question

The presence of which vitamin is most effective in enhancing absorption of iron? a. Vitamin A b. Vitamin B c. Vitamin C d. Vitamin D

answer

c. Vitamin C

question

Which of the following children with sickle cell anemia is at greatest risk for exacerbation of the disease? a. Anita, who lives in Pittsburgh and is visiting Denver, CO to go snow skiing b. Jacques, who is spending a warm summer day swimming with his friends c. Ed, who is learning how to rollerblade d. Janessa, who is in a gymnastics class

answer

a.

question

Takisha, age 8, has been admitted tot he hospital in sickle cell crisis. She complains of pain all over her body. Which intervention by the new nurse requires the supervising nurse to intervene? The new nurse: a. allows Takisha to determine the level of activity she can tolerate b. provides Takisha passive range of motion exercises c. administers fluids to maintain hydration status d. applies ice packs to specific painful areas of the body

answer

d.

question

In a child with beta-thalassemia major, the nurse would expect to find which of the following clinical manifestations? a. long thin nose b. malocclusion c. narrow set eyes d. concave forehead

answer

b.

question

The first line of treatment for type I, or mild type II, von WIllebrand's diease is: a. desmopressin b. heparin c. warfarin sodium d. protamine

answer

a.

question

Which of hte following over-the-counter medications should not be taken by a child who has immune thrombocytopenic purpura? a. ibuprofen (Motrin) b. asprin c. acetaminophen (Tylenol) d. ibuprofen (Advil)

answer

b.

question

The child with disseminated intravascular coagulation is at greatest risk for the development of which complication? a. infection b. airway obstruciton c. hemorrhage d. impaired skin integrity

answer

c.

question

A caregiver of a child with a bleeding disorder has been taught the actions to take for treatment of a nosebleed. Which statement by teh caregiver indicates that more teaching is needed? If the child experiences a nosebleed I will: a. lie the child down b. pinch the child's nose c. hold the nose for at least 10 minutes d. apply ice to the bridge of the nose

answer

a.

question

Which of the following is considered appropriate treatment for hemophilia B? a. factor VIII concentrates b. Desmopressin c. aspirin d. factor IX concentrates

answer

d.

question

Which of the following is a side effect associated with cyclosporine therapy fo rhte treatment of aplastic anemia? a. decreased blood pressure b. loss of body hair c. gingival hyperplasia d. decreased potassium

answer

c.

question

Which of the following are compensatory mechanisms for anemia? Select all that apply. a. increased erythropoiesis b. decreased heart rate c. retention of sodium d. increased respiratory rate e. retention of water f. leukocytosis

answer

a,c,d,e

question

Marty, age 14, has iron deficiency anemia. When talking wtih him about which types of foods to choose that are high in iron conent, the nurse suggests which of the following? Select all that apply. a. peas b. potatoes c. bananas d. peaches e. rasins f. shrimp

answer

a,b,d,e,f

question

Initial signs and symptoms of iron overdose include which of the following? Select all that apply. a. skin rash b. vomiting c. abdominal pain d. bloody diarrhea e. lethargy f. dsypnea

answer

b,c,d,e,f

question

Which of the following are stimuli for sickle cell crisis? Select all that apply. a. exposure to heat b. infection c. fever d. acidosis e. diet high in carbohydrates f. immunizations

answer

b,c,d

question

A student nurse is obtaining a height for an 18-month old infant. Which action by the student nurse requires the supervising nurse to intervene? The student nurse: a. records the child's height to the nearest full inch b. uses the supine position to measure the child's height c. places the soles of the child's feet in a 90-degree angle to the footboard d. measures the child when the child is barefoot

answer

a

question

Which statement by a parent of a child receiving growth hormone replacement therapy indicates taht more teaching is needed? I will call the primary care provider immediately if my child experiences: a. rapid weight gain b. headaches c. nausea d. painful hip joints

answer

c

question

Which of the following interventions should the nurse follow when administering a medication intranasally? a. have the child lie on the same side where the medication was administered for several minutes after teh medication is given. b. have the child lie on teh opposite side of where the medication was administered for several minutes after the medication is given c. have the child blow his or her nose after administering the medication d. ask the child if he or she swallowed the medication, as this indicates taht the medication will be absorbed

answer

a

question

Maria, age 6, has been diagnosed with hyperthyroidism. The nurse would expect Maria to exhibit which clinical manifestation? a. bradycardia b. proptosis c. cool skin d. drowsiness

