Angela Elenbaas
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Nursing (Pediatrics 370 Materials) Quiz on Pediatrics Exam 3 Review, created by Angela Elenbaas on 08/10/2019.

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Angela Elenbaas
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Pediatrics Exam 3 Review

Question 1 of 29

1

The nurse is planning education for a high school class. The topic is substance use and abuse such as tobacco, alcohol and other drugs. Which of the following should the nurse incorporate to help ensure the success of the teaching? Select all that apply.

Select one or more of the following:

  • peer-to-peer education

  • how the substance affects appearance

  • what could happen in 20 years as a result of use

  • social consequences of using the substance

  • the financial cost of using the substance

Explanation

Question 2 of 29

1

The nurse suspects Munchausen Syndrome by Proxy has been occurring with a 4 year old patient who is in the emergency room. Which of the following is most appropriate for the nurse to do as an advocate for the child?

Select one of the following:

  • ask for a consult with a social worker to do an abuse assessment

  • interview the parents individually to evaluate their claims

  • monitor the parents when they are with the child

  • call the police to report the abuse

Explanation

Question 3 of 29

1

An adolescent has been brought to the nurse's office because of threats of suicide. Even though this student has contemplated in the past, no should be ignored. If the student has a for taking her life, this increases the student's risk. Even so, anyone considering suicide needs whether or not a plan has been made.

Drag and drop to complete the text.

    suicide
    napping
    threat
    complaint
    crying
    plan
    reason
    intervention
    a hug
    medication
    hospitalization

Explanation

Question 4 of 29

1

Which of the following are typical signs or symptoms of a child or adolescent who is being bullied? Select all that apply.

Select one or more of the following:

  • anxiety

  • suicidal thoughts

  • school absenteeism

  • abdominal pain

  • declining academic performance

Explanation

Question 5 of 29

1

Select from the dropdown list to complete the text.

A 14 month old would be most emotionally upset by ( a change in normal routine, a decrease in appetite, a discussion about dying ).

Explanation

Question 6 of 29

1

Select from the dropdown list to complete the text.

A preschooler is likely to describe death as something that ( doesn't last forever, hurts, is only in bad dreams ).

Explanation

Question 7 of 29

1

The nurse is painting with a child who has a terminal illness. This is likely to help the child

Select one of the following:

  • learn to paint better

  • be able to express feelings

  • keep from being bored

  • forget he is sick

Explanation

Question 8 of 29

1

The emergency department nurse is caring for an adolescent who was in a motor vehicle accident. When the patient's parents arrive at the hospital the nurse should have the parents wait until after surgery to see their child due to the child's appearance from his injuries.

Select one of the following:

  • True
  • False

Explanation

Question 9 of 29

1

Which of the following is the correct order of some of the steps in the grieving process?

Select one of the following:

  • shock and disbelief; anger and guilt; deprivation and loss;

  • anticipatory waiting; shock and disbelief; mourning

  • anticipatory waiting; anger and guilt; deprivation and loss;

Explanation

Question 10 of 29

1

The nurse is planning an educational session for a 10 year old who was recently diagnosed with type 1 diabetes. Which of the following is the most appropriate nursing intervention?

Select one of the following:

  • encourage the parents to provide monitoring and care for the child

  • educate the parents on blood glucose monitoring

  • educate the child on blood glucose monitoring

  • ensure that the family has an appointment with the endocrinologist to learn blood glucose monitoring

Explanation

Question 11 of 29

1

Which approach should the nurse employ when working with toddlers and preschoolers who are ill?

Select one of the following:

  • Be flexible and easy going to avoid upsetting the child

  • Have the child do minimal activities and self-care

  • Offer a choice between two options when appropriate

  • Have the child be as active as possible to build endurance

Explanation

Question 12 of 29

1

A child has leg pain and a limp due to cancer. Which of the following does the child likely have?

Select one of the following:

  • Ewing sarcoma

  • Wilm's tumor

  • Hodgkin Disease

  • retinoblastoma

Explanation

Question 13 of 29

1

Urticaria is also known as

Select one of the following:

  • tingling sensation

  • ringing in the ears

  • hives

  • vertigo

Explanation

Question 14 of 29

1

A child who has been receiving chemotherapy has a platelet count of 90,000. Which of the following should be discussed with the child and parents?

Select one of the following:

  • Avoid crowds and places attended by large numbers of people

  • Avoid eating raw produce

  • Take the prescribed stool softener every day

  • Avoid activities that could cause bruising or injury

Explanation

Question 15 of 29

1

An adolescent is scheduled to begin chemotherapy. Based upon development and adolescent characteristics the nurse knows to include which of the following?

