Question 1

What is the drug of choice the nurse should administer in the acute treatment of anaphylaxis?

Accepted Answer

A)  Diphenhydramine 
B)  Histamine inhibitor (cimetidine) 
C)  Epinephrine 
D)  Albuterol 
A)  Diphenhydramine 
B)  Histamine inhibitor (cimetidine) 
C)  Epinephrine 
D)  Albuterol C

Question 2

A child weighs 30.8 pounds and is prescribed prednisolone syrup 0.5 mg/kg.The pharmacy delivers a syringe with 15 mg/5 mL.How many mL does the nurse administer?Round your solve to the nearest 10th.

Accepted Answer

2.3333 mL or 2.3 mL
First find the weight in kilograms: 30.8/2.2 = 14 kg
Multiply 0.5 × 14 = 7 mg
Set up equation: 15 mg 7 mg
5 mL = x mL
Solve for x: 15x = (7 ×5)= 35
x = 35/15 = 2.333333 mL

Question 3

Which is the Centers for Disease Control and Prevention (CDC,2009)recommendation for immunizing infants who are HIV positive?

Accepted Answer

A)  Follow the routine immunization schedule. 
B)  Routine immunizations are administered; assess CD4+ counts before administering the MMR and varicella vaccinations. 
C)  Do not give immunizations because of the infant's altered immune status. 
D)  Eliminate the pertussis vaccination because of the risk of convulsions. 
A)  Follow the routine immunization schedule. 
B)  Routine immunizations are administered; assess CD4+ counts before administering the MMR and varicella vaccinations. 
C)  Do not give immunizations because of the infant's altered immune status. 
D)  Eliminate the pertussis vaccination because of the risk of convulsions. B

Question 4

Children receiving long-term systemic corticosteroid therapy are most at risk for which condition?

Accepted Answer

A)  Hypotension 
B)  Dilation of blood vessels in the cheeks 
C)  Growth delays 
D)  Decreased appetite and weight loss 
A)  Hypotension 
B)  Dilation of blood vessels in the cheeks 
C)  Growth delays 
D)  Decreased appetite and weight loss

Question 5

A young child with HIV is receiving several antiretroviral drugs.What is the purpose of these drugs?

Accepted Answer

A)  Cure the disease. 
B)  Delay disease progression. 
C)  Prevent the spread of disease. 
D)  Treat Pneumocystis jiroveci pneumonia. 
A)  Cure the disease. 
B)  Delay disease progression. 
C)  Prevent the spread of disease. 
D)  Treat Pneumocystis jiroveci pneumonia.

Question 6

What is the primary nursing concern for a child having an anaphylactic reaction?

Accepted Answer

A)  Identifying the offending allergen 
B)  Ineffective breathing pattern 
C)  Increased cardiac output 
D)  Positioning to facilitate comfort 
A)  Identifying the offending allergen 
B)  Ineffective breathing pattern 
C)  Increased cardiac output 
D)  Positioning to facilitate comfort

Question 7

What is the primary nursing concern for a hospitalized child with HIV infection?

Accepted Answer

A)  Maintaining growth and development 
B)  Eating foods that the family brings to the child 
C)  Consideration of parental limitations and weaknesses 
D)  Resting for 2 to 3 hours twice a day 
A)  Maintaining growth and development 
B)  Eating foods that the family brings to the child 
C)  Consideration of parental limitations and weaknesses 
D)  Resting for 2 to 3 hours twice a day

Question 8

Which organs and tissues control the two types of specific immune functions?

Accepted Answer

A)  The spleen and mucous membranes 
B)  Upper and lower intestinal lymphoid tissue 
C)  The skin and lymph nodes 
D)  The thymus and bone marrow 
A)  The spleen and mucous membranes 
B)  Upper and lower intestinal lymphoid tissue 
C)  The skin and lymph nodes 
D)  The thymus and bone marrow

Question 9

The nurse is planning care for an adolescent with AIDS.The priority nursing goal is to

Accepted Answer

A)  prevent infection. 
B)  prevent secondary cancers. 
C)  restore immunologic defenses. 
D)  identify sources of infection. 
A)  prevent infection. 
B)  prevent secondary cancers. 
C)  restore immunologic defenses. 
D)  identify sources of infection.

Question 10

What disorder is caused by a virus that primarily infects a specific subset of T lymphocytes,the CD4+ T cells?

