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LUNGS, HEART, BLOOD & LYMPH

Total questions: 50

Worksheet time: 26mins

Name
Class
Date
1.

WHAT DRUG CAN PREVENT DEVELOPMENT OF ERYTHROBLASTOSIS FETALIS & WHO RECEIVES THE DRUG?

a)

DDAVP, MOTHER

b)

DDAVP, BABY

c)

RhoGAM, MOTHER

d)

RhoGAM, BABY

2.

WHICH OF THE FOLLOWING OCCUR IN ERYTHROBLASTOSIS FETALIS? SELECT ALL THAT APPLY

a)

FETAL BLOOD LEAKS INTO MOM'S BLOOD

b)

FETAL BLOOD CELLS ARE DESTROYED

c)

MOM MAKE'S ANTIBODIES THAT CROSS THE PLACENTA

d)

RBC's EXPAND & MULTIPLY IN THE FETUS

3.

WHY WOULD AN INFANT RECEIVE PHOTOTHERAPY WITH A FIBEROPTIC PAD PLACED UNDER THEIR BODY?

a)

TO INCREASE BILIRUBIN LEVEL

b)

TO TREAT PORPHYRIA

c)

FOR CURING JAUNDICE

d)

FOR INTENSIVE TREATMENT TO REDUCE BILIRUBIN LEVEL

4.

WHICH OF THE FOLLOWING ARE IMPORTANT FOR THE CHILD RECEIVING PHOTOTHERAPY? SELECT ALL THAT APPLY

a)

REPOSITION CHILD Q 2 HOURS TO PROVIDE EXPOSURE OF ALL SKIN AREAS

b)

LEAVE PHOTOTHERAPY LIGHTS ON DURING BLOOD DRAW FOR RECHECK OF BILIRUBIN LEVEL

c)

COVER EYES TO PREVENT RETINAL DAMAGE & CORNEAL ABRASION

d)

COVER OVARIES/TESTES WITH DIAPER TO MAINTAIN REPRODUCTIVE SYSTEM

5.

WHAT IS THE USUAL CAUSE OF INTRACRANIAL HEMORRHAGE AROUND THE TIME OF BIRTH? SELECT ALL THAT APPLY

a)

TRAUMA

b)

HYDROPS FETALIS

c)

ANOXIA

d)

PHOTOTHERAPY

6.

WHICH OF THESE IS NOT A SIGN OF INTRACRANIAL HEMORRHAGE IN THE NEWBORN

a)

POOR MUSCLE TONE

b)

PROJECTILE VOMITING

c)

SOFT FONTANELLE

d)

HIGH PITCHED SHRILL CRY

7.

WHICH OF THESE BLOOD COMPONENTS FIGHT INFECTION?

a)

ERYTHROCYTES

b)

LEUKOCYTES

c)

THROMBOCYTES

8.

WHAT CAUSES IRON DEFICIENCY ANEMIA? SELECT ALL THAT APPLY

a)

CHILD'S INABILITY TO ABSORB IRON

b)

INADEQUATE DIET

c)

SEVERE HEMORRHAGE

d)

INHERITED TRAIT

e)

RAPID GROWTH PERIODS

9.

WHICH OF THESE FOODS IS NOT "IRON RICH"

a)

EGG YOLK

b)

DRIED FRUIT

c)

CHEESE

d)

CREAM OF WHEAT

10.

WHICH OF THESE BLOOD COMPONENTS IS INVOLVED WITH COAGULATION?

a)

LEUKOCYTES

b)

ERYTHROCYTES

c)

EOSINOPHILS

d)

THROMBOCYTES

11.

WHEN SHOULD THE FULL-TERM CHILD BE SCREENED FOR IRON-DEFICIENCY ANEMIA?

a)

6 & 36 MONTHS

b)

3 & 12 MONTHS

c)

9 & 24 MONTHS

d)

BIRTH & 6 MONTHS

12.

WHICH OF THESE MIGHT TRIGGER A SICKLE CELL CRISIS? SELECT ALL THAT APPLY

a)

DEHYDRATION

b)

COLD CONDITIONS

c)

EXERCISE

d)

RECEIVING IMMUNIZATIONS

13.

WHICH OF THESE IS THE MOST COMMON TYPE OF SICKLE CELL CRISES, WHEN BLOOD FLOW IS OBSTRUCTED BY CELLS & PAIN OCCURS?

a)

SPLENIC SEQUESTRATION

b)

APLASTIC CRISES

c)

VASOOCCLUSIVE

d)

HYPERHEMOLYTIC

14.

APLASTIC SICKLE CELL CRISES IS IDENTIFIED BY WHAT?

a)

INFARCTIONS & VASOSPASMS

b)

LARGE AMOUNTS OF BLOOD POOL IN THE SPLEEN & LIVER

c)

PROGRESSIVE FIBROSIS OF SPLEEN & RAPID RATE OF HEMOLYSIS

d)

BONE MARROW STOPS PRODUCING RBC's

15.

