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Peds Final Exam- Questions & Well Detailed Solutions
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Peds Final Exam- Questions & Well Detailed Solutions
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Peds Final Exam- Questions & Well Detailed SolutionsA newborn's assessment revealed a fused digit on the left hand. Which of the
following terms is used to define fused digits of the hands or feet? Right
Ans - Syndactaly
Transposition of the Great Vessel(TGV) is incompatible with life.
Prostaglandin E is given to children with this medical emergency to keep
which of the following shunts open in an infant with TGV? Right Ans -
Ductus Arterlosus
Which concept reinforces the development of A SENSE OF TRUST FOR AN
INFANT? Right Ans - They can predict what is coming and their needs are
constantly met.
A concerned mother brings her 1-year-old son to the peds ER. She explains
her son has been having bouts of crying during which he draws up his legs for
the past 12 hours. He is also not feeding and appears to be pale but is afebrile.
This morning he passed stool that appeared to be red in color. These
symptoms describe which of the following conditions? Right Ans -
Intussusception
7. An infant brought to the US from another country is diagnosed with
congenital hypothyroidism. The nursing student is aware the infant is at risk
for which symptoms? Signs and symptoms include? Right Ans - large
fontanelles, protruding tongue, umbilical hernia, constipation, bradycardia,
shortness of breath, lethargy, prolonged jaundice. If the condition is left
untreated it can lead to profound cognitive deficits, large tongue that makes it
difficulty to feed
The parent of a child with growth hormone (GH) deficiency is learning to
administer GH therapy. When is the best time for the parent to administer the
GH to the child? Right Ans - At bedtime using subQ needle
. Which is the leading cause of death in infants younger than 1 in the U.S?
Right Ans - Congenital anomalies
,The nurse notes that a child has lost 3.6 kg (8lb) after 4 days of hospitalization
for acute glomerulonephritis. What is the most likely cause of this weight loss?
Right Ans - Reduction of edema
A young girl has just injured her ankle at school. After notifying the child's
parents and applying ice to the area, what is the next most appropriate action
by the school nurse Right Ans - Elevate the extremity to reduce edema
formation
A school age child with celiac disease asks for guidance about snacks that will
not exacerbate the disease. What snack should the nurse suggest? Right
Ans - Rice cakes
Which of the following conditions does the Barlow and Ortalani test screen
for? Right Ans - Developmental dysplasia of the hip
A newborn is suspected of having esophageal atresia with a Tracheal
esophageal fistula. What nursing assessment information would assist in
validating the presence of a fistula? Right Ans - Choking and coughing with
frothy saliva.
Select the disorders classified as inborn error of metabolism disease. Select all
that apply. Fructose intolerance. Right Ans - Galactosemia. Phenylketonuria
(PKU)
Which of the following concepts provides a rational approach to decision
making that facilitates best practice in nursing care? Right Ans - A Evidence
Based Practice
A 10 year old sustained a full thickness 3rd degree burn on his left arm during
a barbecue. What will be required for healing from this injury Right Ans -
Autografting
A school nurse is educating a room full of 12-14 yr. old females on health and
hygiene issues. She included the following symptoms high fever, vomiting,
diarrhea, oliguria, and hypertension to best describe which illness? Right
Ans - Toxic shock syndrome(TSS)
, A 1 week old infant is evaluated in pediatric renal clinic, with a narrowing of
the opening of his foreskin. What is the condition called? Right Ans -
Phimosis
A child with a fracture of the humerus has a long arm cast. Which of the
following signs are assessed to determine tissue ischemia or compartment
syndrome? Right Ans - Paralysis
Tetralogy a fallot consists of pulmonic stenosis, ordering aorta, ventricular
septal defect, and which of the following? Right Ans - Right ventricular
hypertrophy
A 5 year old child is admitted with bacterial pneumonia. What signs and
symptoms should the nurse expect to assess with this disease process?
Right Ans - Fever, cough and chest pain
A 4 year old male is rushed to the emergency department during an acute
severe prolonged asthma attack and is unresponsive to usual treatment. The
condition is referred to as which of the following? Right Ans - Status
asthmaticus
Select the developmental milestones usually seen in children during the
preschool stage (3-6 years). Right Ans - colors and shapes, learns to run,
jump, skip and hop, ride a tricycle
Which immunizations should the nurse plan to administer to normal healthy
children between the ages of 1 and 5 years Right Ans - DTaP, IPV, MMR
A 4 week old infant has a femoral shaft fracture. The nurse recognizes that the
appropriate healing time for this infant's fracture is how long Right Ans - 2-
3 weeks
Which nursing intervention is the priority for the pediatric intensive care
nurse to implement when caring for a 15 year old client diagnosed with
diabetic ketoacidosis (DKA)? Right Ans - Assess for fruity breath odors
The nurse is caring for an infant with suspected pyloric stenosis. Which
clinical manifestation would indicate pyloric stenosis? Right Ans - Non-
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