end of term review with key 2011

8/12/2019 End of Term Review With KEY 2011

1/14

End of Term Review

1. A 9-year-old patient with cystic fibrosis will take pancreatic enzymes 3 times a day. Thenurse will know the childs mother needs more education on the purpose and timing ofthese enzymes if she says

A. "The purpose of the enzymes is to help digest the fat in foods."B. "The enzymes should be taken prior to meals."C. "They should be given following breakfast lun!h and dinner."

. "They should be taken at meal times # times a day.". !hich one of the following treatment plans is most appropriate in the nursing"medicalmanagement of a 1#-year-old child with congesti$e heart failure%

A. $igh !on!entrations of o%ygen stri!t bed rest diureti!sB. &ral fluids daily weights high'(owler)s positionC. $igh'(owler)s position digo%in diureti!s daily weights.. igo%in diureti!s prophyla!ti! antibioti!s

3. To facilitate breathing in a child with bronchiolitis& the nursing care plan will includeestablishing an en$ironment of

A. $umidified o%ygenB. *arm mist with o%ygenC. Cool moist o%ygen

. &%ygen therapy with no mist'. A nurse is preparing to perform a physical assessment on a toddler. !hich of theseactions should the nurse take%

A. +erform the assessment from head to toe.B. ,eave intrusive pro!edures su!h as ear and eye e%aminations until the end.C. E%plain ea!h part of the e%amination to the !hild before performing it.. Ask the mother to tell the !hild not to be afraid.

(. Administering an immunization to a -month-old infant& the anatomical area the nursewill use is the

A. Bottom of the deltoid mus!leB. ,ateral and anterior aspe!t of the thighC. Top of the deltoid mus!le

. orsogluteal mus!le). An infant who had surgery ) hours ago is now back on the pediatric unit. !hich one ofthe following signs is the earliest indicator of a shock state%

A. Bulging fontanelsB. +ulse rate of -/C. &ne diaper !hange sin!e surgery. Respiratory rate of 0/ and irregular

*. +ollecting physical data on an infant at the well-baby clinic& the nurse will obser$e whichof the following signs in an infant with congenital hip dysplasia%

A. ,imited addu!tion of the affe!ted legB. 1ymmetri!al gluteal foldsC. (emoral pulse when the hip is fle%ed and the leg is abdu!ted

. ,imited abdu!tion of the affe!ted leg,. n a year old with increased intracranial pressure& which one of the following signswould be cause for alarm%

A. iminishing sunset signB. Absen!e of nystagmusC. E2ual pupils that rea!t to light. 3n!reasing lethargy and drowsiness

9. A 3-month-old infant has unrepaired Tetralogy of allot. !hich of the following signsand symptoms would the infant be e/pected to e/hibit%

1


2/14

End of Term Review

A. Ta!hy!ardia hypertension de!reased femoral pulsesB. Cir!umoral !yanosis hypo%i! spells feeding fatigueC. $ypotension brady!ardia dyspnea. Cyanosis ta!hypnea hypertension in upper e%tremities

1#. A 3-year-old child is brought to an emergency department by his mother because shecould not get him to wake up completely after his nap. 0e is semiconscious and has a low-

grade fe$er. The physician suspects lead poisoning. The nurse should e/pect that thechild will be treated with

A. Cal!ium disodium edetate 4ETA5B. 1yrup of ipe!a!C. A!tivated !har!oal. Erythromy!in

11. !hen assessing a -month-old infants refle/es& the nurse should understand that atthis age the infant should e/hibit

A. A negative Babinski)s refle%B. An absent toni! ne!k refle%C. An absent rooting refle%. A palmar grasp

1. An 11-year-old patient with the diagnosis of acute rheumatic fe$er will ha$e a care planthat includes the most important nursing measure of

A. 1uffi!ient vitamins for tissue repairB. Adheren!e to bed rest regimenC. Breathing e%er!ises to in!rease o%ygen e%!hange. 3solation for prevention of infe!tion

13. efore discharging a 3-year-old child to home in a hip spica cast& the nurse will want tobe sure that the

A. Child is s!heduled for a !ast !hange in 6 or # days.B. Child !an !rut!h walk safelyC. Child)s mother understands the need to faithfully administer nar!oti! analgesi!s for pain.. Cast is not restri!ting her abdomen and the edges are nonirritating.