answer

b

question

Which statement by the caregiver of a child with hyperthyroidism indicates that mroe teaching is needed? Because my child has hyperthyroidism, she will need to be treated with: a. thyroid transplant b. subtotal thyroidectomy c. radioactive iodine therapy d. antithyroid medication

answer

a

question

The nurse is working with a newborn with a diagnosis of pseudohermaphrodism. The nurse should avoid doing which of the following interventions? a. address the newborn with ambiguous gneitalia as "it" b. encourage the parents to determine the gender of the baby as soon as possible c. administer cortisone as prescribed d. describe the sex organs of the newborn as the penis until corrective surgery can take place

answer

b

question

The nurse is teaching children with diabetes mellitus and their families about insulin administration. The nurse informs these individuals that the name of the intermediate acting insulin is: a. insulin lispro (Humalog) b. NPH c. insulin (Ultralente) d. Regular

answer

b

question

William is 5 years old. He is taking insulin therapy to manage his diabetes mellitus. According to the developmental target ages for technical skills training in diabetes management, the nurse should expect William to be able to be responsible for which one of the following skills? a. insulin dosage adjustment b. insulin injections c. blood testing d. nutrition decision making

answer

c

question

Matthew is 13 years old. He has just been diagnosed with diabetes mellitus. Matthew is learning how to perform blood glucose testing. WHich statement by Matthew indicates that more teaching is needed? a. I will use the tip of my finger to obtain the blood specimen b. I will use areas of my fingers with calluses to obtain the blood specimen when possible c. I will warm my fingers before obtaining the blood specimen d. I will wash my hands with soap and water before obtaining the blood specimen

answer

a

question

When discussing hypoglycemia with a 10-year-old child with diabetes mellitus and the child's caregivers, which of the following statements by the nurse is true? a. Hypoglycemia occurs when the blood sugar is at 90 mg/dL b. Hypoglycemia is caused by less insulin being available than is necessary c. The most common symptoms include drowsiness, lightheadedness, irritability, tremors, sweating, and confusion d. Severe hypoglycemia is a common complication of diabetes that most children experience on a regular basis.

answer

c

question

A 10-year-old child has been taught about signs and symptoms of hyperglycemia. Which response by the child indicates taht mroe teaching is needed? If I experience hyperglycemia, I will most likely have: a. an inability to urinate b. a heart beat that is really slow c. no desire to drink d. fruity odor to my breath

answer

b

question

A student nurse is preparing to teach a class to senior-level nursing students regarding type 2 diabetes in children. Which statement included in the student's notes requires the faculty to intervene? The student's notes states: a. Diabetes is a complex metabolic disorder b. Diabetes is a genetic disease c. Typically, the child with type 2 diabetes is underweight at the time of diagnosis d. The target cells in the body resist insulin stimulated glucose uptake, resulting in hyperinsulinism or insulin resistance.

answer

c

question

Which one of the following statements should the nurse include in teaching a 12-year-old and his family about metformin HCL (Glucophage)? a. Glucophage is an injectable for of antidiabetic medication b. Glucophage increases insulin production c. Glucophage is indicated for the treatment of adults only d. Glucophage does not cause hypoglycemia

answer

d

question

Jeremy is an 8-year-old boy admitted to the pediatric intensive care unit with a diagnosis of diabetic ketoacidosis. Which intervention by the new nurse requires the supervising nurse to intervene? The new nurse: a. withholds all insulin, as too much insulin is the cause of the problem b. rehydrates Jeremy with fluids to prevent or treat hypovolemic shock c. infuses bicarbonate as prescribed d. assesses Jeremy for clinical manifestations of cerebral edema

answer

a

question

Missy is a 1-month-old infant girl who has just been diagnosed with hypoparathyroidism. Missy's mother asks the nurse, "The doctor told me Missy has something wrong with her parathyroid gland. I don't know what this means. Can you tell me about what is going on with my baby and what is being done to help her?" Which statement by the student nurse requires the supervising nurse to intervene? a. The main function of the hormone your daughter is missing is to regulate serum potassium b. Missy will be evaluated for bone deformities and limited growth as she develops c. Calcium supplementation will be a major component of Missy's treatment d. Missy will be assessed for seizures or tetany as an acute complication of her hormone deficiency.

