This document contains a drill with 52 multiple choice nursing questions covering various topics related to pediatric nursing care. The questions assess knowledge in areas like pediatric assessment, developmental stages, common pediatric conditions, nursing interventions, safety, family teaching, and more. Correct answers are provided for each question.
Tugas Power Point (Organ Reproduksi pada Manusia)
Kelas : 9.4
Kelompok 4
Nama :
-Nabila Ramadhania
-Ajeng Anindia H.
-Firqin Indallah A.
-Royyani Ramadhanti
Tugas Power Point (Organ Reproduksi pada Manusia)
Kelas : 9.4
Kelompok 4
Nama :
-Nabila Ramadhania
-Ajeng Anindia H.
-Firqin Indallah A.
-Royyani Ramadhanti
Test bank for current diagnosis and treatment pediatrics twenty fourth editio...robinsonayot
Test bank for current diagnosis and treatment pediatrics twenty fourth edition 24th edition william hay (1).pdf
Test bank for current diagnosis and treatment pediatrics twenty fourth edition 24th edition william hay (1).pdf
Child Development IProfessor McKayMidterm ExamMarch 19.docxchristinemaritza
Child Development I
Professor McKay
Midterm Exam
March 19, 2018
Name______________________________
1. If researchers want to keep the attention of 8 week old infants, they would use these colors:
a. blue and green
b. yellow and blue
c. green and red
d. green and yellow
2. In the Still Face Experiment, the baby reacts with despair because
a. She has lost her ability to read her mother’s mood
b. She has lost her ability to socially engage her mother
c. She has lost her ability to regain her mother’s engagement
d. All of these
3. A mother goes to the pediatrician, and she asks at what age the infant began to crawl. The mother answers “Seven months.” This is called
a.
Normative development
b. Individual development
c.
Behavioral Organization
d. Evolution
4. This researcher claimed that an unavailable mother could cause a non-integrated personality in her infant
a. Freud
b. Horney
c. Bandura
5. Erikson theorized a Stage Development theory, but unlike Freud’s psycho-sexual stages, it is
a.
psychoanalytical
b. information processing
c. psychosocial
6. If a 25-year-old person cannot find a relationship partner with similar interests and experiences constant breakups, Erikson would claim that she had not moved elegantly through this prior stage:
a.
Intimacy v. Isolation
b. Initiative v. Guilt
c.
Phallic
d. Identity v. Role Confusion
7. If you have a question about whether a newborn knows his mother’s voice, and you wish to do research on this topic, you frame a statement, “Newborns recognize their mothers’ voices at two days old.” This statement is your
a.
Research question
b. Hypothesis
c. Lab experiment
8. A research design where experimenters control the situation in a closed environment and manipulate a variable to rule out other influences is a
a.
Natural observation
b. Lab experiment
c. Interview
9. The pregnant mother feels her best during this trimester
a. first
b. second
c. third
10. A problem with controlled experiments is
a. No one knows if it will also pertain to situations in the natural environment.
b. The experimenter has to pay his/her subjects.
c. The experimenter must find random subjects.
d. The experimenter must train his/her confederate subjects.
11. An 8-year old child explains that a playground fight she observed could have been avoided if the two children involved had first “talked things out.” This is an example of
a.
Piaget’s Preoperational Stage
b. Piaget’s Concrete Operational Stage
c.
Sociocultural Theory
d. Proximal Development
12. The theory that explains thought processes by comparing them to a computer is
a.
Sociocultural Theory
b. Piaget’s Formal Operational Theory
c.
Information-Processing Theory
d. Psychoanalytical Theory
13. A ten year old child is taught Algebra by his father who is a math professor, and is placed in a math enrichment class. The difference between the child’s math ability in the average class (prior ...
Test Bank for Burns Pediatric Primary Care, 7th Edition.pdfnursing premium
A Test bank is a ready-made electronic Q&A testing resource that is tailored to the contents of an individual textbook. Feedback is often provided on answers given by students, containing page references to the book.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl...rightmanforbloodline
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
1. A nurse responds to the cardiac monitor alarm of a patient an.docxmonicafrancis71118
1. A nurse responds to the cardiac monitor alarm of a patient and observes that the patient has atrial flutter. The patient is sitting up in the bed and is responsive. Which of the following actions should the nurse take first?