Accepted Answer

A)  Raynaud phenomenon 
B)  Idiopathic thrombocytopenic purpura 
C)  Acquired immunodeficiency syndrome (AIDS) 
D)  Severe combined immunodeficiency disease 
A)  Raynaud phenomenon 
B)  Idiopathic thrombocytopenic purpura 
C)  Acquired immunodeficiency syndrome (AIDS) 
D)  Severe combined immunodeficiency disease

Question 11

A nurse is working in an allergy clinic and has performed skin testing on an adolescent.Seventeen minutes after the procedure,the nurse note the presence of a wheal at one of the sites.What conclusion does the nurse make about this response?

Accepted Answer

A)  The child is allergic to that substance. 
B)  This result is indeterminate. 
C)  The testing should be redone in another location. 
D)  Anaphylaxis is imminent. 
A)  The child is allergic to that substance. 
B)  This result is indeterminate. 
C)  The testing should be redone in another location. 
D)  Anaphylaxis is imminent.

Question 12

What should the nurse include in a teaching plan for the mother of a toddler who will be taking prednisone for several months?

Accepted Answer

A)  The medication should be taken between meals. 
B)  The medication needs to be discontinued if side effects appear. 
C)  The medication should not be stopped abruptly. 
D)  The medication may lower blood glucose. 
A)  The medication should be taken between meals. 
B)  The medication needs to be discontinued if side effects appear. 
C)  The medication should not be stopped abruptly. 
D)  The medication may lower blood glucose.

Question 13

Which suggestion is appropriate to teach a mother who has a preschool child who refuses to take the medications for HIV infection?

Accepted Answer

A)  Mix medications with chocolate syrup or pudding 
B)  Mix the medications with milk or an essential food. 
C)  Skip the dose of medication if the child protests too much. 
D)  Mix the medication in a syringe, hold the child down firmly, and administer the medication. 
A)  Mix medications with chocolate syrup or pudding 
B)  Mix the medications with milk or an essential food. 
C)  Skip the dose of medication if the child protests too much. 
D)  Mix the medication in a syringe, hold the child down firmly, and administer the medication.

Question 14

A 5-year-old child has acquired immunodeficiency syndrome (AIDS).What statement by the mother indicates good understanding of medications used for this condition?

Accepted Answer

A)  "When my child's pain increases, I double the recommended dosage of antiretroviral medication." 
B)  "Addiction is a risk, so I only use the medication as ordered." 
C)  "Doses of the antiretroviral medication are selected on the basis of my child's age and growth." 
D)  "By the time my child is an adolescent she will not need her antiretroviral medications any longer." 
A)  "When my child's pain increases, I double the recommended dosage of antiretroviral medication." 
B)  "Addiction is a risk, so I only use the medication as ordered." 
C)  "Doses of the antiretroviral medication are selected on the basis of my child's age and growth." 
D)  "By the time my child is an adolescent she will not need her antiretroviral medications any longer."

Question 15

The nurse observes a rash on a teen's face which is characteristic of systemic lupus erythematosus (SLE).What action by the nurse is most appropriate?

Accepted Answer

A)  Teach the teen about using sunscreen. 
B)  Prepare the teen for a bone marrow biopsy. 
C)  Educate the teen on proper use of antibiotics. 
D)  Demonstrate how to use an Epi-pen. 
A)  Teach the teen about using sunscreen. 
B)  Prepare the teen for a bone marrow biopsy. 
C)  Educate the teen on proper use of antibiotics. 
D)  Demonstrate how to use an Epi-pen.

Question 16

The mother of an HIV-positive infant who is 2 months old questions the nurse about which childhood immunizations her child will be able to receive.Which immunizations should an HIV-positive child be able to receive? (Select all that apply.)

Accepted Answer

A)  Hepatitis B 
B)  DTaP 
C)  MMR 
D)  IPV 
E)  HIB 
A)  Hepatitis B 
B)  DTaP 
C)  MMR 
D)  IPV 
E)  HIB

Question 17

Which home care instructions should the nurse provide to the parents of a child with acquired immunodeficiency syndrome (AIDS)? (Select all that apply.)

Accepted Answer

A)  Give supplemental vitamins as prescribed. 
B)  Yearly influenza vaccination should be avoided. 
C)  Administer any antibiotics as prescribed. 
D)  Notify the provider if the child develops a cough or congestion. 
E)  Missed doses of antiretroviral medication should just be skipped. 
A)  Give supplemental vitamins as prescribed. 
B)  Yearly influenza vaccination should be avoided. 
C)  Administer any antibiotics as prescribed. 
D)  Notify the provider if the child develops a cough or congestion. 
E)  Missed doses of antiretroviral medication should just be skipped.

