NURS 307 Pediatrics Final Exam Study Guide Rated A+ 2023
1. How can the nurse minimize an infant's risk of developing retinopathy of prematurity? Give oxygen to all premature infants due to their underdeveloped lungs
2. A 16-year-old child is admitted to the pediatric medical-surgical unit wi...
NURS 307 Pediatrics Final Exam Study Guide Rated A+ 2023 1. How can the nurse minimize an infant's risk of developing retinopathy of prematurity? Give oxygen to all premature infants due to their underdeveloped lungs 2. A 16 -year -old child is admitted to the pediatric medical -surgical unit with a hemoglobin of 6.2g/dL and a heart rate of 125 bpm. While assessing the patient which of the following should be the nurse's priority assessment? Signs of cardiac decompensation 3. A newborn is suspected of having cystic fibrosis. As the newborn is being prepared for transfer to a pediatric hospital, the mother asks the nurse which symptoms made the practitioners suspect cystic fibrosis. Which response by the nurse is the most important? Meconium ileus 4. The nurse is assessing a child who is suspected to have autism spectrum disorder. Which of the following expected findings is the nurse likely to observe? SATA Avoids eye contact Lack of empathy Repetitive behaviors 5. A 7-year -old child is admitted to the PICU with a diagnosis of acute asthma exacerbation. An arterial blood gas is obtained. What finding does the nurse anticipate? Increased carbon dioxide level 6. A nurse is caring for a child diagnosed with sickle cell anemia, who is receiving their first chelation therapy. What information should the nurse teach the parent regarding the therapy? Decreases the risk of bleeding 7. A 7-year -old with sickle cell disease is scheduled to have a splenectomy. During the pre - surgery teaching, what should the nurse explain to the parents the reason for a splenectomy? There is pooling of blood in the spleen and liver 8. A 4-year -old child presents with a fever and rash. What three of the following items should the nurse obtain during the health history? SATA Thorough description and history of the rash Immunization history Any exposure to communicable or infectious diseases 9. When assessing the pain level of a developmentally appropriate 4-year -old child, which technique should be utilized. Have the child select the face that matches the pain they feel 10. When developing the discharge teaching plan for the parents of a child who has undergone a cardiac catheterization for a ventricular septal defect, which of the following teaching should the nurse expect? Instruct the parents to assess the extremities for temperature and color 11. The nurse is caring for a child who is suspected of having rheumat ic fever. Which of the following findings should the nurse expect? Chorea 12. NG: The nurse is caring for an 8-year -old with juvenile idiopathic arthritis. The child's parents state that they have a difficulty getting their daughter out of bed in the morning. The mother believes that the child's behavior is a result of avoiding going to school. Which is the best response by the nurse to the parents? Give the child a warm bath every morning before school 13. What is the causal agent commonly associated with infectious mononucleosis? Human parvovirus 14. The nurse practitioner orders ampicillin 375 mg IV every 6 hours for a 6 -month -old with respiratory infection. Ampicillin is supplied as 500 mg of powder in a vial. The directions state to reconstitute the powder with 1.8 mL of 0.9% NACL, which yields 250 mg/mL. How many milliliters should the nurse administer? (Round to the nearest tenth) 1.5 mL 15. A nurse is caring for an infant who has a congenital heart defect associated with decreased pulmonary blood flow. Which of the following would the nurse expect the infant to be diagnosed with? Tetralogy of Fallot (TOF) 16. During a well-child exam visit for a 24-month -old, language development is assessed. Which of the following findings would be most appropriate? Use of 2-3-word sentences 17. A 12-year -old is admitted to the pediatric unit with a diagnosis of syndrome of inappropriate antidiuretic hormone (SIADH). Which electrolyte abnormality would the nurse monitor? Hyponatremia 18. Which of the following symptoms should the nurse recognize is typically the first indication of a congenital heart defect in an infant? Heart murmur 19. The nurse is assessing a 4-year -old patient with uncorrected tetralogy of Fallot who is crying. The nurse obtains the following information. Which finding requires immediate action? The lips and oral mucosa are dusky in color 20. A nurse is examining the laboratory results of a stool sample of a child with cystic fibrosis. The sample yields excessive amounts of steatorrhea. Which of the following best explains what that result indicates? The child has not been taking their enzymes 21. The nurse is caring for a patient with recently diagnosed diabetes insipidus. The nurse should expect which of the following laboratory findings? SATA Oliguria Hypernatremia Decreased specific gravity 22. The nurse is performing an assessment on a 12 -year -old girl. Which of the following assessment findings should the nurse suspect correlate with a suspicion of scoliosis? SATA. Asymmetry of the shoulders Asymmetry of the hips Prominent scapula 23. The mother of a 6 -month -old with cystic fibrosis asks the nurse what time to begin the child's chest physiotherapy (CPT) each day. Which of the following is the best response by the nurse? "Thirty minutes before feeding the child breakfast" 24. Compared with adults, why are infants and children at an increased risk for infection and communicable diseases? Infants have an increased risk for infection until they require their first set of immunizations 25. A 6-year -old child complaining of abdominal pain and nausea is diagnosed with intussusception. The child is scheduled for surgery. Which finding should be reported immediately before surgery proceeds? Passage of current jelly-like stool 26. A 6-year -old has been diagnosed with Wilms tumor. What is the priority nursing intervention for this child? Avoid palpating the child's abdomen 27. A nurse is providing teaching to the parents of a child who has been recently diagnosed with rheumatic fever. Which of the following assessments by the parent indicated the cause of the rheumatic fever? My child had a recent throat infection (strep infection)***
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