Question 1

What most influences the severity of respiratory distress syndrome (RDS)?

Accepted Answer

A) Poor cough and gag reflex 
B) The gestational age at birth 
C) Administering high concentrations of oxygen 
D) The sex of the infant 
A) Poor cough and gag reflex 
B) The gestational age at birth 
C) Administering high concentrations of oxygen 
D) The sex of the infant B

Question 2

Since children with attention deficit hyperactivity disorder (ADHD)take medication for long periods of time,side effects must be considered.How often should children be assessed for side effects of the drug therapy?

Accepted Answer

A) Every 2 months 
B) Every 4 months 
C) Every 6 months 
D) Every 8 months 
A) Every 2 months 
B) Every 4 months 
C) Every 6 months 
D) Every 8 months C

Question 3

Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?

Accepted Answer

A) Prothrombin time 
B) Bleeding time 
C) Platelet count 
D) Partial thromboplastin time 
A) Prothrombin time 
B) Bleeding time 
C) Platelet count 
D) Partial thromboplastin time D

Question 4

What should the nurse assess in an infant who has been diagnosed with hypertrophic pyloric stenosis?

Accepted Answer

A) A history of diarrhea following each feeding 
B) Gastric pain evidenced by vigorous crying 
C) Poor appetite due to a poor sucking reflex 
D) An olive-shaped mass right of the midline 
A) A history of diarrhea following each feeding 
B) Gastric pain evidenced by vigorous crying 
C) Poor appetite due to a poor sucking reflex 
D) An olive-shaped mass right of the midline

Question 5

Which additional congenital malformation is expected in 80% of infants with a myelomeningocele?

Accepted Answer

A) Cerebral palsy 
B) Hydrocephalus 
C) Meningitis 
D) Neuroblastoma 
A) Cerebral palsy 
B) Hydrocephalus 
C) Meningitis 
D) Neuroblastoma

Question 6

The health care provider is treating a child with meningitis with a course of antibiotic therapy.When should the nurse expect the child to be out of isolation?

Accepted Answer

A) When the course of antibiotics is complete 
B) When a negative CNS culture is obtained 
C) When the antibiotics have been initiated for 24 hours 
D) When the child has no symptoms of the disease 
A) When the course of antibiotics is complete 
B) When a negative CNS culture is obtained 
C) When the antibiotics have been initiated for 24 hours 
D) When the child has no symptoms of the disease

Question 7

What is the most common clinical manifestation of coarctation of the aorta?

Accepted Answer

A) Clubbing of the digits 
B) Upper extremity hypertension 
C) Pedal edema and portal congestion 
D) Loud systolic ejection murmur 
A) Clubbing of the digits 
B) Upper extremity hypertension 
C) Pedal edema and portal congestion 
D) Loud systolic ejection murmur

Question 8

When selecting patient problems for the 4-year-old child with nephrosis,what should be a priority for the nurse?

Accepted Answer

A) Impaired body image 
B) Skin impairment 
C) Nutritional deficit 
D) Injury 
A) Impaired body image 
B) Skin impairment 
C) Nutritional deficit 
D) Injury

Question 9

Following surgical repair of a cleft palate,what should be used to prevent injury to the suture line?

Accepted Answer

A) Straw 
B) Spoon 
C) Syringe 
D) Cup 
A) Straw 
B) Spoon 
C) Syringe 
D) Cup

Question 10

The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining remission of the disease.What would be the most effective therapy?

Accepted Answer

A) Surgery to remove enlarged lymph nodes 
B) Long-term chemotherapy 
C) Nutritional supplements to enhance blood cell production 
D) Blood transfusions to replace ineffective red cells 
A) Surgery to remove enlarged lymph nodes 
B) Long-term chemotherapy 
C) Nutritional supplements to enhance blood cell production 
D) Blood transfusions to replace ineffective red cells

Question 11

The nurse is recording a history for a child who has been diagnosed with recurrent abdominal pain (RAP).What is a finding that is characteristic of this disorder?

Accepted Answer

A) Morning headaches 
B) Pain for 3 consecutive months 
C) Febrile episodes in the late afternoon 
D) Diaphoresis when attacks occur 
A) Morning headaches 
B) Pain for 3 consecutive months 
C) Febrile episodes in the late afternoon 
D) Diaphoresis when attacks occur

Question 12

When caring for a 7-week-old infant with hypothyroidism,the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child?

Accepted Answer

A) Excessive growth 
B) Cognitive impairment 
C) Damage to the nervous system 
D) Damage to the urinary system 
A) Excessive growth 
B) Cognitive impairment 
C) Damage to the nervous system 
D) Damage to the urinary system

Question 13

What is the main characteristic of cystic fibrosis?