1'. A child has the diagnosis of impetigo contagiosa. To pre$ent further spread of thedisease& the nurse should instruct the mother to

A. 1tri!tly isolate this !hild from others in his family.B. Take all other !hildren in the family to the physi!ian to be va!!inated for this disease.C. *ash toys and other ob7e!ts the !hild uses with soap and very hot water.. 8ot take any spe!ial pre!autions.

1(. A ' year old with a diagnosis of possible epiglottitis is admitted to the pediatric unit. Apriority nursing inter$ention will be to

A. Avoid use of restraints.B. 9eep the !hild in an upright position.C. Administer o%ygen mist therapy.. :onitor hydration status.

1). A new mother is worried about a 2soft spot2 on the top of her newborn infants head.The nurse informs her that this is a normal physical finding called the anterior fontanel.The mother understands further teaching when she states that 2t will close on its ownwhen my infant is4

A. "6'# months of age."B. "'; months of age."

2


3/14

End of Term Review

C. "-6'-< months of age.". "-;'6= months of age."

1*. The nurse is at the bedside when a 9 year old has a seizure shortly after admission. Thefirst action during the seizure is to

A. Call the physi!ian immediately.B. +la!e a tongue blade between the !hild)s teeth.

C. +rote!t the !hild from in7ury by removing ob7e!ts from the bed.. &bserve the !ourse of the seizure for future diagnosis.

1,. A young patient& age 1& is hospitalized for left lower lobe pneumonia. The physicianhas ordered percussion& $ibration and postural drainage for as long as tolerated or 3#minutes. 5rior to pro$iding this inter$ention& the nursing priority action is to

A. >ive instru!tions on !orre!t diaphragmati! breathing.B. Assess vital signs.C. Aus!ultate lung fields.. Assess sputum !hara!teristi!s.

19. A year old has eaten half a bottle of his grandmothers ferrous sulfate tablets. !henthe mother calls the clinic& the nurse will tell the mother to

A. Take him to the hospital immediately.

B. >ive him syrup of ipe!a! to indu!e vomiting.C. Conta!t the poison !ontrol !enter by phone.. o nothing be!ause vitamins are nonpoisonous.

#. !hat de$elopment stage is the sense of industry%A. Adoles!entB. +res!hoolC. 1!hool'age. Toddler

1. !hen a child is admitted with the diagnosis of croup& why are cool mist $aporizersbetter to use than hot steam $aporizers%

A. The temperature of the mist is irrelevant be!ause the !hild needs humidity.B. :ore moisture !an be delivered in !ool mist than with hot steam.

C. 1mall !hildren are more resistant to anything that is hot.. The !ool mist relieves swelling in the airways and makes breathing easier.

. The parents of a ' month old noticed that many bruises were forming on their sonsknees& buttocks and thighs. The blood tests re$eal that he has classic hemophilia. Thenurse understands that hemophilia is

A. Caused by spontaneous mutation.B. Transmitted by diseased mothers to affe!ted sons on the ? !hromosome.C. Transmitted by asymptomati! fathers to affe!ted sons on the @ !hromosome.. Transmitted by asymptomati! females to affe!ted sons on the ? !hromosome.

3. The initial treatment of children with rheumatic fe$er consists of the administration ofdrugs such as

A. +eni!illin and sali!ylates.B. Antihypertensives.C. Aspirin and digitalis.. +henobarbital or morphine.

'. A special& controlled diet instituted relati$ely early after birth may pre$ent or limitmental retardation in children with the condition of

3


4/14

End of Term Review

A. Cretinism.B. own)s syndrome.C. +henylketonuria 4+95.. Tay'1a!hs disease.

(. The nurse in a well-baby clinic reminds a mother that at ' months of age the infantshould recei$e immunizations that include

A. Ta+ ::R and $epatitis B.B. $epatitis B only.C. Ta+ 3+ +C and $ib.. Ta+ ::R $bC and $ib.

). !hen counseling the mother of a child with cystic fibrosis& which of the followingchoices would indicate to the nurse that the mother understands the most appropriatefood to combine with a pancreatic enzyme