answer

a

question

Megan is a 2-day-old infant with congenital hypothyroidism. The nurse would expect megan to exhibit which of the following clinical manifestations of congenital hypothyroidism? Select all that apply. a. umbilical hernia b. constipations c. prolonged jaundice d. hyperthermia e. sunken eyelids f. hypertonia

answer

a,b,c

question

When providing teaching to the caregivers of a child with congenital hypothyroidism, the nurse includes which of the following? Select all that apply. a. you can expect your child to receive thyroid replacement therapy for the rest of his (or her) life b. Mix the thyroid replacement medication with soy-based formula forducts to maximize absorption. c. Do not put the crushed pill of thyroid replacement medication in a full bottle of formula d. Keep all appointments for blood tests to evaluate function of the thyroid. e. Administer thyroid replacement medications with iron to enhance absorption f. do not administer the medications on weekends because the child needs a drug holiday to prevent complications

answer

a,c,d

question

Which of the following are clinical manifestations of acquired hypothyroidism? Select all that apply. a. cold intolerance b. constipation c. weight loss d. delyaed deep tendon reflexes e. edema of the face f. delayed puberty

answer

a,b,d,e,f

question

The child with Type 1 diabetes most commonly presents with which of the following clinical manifestations? Select all that apply. a. polyuria b. polydipsia c. polyphagia d. polyaarthralgia e. weight loss f. dehydration

answer

a,b,c,e,f

question

When assessing a child with Cushing's syndrome, the nurse would expect which of the following clinical manifestations? Select all that apply. a. buffalo hump b. bruising c. weight loss d. hirsutism e. butterfly rash on the face f. clubbing of the fingers

answer

a,b,d

question

Fever is a common etiology for which type of seizure? a. complex b. myoclonic c. tonic/clonic d. absence

answer

d

question

Which statement by the caregiver of a child with simple partial seizures indicates taht mroe teaching is needed? a. My child will only experience these seizures for the first year of life b. There is no aura associated with these episodes c. My child generally will not lose consciousness with this type of seizure d. The symptoms seen are most often motor or sensory in nature

answer

a

question

When working with a child who experiences generalized seizures, the nurse is aware of the fact that these types of seizures: a. are accompanied by an aura b. are always associated with loss of consicousness c. arise from both cerebral hemispheres d. last from several seconds to hours

answer

c

question

Which statement about febrile seizures is true? a. They are a type of tonic/clonic seizure b. They usually occur in children who are 5 to 10 years of age c. They can occur at a temperature of 37.8 C (100 F) d. An aura that lasts for less than 15 minutes frequently occurs

answer

c

question

A new nurse is caring for an 11-year-old child with an external ventricular drain. WHich statement by the new nurse indicates that more training is needed? The new nurse identifies signs of overdraining of the external ventricular drain as causing: a. seizures b. changes in blood pressure c. severe headache d. increased heart rate

answer

d

question

Jorge, age 2 months, has had a ventriculoperitoneal shunt placed for hydrocephalus. The nurse caring for him in the postoperative period should place him in which position? a. flat on the unoperated side b. flat on the operated side c. head elevated 90 degrees on the unoperated side d. head elevated 90 degrees on the operated side

answer

a

question

Which statement by the new nurse indicates more teaching is needed? When caring for a child who is chemically paralyzed indications of pain include: a. bradycardia b. pallor c. increased blood pressure d. tears

answer

a

question

The nurse determines which one of the following children as a possible candidate for lumbar puncture? a. Helena, age 3, exhibiting signs and symptoms of Cushing's triad b. Morgan, age 8, who has disseminated intravascular coagulation c. Nathan, age 2, with fever of unknown origin d. Shaquile, age 7, who sustained an injury to the face after accidentally being hit with a baseball bat while playing with his friends

answer

c

question

When teaching caregivers to avoid use of over-the-counter medications that contain aspirin, the nurse identifies which one of the following medications as not containing aspirin? a. Advil b. Pepto-Bismol c. Excedrin d. Alka-Seltzer

answer

a

question

Which of the following statements about subdural hemorrhages in children is true? a. They result from damage to cerebral arteries b. They may occur with and without skull fracture c. Signs and symptoms occur immediately at all times and result in quick deterioration of the client status d. Occurrence in children is very rare

