Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child’s history, the nurse considers which information to be most important? A. A fever that started 3 days ago B. Lack of interest in food C. A recent episode of pharyngitis D. Vomiting for 2 days … Read More »
Nurse Elizabeth is administering medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is: A. Under age 3 B. Over age 3 C. Critically ill and under age 3 D. Critically ill and over age 3 Correct Answer: C.… Read More »
When assessing a child’s cultural background, the nurse in charge should keep in mind that: A. Cultural background usually has little bearing on a family’s health practices B. Physical characteristics mark the child as part of a particular culture C. Heritage dictates a group’s shared values D. Behavioral patterns are passed… Read More »
While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should: A. Notify the doctor B. Look for other signs of abuse C. Recognize this as a normal finding D. Ask about a family history of Tay-Sachs disease Correct… Read More »
Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation? A. Aortic stenosis (AS) B. Coarctation of aorta C. Patent ductus arteriosus (PDA) D. Tetralogy of Fallot Correct Answer: D. Tetralogy of Fallot Tetralogy of Fallot consists of four major anomalies:… Read More »
Which of the following organisms is responsible for the development of rheumatic fever? A. Streptococcal pneumonia B. Haemophilus influenza C. Group A beta-hemolytic streptococcus D. Staphylococcus aureus Correct Answer: C. Group A ?-hemolytic streptococcus Rheumatic fever results from a delayed reaction to inadequately treated group A ?-hemolytic… Read More »
Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease? A. Polycythemia B. Cardiomyopathy C. Endocarditis D. Low blood pressure Correct Answer: A. Polycythemia The child with congenital heart disease develops polycythemia resulting from an inadequate mechanism to compensate for decreased… Read More »
How does the nurse appropriately administer Mycostatin suspension in an infant? A. Have the infant drink water, and then administer myostatin in a syringe B. Place Mycostatin on the nipple of the feeding bottle and have the infant suck it C. Mix Mycostatin with formula D. Swab Mycostatin on the affected… Read More »
Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child? A. Pulmonary secretions are abnormally thick. B. Elevated levels of potassium are found in sweat. C. CF is an autosomal dominant hereditary disorder. D.… Read More »
Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following? A. “Currant jelly” stools B. Regurgitation C. Steatorrhea D. Projectile vomiting Correct Answer: D. Projectile vomiting Projectile vomiting is a key sign of pyloric stenosis. Pyloric stenosis, also known… Read More »