Question 1

A child with corrosive poisoning is being admitted to the emergency department. What clinical manifestation does the nurse expect to assess on this child?

Accepted Answer

A)  Nausea and vomiting 
B)  Alterations in sensorium, such as lethargy 
C)  Severe burning pain in the mouth, throat, and stomach 
D)  Respiratory symptoms of acute pulmonary involvement 
A)  Nausea and vomiting 
B)  Alterations in sensorium, such as lethargy 
C)  Severe burning pain in the mouth, throat, and stomach 
D)  Respiratory symptoms of acute pulmonary involvement

Question 2

The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?

Accepted Answer

A)  Tinnitus 
B)  Disorientation 
C)  Stupor, lethargy, and coma 
D)  Edema of the lips, tongue, and pharynx 
A)  Tinnitus 
B)  Disorientation 
C)  Stupor, lethargy, and coma 
D)  Edema of the lips, tongue, and pharynx

Question 3

What are symptoms of abusive head trauma (AHT) in the more severe form that may be present? (Select all that apply.)

Accepted Answer

A)  Seizures 
B)  Posturing 
C)  Tachypnea 
D)  Tachycardia 
E)  Altered level of consciousness 
A)  Seizures 
B)  Posturing 
C)  Tachypnea 
D)  Tachycardia 
E)  Altered level of consciousness

Question 4

The nurse is teaching parents of preschoolers about plants that are poisonous. What plant should the nurse include in the teaching session?

Accepted Answer

A)  Azalea 
B)  Begonia 
C)  Boston fern 
D)  Asparagus fern 
A)  Azalea 
B)  Begonia 
C)  Boston fern 
D)  Asparagus fern

Question 5

What statement is correct about young children who report sexual abuse?

Accepted Answer

A)  They may exhibit various behavioral manifestations. 
B)  In more than half the cases, the child has fabricated the story. 
C)  Their stories should not be believed unless other evidence is apparent. 
D)  They should be able to retell the story the same way to another person. 
A)  They may exhibit various behavioral manifestations. 
B)  In more than half the cases, the child has fabricated the story. 
C)  Their stories should not be believed unless other evidence is apparent. 
D)  They should be able to retell the story the same way to another person.

Question 6

What is the most common form of child maltreatment?

Accepted Answer

A)  Sexual abuse 
B)  Child neglect 
C)  Physical abuse 
D)  Emotional abuse 
A)  Sexual abuse 
B)  Child neglect 
C)  Physical abuse 
D)  Emotional abuse

Question 7

A health care provider prescribes flumazenil (Romazion), 0.2 mg IV once, stat for a benzodiazepine poisoning. The medication label states: "Flumazenil (Romazion), 1 mg/10 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number.
________________

Accepted Answer

2
Follow the formula for dosag

Question 8

What identified characteristics occur more frequently in parents who abuse their children? (Select all that apply.)

Accepted Answer

A)  Older parents 
B)  Socially isolated 
C)  Middle class parents 
D)  Single-parent families 
E)  Few supportive relationships 
A)  Older parents 
B)  Socially isolated 
C)  Middle class parents 
D)  Single-parent families 
E)  Few supportive relationships

Question 9

A child with cyanide poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed for the child?

Accepted Answer

A)  Atropine 
B)  Glucagon 
C)  Amyl nitrate 
D)  Naloxone (Narcan) 
A)  Atropine 
B)  Glucagon 
C)  Amyl nitrate 
D)  Naloxone (Narcan)

Question 10

What is a clinical manifestation of acetaminophen poisoning?

Accepted Answer

A)  Hyperpyrexia 
B)  Hepatic involvement 
C)  Severe burning pain in stomach 
D)  Drooling and inability to clear secretions 
A)  Hyperpyrexia 
B)  Hepatic involvement 
C)  Severe burning pain in stomach 
D)  Drooling and inability to clear secretions

Question 11

A child with acetaminophen (Tylenol) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?

Accepted Answer

A)  Carnitine (Carnitor) 
B)  Fomepizole (Antizol) 
C)  Deferoxamine (Desferal) 
D)  N-acetylcysteine (Mucomyst) 
A)  Carnitine (Carnitor) 
B)  Fomepizole (Antizol) 
C)  Deferoxamine (Desferal) 
D)  N-acetylcysteine (Mucomyst)

Question 12

What do inflicted immersion burns often appear as?