answer

b

question

Devan, age 8, who was not wearing a helmet, fell off a scooter and sustained a head injury. While caring for Devan, the student nurse incorrectly identifies which of the following as a sign or symptom of increased intracranial pressure? a. increased systolic pressure b. widened pulse pressure c. hypotension d. bradycardia

answer

c

question

A spinal cord lesion at which level is most likely to cause paraplegia? a. C-5 b. C-6 c. C-7 d. T-1

answer

d

question

Alex, age 7, has cerebral palsy. He exhibits constant involuntary writhing motions that affect his entire body. The nurse would best describe this behavior exhibited by Alex as: a. ataxia b. hypotonia c. athetosis d. hypertonia

answer

c

question

A nurse arrives at a scene where a 2-year-old child has just fallen down a flight of stairs. The child is lying at the bottom of the stairs. he has a glazed look on his face. The nurse susptects spinal cord injury. No apparent bleeding is noted. After determining that the child has a patent airway and is breathing, the nurse should do which of the following? a. Assist the child to a sitting position b. Ask the child to flex and extend all extremities c. Maintain the child in the position in which he or she was found, preventing movement d. Instruct the caregiver to pick up the child to provide comfort

answer

c

question

A nurse practicing in a clinic for children with cerebral palsy performs an assessment on a child and finds the child to have irregularity in muscle action and coordination with intention tremors. The child also has a wide-based gait. The nurse would describe these characteristics as which type of cerebral palsy? a. hypotonia b. hypertonia c. athetosis d. ataxia

answer

d

question

Jamie, age 4, was not wearing a helmet when he fell off his bicycle, and he sustained a head injury. He is being observed in the pediatric intensive care unit. Which of the following are consistent with Cuishing's triad? Select all that apply. a. increased systolic blood pressure b. bradycardia c. wide pulse pressure d. vomiting e. nausea f. dilated pupils

answer

a,b,c

question

Which of the following are factors predisposing young children to alterations in neurologic function? Select all that apply. a. high levels of serotonin b. very vascular brain prone to hemorrhage c. dura that can easily peel from the inner surface of the skull d. large subarachnoid space e. fragile neurons f. immature immune system

answer

b,c,e,f

question

Amy, age 12, was rock climbing with her family when a belt snapped and she fell, sustaining a spinal cord injury at C-7. Upon assessment of Amy in the emergency department, which of the following indicate that Amy is in spinal shock? Select all that apply. a. spastic extremities b. loss of deep tendon reflexes c. no sensory response d. atonic bladder e. tachycardia f. hypertension

answer

b,c,d

question

When caring for a child with spinal cord injury, the nurse is aware of the need to assess for the development of autonomic dysreflexia. Which of the following are clinical manifestations of autonomic dysreflexia? Select all that apply. a. perfuse perspiration above the level of the injury b. headache c. bradycardia d. hypotension e. urticaria f. incontinence

answer

a,b,c

question

Which of the following statements about ketogenic diet does the nurse identify as true? Select all that apply. a. the diet is high in protein b. the diet is low in carbohydrates c. fat is used as fuel d. alkalosis is a common complication e. hyperglycemia is a common complication f. renal stones are a frequent complication

answer

b,c,f

question

Children with Down syndrome are most likely to have defects of which organ? a. liver b. heart c. pancreas d. kidney

answer

c

question

When planning to work with a 5-year-old child who is autistic, the nurse should do which of the following? a. Enlist the help fo several people at one time to teach the child b. Use music and background sounds to help the child concentrate on the tasks at hand c. Let the child determine the routine to follow d. Provide a highly-structured environment with as much one-on-one instruction as possible

answer

b

question

The first stage of grief experienced by caregivers of a child newly diagnosed with mental retardation is: a. denial b. anxiety c. depression d. anger

answer

a

question

Which of the following is an expected clinical manifestation of the child with autism? a. rigid body form b. staring constant eye contact when communicating c. hyperresponsiveness to auditory stimuli d. altered response to pain

answer

d

question

A child with fetal alcohol syndrome will most likely manifest: a. ptosis b. fat upper lip c. large eyes d. maxillary hyperplasia

answer

a

question

WHen assessing an infant, which of the following are indicative of mental retardation? Select all that apply. a. diminished spontaneous activity b. poor eye contact during feeding c. increased alertness to voices or movements d. nonresponsiveness to contact e. Apgar score of 7 f. meconium ileus

