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Final Exam Class Activity

Total questions: 48

Worksheet time: 17mins

Name
Class
Date
1.

Which of the following is not a common sign and symptom of diabetic ketoacidosis (DKA)?

a)

Kussmaul respirations

b)

Acetone breath

c)

Proteinuria

d)

Blood pH <7.3

2.

Which child does not have risk factors for iron-deficiency anemia?

a)

A 32-week preterm newborn

b)

A 9-month-old drinking 6 oz cow's milk 4 times a day

c)

A 9-month-old drinking 6 oz Enfamil formula 4 times a day

d)

A 4-month-old infant of a family with financial strains

3.

Impetigo has what characteristic finding?

a)

Large, silvery-grey patches

b)

Annular rash with centralized clearing

c)

Bright red skin with satellite lesions

d)

Reddened skin with honey-crusted crusts

4.

For the question, "which animal is the scariest?", which animal was not given as a scariest animal?

a)

Megalodon

b)

Giant squid

c)

Crocodile

d)

Hungry Hailey

5.

Which intervention is not appropriate for a child with Sickle Cell Disease in a sickle cell crisis?

a)

Increased hydration

b)

O2 at 2 Lpm via NC to maintain O2 sats ≥93%

c)

PO and IV analgesics as needed

d)

Out of bed every 15 minutes to encourage ambulation

6.

What is the rationale for needing to repeat many lice shampoo treatments in 10 days?

a)

Most lice treatments are ineffective

b)

Most lice treatments only treat eggs or live bugs, but not both

c)

Pharmacy company greed

d)

Most lice treatments wash out of hair before taking effect

7.

What scabies treatment should not be used in pediatrics due to the risk of neurotoxicity?

a)

Lindane

b)

Topical permethrin

c)

Oral ivermectin

d)

Topical spinosad

8.

Which intervention would you question for a patient with hemophilia?

a)

Restriction from all physical activity

b)

Routine PTT monitoring

c)

Hold pressure to any injection for 10 minutes following needle removal

d)

Genetic counseling

9.

What allergy are we most concerned a spina bifida patient might acquire?

a)

Penicillins

b)

Latex

c)

Adhesives

d)

Cephalosporins

10.

Which sign/symptom would make you concerned about a VP shunt malfunction in a 4 month old?

a)

Fever

b)

Abdominal swelling

c)

Runny nose

d)

Inconsolable crying

11.

Which intervention is not appropriate for treatment of beta-thalassemia?

a)

Routine blood transfusions

b)

Chelation

c)

Routine iron infusions

d)

Hematopoietic stem cell transplant

12.

Which of the following return to school recommendations is most appropriate for a child with school phobia?

a)

Stay out of school for a full year to reduce anxiety

b)

Restart school as soon as possible, but performing half-days

c)

Restart school as soon as possible with no restrictions

d)

Homeschool for the remainder of their schooling

13.

Idiopathic Thrombocytopenic Purpura (ITP) involves the destruction of which blood cell?

a)

Lymphocytes

b)

Erythrocytes

c)

Platelets

d)

Plasma cells

14.

When a child squats during a Tet spell, where are they diverting more blood flow through?

a)

The aorta

b)

The pulmonary artery

c)

The pulmonary vein

d)

The mitral valve

15.

Which is not one of the 3 P's of diabetes?

a)

Polydipsia

b)

Porphyria

c)

Polyuria

d)

Polyphagia

16.

A child born with an inability to create thyroid hormone is at risk of:

a)

Rapid mental decline

b)

Irritability

c)

Feeding intolerance

d)

Accelerated growth

17.

Which assessment is not associated with appendicitis?

a)

Tenderness at McBurney's point

b)

Psoas sign

c)

Obturator sign

d)

Kernig sign

18.

Acromegaly is caused by a dysfunction of which gland?

a)

Anterior Pituitary

b)

Adrenal

c)

Thyroid

d)

Posterior Pituitary

19.

What percentage of the class thinks Bigfoot is real?

a)

0%

b)

45%

c)

67%

d)

100%

20.

Which group of foods was chosen most frequently as people's "favorite food"?

a)

Beef-containing foods

b)

Desserts

c)

Carby foods

d)

Cheesy foods

21.

Which of the following is not elevated in tumor lysis syndrome?

a)

Intracellular ions

b)

Uric acid

c)

Creatinine

d)

Transaminase

22.

Initial breast bud development in females is also known as:

a)

Menarche

b)

Precocious puberty

c)

Thelarche

d)

Gynecomastia

23.

