather than breast milkC)I will keep my baby in an upright position after feedingsD)My baby’s formula can be thickened with oatmeal
- A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?A)PolyuriaB)Periorbital edemaC)Orange-tinged urineD)Hypertension
- A child is brought to the emergency department because he ingested an unknown quantity of acetaminophen (Tylenol). What does the nurse expect this child to receive following gastric lavage?A)Syrup of ipecacB)Vitamin KC)N-acetylcysteineD)Activated charcoal
Exam Review
- A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?A)Left lower quadrant abdominal painB)BradycardiaC)Hyperactive bowel soundsD)WBC 17,000/mm³
- A nurse is collecting data from a 1-year-old child who has Wilms’ tumor. Which of the following findings should the nurse expect?A)Abdominal massB)DiarrheaC)JaundiceD)Swollen joints
- A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following as an unacceptable food choice for this child?A)RiceB)BarleyC)CornD)Wheat
- A nurse is collecting data from a child who has acute lead poisoning. Which of the following findings should the nurse expect?A)DiarrheaB)Increased urinary outputC)JaundiceD)Anorexia