Accepted Answer

A)  Partial-thickness, asymmetrical burns 
B)  Splash pattern burns on hands or feet 
C)  Any splash burn with dry linear marks 
D)  Sharply demarcated, symmetrical burns 
A)  Partial-thickness, asymmetrical burns 
B)  Splash pattern burns on hands or feet 
C)  Any splash burn with dry linear marks 
D)  Sharply demarcated, symmetrical burns

Question 13

A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent? (Select all that apply.)

Accepted Answer

A)  The child screams during the sleep terror. 
B)  Return to sleep is delayed because of persistent fear. 
C)  The night terror occurs during the second half of night. 
D)  The child has no memory of the dream with a sleep terror. 
E)  The child is not aware of another's presence during a sleep terror. 
A)  The child screams during the sleep terror. 
B)  Return to sleep is delayed because of persistent fear. 
C)  The night terror occurs during the second half of night. 
D)  The child has no memory of the dream with a sleep terror. 
E)  The child is not aware of another's presence during a sleep terror.

Question 14

A child with diazepam (Valium) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?

Accepted Answer

A)  Succimer (Chemet) 
B)  EDTA (Versenate) 
C)  Flumazenil (Romazicon) 
D)  Octreotide acetate (Sandostatin) 
A)  Succimer (Chemet) 
B)  EDTA (Versenate) 
C)  Flumazenil (Romazicon) 
D)  Octreotide acetate (Sandostatin)

Question 15

What is a significant secondary prevention nursing activity for lead poisoning?

Accepted Answer

A)  Chelation therapy 
B)  Screening children for blood lead levels 
C)  Removing lead-based paint from older homes 
D)  Questioning parents about ethnic remedies containing lead 
A)  Chelation therapy 
B)  Screening children for blood lead levels 
C)  Removing lead-based paint from older homes 
D)  Questioning parents about ethnic remedies containing lead

Question 16

What can the nurse suggest to families to reduce blood lead levels? (Select all that apply.)

Accepted Answer

A)  Do not store food in open cans. 
B)  Ensure the child eats regular meals. 
C)  Mix formula with hot water from the tap. 
D)  Vacuum hard-surfaced floors and window wells. 
E)  Wash and dry the child's hands and face frequently. 
A)  Do not store food in open cans. 
B)  Ensure the child eats regular meals. 
C)  Mix formula with hot water from the tap. 
D)  Vacuum hard-surfaced floors and window wells. 
E)  Wash and dry the child's hands and face frequently.

Question 17

A health care provider prescribes acetylcysteine (Mucomyst), 70 mg/kg per nasogastric tube times one, stat, for an acetaminophen (Tylenol) overdose. The child weighs 20 kg. The medication label states: "Acetylcysteine (Mucomyst), 100 mg/10 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number.
________________

Accepted Answer

140
Follow the formula for dos

Question 18

An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which manner?

Accepted Answer

A)  Giving half of the solution and then repeating the other half in 1 hour 
B)  Mixing with a flavorful beverage in an opaque container with a straw 
C)  Serving it in a clear plastic cup so the child can see how much has been drunk 
D)  Administering it through a nasogastric tube because the child will not drink it because of the taste 
A)  Giving half of the solution and then repeating the other half in 1 hour 
B)  Mixing with a flavorful beverage in an opaque container with a straw 
C)  Serving it in a clear plastic cup so the child can see how much has been drunk 
D)  Administering it through a nasogastric tube because the child will not drink it because of the taste

Question 19

A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect?

Accepted Answer

A)  Unintentional injury 
B)  Shaken baby syndrome 
C)  Congenital neurologic problem 
D)  Sudden infant death syndrome (SIDS) 
A)  Unintentional injury 
B)  Shaken baby syndrome 
C)  Congenital neurologic problem 
D)  Sudden infant death syndrome (SIDS)

Exam 14: Health Problems of Early Childhood

A child with corrosive poisoning is being admitted to the emergency department. What clinical manifestation does the nurse expect to assess on this child?

The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?

What are symptoms of abusive head trauma (AHT) in the more severe form that may be present? (Select all that apply.)

The nurse is teaching parents of preschoolers about plants that are poisonous. What plant should the nurse include in the teaching session?

What statement is correct about young children who report sexual abuse?

What is the most common form of child maltreatment?

What identified characteristics occur more frequently in parents who abuse their children? (Select all that apply.)

A child with cyanide poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed for the child?

What is a clinical manifestation of acetaminophen poisoning?

A child with acetaminophen (Tylenol) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?

What do inflicted immersion burns often appear as?

A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent? (Select all that apply.)

A child with diazepam (Valium) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?

What is a significant secondary prevention nursing activity for lead poisoning?

What can the nurse suggest to families to reduce blood lead levels? (Select all that apply.)

An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which manner?

A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

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