a. Institute carotid sinus massage
b. Assess the patient for dyspnea
c. Initiate CPR
d. Place the patient Trendelenburg position
2. The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following action first?
a. Administer antiemetic medication
b. Determine the patency of the patient’s NG tube
c. Instruct the patient to take deep breaths
d. Asses the patient’s pain level
3. A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?
a. a client with a cast for a fractured femur and who has numbness and discoloration of the toes
b. a client with balanced skeletal traction and who needs assistance with morning care
c. a client who had an above-the-knee amputation yesterday and has a temperature of 101.4F degrees
d. a client who had a total hip replacement 2 days ago and needs blood glucose
4. A nurse is caring for four clients and is preparing to do her initial rounds. Which client should the nurse assess first?
a. A patient with diabetes being discharged today
b. A patient with a trach with lots of secretions
c. A patient scheduled for PT this morning
d. A patient with a pressure ulcer that needs a dressing change
5. A nurse enters a room and finds a client lying on the floor. Which action should the nurse perform first?
a. Call for help
b. Determine if the patient is responsive
c. Assist the patient back to bed
d. Ask the patient what happened
6. The nurse plans care for a client in the post-anesthesia care unit. Which assessment should the nurse make first?
a. Respiratory status
b. Level of consciousness
c. Level of pain
d. Reflexes and movement of extremities
7. A nurse in the clinic is reviewing the diet of a 28-year old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence. Which is a priority for the nurse to counsel the client to avoid in her diet?
a. Fiber
b. Yogurt
c. Broccoli
d. Simple carbs
8. A nurse in a long term facility is planning care for an elderly client with confusion. Which action should the nurse take first?
a. Sit the patient in the activity chair
b. Apply a vest restraint
c. Apply wrist restraints in the bed
d. Have a staff member sit with the patient for the entire shift
9. The nurse is providing care in the emergency department to the client with chest pain. Which action is most important for the nurse to do first?
a. Start an IV
b. Administer oxygen
c. Administer morphine
d. Start a lidocaine IV drip
10. A nurse arrives on the scene of a multi-motor vehicle accident. The nurse determines that.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl...robinsonayot
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.pdf
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.pdf
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. Drill 6
1. Andrea 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
2. Nurse Liza is administering a 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
3. 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 from one generation to the next
4. 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
5. The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
a. Intense abdominal cramps
b. Profuse diarrhea
c. Anal fissures
d. Abdominal distention
6. When administering an I.M. injection to an infant, the nurse in charge should use which site?
a. Deltoid
b. Dorsogluteal
c. Ventrogluteal
d. Vastus lateralis
7. A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help
diagnose this problem, the nurse in charge anticipates that the doctor will order which laboratory test?
a. Total iron-binding capacity
b. Hemoglobin
c. Total protein
d. Serum transferring
8. When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial
needs. During adolescence, psychosocial development focuses on:
a. Becoming industrious
b. Establishing an identity
c. Achieving intimacy
d. Developing initiative
9. When developing a plan care for a hospitalized child, nurse Mica knows that children in which age
group are most likely to view illness as a punishment for misdeeds?
a. Infancy
b. Preschool age
c. Scholl age
d. Adolescence
10. Nurse Taylor suspects that a child, age 4, is being neglected physically. To best assess the child’s
nutritional status, the nurse should ask the parents which question?
a. “Has your child always been so thin?”
b. “Is your child a picky eater?”
c. “What did your child eat for breakfast?”
d. “Do you think your child eats enough?”
2. 11. A female child, age 2, is brought to the emergency department after ingesting an unknown number
of aspirin tablets about 30 minutes earlier. On entering the examination room, the child is crying and
clinging to the mother. Which data should the nurse obtain first?
a. Heart rate, respiratory rate, and blood pressure
b. Recent exposure to communicable diseases
c. Number of immunizations received
d. Height and weight
12. A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants
after being completely toilet trained. The child just started attending nursery school 2 days a week. Which
principle should guide the nurse’s response?
a. The child forgets previously learned skills
b. The child experiences growth while regressing, regrouping, and then progressing
c. The parents may refer less mature behaviors
d. The child returns to a level of behavior that increases the sense of security.
13. A female child, age 6, is brought to the health clinic for a routine checkup. To assess the child’s
vision, the nurse should ask:
a. “Do you have any problems seeing different colors?”
b. “Do you have trouble seeing at night?”
c. “Do you have problems with glare?”
d. “How are you doing in school?”