A. 1li!ed !anned fruit.B. Cottage !heese.C. Applesau!e.. @ogurt.

*. A 3-year-old in respiratory distress has orders for 9#6 o/ygen administration. The

nurse could most effecti$ely administer this o/ygen when the child is spontaneouslybreathing by using a7n8

A. &%ygen tent.B. (a!e mask with re'breathing reservoir.C. &%ygen hood. 8asal prongs.

,. ne test that can monitor the progress in treating hypo$olemic shock in a child ishourly

A. Arterial blood gases.B. 1erum potassium level.C. Blood pressure management for hypertension.. :easurement of urine output.

9. f untreated& a child who has contracted diphtheria may die because ofA. ,iver failure.B. 1epsis.C. Airway obstru!tion.. $yperkalemia.

3#. nter$entions in the plan of care for a neonate who is admitted for sepsis shouldinclude

A. &btaining a !atheter urine spe!imen as ordered prior to starting antibioti! therapy.B. Administering o%ygen to in!rease o%ygen saturations before blood gas determinations are

drawn.C. Administering antibioti! infusions after the blood !ulture results are obtained.. Administering a!etaminophen after !omplete blood !ount 4CBC5 is drawn.

31. A toddler is scheduled to recei$e the measles-mumps-rubella 7::;8 and inacti$atedpolio 75


5/14

End of Term Review

3. The nurse talking with the parents of a toddler who is struggling with toilet trainingreassures them their child is demonstrating a typical de$elopmental stage that =riksondescribed as4

A. "Trust vs. mistrust."B. "Autonomy vs. shame and doubt."C. "3nitiative vs. guilt."

. "3ndustry vs. inferiority."33. A symptom of meningitis in a young infant is

A. Constipation.B. 1unken fontanels.C. A !hange in feeding pattern.. A subnormal temperature

3'. A -year-old male child arri$ed in the =mergency >epartment with complaints of sorethroat& difficulty swallowing& and suspected diagnosis of acute epiglottitis. !hich of thefollowing inter$entions should not be included in the childs immediate care andassessment%

A. ital signsB. :edi!al history

C. Assessment of breath sounds. Throat !ulture

3(. A characteristic lesion that occurs in children with measles 7rubeola8 isA. Erythema marginatum.B. An erythematous rash.C. 9oplik spots.. +ete!hiae

3). 0emophilia is an /-linked recessi$e trait. !hich of the following is characteristic of /-linked recessi$e inheritance%

A. Affe!ted individuals are prin!ipally females.B. Affe!ted individuals will always have affe!ted parents.C. There are no !arriers.

. Affe!ted individuals are prin!ipally males.3*. The most accurate assessment of fluid $olume imbalance in a child is determined by

A. :easurement of intake and output.B. aily weighing.C. Assessment of skin turgor.. Evaluation of areas of edema.

3,. The nurse is caring for a newborn with meningomyelocele. The correct position for thebaby to be placed preoperati$ely is

A. 1emi'(owler)s position.B. 1upine position.C. +rone position.. 1ide'lying position.

39. +linical manifestations the nurse would e/pect to see in a -month-old withhydrocephalus include

A. Apnea and hypotension.B. ilated s!alp veins and bulging fontanels.C. Brady!ardia and hypertension.. $eada!he

5


6/14

End of Term Review

'#. A )-year-old child is admitted with a diagnosis of asthma. An early sign of respiratorydistress would be

A. An in!reased pulse rate.B. An in!reased temperature.C. 3nter!ostal and sternal retra!tions.. An in!reased respiratory rate.

'1. An ,-year-old child had a tonsillectomy 1 hours ago. The nurse notes the following4 T-9,? 5-11& thready? ;-3)& shallow? skin& cool and clammy. The nurse assesses the patientto be in shock. The first inter$ention is to

A. Begin o%ygen by nasal !annula.B. +la!e the !hild on a !ardia! monitor.C. &btain arterial blood gases 4AB>s5.. +ut the !hild in the semi'(owler)s position.