Select one of the following:

  • "You could be at more risk for infection."

  • "Your will start losing your hair after the third treatment."

  • "We will administer anti-nausea medication before each treatment."

  • "You might get sores inside your mouth."

Explanation

Question 16 of 29

1

An assessment that reveals injuries in multiple stages of healing is a red flag for physical abuse?

Select one of the following:

  • True
  • False

Explanation

Question 17 of 29

1

The nurse in a pediatric clinic educates parents on the risks of childhood poisoning. Which of the following should be included in this teaching?

Select one of the following:

  • Most deaths from poisoning occur in teens who have ingested prescription medication.

  • Pesticides are the most common substance causing poisoning in young children.

  • Mercury poisoning can occur if children play with smoke detectors.

  • If there is suspicion that your child has ingested a poisonous substance administer syrup of ipecac.

Explanation

Question 18 of 29

1

A child of what age is most at risk for physical abuse?

Select one of the following:

  • under 3 yrs

  • 3 yrs - 4 yrs

  • 4 yrs - 5 yrs

  • 5 yrs - 6 rs

Explanation

Question 19 of 29

1

The nurse is discussing childhood behavior with a parent. The technique most likely to result in positive behavior change is?

Select one of the following:

  • utilizing time outs on a regular basis

  • reinforcing teaching about negative behaviors

  • utilizing a reward system for appropriate behavior

  • having the child give examples of expected behavior

Explanation

Question 20 of 29

1

Which of the following is correct regarding methylphenidate (Ritalin)?

Select one of the following:

  • It is prescribed for attention deficit disorder.

  • it is a prescription stimulant that may be discontinued in the summer for some children

  • It tends to increase appetite.

  • It is prescribed only for those under age 18.

Explanation

Question 21 of 29

1

is a type of that can increase risk for .

Drag and drop to complete the text.

    Neutropenia
    thrombocytopenia
    leukopenia
    leuko penia
    bacterial infection
    neutro penia
    infection
    bleeding
    insomnia

Explanation

Question 22 of 29

1

Palliative care can include curative therapies.

Select one of the following:

  • True
  • False

Explanation

Question 23 of 29

1

A child aged 5 years is at a health surveillance visit with his father. Which of the following topics of discussion is most appropriate for this situation?

Select one of the following:

  • Protective gear such as helmets, knee pads, and elbow pads

  • Preventing burns while using the stove

  • Avoidance of cell phone usage

  • How to face a bully at school

Explanation

Question 24 of 29

1

Which of the following is most likely to result in a presentation that could also result from physical abuse?

Select one of the following:

  • acupuncture

  • coining

  • acupressure

  • contact dermatitis

Explanation

Question 25 of 29

1

Autism spectrum disorder (ASD) involves impairments in socialization, communication, and behavior. Which of the following are signs or behaviors typical of children with ASD?

Select one or more of the following:

  • absence of babbling and response to name by 9 months of age

  • absence of two-word phrases by 2 years of age

  • rigid or repetitive movement

  • avoidance of eye contact

  • inappropriate, overly-friendly socialization

  • favoring of routine without change

  • echlalia

Explanation

Question 26 of 29

1

Select from the dropdown lists to complete the text.

An individual with Down syndrome will exhibit physical signs of ( oblique palpebral fissures, strabismus ) (up-slanting eyes), a flattened bridge of the nose, ( low-set, large ) ears, a ( protruding, minuscule ) tongue, and transverse ( palmar, buttock ) creases. Cognitively, those with Down syndrome display ( intellectual impairment, mental retardation ).

Explanation

Question 27 of 29

1

Who, of the following patients, is most likely to be giving away some of their possessions, even favorite items?

Select one of the following:

  • The adolescent who is feeling rebellious

  • The child who understands that they are nearing death.

  • The toddler who is learning to share.

  • The toddler who sees a crying child.

Explanation

Question 28 of 29

1

An 8-year-old who has cystic fibrosis has formal plan in place at school to help ensure he gets available services and is as successful as possible in school. Which plan does this child have?

Select one of the following:

  • ITP

  • IEP

  • IHP

  • INC

Explanation

Question 29 of 29

1

Which of the following is an expected platelet count?

Select one of the following:

  • 150000/mcL - 400000/mcL

  • 250000/mcL - 400000/mcL

  • 4500/mcL - 11,000/mcL

  • 1500/mcL - 3800/mcL

Explanation

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