answer

a,b,d

question

Clinical manifestations assocaited with Down syndrome include which of the following? Select all that apply. a. hypertonic musculature b. a large tongue in a small mouth c. epicanthic folds d. small nose e. depressed nasal bridge f. low-set ears

answer

b,c,d,e

question

A boy with fragile X syndrome would most likely have which of the following characteristics? Select all that apply. a. broad, heavy build b. large ears c. velvet-like skin d. large testes e. cupping of the ears f. close-set wide-open eyes

answer

b,c,d,e

question

A new nurse is caring for a child with a soft tissue injury. WHich action by the new nurse requires the supervising nurse to intervene? The new nurse: a. elevates the affected limb to reduce swelling b. wraps the affected area with elastic wraps to avoid impaired neurovascular status c. uses narcotics to decrease severe pain associated with soft tissue injury d. restricts activity as necessary

answer

c

question

In which phase of healing of the fracture does the callus turn into bone, the gap in the bone is bridged, and union occurs? a. inflammatory stage b. reparative stage c. ossification stage d. remodeling stage

answer

c

question

Which of the following statements about traction is true? a. Traction is the application of pulling force to a body part against a countertraction pull exerted in the opposite sd direction. b. The process is used only to treat long bone fractures c. Skin traction has a high risk of infection due to needed breakdown of the skin barrier d. Traction causes muscle spasms and should be avoided in those types of fractures where muscle spasms are a common complication

answer

a

question

When working with a child who has sustained a fracture, the nurse identifies which as the least likely complication to occur? a. malunion b. infection c. compartment syndrome d. growth disturbance

answer

b

question

Which of the following statements about cast removal in children is true? a. the pain most children feel is of moderate severity b. Caregivers should be asked to remain out of the treatment area when the cast is being removed so the child can stay focused on the procedure c. Yellow or brown flaking skin found under the removed cast area indicates an infection of the area has occurred d. Instruct the caregivers to wash the extremity with warm water and a mild soap after the cast is removed

answer

d

question

Susan and Eric are Amy's parents. Amy fell from a counter she had crawled onto and sustained a fracture of her femur. Amy has been in Buck's traction for one week and will continue to be immobilized for at least five more weeks. Susan asks the nurse, "I don't know what has happened to Amy. She was such a sweet little girl. She is miserable. Will she ever be the same again?" The best response by the nurse is: a. To help Amy cope with her anger, fear and immobility, use therapeutic touch, guided imagery and humor. b. Tell your relatives to stay at home and not visit Amy until she is out of traction. This will be the most effective way to keep her calm. c. It is not normal for a child of Amy's age to experience a change of temperment due to immobilization. There must be something really wrong with her. d. The regressive behaviors Amy exhibits will stay with her.

answer

a

question

Tatiana's child has clubfoot. She asks the nurse what kind of treatment she can expect her daughter to go through. The best response by the nurse is: a. Treatment will begin when your daughter is about 6 months old. b. It usually requires about one year of treatment to resolve the problem c. There is no formal treatment; clubfoot resolves spontaneously d. WHen serial casting is used as the method of treatment, the cast is changed every one to two weeks until complete correction has occurred

answer

d

question

Of the following, which is the priority nursing intervention for the child with Duchenne's muscular dystrophy? a. nutritional status b. genetic counseling c. respiratory status d. renal status

answer

c

question

The nurse identifies all but which one of the following children as having a bone fracture as a result of physical abuse? a. Magda, age 4, who has a fracture of the tibia in different stages of healing b. Eli, age 7, who has a fracture of the sternum c. Jaoquine, age 2, who accidentally fell down the stairs and has a fracture of the ulna d. Yolanda, age 9 months, who has a fracture of the femur

answer

c

question

The last physiologic process the body undergoes after a fracture is: a. inflammation b. reparative c. ossification d. remodeling

answer

d

question

Which statement by a caregiver who will be providing care for a child with a newly applied cast indicates that more teaching is needed? a. The cast will be dry in 12 hours b. I will handle the cast with the palm of my hand c. If my child experiences an itchy sensation under the cast, I will use a hair dryer on cool to blow air onto the itchy area d. I will not allow the cast to become wet

answer

a

question

Which statement by the caregiver of a child with Legg-Calve-Perthes Disease indicates that more teaching is needed? a. I will not allow my child to bear weight on the affected extremity b. I will maintain my child on bedrest c. I will maintain my child in adduction d. This condition is caused by decreased blood supply to the femur bone