'. A young child has a diagnosis of nephrosis. !hich of the following medications wouldthe nurse plan to discuss with his parents%

A. >lu!o!orti!oids.B. ,ong'term antibioti!s.C. Antihypertensives.

. Antiemeti! drugs.'3. A 1-year-old child is admitted with bronchial asthma. 0e is discharged on albuterol 7abeta-adrenergic agonist8 by metered dose inhaler. >ischarge planning will include thee/planation that this drug will

A. Redu!e inflammation.B. 1low the heart rate.C. Relieve bron!hospasm.. 3nhibit the release of histamine.

''. The clinic nurse is teaching the parents of a newborn about the immunization schedulethey will follow. The immunizations that should be started after the first birthday or at 1(months are

A. $emophilus influenzae type b 4$ib5.

B. :easles mumps and rubella 4::R5.C. iphtheria pertussis and tetanus 4+T5.. Trivalent oral polio 4T&+5.

'(. An infant with tetralogy of allot 7T8 is ha$ing a hypercyanotic episode 72tet2 spell8.!hich of the following nursing inter$entions should the nurse implement% 7@elect all thatapply.8

A. +la!e the !hild in knee'!hest position.B. raw blood for a serum hemoglobin.C. Administer o%ygen.. Administer morphine and propranolol intravenously as ordered.E. Administer Benadryl as ordered.

'). !hen assessing a patient for nephrosis& which of the following clinical signs andsymptoms would the nurse e/pect%

A. >ross hematuria weight gain and hypertension.B. +roteinuria edema and de!reased albumin.C. (ever weight gain and hematuria.. Ba!teriuria and hypotension.

6


7/14

End of Term Review

'*. !hen monitoring a 1#-year-old child who has undergone a cardiac catheterization&which of the following signs would ha$e the highest priority for continued monitoring%

A. >eneralized weakness.B. ,oss of appetite.C. iffi!ulty voiding.. Cardia! arrhythmias.

',. A )-year-old is admitted with a diagnosis of rheumatic fe$er. !hich of the followinggoals is the most important when caring for her while she is in the hospital%

A. +roviding rest.B. +roviding a nutritious diet.C. :aintaining !onta!t with s!hool friends.. 9eeping up with s!hoolwork.

'9. !hen assessing the male child with hypospadias& the nurse would obser$e forA. The absen!e of a testi!le.B. A smaller'than'normal penis.C. A urethral opening along the ventral surfa!e of the penis.. A herniation into the s!rotal sa!.

(#. A nurse is planning to pro$ide education for a family who has a child with sickle-cell

anemia. or the pre$ention of a sickle-cell crisis& the nurse should teach the family theimportance of a$oiding4

A. &ver'hydration.B. :idrange altitudes.C. *eight loss without dehydration.. Respiratory infe!tion and dehydration.

(1. ;eyes syndrome usually de$elops followingA. 1trep throat.B. Ba!terial meningitis.C. A!etaminophen overdose.. iral infe!tion.

(. To impro$e the comfort of a child in the acute stage of meningitis& the nursing

inter$ention is toA. +lay musi!al audiotapes.B. :assage !hild)s ne!k and ba!k.C. 9eep room lights dim.. >ently ro!k the !hild

(3. The leading cause of mental retardation& physical disability& and seizures in children isA. Can!er.B. Congenital birth defe!t.C. $ead in7ury.. Cerebral palsy.

('. =lbow restraints are used with infants who ha$e had a cleft palate repair. 5arents areinstructed that the restraints should be

A. 1nug to prevent arm movement.B. +inned tightly to the infant)s shirt.C. +ositioned from wrist to elbow.. Removed one at a time at fre2uent intervals.

7


8/14

End of Term Review

((. Assessing a child who has painful ear& a bulging tympanic membrane is an indicationof

A. 1trep throat.B. +erforation of tympani! membrane.C. Thi!kened tympani! membrane.. A!ute otitis media.

(). A common manifestation of chronic hypo/emia in children that the nurse would assessfor is

A. ,ow hemato!rit and hemoglobin.B. 1low respiratory rate.C. Clubbing of fingers and toes.. Capillary refill less than 6 se!onds.

