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WorksheetsPediatric Quiz 1
Total questions: 13
Worksheet time: 26mins
You are working with a new graduate on the pediatric unit and your patient is returning from the cardiac catheterization laboratory. You feel the graduate understands the important nursing interventions when she says which of the following? Select all that apply.
“Check pulses, especially below the catheterization site, for equality and symmetry.”
“Special attention needs to be given to the BP, especially for hypertension, which may indicate hemorrhage or bleeding from the catheterization site.”
“Check the dressing for evidence of bleeding or hematoma formation in the femoral or antecubital area.”
“Check vital signs, which may be taken as frequently as every 30 to 45 minutes, with special emphasis on the heart rate, which is counted for 1 full minute for evidence of dysrhythmias or bradycardia.”
“Allow the child to ambulate because this will prevent skin breakdown from lying so long in one place.”
You are working with a family with a child who has a congenital heart defect. Future surgery is planned, and you are teaching the parent how to reduce cardiac demands. The parent needs more teaching when she says which of the following?
“I will wake my child for feeding every 2 hours so he can get enough calories to gain weight.”
“When I give the digoxin, I will listen to the pulse for 1 full minute.”
“I should protect my child from people who have respiratory infections.”
“I will count the number of wet diapers to be sure my child is not getting too much or too little fluid.”
The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. How should the nurse reply to this concern?
Constant parental supervision is needed to avoid overexertion.
The child needs to understand that peers’ activities are too strenuous.
The child needs opportunities to play with peers
The parents should meet all the child’s needs.
What sign/symptom is a major clinical manifestation of rheumatic fever (RF)?
Fever
Polyarthritis
Janeway spots
Osler nodes
A child with periorbital edema, decreased urine output, pallor, and fatigue is admitted to the pediatric unit. The child is being examined for acute glomerulonephritis. Which of the following nursing measures should be considered? Select all that apply.
Assessment of the child's appearance for signs of cerebral complications is an important nursing function because the severity of the acute phase is variable and unpredictable.
Urinalysis during the acute phase characteristically shows hematuria, proteinuria, and increased specific gravity.
The primary objective is to reduce the excretion of urinary protein and maintain protein-free urine.
On examination, there is usually a mild to moderate elevation in blood pressure compared with normal values for age, although severe hypertension may be present.
Because these children are particularly vulnerable to upper respiratory tract infection, protect them from contact with infected roommates, family, or visitors.
The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. What statement most accurately reflects inheritance of SCA? A
There is a 50% chance of siblings having SCA
Each sibling has a 25% chance of having SCA.
SCA is not inherited.
ll siblings will have SCA.
What factor predisposes an infant to fluid imbalances?
Immature kidney functioning
Decreased daily exchange of extracellular fluid
Lower metabolic rate
Decreased surface area
What is the most frequent cause of hypovolemic shock in children?
Blood loss
Anaphylaxis
Sepsis
Heart failure
The most common type of dehydration in children occurs when electrolyte and water deficits are present in approximately balanced proportions. This is called ________________ dehydration.
Hypotonic
Hypertonic
Isotonic
Hyponatremic
A burn injury involving the epidermis and varying degrees of the dermal layer that is painful, moist, red, and blistered describes which of the following?
first-degree burn
Partial-thickness or second-degree burn
Full-thickness or third-degree
Fourth-degree burn
A child with periorbital edema, decreased urine output, pallor, and fatigue is admitted to the pediatric unit. The child is being examined for acute glomerulonephritis. Which of the following nursing measures should be considered? Select all that apply.
On examination there is usually a mild to moderate elevation in blood pressure compared with normal values for age, although severe hypertension may be present.
. Urinalysis during the acute phase characteristically shows hematuria, proteinuria, and increased specific gravity.
The primary objective is to reduce the excretion of urinary protein and maintain protein-free urine.
Assessment of the child's appearance for signs of cerebral complications is an important nursing function because the severity of the acute phase is variable and unpredictable.
Because these children are particularly vulnerable to upper respiratory tract infection, protect them from contact with infected roommates, family, or visitors.
When caring for a child with probable appendicitis, the nurse should be alert to recognize which sign or symptom as a manifestation of perforation?
Anorexia
Bradycardia
Sudden relief from pain
Decreased abdominal distention
A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse suspect?
Hirschsprung disease
Intussusception
Pyloric stenosis
Celiac disease