Question 18

Which intervention is appropriate for a child receiving high doses of steroids?

Accepted Answer

A)  Limit activity and receive home schooling. 
B)  Increase the amount of carbohydrates in the diet. 
C)  Substitute a killed virus vaccine for live virus vaccines. 
D)  Monitor for seizure activity. 
A)  Limit activity and receive home schooling. 
B)  Increase the amount of carbohydrates in the diet. 
C)  Substitute a killed virus vaccine for live virus vaccines. 
D)  Monitor for seizure activity.

Question 19

A nurse is teaching parents about the importance of immunizations for infants because of immaturity of the immune system.The parents demonstrate that they understand the teaching if they make which statement?

Accepted Answer

A)  "We plan to opt out of most childhood vaccinations." 
B)  "There are only a few diseases that have effective immunizations." 
C)  "Babies are born with a sophisticated immune system so they need few, if any, immunizations." 
D)  "Newborns have a hard time fighting infection so they need vaccinations." 
A)  "We plan to opt out of most childhood vaccinations." 
B)  "There are only a few diseases that have effective immunizations." 
C)  "Babies are born with a sophisticated immune system so they need few, if any, immunizations." 
D)  "Newborns have a hard time fighting infection so they need vaccinations."

Question 20

A nurse in a well-child clinic is teaching parents about their child's immune system.Which statement by the nurse is correct?

Accepted Answer

A)  The immune system distinguishes and actively protects the body's own cells from foreign substances. 
B)  The immune system is fully developed by 1 year of age. 
C)  The immune system protects the child against communicable diseases in the first 6 years of life. 
D)  The immune system responds to an offending agent by producing antigens. 
A)  The immune system distinguishes and actively protects the body's own cells from foreign substances. 
B)  The immune system is fully developed by 1 year of age. 
C)  The immune system protects the child against communicable diseases in the first 6 years of life. 
D)  The immune system responds to an offending agent by producing antigens.

Exam 42: The Child with an Immunologic Alteration

What is the drug of choice the nurse should administer in the acute treatment of anaphylaxis?

A child weighs 30.8 pounds and is prescribed prednisolone syrup 0.5 mg/kg.The pharmacy delivers a syringe with 15 mg/5 mL.How many mL does the nurse administer?Round your solve to the nearest 10th.

Which is the Centers for Disease Control and Prevention (CDC,2009)recommendation for immunizing infants who are HIV positive?

Children receiving long-term systemic corticosteroid therapy are most at risk for which condition?

A young child with HIV is receiving several antiretroviral drugs.What is the purpose of these drugs?

What is the primary nursing concern for a child having an anaphylactic reaction?

What is the primary nursing concern for a hospitalized child with HIV infection?

Which organs and tissues control the two types of specific immune functions?

The nurse is planning care for an adolescent with AIDS.The priority nursing goal is to

What disorder is caused by a virus that primarily infects a specific subset of T lymphocytes,the CD4+ T cells?

A nurse is working in an allergy clinic and has performed skin testing on an adolescent.Seventeen minutes after the procedure,the nurse note the presence of a wheal at one of the sites.What conclusion does the nurse make about this response?

What should the nurse include in a teaching plan for the mother of a toddler who will be taking prednisone for several months?

Which suggestion is appropriate to teach a mother who has a preschool child who refuses to take the medications for HIV infection?

A 5-year-old child has acquired immunodeficiency syndrome (AIDS).What statement by the mother indicates good understanding of medications used for this condition?

The nurse observes a rash on a teen's face which is characteristic of systemic lupus erythematosus (SLE).What action by the nurse is most appropriate?

The mother of an HIV-positive infant who is 2 months old questions the nurse about which childhood immunizations her child will be able to receive.Which immunizations should an HIV-positive child be able to receive? (Select all that apply.)

Which home care instructions should the nurse provide to the parents of a child with acquired immunodeficiency syndrome (AIDS)? (Select all that apply.)

Which intervention is appropriate for a child receiving high doses of steroids?

A nurse is teaching parents about the importance of immunizations for infants because of immaturity of the immune system.The parents demonstrate that they understand the teaching if they make which statement?

A nurse in a well-child clinic is teaching parents about their child's immune system.Which statement by the nurse is correct?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

Filters

What disorder is caused by a virus that primarily infects a specific subset of T lymphocytes,the CD4⁺ T cells?