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    Exam Review

    1. The nurse is caring for a child with Kawasaki disease (KD). A student nurse on the unit asks if there are medications to treat this disease. The nurse's response to the student nurse is:
      A)Immunoglobulin E and heparin
      B)Immunoglobulin G and ACE inhibitors
      C)Immunoglobulin E and ibuprofen (Motrin)
      D)Immunoglobulin G and aspirin
    2. The nurse assesses a child with coarctation of the aorta. Which common clinical manifestation is the nurse likely to observe?
      A)Upper body blood pressure is higher than the lower body
      B)Clubbing of the digits and shortness of breath
      C)Cyanosis
      D)Pedal edema
    3. Symptom management for children who are dying is a challenging and often the responsibility of the pediatric nurse. Research has shown that only 27% of dying children experience relief from which common symptom is experienced during the child's last weeks of life?
      A)Fatigue
      B)Respiratory distress
      C)Pain
      D)Poor appetite
    4. The pediatric nurse is caring for a 2-year-old with a respiratory rate of 42 breaths per minute and a FLACC score 8. Which acid-base imbalance does the pediatric team expect to find with sustained tachypnea?
      A)Respiratory acidosis
      B)Metabolic alkalosis
      C)Metabolic acidosis
      D)Respiratory alkalosis
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    Exam Review

    1. Which of the following should be included in the instructions to an active adolescent who is going home after an outpatient cardiac catheterization?
      A)Leave the pressure dressing on for 7 days
      B)Maintain strict bed rest for three days.
      C)Avoid tub baths, but may shower in the morning
      D)Stay home from school until the Band-Aid is removed
    2. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
      A)Respiratory
      B)Integumentary
      C)Gastrointestinal
      D)Cardiovascular
    3. A nurse in a special education program is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?
      A)Allow for imaginative play with peers without supervision.
      B)Establish a reward system for positive behavior.
      C)Allow for adjustment of rules to correlate with the child's behavior.
      D)Provide a flexible schedule that adjusts to the child's interests
    4. The nurse is caring for a child who has undergone cardiac catheterization. During the recovery, the nurse notices that the dressing is saturated with bright red blood. The nurse's first action is to:
      A)Apply direct pressure 1 inch above the puncture site
      B)Notify the Cardiac Cath Lab that the child will be returning
      C)Place a call to the Interventional Radiologist
      D)Apply a bulky pressure dressing over the present dressing
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    Exam Review

    1. An 8-month-old infant has a hyper-cyanotic Tet spell while blood is being drawn. Which of the following should the nurse's first action be?
      A)Prepare the family for the child's imminent death
      B)Begin cardiopulmonary resuscitation compressions
      C)Assess for neurologic defects
      D)Administer oxygen by face mask
    2. A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?
      A)Budesonide
      B)Montelukast
      C)Albuterol
      D)Fluticasone
    3. A nurse is providing education to a school-age child who has a new diagnosis of asthma. Which of the following statements should the nurse include in the teaching?
      A)"Use the peak expiratory flow meter once per week."
      B)"You should stop playing basketball, but you can swim instead."
      C)"Take cromolyn sodium at the first sign of breathing difficulty."
      D)"Avoid triggers that cause an attack."
    4. An ER nurse has recognized a mother who has frequently brought her 3-year-old in for vague symptoms of an undiagnosed neurological disorder and who has frequently requested specialist consultations. The child is brought in unconscious. A concern that the nurse may have is:
      A)Physical abuse
      B)Munchausen by proxy
      C)Severe organic failure to thrive
      D)Ingestion of a toxin
    Page 3 of 13

    Exam Review

    1. Which statement best describes a conductive hearing loss in a child?
      A)Improves with a cochlear implant.
      B)May accompany otitis media with effusion.
      C)Results from auditory nerve damage.
      D)It is an inherited type of hearing loss.
    2. A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which actions should the nurse plan to take to prevent aspiration?
      A)Place a bedside humidifier at the head of the client's bed.
      B)Suction the nasopharynx as needed.
      C)Perform chest physiotherapy.
      D)Withhold fluids until the client demonstrates a gag reflex.
    3. A nurse is caring for an infant diagnosed with Tetralogy of Fallot. The infant suddenly becomes cyanotic, and his oxygen saturation reading drops to 60% Choose the interventions the nurse should perform. (Select All that Apply.)(SATA)
      A)Prepare to administer morphine sulphate
      B)Prepare to administer IV fluids
      C)Call a code blue
      D)Place the infant in a knee-to-chest position
      E)Administer a bronchodilator
      F)Prepare to administer 100% oxygen by face mask
    4. What is a common side effect of inhaled corticosteroids?
      A)Sores
      B)Hairy tongue
      C)Thrush
      D)Bad breath
    Page 4 of 13

    Exam Review

    1. Which of the following drugs is a non-potassium-sparing diuretic for a child with a cardiac condition?
      A)Captopril (Capoten)
      B)Spironolactone (Aldactone)
      C)Chlorothiazide (Duril)
      D)Furosemide (LSK)
    2. The parents of a child born with disabilities ask the nurse for advice about discipline. The nurse's response should be based on the knowledge that discipline is:
      A)Essential for the child.
      B)Best achieved with punishment for misbehavior.
      C)Not needed unless the child becomes problematic
      D)Too difficult to implement with a special-needs child
    3. A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
      A)Improved hydration
      B)Barking cough
      C)Decreased stridor
      D)Decreased temperature
    4. 20. A nurse provides discharge teaching about nutrition to the parents of a child with cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?
      A)"I will limit my child's fluid intake."
      B)"I will prepare low-fat meals with limited protein for my child."
      C)"We will restrict the amount of salt in our child's food."
      D)"We will give our child pancreatic enzymes with snacks and meals.”
    Page 5 of 13

    Exam Review

    1. Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?
      A)Inappropriate parental concern for the degree of injury
      B)Incompatibility between the history and injury observed
      C)Inappropriate response of the child
      D)Absence of parents for questioning about the child's injuries
    2. Of all the physical findings noticed on a child, which is most likely to indicate abuse?
      A)A scald burn on his chest with various zones of burn depth
      B)A maculopapular rash on the buttocks
      C)A tall, thin appearance in a child
      D)Linear abrasions on his ankles and wrists
    3. An eight-month-old infant with Down syndrome is being seen in the clinic. His mother tells the nurse that he is difficult to hold, that "He's like a rag doll. He does not cuddle up to me like my other babies did." The nurse's best interpretation of this lack of clinging or molding is which of the following?
      A)Sign of detachment and rejection.
      B)Sign of maternal deprivation.
      C)Suggestive of autism associated with Down syndrome
      D)Result of the physical characteristics of Down syndrome.
    4. A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
      A)Assessing the client's erythematous rash
      B)Auscultating the rate and characteristics of the child's heart sounds
      C)Identifying the degree of parental anxiety related to the diagnosis
      D)Using a pain-rating tool to determine the severity of the joint pain
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