(*. A characteristic position assumed by a toddler with tetralogy of allot isA. 1itting with head forward.B. 12uatting.C. Trendelenburg.. 1upine.

(,. !hen a child with cerebral palsy is admitted to the hospital& the plan of care must

includeA. Bed rest to speed re!overy.B. The !hild)s normal e%er!ise program.C. +hysi!al restraints to prevent falls.. A low'!alorie diet be!ause of immobility.

(9. !hen an infant with tetrology of allot has a hypercyanotic episode& the initialtreatment is to gi$e o/ygen and place the infant in the position of

A. 1upine.B. $igh'(owler)sC. 9nee'!hest.. Reverse Trendelenburg.

)#. nfants with cyanotic heart disease are often difficult to feed because they e/hibit

A. yspnea and fatigue.B. Apnei! episodes and sleepiness.C. +oor su!k and swallow refle%es.. +oor appetite and low !alorie needs.

)1. >uring warm weather& the nurse will instruct the parents of a child with sickle cellanemia that the child must

A. :aintain appropriate hydration.B. Take aspirin to avoid blood !lots.C. Take !orti!osteroids.. Avoid any e%ertion.

). n children& the de$elopment of rheumatic fe$er can be reduced byA. 3solating !hildren with rheumati! fever.

B. >iving antibioti!s whenever the !hild is e%posed to a !old or flu.C. Culturing and treating strep throat infe!tions.. 3mmunizing !hildren against disease.

)3. >ischarge instructions for a child who has had rheumatic fe$er need to emphasizecompliance with

A. +rophyla!ti! antibioti! treatment.B. aily e%er!ise regimen.C. :onthly throat !ultures.. 1erial ele!tro!ardiograms every year

8


9/14

End of Term Review

)'. An early symptom of congesti$e heart failure in an infant isA. *heezing.B. As!ites.C. Tiring easily.. Cyanosis

)(. A mother asks the nurse some uestions about toilet training her daughter& age 1 1"

years. The most basic principle to consider in attempting to toilet train a toddler is thatA. >irls present uni2ue problems in toilet training.B. Children must be physiologi!ally ready for toilet training.C. All !hildren must be 6 years of age before toilet training should be started.. Toilet training will !ome without any spe!ial effort on the part of the parent.

)). A simple& nonin$asi$e method to assess adeuacy of tissue perfusion isA. E!ho!ardiography.B. 1erum ele!trolyte monitoring.C. Arterial blood gas monitoring.. Capillary refill.

)*. An infant is admitted with the diagnosis of bronchiolitis. As the condition progresses&the nurse would assess for

A. Ta!hypnea and retra!tions.B. $igh fever and to%i! appearan!e.C. 1low deep respirations.. Thi!k yellowish mu!ous produ!tion.

),. !hich of the following is of greatest de$elopmental concern for a 1#-year-old girlhospitalized for the first time%

A. 1taying in unfamiliar surroundings.B. :issing her friends and a!tivities.C. Being separated from her parents.. (earing needles and in7e!tions.

)9. The nurse is caring for a 3-month-old infant with >own syndrome. !hich of thefollowing conditions would pose the greatest threat to the babys health%

A. Chi!ken po%.B. 1ore throats.C. ,ung infe!tions.. Allergies

*#. An infant is months old and had repair to a cleft lip 1# hours ago. 0e is now crying.The most important nursing inter$ention would be to

A. :edi!ate him immediately.B. Allow him to !ry.C. >et his mother to hold him. >ive him his pa!ifier.

*1. !hen assessing a child who is ha$ing an acute asthma attack& the nurses first priorityis to

A. Avoid giving too mu!h medi!ation.B. Evaluate the !hild)s hydration status.C. Aus!ultate lung bases for air movement.. Take the !hild)s temperature and blood pressure.

*. A -year-old child has Bust been started on total parenteral nutrition 7T5C8. !hich of thefollowing laboratory $alues must be monitored closely during this time%

9


10/14

End of Term Review

A. rine spe!ifi! gravity.B. *hite blood !ell !ount.C. Red blood !ell !ount.. 1erum glu!ose.

*3. A safety precaution when caring for a child with a tracheostomy is toA. 1u!tion for -/'-0 se!onds every 6 hours.