14. During a well-baby visit, Jenny asks the nurse when she should start giving her infant solid foods.
The nurse should instruct her to introduce which solid food first?
a. Applesauce
b. Egg whites
c. Rice cereal
d. Yogurt
15. To decrease the likelihood of bradyarrhythmias in children during endotracheal intubation,
succinylcholine (Anectine) is used with which of the following agents?
a. Epinephrine (Adrenalin)
b. Isoproterenol (Isuprel)
c. Atropine sulfate
d. Lidocaine hydrochloride (Xylocaine)
16. A 1 year and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital
hip dislocation. When preparing the patient’s room, the nurse anticipates using which traction system?
a. Bryant’s traction
b. Buck’s extension traction
c. Overhead suspension traction
d. 90-90 traction
17. Mandy, age 12, is 7 months pregnant. When teaching parenting skills to an adolescent, the nurse
knows that which teaching strategy is least effective?
a. Providing a one-on-one demonstration and requesting a return demonstration, using a live infant
model
b. Initiating a teenage parent support group with first – and – second-time mothers
c. Using audiovisual aids that show discussions of feelings and skills
d. Providing age-appropriate reading materials
18. When performing a physical examination on an infant, the nurse in charge notes abnormally low-set
ears. This findings is associated with:
a. Otogenous tetanus
b. Tracheoesophageal fistula
c. Congenital heart defects
d. Renal anomalies
19. Nurse Raven should expect a 3-year-old child to be able to perform which action?
a. Ride a tricycle
b. Tie the shoelaces
c. Roller-skates
d. Jump rope
20. Nurse Betina is teaching a group of parents about otitis media. When discussing why children are
predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
a. Eustachian tubes
b. Nasopharynx
c. Tympanic membrane
d. External ear canal
3. 21. The nurse is evaluating a female child with acute poststreptoccocal glomerulonephritis for signs
of improvement. Which finding typically is the earliest sign of improvement?
a. Increased urine output
b. Increased appetite
c. Increased energy level
d. Decreased diarrhea
22. Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What is the primary purpose
of administering corticosteroids to this child?
a. To increase blood pressure
b. To reduce inflammation
c. To decrease proteinuria
d. To prevent infection
23. Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for
2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other
findings suggests a fluid volume deficit?
a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity
24. How should the nurse May prepare a suspension before administration?
a. By diluting it with normal saline solution
b. By diluting it with 5% dextrose solution
c. By shaking it so that all the drug particles are dispersed uniformly
d. By crushing remaining particles with a mortar and pestle
25. What should be the initial bolus of crystalloid fluid replacement for a pediatric patient in shock?
a. 20 ml/kg
b. 10 ml/kg
c. 30 ml/kg
d. 15 ml/kg
26. Becky, age 5, with intelligence quotient of 65 is admitted to the hospital for evaluation. When
planning care, the nurse should keep in mind that this child is:
a. Within the lower range of normal intelligence
b. Mildly retarded but educable
c. Moderately retarded but trainable
d. Completely dependent on others for care
27. Maureen, age 12, is brought to the clinic for evaluation for a suspected eating disorder. To best
assess the effects of role and relationship patterns on the child’s nutritional intake, the nurse should ask:
a. “What activities do you engage in during the day?”
b. “Do you have any allergies to foods?”
c. “Do you like yourself physically?”
d. “What kinds of food do you like to eat?”
28. Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At
what age is the diagnosis of SIDS most likely?
a. At 1 to 2 years of age
b. At I week to 1 year of age, peaking at 2 to 4 months
c. At 6 months to 1 year of age, peaking at 10 months
d. At 6 to 8 weeks of age
29. When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk
for suicide is:
a. Depression
b. Excessive sleepiness
c. A history of cocaine use
d. A preoccupation with death
30. A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:
a. Gross hematuria
b. Dysuria
c. Nausea and vomiting
d. An abdominal mass
4. 31. The parents of a child, age 5, who will begin school in the fall ask the nurse for anticipatory
guidance. The nurse should explain that a child of this age:
a. Still depends on the parents
b. Rebels against scheduled activities
c. Is highly sensitive to criticism
d. Loves to tattle
32. While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and
dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse
should include which other topic in the teaching session?
a. Nursery schools
b. Toilet Training
c. Safety guidelines
d. Preparation for surgery
33. Nurse Betina should begin screening for lead poisoning when a child reaches which age?
a. 6 months
b. 12 months
c. 18 months
d. 24 months
34. When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse expects
to see which of the following?
a. A reduced white blood cell count
b. A decreased platelet count
c. Shallow respirations
d. Tachypnea
35. After the nurse provides dietary restrictions to the parents of a child with celiac disease, which
statement by the parents indicates effective teaching?
a. “Well follow these instructions until our child’s symptoms disappear.”
b. “Our child must maintain these dietary restrictions until adulthood.”
c. “Our child must maintain these dietary restrictions lifelong.”
d. “We’ll follow these instructions until our child has completely grown and developed.”