WHICH SICKLE CELL CRISES MAY CAUSE DEATH WITHIN HOURS OF APPEARANCE OF SYMPTOMS?

a)

HYPERHEMOLYTIC

b)

APLASTIC CRISES

c)

SPLENIC SEQUESTRATION

d)

VASOOCCLUSIVE

16.

AN IMPORTANT GOAL IN CARING FOR A CHILD WITH SICKLE CELL DISEASE WOULD BE? SELECT ALL THAT APPLY

a)

USING MEPERIDINE FOR PAIN CONTROL

b)

PREVENTION OF INFECTION

c)

PREVENTION OF DEHYDRATION

d)

DELAYING IMMUNIZATIONS UNTIL PUBERTY

17.

IN COOLEY'S ANEMIA FREQUENT BLOOD TRANSFUSIONS ARE ADMINISTERED TO MAINTAIN THE HGB LEVEL ABOVE WHAT?

a)

8g/dL

b)

9.5g/dL

c)

10g/dL

d)

12.5g/dL

18.

THALASSEMIA MINOR OCCURS WHEN CHILD INHERITS THE THALASSEMIA GENE FROM?

a)

ONE PARENT

b)

BOTH PARENTS

c)

NEITHER PARENT, THIS CONDITION IS ACQUIRED

19.

WHAT DRUG COUNTERACTS THE CONDITION "HEMOSIDEROSIS?"

a)

RhoGAM

b)

DDAVP

c)

DEMEROL

d)

DESFERAL

20.

WHAT IS HEMARTHROSIS?

a)

LACK OF IRON IN THE BLOOD

b)

BUILD-UP OF IRON DEPOSITS IN THE TISSUES

c)

OVERPRODUCTION OF PLATELETS

d)

BLEEDING INTO THE JOINTS

21.

A GROUP OF HEREDITARY BLOOD DISORDERS WHERE THE PATIENTS BODY CANNOT PRODUCE SUFFICIENT ADULT HGB IS KNOWN AS?

a)

HEMOPHILIA

b)

GALACTOSEMIA

c)

THALASSEMIA

d)

LEUKEMIA

22.

A DEFECTIVE GENE LOCATED ON THE FEMALE CHROMOSOME "X" THAT CAUSES DEFICIENCY OF FACTOR VIII IN THE BLOOD IS KNOWN AS?

a)

HEMOPHILIA A

b)

CHRISTMAS DISEASE

c)

IDIOPATHIC THROMBOCYTOPENIA PURPURA

d)

LEUKEMIA

23.

WHAT IS THE TREATMENT FOR BLEEDING FROM MINOR TRAUMA IN A CHILD WITH HEMOPHILIA?

a)

THE 5 P's

b)

D.I.E.S.

c)

B.L.A.S.T.

d)

R.I.C.E.

24.

WHICH OF THESE S/S IS NOT RELATED TO I.T.P.

a)

NOSEBLEEDS

b)

PLATELET COUNT BETWEEN 150,000 & 400,000

c)

PETECHIAE

d)

BRUISING

25.

IS ITP ACQUIRED OR INHERITED?

a)

INHERITED

b)

ACQUIRED

26.

WHICH NURSING DIAGNOSIS WOULD BE LINKED WITH A 13 YR OLD GIRL RECEIVING CHEMOTHERAPY, WHO IS WORRIED ABOUT LOSING HER HAIR?

a)

DEFICIENT KNOWLEDGE R/T PREVENTION OF INFECTION

b)

FEAR OF DEATH

c)

RISK FOR IMPAIRED TISSUE INTEGRITY

d)

DISTURBED BODY IMAGE

27.

WHAT SHOULD THE NURSE'S INITIAL ACTION BE, IF A CHILD SHOWS SIGNS OF A TRANSFUSION REACTION?

a)

NOTIFY THE DOCTOR

b)

HAVE THE CHARGE NURSE ASSESS THE PATIENT

c)

STOP THE INFUSION

d)

CONTINUE TO MONITOR THE PATIENT'S VITAL SIGNS

28.

WHAT IS THE PRIMARY FEAR IN A 4 YEAR OLD WHO IS DYING?

a)

NOT KNOWING WHEN THEY WILL DIE

b)

BEING BURIED IN THE GROUND

c)

NOT BEING ABLE TO PLAY ANYMORE

d)

BEING SEPARATED FROM THEIR PARENTS

29.

WHAT IS BLOOD FLOW THROUGH AN ABNORMAL OPENING BETWEEN TWO VESSELS CALLED?

a)

CHOREA

b)

SHUNT

c)

PULSE PRESSURE

d)

POLYCYTHEMIA

30.

