Jeopardy nclex 3

Jeopardy
Pain Infectious
Immunologic/
Hematologic
Fluids/
electrolytes GI
Q $100
Q $200
Q $300
Q $400
Q $500
Q $100 Q $100 Q $100 Q $100
Q $200 Q $200 Q $200 Q $200
Q $300 Q $300 Q $300 Q $300
Q $400 Q $400 Q $400 Q $400
Q $500 Q $500 Q $500 Q $500
Final Jeopardy

$100 Question from H1
In which developmental stage is the child first
able to localize pain and describe both the amount
and the intensity of the pain felt?
a. Toddler stage
b. School-age stage
c. Preschool stage
d. Adolescent stage

$100 Answer from H1
c) The preschool stage is the period when the child
is first able to describe the location and intensity of
pain, stating, for example, “Ear hurts bad,” when
feeling pain

What medications are the most
effective choices for treating pain
associated with inflammation in
children? Choose all that apply.
a. Morphine
b. Acetaminophen (Tylenol)
c. Ibuprofen (Advil)
d. Ketorolac (Toradol)
e. Aspirin

$200 Answer from H1
Correct C, D. Ibuprofen, naproxen/naproxen sodium,
and ketorolac (Toradol) are all types of NSAIDs,
which are used primarily for pain associated with
inflammation.

Which statement indicates the nurse’s lack of
understanding about the use of patient-controlled
analgesia (PCA) therapy?
a. Children as young as 3 years old can effectively and
successfully use a PCA pump.
b. Two registered nurses (RNs) are required to double
check the dosage and programmed administration of
opioids.
c. The child should be carefully monitored for signs and
symptoms of overmedication with opioids.
d.Naloxone (Narcan) should be readily available.

$300 Answer from H1
A )Children as young as 5 years old have
effectively used PCA therapy. Further data are
needed to evaluate the use of PCA therapy in
children younger than 5 years of age.

The nurse is aware that physiologic changes
associated with pain in the neonate include:
a. increased blood pressure and decreased arterial
saturation.
b. decreased blood pressure and increased arterial
saturation.
c. increased urine output and increased heart rate.
d. decreased urine output and increased blood
pressure.

$400 Answer from H1
A )Increased blood pressure and heart rate and
decreased arterial saturation are physiologic
responses to pain in the neonate.

When pain is assessed in an infant, it would be inappropriate
to assess for:
a. facial expressions of pain.
b. crying.
c. localization of pain.
d. thrashing of extremities.

$500 Answer from H1
C)Infants cannot localize pain to any great extent.

The school nurse is conducting a class for school-age
children on Lyme disease. Which is characteristic of
Lyme disease?
A. Difficult to prevent
B. Treated with oral antibiotics in stages 1, 2, and 3
C. Caused by a spirochete that enters the skin through
a tick bite
D. Common in geographic areas where the soil
contains the mycotic spores that cause the disease

$100 Answer from H2
C)Caused by a spirochete that enters the skin through a tick bite

The nurse is examining 12-month-old Amy, who was brought to
the clinic for persistent diaper rash. The nurse finds perianal
inflammation with satellite lesions that cross the inguinal folds.
This is most likely caused by:
A. impetigo.
B. Candida albicans.
C. urine and feces.
D. infrequent diapering

The nurse is conducting a staff in-service on childhood-acquired
heart diseases. Which is a major clinical
manifestation of rheumatic fever?
A. Polyarthritis
B. Osler nodes
C. Janeway spots
D. Splinter hemorrhages of distal third of nails

$300 Answer from H2
A. Polyarthritis

Clinical manifestations of toxic shock syndrome include:
A. severe hypertension.
B. subnormal temperature.
C. erythematous macular rash.
D. papular rash over extremities.

$400 Answer from H2
C. erythematous macular rash

A child is diagnosed with influenza, probably type
A disease. Management includes which
recommendation?
A. Clear liquid diet for hydration
B. Aspirin to control fever
C. Amantadine hydrochloride (Symmetrel) to
reduce symptoms
D. Antibiotics to prevent bacterial infection

$500 Answer from H2
C. Amantadine hydrochloride (Symmetrel)
to reduce symptoms

$100 Answer from H3
B. delay disease progression.

Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with
sickle cell disease? (Select all that apply.)
A. Limit fluids at bedtime.
B. Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs.
C. Give penicillin as prescribed.
D. Use ice packs to decrease the discomfort of vasoocclusive pain in the legs.
E.Notify the health care provider if your child begins to develop symptoms of a cold

$200 Answer from H3
B. Notify the health care provider if a fever of 38.5° C (101.3° F)
or greater occurs.
C. Give penicillin as prescribed
E. Notify the health care provider if your child begins to develop
symptoms of a cold
Your Text Here

The nurse is conducting a staff in-service on inherited childhood
blood disorders. Which statement describes severe combined
immunodeficiency syndrome (SCIDS)?
A. There is a deficit in both the humoral and cellular immunity with
this disease.
B. Production of red blood cells is affected with this disease.
C. Adult hemoglobin is replaced by abnormal hemoglobin in this
disease.
D. There is a deficiency of T and B lymphocyte production with this
disease.