answer

c

question

When working with children who have musculoskeletal injuries, it is important for the nurse to remember that which of the following statements about the differences between the child's and adult's musculoskeletal system are true? Select all that apply. a. The bones of children contain large amounts of cartilage b. The periosteum of children's bones is stronger and tougher with more osteogenic potential c. Fractures occur more commonly in children than in adults d. the bones of children are more porous e. CHildren's bones are not able to bend f. The periosteumn of a child's bones is less vascular than an adults

answer

a,b,d

question

Nursing management immediately following a musculoskeletal injury includes which of the following? Select all that apply. a. immobilization b. assessment of the neurovascular status of the affected extremity every 12 hours during the first 24 hours after injury c. assessment of skin color of the affected extremity d. assessment of skin temperature of the affected extremity e. assessment of pain f. assessment of pulses in the affected extremity

answer

a,c,d,e,f

question

Nursing management for the child in traction includes which of the following interventions? Select all that apply. a. Be sure all weights are hanging freely b. maintain alignment c. assess the affected extremity for edema d. Position the child's body to rest against the foot of the bed or the side of the bed e. Remove the traction every 8 hours to perform range of motion f. provide pin care once a day

answer

a,b,c

question

Which of the following findings are strongly suggestive of abuse in the child? Select all that apply. a. multiple or depressed skull fractures b. frequent ear infections c . multiiple fractures in various stages of healing d. spiral fracture of the humerus e. delayed mobility f. colic

answer

a,c,d

question

Which of the following statements about Duchenne's muscular dystrophy are true? Select all that apply. a. Duchenne's muscular dystrophy affects girls more than boys b. in children with Duchenne's muscular dystrophy, the calves appear large and strong c. Most deaths from Duchenne's muscular dystrophy are due to respiratory infections or cardiac failure d. There is no cure for Duchenne's muscular dystrophy e. children with Duchenne's muscular dystrophy usually walk on the tips of their toes f. The father carries the gene for this disorder

answer

b,c,d,e

question

A child in hyperglycemia has what type of breathing?

answer

Kussmaul's Breathing.

question

Why is it important to treat hypothroidism as soon as possible in a newborn baby?

answer

A delay is associated with a lower IQ

question

What is an open fracture?

answer

A broken bone that is protruding thru the skin.

question

What is a pavlik harness used for?

answer

Congenital hip dysplagia.

question

Will a Pavlik harness help correct a 1 year old's hip dysplagia?

answer

Not to be used over 6 months old

question

What are symptoms of scoliosis?

answer

A lateral curvature of the spine and spinal rotation that causes rib asymmetry.

question

What is the cause of sickle cell anemia?

answer

It is congenital and both parents must carry at least one recessive gene

question

What is the most common factor that increases the incidence in Down's syndrome?

answer

The age of the mother

question

What are the signs and symptoms of altered neurovascular function on a child with a cast?

answer

Increased pain, especially when extremity is elevated, numbness and tingling, and slowed capillary refill. Pallor may also be present.

question

What causes a greenstick fracture?

answer

A twisting motion causes the fracture

question

What is Brudzinski's sign?

answer

If meningitis, the child will automatically flex his hips and knees when head is purposely flexed

question

WHat is Kernig's sign?

answer

The child lies supine with hips and knees flexed. When nurse tries to extend the knees the child will either resist or complain of pain if meningitis is present

question

What 2 immunizations should a child have to protect them from bacterial meningitis?

answer

Pneumococcal conjugate vaccine,(PVC) and Haemophilus influenza type B vaccine,(HIB)..

question

One type of neural tube defect

answer

Spina Bifida

question

What is the Glasgow Coma Scale?

answer

classification of head injury

question

What are signs and symptoms of hemophilia?

answer

A missing or deficient clotting factor that prevents the body from making fibrin for clotting. Episodes of excessive bleeding, joint pain and impaired mobility may be present.

question

What do we know about cold water drowning victims?.

answer

They have a better chance of survival than warm water.

question

What is the test for the definitive diagnosis of sickle cell anemia?

answer

Hemoglobin electrophoresis

question

What is the most common blood disorder in children?

answer

Anemia

question

Which food is most commonly aspirated by a child?

answer

hotdogs

question

What is the best position for an older child to evaluate jugular distention?