36. A parent brings a toddler, age 19 months, to the clinic for a regular check-up. When palpating the
toddler’s fontanels, what should the nurse expects to find?
a. Closed anterior fontanel and open posterior fontanel
b. Open anterior and fontanel and closed posterior fontanel
c. Closed anterior and posterior fontanels
d. Open anterior and posterior fontanels
37. Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should
monitor this client’s fluid intake because fluid overload may cause:
a. Cerebral edema
b. Dehydration
c. Heart failure
d. Hypovolemic shock
38. An infant is hospitalized for treatment of nonorganic failure to thrive. Whichnursing action is most
appropriate for this infant?
a. Encouraging the infant to hold a bottle
b. Keeping the infant on bed rest to conserve energy
c. Rotating caregivers to provide more stimulation
d. Maintaining a consistent, structured environment
39. The mother of Gian, a preschooler with spina bifida tells the nurse that her daughter sneezes and
gets a rash when playing with brightly colored balloons, and that she recently had an allergic reaction
after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to:
a. Bananas
b. Latex
c. Kiwifruit
d. Color dyes
5. 40. Cristina, a mother of a 4-year-old child tells the nurse that her child is a very poor eater. What’s the
nurse’s best recommendation for helping the mother increase her child’s nutritional intake?
a. Allow the child to feed herself
b. Use specially designed dishes for children – for example, a plate with the child’s favorite cartoon
character
c. Only serve the child’s favorite foods
d. Allow the child to eat at a small table and chair by herself
41. Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-
age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins,
while also providing adequate TPN?
a. 5% glucose
b. 10% glucose
c. 15% glucose
d. 17% glucose
42. David, age 15 months, is recovering from surgery to remove Wilms’ tumor. Which findings best
indicates that the child is free from pain?
a. Decreased appetite
b. Increased heart rate
c. Decreased urine output
d. Increased interest in play
43. When planning care for a 8-year-old boy with Down syndrome, the nurse should:
a. Plan interventions according to the developmental level of a 7-year-old child because that’s the
child’s age
b. Plan interventions according to the developmental levels of a 5-year-old because the child will have
developmental delays
c. Assess the child’s current developmental level and plan care accordingly
d. Direct all teaching to the parents because the child can’t understand
44. Nurse Victoria is teaching the parents of a school-age child. Which teaching topic should take
priority?
a. Prevent accidents
b. Keeping a night light on to allay fears
c. Explaining normalcy of fears about body integrity
d. Encouraging the child to dress without help
45. The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention
takes top priority?
a. Changing the linens on the clients’ beds
b. Restocking the bedside supplies needed for a dressing change on the upcoming shift
c. Documenting the care provided during her shift
d. Emptying the trash cans in the assigned client room
46. Nurse Alice is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should:
a. Compress the sternum with both hands at a depth of 1½ to 2” (4 to 5 cm)
b. Deliver 12 breaths/minute
c. Perform only two-person CPR
d. Use the heel of one hand for sternal compressions
47. A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which
nursing intervention has the highest priority?
a. Instituting droplet precautions
b. Administering acetaminophen (Tylenol)
c. Obtaining history information from the parents
d. Orienting the parents to the pediatric unit
48. Sheena, tells the nurse that she wants to begin toilet training her 22-month-old child. The most
important factor for the nurse to stress to the mother is:
a. Developmental readiness of the child
b. Consistency in approach
c. The mother’s positive attitude
d. Developmental level of the child’s peers
49. An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to
give written, informed consent for the procedure?