WHICH OF THESE S/S COULD INDICATE A CONGENITAL CARDIAC PROBLEM IN AN INFANT? SELECT ALL THAT APPLY

a)

HYPERACTIVITY

b)

FAILURE TO THRIVE

c)

CLUBBING OF FINGERS

d)

EXCESSIVE PERSPIRATION, MAINLY ON FOREHEAD

e)

SWOLLEN LYMPH NODES

31.

THE CONGENITAL HEART DEFECT THAT RESTRICTS BLOOD FLOW IS ?

a)

COARCTATION OF AORTA

b)

TETRALOGY OF FALLOT

c)

ATRIAL SEPTAL DEFECT

d)

HYPOPLASTIC LEFT HEART SYNDROM

32.

WHICH DEFECT HAS A LEFT TO RIGHT SHUNT?

a)

TETRALOGY OF FALLOT

b)

COARCTATION OF AORTA

c)

VENTRICULAR SEPTAL DEFECT

d)

HYPOPLASTIC LEFT HEART SYNDROME

33.

WHAT TYPE OF MURMUR WOULD BE HEARD WITH A PATENT DUCTUS ARTERIOSUS?

a)

LOUD, HARSH MURMUR

b)

MACHINERY LIKE MURMUR

c)

INNOCENT MURMUR

34.

A significant difference in the blood pressure between the upper and lower extremities is a classic sign of what congenital defect ?

a)

Hypoplastic left heart syndrome

b)

Atrial Septal defect

c)

Ventricular Septal defect

d)

Coarctation of Aorta

35.

When are prophylactic antibiotics likely to be given to a child with a congenital defect?

a)

prior to immunizations

b)

prior to starting preschool

c)

prior to dental care

d)

immediately after dental care

36.

Why are prophylactic antibiotics given to a child with a congenital defect?

a)

for prevention of rheumatic fever

b)

for prevention of hyperlipidemia

c)

for prevention of Kawasaki disease

d)

for prevention of bacterial endocarditis

37.

Which of these is NOT a sign of Rheumatic fever.

a)

urinary tract infections

b)

migratory polyarthritis

c)

skin eruptions

d)

Sydenham's chorea

38.

Which of these is NOT a s/s of digoxin toxicity?

a)

vomiting

b)

anorexia

c)

headache

d)

nausea

39.

Scarring of the Mitral valve occurs with which condition?

a)

Kawasaki disease

b)

Tetralogy of Fallot

c)

Congestive Heart Failure

d)

Rheumatic Fever

40.

What type of precautions are required for a patient with Kawasaki's disease?

a)

Standard precautions

b)

Contact precautions

c)

Droplet precautions

d)

Neutropenic precautions

41.

The nurse knows that for accurate blood pressure readings, the cuff must be positioned properly and ?

a)

auscultated at the radial artery

b)

encircle 2/3 of the length of the upper arm

c)

taken at the same time every day

42.

What 3 medications would be used in Kawasaki's disease?

a)

cyclosporine, ASA, I.V. immune globulin

b)

digoxin, furosemide, penicillin

c)

prednisone, lisinopril, morphine

d)

meperidine, DDAVP, iron supplements

43.

A child with strep throat is no longer infectious when?

a)

3 days after completing antibiotic therapy

b)

7 days after starting antibiotics

c)

once drug therapy has begun & fever has decreased

d)

once child is free of fever

44.

What is the treatment for sinusitis?

a)

rest & fluids

b)

10-14 days of antibiotic therapy

c)

steroids

d)

bronchodilators

45.

The viral condition that destroys respiratory cilia, has exudate & edema, & results in respiratory obstruction is known as?

a)

bronchopulmonary dysplasia

b)

asthma

c)

laryngotracheobronchitis

d)

respiratlry syncytial virus

46.

What do we know about cromolyn sodium in regards to treating asthma?

a)

It is a rescue inhaler used prn for asthma attacks

b)

It should not be given with warfarin

c)

rinse mouth to relieve bitter taste

d)

it is used daily for prevention of asthma attacks

47.

Why is a spacer used with inhalers?

a)

to prevent mouth ulcers

b)

to dilute the medication

c)

to slow the movement of medicine for better inhalation

d)

to increase the movement of medicine for faster relief

48.

What type of stools are a symptom of cystic fibrosis?

a)

green tarry

b)

black watery

c)

formed tan

d)

bulky frothy

49.

Which vitamins should be given to a child with cystic fibrosis?

a)

fat soluble vitamins-B, C

b)

water soluble vitamins-A, D, E, K

50.

Which of these are s/s of chronic respiratory distress? Select all that apply

a)

clubbing of fingers

b)

retractions

c)

listlessness

d)

wheezing

e)

dry mucous membranes