B. 9eep a new tra!heostomy tube at the bedside.C. +osition !hild on abdomen to prevent aspiration.. 9eep new ties at the bedside if old ones begin to fray.

*'. A child with cystic fibrosis is at risk for a deficiency in which $itamins%A. itamins C and B.B. itamins A and .C. B-6 and nia!in.. B- and foli! a!id.

*(. n a child with cystic fibrosis& the best time to perform chest physiotherapy 7+5T8would be

A. 3mmediately before meals.B. 6 hours after meals.

C. After deep su!tioning.. uring night hours.

*). Assessing an infant with bronchiolitis an ominous sign would beA. Refusal to drink.B. *heezing in bron!hi.C. iminished breath sounds.. Cra!kles in lungs.

**. The young patient has Bust been admitted for e$aluation. The nurse reports that thephysical assessment re$eals a finding that may indicate coarctation of the aorta& which is

A. *eak femoral pulses.B. $igh blood pressure in the legs.C. *eak radial pulses.

. ,ow blood pressure in the arms.*,. The nurse is planning care for a 3-month-old infant with eczema. !hich of the followingwould take top priority in this infants care%

A. :aintaining ade2uate nutritionB. 9eeping the baby !ontentC. +reventing infe!tion of lesions. Applying antibioti!s to lesions

*9. A child with cerebral palsy needs a dietA. $igh in !alories.B. $igh in iron.C. ,ow in !alories.. ,ow in fiber.

,#. The staff is de$eloping a care plan for a child who is to ha$e a cardiac catheterization.ollowing the procedure& the plan of care will include

A. :aintaining 8+& status for hours.B. Applying dire!t pressure over site for - hour.

10


11/14

End of Term Review

C. :aintaining ade2uate hydration.. 9eeping affe!ted e%tremity straight

,1. A strategy to impro$e nutrition in an infant who tires easily because of congesti$e heartfailure is to feed the infant

A. Every hours.B. iluted formula.

C. $igh'!alorie formula.. Every hour.

,. !hen teaching a family about the side effects of diuretics for their child& the nurseencourages gi$ing tomato Buice and meats. @he e/plains to the parents that because of themedication& the child needs replacement

A. +otassium.B. itamins.C. Chlorides.. Chlorides.

,3. !hen e$aluating the use of prednisone in treating a child with leukemia& the nursewould note effecti$eness when obser$ing that the child has

A. A de!rease in the inflammatory response.

B. A de!rease in nausea and vomiting.C. An in!rease in the white blood !ell !ount.. Relief from all pain.

,'. The discharge nurse is teaching the family of a child with asthma about home careissues. The nurse will know they understand the important factors when they say they will

A. 9eep the !hild indoors during the winter.B. :aintain temperature of the home at 6degree (.C. 9eep dogs away from the !hild.. (orbid smoking in the home.

,(. A dramatic decline in 0-flu type illness o$er the last decade is attributed toA. >reater resistan!e to $'flu.B. evelopment of more effe!tive antibioti!s.

C. Effe!tive edu!ation about the disease.. 3ntrodu!tion of va!!ination for $'flu.

,). +hildren diagnosed with hypercalcemia are at high risk forA. 1pontaneous fra!tures.B. Renal !al!uli.C. Tetany.. itamin defi!ien!y.

,*. The classic symptom in an infant with pertussis is aA. 1pasmati! !ough and stridor.B. >rayish membrane over the tonsils.

C. 1welling of lymph nodes.. Red raised rash.

,,. n a young child& the type of infection that occurs in the eyelid and tissues surroundingthe eye& is likely to be a 7an8

A. ,o!alized infe!tion treated with antibioti! eye ointment.B. iral infe!tion that will resolve on its own.C. 3nfe!tion that !an result in glau!oma.. 1erious ba!terial infe!tion re2uiring 3 antibioti! treatment.