a. The foster mother
b. The social worker who placed the infant in the foster home
c. The registered nurse caring for the infant
d. The nurse-manager
6. 50. A child is undergoing remission induction therapy to treat leukemia. Allopurinol is included in the
regimen. The main reason for administering allopurinol as part of the client’s chemotherapy regimen is to:
a. Prevent metabolic breakdown of xanthine to uric acid
b. Prevent uric acid from precipitating in the ureters
c. Enhance the production of uric acid to ensure adequate excretion of urine
d. Ensure that the chemotherapy doesn’t adversely affect the bone marrow
51. A psychotic client reports to the evening nurse that the day nurse put something suspicious in his
water with his medication. The nurse replies, "You're worried about your medication?" The nurse's
communication is:
A. an example of presenting reality.
B. reinforcing the client's delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind reading.
52. A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. The nurse's
first action is to:
A. reassure the client and administer as needed lorazepam (Ativan) I.M.
B. administer as needed dose of benztropine (Cogentin) I.M. as ordered.
C. administer as needed dose of benztropine (Cogentin) by mouth as ordered.
D. administer as needed dose of haloperidol (Haldol) by mouth.
53.Yesterday,aclientwithschizophreniabegantreatmentwithhaloperidol(Haldol). Today,thenurse notices that the
client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse
do?
A. Assume that the client is posturing.
B. Tell the client to lie down and relax.
C. Evaluate the client for adverse reactions to haloperidol.
D. Put the client on the list for the physician to see tomorrow.
54. The nurse knows that the physician has ordered the liquid form of the drug chlorpromazine
(Thorazine) rather than the tablet form because the liquid :
A. has a more predictable onset of action.
B. produces fewer anticholinergic effects.
C. produces fewer drug interactions.
D. has a longer duration of action.
55. Benztropine (Cogentin) is used to treat the extrapyramidal effects induced by antipsychotics. This
drug exerts its effect by:
A. decreasing the anxiety causing muscle rigidity.
B. blocking the cholinergic activity in the central nervous system (CNS).
C. increasing the level of acetylcholine in the CNS.
D. increasing norepinephrine in the CNS.
56. A dopamine receptor agonist such as bromocriptine (Parlodel) relieves muscle rigidity caused by
antipsychotic medication by:
A. blocking dopamine receptors in the central nervous system (CNS).
B. blocking acetylcholine in the CNS.
C. activating norepinephrine in the CNS.
D. activating dopamine receptors in the CNS.
57. Most antipsychotic medications exert which of following effects on the central nervous system (CNS)?
A. Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors.
B. Sedate the CNS by stimulating serotonin at the synaptic cleft.
C. Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and
norepinephrine.
D. Depress the CNS by stimulating the release of acetylcholine.
58. Which of the following medications would the nurse expect the physician to order to reverse
a dystonic reaction?
A. prochlorperazine (Compazine)
B. diphenhydramine (Benadryl)
C. haloperidol (Haldol)
D.midazolam(Versed)
59. A client has been receiving chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis.
Whichfindings should alert the nurse that the client is experiencing pseudoparkinsonism?
A. Restlessness, difficulty sitting still, and pacing
B. Involuntary rolling of the eyes
C. Tremors, shuffling gait, and masklike face
D. Extremity and neck spasms, facial grimacing, and jerky movements.
7. 60. What medication would probably be ordered for the acutely aggressive schizophrenic client?
A. chlorpromazine (Thorazine)
B. haloperidol (Haldol)
C. lithium carbonate (Lithonate)
D. amitriptyline (Elavil)
61. The nurse must administer a medication to reverse or prevent Parkinson-type symptoms in a client
receiving an antipsychotic. The medication the client will likely receive is:
A. Benztropine (Cogentin).
B. diphenhydramine (Benadryl).
C. propranolol (Inderal).
D. haloperidol (Haldol).
62. A client with paranoid type schizophrenia becomes angry and tells the nurse to leave him alone. The
nurse should?
A. tell him that she'll leave for now but will return soon.
B. ask him if it's okay if she sits quietly with him.
C. ask him why he wants to be left alone.
D. tell him that she won't let anything happen to him.
63. A male patient has a sucking stab wound to the chest. Which action should the nurse take first?
a. Drawing blood for a hematocrit and hemoglobin level
b. Applying a dressing over the wound and taping it on three sides
c. Preparing a chest tube insertion tray
d. Preparing to start an I.V. line
64. For a patient with advance chronic obstructive pulmonary disease (COPD), which nursing action
best promotes adequate gas exchange?
a. Encouraging the patient to drink three glasses of fluid daily
b. Keeping the patient in semi-fowler’s position
c. Using a high-flow venture mask to deliver oxygen as prescribe
d. Administering a sedative, as prescribe
65. A male patient’s X-ray result reveals bilateral white-outs, indicating adult respiratory distress
syndrome (ARDS). This syndrome results from:
a. Cardiogenic pulmonary edema
b. Respiratory alkalosis
c. Increased pulmonary capillary permeability
d. Renal failure