$300 Answer from H3
A. There is a deficit in both the humoral and
cellular immunity with this disease.

Meperidine (Demerol) is not recommended for children in
sickle cell crisis because it:
A. may induce seizures.
B. is easily addictive.
C. is not adequate for pain relief.
D. is given by intramuscular injection.

$400 Answer from H3
A. may induce seizures.

D. Immune thrombocytopenic purpura (ITP)

$500 Answer from H3
A child who has been in good health has a platelet
count of 45,000/mm3, petechiae, and excessive
bruising that covers the body. The nurse is aware
that these signs are clinical manifestations of
A. Erythroblastopenia
B. von Willebrand disease
C. Hemophilia
D. Immune thrombocytopenic purpura (ITP)

Which assessment findings indicate to the nurse that a child has
excess fluid volume? Select all that apply.
A. Weight gain
B. Decreased blood pressure
C. Moist breath sounds
D. Poor skin turgor
E. Rapid bounding pulse

$100 Answer from H4
C. Moist breath sounds
A. Weight gain
E. Rapid bounding pulse

A child has a 2-day history of vomiting and diarrhea. He has
hypoactive bowel sounds and an irregular pulse. Electrolyte values
are sodium, 139 mEq/L; potassium, 3.3 mEq/L; and calcium, 9.5
mg/dL. This child is likely to have which of the following electrolyte
imbalances?
A. Hyponatremia
B. Hypocalcemia
C. Hyperkalemia
D. Hypokalemia

$200 Answer from H4
D. Hypokalemia

During diuretic therapy, the nurse monitors the fluid and electrolyte
status of the patient. Which assessment findings are symptoms of
hyponatremia? (Select all that apply.)
A. Red, flushed skin
B. Lethargy
C. Decreased urination
D. Hypotension
E. Stomach cramps
F. Elevated temperature

$300 Answer from H4
Lethargy
Hypotension
Stomach cramps

During an infusion of albumin, the nurse
monitors the patient closely for the development
of which adverse effect?
A. Hypernatremia
B. Fluid volume deficit
C. Fluid volume overload
D. Transfusion reaction

$400 Answer from H4
C. Fluid volume overload

When reviewing the health history of a patient,
the nurse will note that a potential
contraindication to potassium supplements exists
if the patient has which problem?
A. Burns
B. Diarrhea
C. Renal disease
D. Cardiac tachydysrhythmias

$500 Answer from H4
C. Renal disease

D Abdominal pain is relieved when appendix rupture occurs.

$100 Answer from H5
What factor indicates that a child has a recently
ruptured appendix?
a. Abdominal pain shifts from the left to the right
side.
b. Vomiting and diarrhea become more intense.
c. Elevated temperature decreases to normal.
d. Abdominal pain is relieved.

What is an expected outcome for a 1-month-old
infant with biliary atresia?
a. Correction of the defect with the Kasai
procedure
b. Adequate nutrition and age-appropriate growth
and development
c. Adherence to a salt-free diet with vitamin B12
supplementation
d. Adequate protein intake

$200 Answer from H5
B Adequate nutrition, preventing skin breakdown, adequate
growth and development, and family education and support are
expected outcomes in an infant with biliary atresia.

The nurse notes on assessment that a 1-year-old child is
underweight, with abdominal distention, thin legs and arms,
and foul-smelling stools. The nurse suspects failure to thrive
associated with:
a. celiac disease.
b. irritable bowel syndrome.
c. intussusception.
d. imperforate anus.

$300 Answer from H5
a. celiac disease.

Which order should the nurse question when caring
for a 5-year-old child after surgery for
Hirschsprung’s disease?
a. Monitor rectal temperature every 4 hours and
report an elevation greater than 38.5° C.
b. Assess stools after surgery.
c. Keep the child NPO until bowel sounds return.
d. Maintain IV fluids at ordered rate.

$400 Answer from H5
A Rectal temperatures should not be taken after this
surgery. Rectal temperatures are generally not the
route of choice for children because of the route’s
traumatic nature.

An infant with hypertropic pyloric stenosis is most
at risk for what metabolic alteration?
a. Metabolic alkalosis
b. Respiratory acidosis
c. Metabolic acidosis
d. Respiratory alkalosis

$500 Answer from H5
A )Frequent projectile vomiting, characteristic of pyloric
stenosis, results in a loss of nonvolatile acids that decreases
hydrogen ion concentration. This results in an excess of
bicarbonate that increases arterial pH above 7.45 (metabolic
alkalosis).

Final Jeopardy Answer
B)A maternal history of polyhydramnios is
associated with TEF.

Jeopardy nclex 3

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