,9. 0yperlipidemia can be managed in most children by

11


12/14

End of Term Review

A. *eight loss.B. Antihypertensive medi!ation.C. iet and e%er!ise.. igo%in and furosemide 4,asi%5.

9#. An infant is brought to the well-baby clinic. !hile the nurse is collecting data& whichobser$ation would lead the nurse to suspect a diagnosis of meningitis in the infant%

A. 1evere !onstipation.B. 3n!reased pulse rate.C. $igh'pit!hed !ry.. Rigidity of lower e%tremities.

91. A nursing priority when caring for an infant in a mist tent is toA. Remove the !hild from the tent every hour.B. +la!e toys in the tent for stimulation.C. Change sheets often to keep the !hild dry.. Continuously monitor the !hild)s heart rate.

9. +hildren with acute otitis media are treated with a full 1# - 1' day course of antibiotics.t is important to instruct the parents to

A. >ive medi!ation until pain is gone.

B. >ive medi!ation with meals only.C. Ask physi!ian for prophyla!ti! antibioti!s.. >ive all pres!ribed medi!ation until it is finished.

93. !hich of the following symptoms may be an indication of respiratory alkalosis in ayoung child%

A. Tingling in fingers.B. 1hallow respirations.C. Ta!hy!ardia.. ,ethargy.

9'. The infant with hypertrophic pyloric stenosis is at risk for de$elopingA. :etaboli! alkalosis.B. :etaboli! a!idosis.

C. Respiratory alkalosis.. Respiratory a!idosis.

9(. !hen congesti$e heart failure 7+08 in a '-year-old child is well controlled& the nursewill e$aluate that the

A. $eart rate will be normal.B. iureti! dose !an be de!reased.C. Energy level is in!reased.. igo%in dose !an be de!reased.

9). A 1#-year-old child has Bust had a bone marrow transplant. The nursing care plan willfocus on the fact that the child is at high risk for

A. :arrow re7e!tion.B. 3nfe!tion.C. ehydration.. Bleeding

9*. The nurse will instruct the mother that a common side effect of >T5 $accines inchildren is

A. (ever over -/6degree (.

12


13/14

End of Term Review

B. Redness at site.C. Rash.. Doint pain.

9,. Tri$alent oral polio $accine is contraindicated if the childA. 3s allergi! to eggs.B. 3s immunosuppressed.

C. $as had a rea!tion to pertussis va!!ine.. $as a history of seizures.

99. A common clinical manifestation of mononucleosis in older children and adolescentsis

A. $eada!he.B. :us!le pain.C. ,ymphadenopathy.. $epatomegaly.

1##. 0aemophilus influenza type is a significant health problem for children because itcould de$elop into

A. :eningitis.B. Antibioti!'resistant illness.

C. Anaphyla!ti! sho!k.. (lu'like symptoms.

1#1. !hich of the following clinical manifestations are usually present inglomerulonephritis% @elect all that apply.

A. +eriorbital edemaB. 3rritabilityC. $ematuria. >ross proteinuriaE. e!reased B8 and !reatinine

1#. !hich of the following are clinical manifestations of diabetes insipidus% @elect all thatapply.

A. +olydipsia

B. +olyphasiaC. +olyuria. +olyda!tylyE. $ypogly!emia

13


14/14

End of Term Review

Answer 9ey'End of Term Review

14

1. + 3(. + )9. +

. + 3). > *#. +

3. + 3*. *1. +'. 3,. + *. >

(. 39. *3.

). + '#. A *'.

*. > '1. A *(.

,. > '. A *). +

9. '3. + **. A

1#.A ''. *,. +

11.> '(. A& +& > *9. A

1. '). ,#. >

13.> '*. > ,1. +

1'.+ ',. A ,. A

1(. '9. + ,3. A

1).+ (#. > ,'. >

1*.+ (1. > ,(. >

1,.+ (. + ,).

19.+ (3. + ,*. A

#.+ ('. > ,,. >

1.> ((. > ,9. +

.> (). + 9#. +

3.A (*. 91. +

'.+ (,. 9. >(.+ (9. + 93. A

).+ )#. A 9'. A

*. )1. A 9(. +

,.> ). + 9).

9.+ )3. A 9*.

3#.A )'. + 9,.

31.+ )(. 99. +

3. )). > 1##. A

33.+ )*. A 1#1. A& & +

3'.> ),. 1#. A& +

end of term review with key 2011

Documents