answer

sitting

question

what is the most essential symptom of Acute Glomerulonephritis?

answer

hematuria

question

What describes a hydrocele?

answer

fluid in the scrotal sac

question

What cause is associated with Hemolytic Uremic syndrome?

answer

E. coli and other pathogens

question

After a pyloromyotomy, how long may the baby still vomit?

answer

48 hours

question

What is the first sign if a cleft palate is not diagnosed at birth?

answer

formula coming from the hose

question

what is a sign of intussusception?

answer

jelly like stools

question

The ductus arteriosus normalls begins to close within 12 hours after birth and should be totally closed by when?

answer

2-3 weeks

question

The first 10 days after diagnosis of Kawasaki, what is the main therapeutic intervention?

answer

IV Ig and Aspirin

question

What position should the child be placed in after a tonsillectomy?

answer

prone or side lying

question

what is a narrowing at, above, or below the aortic valve?

answer

aortic stenosis

question

What is a narrowing of the lumen of the aorta usually at or near the ductus arteriosus?

answer

coarctation of the aorta

question

what is a high-pitched sound produced by the trachea or larynx?

answer

stridor

question

what position should you put the child in when experiencing expistaxis?

answer

sit up and lean forward

question

which foods should the nurse instruct the parents to give a child with iron deficiency anemia?

answer

dried fruit, chickena nd ground beef

question

which test is a definitive diagnosis for sickle cell anemia?

answer

Hgb electrophoresis

question

Hemophilia A is a deficiency in?

answer

factor VIII

question

which test is abnormal for a child with hemophilia?

answer

PTT

question

what characteristics will a child with Von Willebrand disease have?

answer

mucous membranes bleeding

question

this is a group of inherited autosomal regressive disorders, characterized by an imparied rate of hemoglobin chain synthesis

answer

thalassemia

question

Which of the following is not a compensatory mechanism for anemia? a. retention of water b. decreased heart rate c. increased erythropoiesis d. increased respiratory rate

answer

decreased heart rate

question

what is sequestration crisis?

answer

pooling of blood in the liver and spleen

question

What drug should not be given to a child with ITP?

answer

aspirin

question

what referes to a condition where all three types of blood cells are decreased or absent?

answer

pancytopenia

question

What is the first line of treatment for type I or mild type II VonWIllebran's disease?

answer

desmopressin

question

this is a nonprogressive motor dysfunction due to damage in the motor areas of the brain

answer

cerebral palsy

question

this is the way down's syndrome is diagnosed

answer

karyotyping

question

skull deformity that happens because the sutures close too soon

answer

craniosynostosis

question

positioning for standing child who has seizure

answer

lie child on floor and put on side

question

type of seizure lasts more than 60 minutes

answer

refractory seizure

question

most common cause of chronic heart failure in older children

answer

acquired heart disease

question

where a patent ductus arteriosus murmur is heard

answer

below left clavicle

question

child had a fever and on day 10 has red, swollen and peeling hands and feet

answer

kawasaki's disease

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2 hour old infant is cyanotic despite O2

answer

transposition of great arteries

question

this is the condition that a blalock-taussig is done for

answer

tetralogy of fallot

question

failure of one or both testicles to descend

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cryptorchidism

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drug used for bladder spasm

answer

ditropan (oxybutrnin chloride)

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collection of fluid in the scrotal sac

answer

hydrocele

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symptoms are renal failure, thrombocytopenia and anemia

answer

hemolytic uremic syndrome

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nephrotic syndrome symptoms

answer

massive proteinurea, hypoalbuminemia, edema & hyperlipidemia

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most common type of hemophilia

answer

hemophilia A

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most common blood disorder in children

answer

anemia

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production of an inadequate number of erythrocytes

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aplastic anemia

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characterized by an impaired rate of hemoglobin chain synthesis

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thalassemia

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missing or deficient clotting factor, but normal platelet and PT

answer

hemophilia

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injections of this help a child grow, and continue for many years

answer

growth hormones

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type of breathing assessed when a child is in DKA

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kussmaul's breathing

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if not treated as soon as diagnosed in a newborn, this can lead to mental retardation

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hypothyroidism

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shortage of ADH causes this

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diabetes insipidus

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test to determine average blood glucose control over last 8-12 weeks

answer

Hgb A1c

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leading cause of pediatric chronic illness

answer

asthma

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