Accepted Answer

A) Multiple upper respiratory infections 
B) An underproduction of exocrine glands 
C) Excessive,thick mucus 
D) An overproduction of thin mucus 
A) Multiple upper respiratory infections 
B) An underproduction of exocrine glands 
C) Excessive,thick mucus 
D) An overproduction of thin mucus

Question 14

What could suddenly occur in a child with acute epiglottitis?

Accepted Answer

A) Increased carbon dioxide levels 
B) Airway obstruction 
C) Inability to swallow 
D) Bronchial collapse 
A) Increased carbon dioxide levels 
B) Airway obstruction 
C) Inability to swallow 
D) Bronchial collapse

Question 15

The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain.What is the most likely cause of the pain?

Accepted Answer

A) Inflammation of the vessels 
B) Obstructed blood flow 
C) Overhydration 
D) Stress-related headaches 
A) Inflammation of the vessels 
B) Obstructed blood flow 
C) Overhydration 
D) Stress-related headaches

Question 16

The mother of a child who has been diagnosed with varicella asks the nurse when the child can return to school.When is the child no longer contagious?

Accepted Answer

A) When the fever dissipates 
B) After the incubation period 
C) When the lesions have healed 
D) When the lesions are crusted over 
A) When the fever dissipates 
B) After the incubation period 
C) When the lesions have healed 
D) When the lesions are crusted over

Question 17

A child has developed a diaper rash,and the parents are using zinc oxide to treat it.What does the nurse suggest to aid in the removal of the zinc oxide?

Accepted Answer

A) Mild soap and water 
B) A cotton ball 
C) Mineral oil 
D) Alcohol swabs 
A) Mild soap and water 
B) A cotton ball 
C) Mineral oil 
D) Alcohol swabs

Question 18

Following a bout of diarrhea,which foods should be offered to the school-age child?

Accepted Answer

A) Apricots and peaches 
B) Chocolate milk 
C) Applesauce and milk 
D) Bananas and rice 
A) Apricots and peaches 
B) Chocolate milk 
C) Applesauce and milk 
D) Bananas and rice

Question 19

Which is a long-term complication of cleft lip and palate?

Accepted Answer

A) Cognitive impairment 
B) Altered growth and development 
C) Faulty dentition 
D) Physical abilities 
A) Cognitive impairment 
B) Altered growth and development 
C) Faulty dentition 
D) Physical abilities

Question 20

How is the infant with gastroesophageal reflux (GER)typically treated?

Accepted Answer

A) By making the infant NPO 
B) By thickening the formula or breast milk with cereal 
C) By placing the infant to sleep on the side 
D) By switching the infant to cow's milk 
A) By making the infant NPO 
B) By thickening the formula or breast milk with cereal 
C) By placing the infant to sleep on the side 
D) By switching the infant to cow's milk

Exam 32: Care of the Child With a Physical and Mental or Cognitive Disorder

What most influences the severity of respiratory distress syndrome (RDS)?

Since children with attention deficit hyperactivity disorder (ADHD)take medication for long periods of time,side effects must be considered.How often should children be assessed for side effects of the drug therapy?

Which laboratory results should the nurse anticipate to be abnormal in a child with hemophilia?

What should the nurse assess in an infant who has been diagnosed with hypertrophic pyloric stenosis?

Which additional congenital malformation is expected in 80% of infants with a myelomeningocele?

The health care provider is treating a child with meningitis with a course of antibiotic therapy.When should the nurse expect the child to be out of isolation?

What is the most common clinical manifestation of coarctation of the aorta?

When selecting patient problems for the 4-year-old child with nephrosis,what should be a priority for the nurse?

Following surgical repair of a cleft palate,what should be used to prevent injury to the suture line?

The parents of a child with acute lymphoblastic leukemia ask about the best approach for maintaining remission of the disease.What would be the most effective therapy?

The nurse is recording a history for a child who has been diagnosed with recurrent abdominal pain (RAP).What is a finding that is characteristic of this disorder?

When caring for a 7-week-old infant with hypothyroidism,the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child?

What is the main characteristic of cystic fibrosis?

What could suddenly occur in a child with acute epiglottitis?

The parents of a child who has been diagnosed with sickle cell anemia ask why their child experiences pain.What is the most likely cause of the pain?

The mother of a child who has been diagnosed with varicella asks the nurse when the child can return to school.When is the child no longer contagious?

A child has developed a diaper rash,and the parents are using zinc oxide to treat it.What does the nurse suggest to aid in the removal of the zinc oxide?

Following a bout of diarrhea,which foods should be offered to the school-age child?

Which is a long-term complication of cleft lip and palate?

How is the infant with gastroesophageal reflux (GER)typically treated?

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