What lab is closely monitored while on antifungals for tinea rashes?

a)

BMP

b)

CBC

c)

LFT

d)

Blood cultures

24.

What order would you question in the long-term treatment of anxiety in an adolescent?

a)

Fluoxetine

b)

Cognitive Behavioral Therapy

c)

Lorazepam

d)

Sertraline

25.

Which intervention would you question in the treatment of candida diaper dermatitis?

a)

Application of nystatin to area 2-4 times a day

b)

Zinc oxide ointment applied to moist skin

c)

Wet wash cloths for diaper changes

d)

Leave diaper off for 15-20 minutes after changing

26.

What precautions are appropriate when treating bacterial meningitis?

a)

Droplet

b)

Contact

c)

Neutropenic

d)

Standard

27.

A Blaylock-Taussig-Thomas shunt allows blood to pass between which two cardiac locations?

a)

The aorta and the pulmonary artery

b)

The pulmonary artery and the pulmonary veins

c)

The aorta and the pulmonary veins

d)

The superior vena cava and the pulmonary artery

28.

What assessment finding would you not expect in a 2-year old with hydrocephalus?

a)

Bulging fontanels

b)

Frontal bossing

c)

Large head circumference

d)

Sun-setting eyes

29.

What is the first-line medication treatment for pediatric asthma?

a)

Albuterol

b)

Fluticasone

c)

Salmeterol

d)

Budesonide-formoterol

30.

Ortolani's maneuver for assessing DDH is the inward rotation with posterior pressure applied

a)

True

b)

False

31.

Which is NOT one of the 6 P's of compartment syndrome that are assessed with cast assessments?

a)

Pain

b)

Palsy

c)

Pulselessness

d)

Pallor

32.

When assessing for rotavirus, what are you assessing for in your abdominal assessment?

a)

Honey crusted lesions

b)

Sausage shaped mass

c)

Olive shaped mass

d)

Fruity smelling breath

33.

Daycare attendance, vaccine refusal, and parental smoking all increase the risk of a child developing ear infections

a)

True

b)

False

34.

To synthetically replace antidiuretic hormone, you would see _________ prescribed:

a)

Epinephrine

b)

Furosemide

c)

Depo-Provera

d)

DDAVP

35.

You would expect little to no urine output with Diabetes Insipidus (DI)

a)

True

b)

False

36.

Which reigned supreme? Cake, cookies, or pie?

a)

Cake

b)

Cookies

c)

Pie

37.

__________ is a form of temporary paralysis that progresses from peripherals inward/upward due to destruction of myelin.

a)

Guillan-Barré

b)

Hemiparesis

c)

Spina bifida

d)

Skeletal Muscular Atrophy

38.

Pictured is an example of a ______________.

a)

Spina Bifida Occulta

b)

Meningocele

c)

Myelomenengocele

d)

Exstrophy of the bladder

39.

What medication class are we most concerned about triggering Reye syndrome?

a)

Salicylates

b)

Penicillins

c)

Cephalosporins

d)

Opioids

40.

Which nursing intervention is not appropriate following a head injury?

a)

Increase HOB to 30-45 degrees

b)

Strict I and O's

c)

Decreased stimulation

d)

Bear hugger for warmth

41.

What monitoring tool do we use to monitor neurological status?

a)

Glasgow Coma Scale

b)

Good Coma Scale

c)

Greenwich Coma Scale

d)

Guggenheim Coma Scale

42.

Which blood cell components are decreased in aplastic anemia?

a)

RBC's

b)

WBC's

c)

Platelets

d)

All blood cell components

43.

Common signs/symptoms of cancer in pediatrics include all of the following EXCEPT

a)

Unexplained weight loss

b)

Abnormal bruising

c)

Increased hemoglobin and hematocrit

d)

White appearance to pupil

44.

What medication should be started urgently after a diagnosis of congenital hypothyroidism?

a)

Synthroid

b)

DDAVP

c)

Methimazole

d)

Insulin

45.

If someone has hypothyroidism, we would expect their TSH to be _________ and their T3/T4 to be _________

a)

High, low

b)

Low, high

c)

Low, low

d)

High, high

46.

How can we support a school-aged child to successfully complete the industry vs. inferiority stage?

a)

Encourage them in their interests

b)

Help them problem-solve to complete school assignments

c)

Offer them emotional support when they don't succeed

d)

All are good options to offer support

47.

Which intervention is not appropriate for a child with GERD?

a)

Keeping upright following feedings

b)

More frequent burpings during feedings

c)

Thickening formula with rice cereal

d)

Large volume feedings

48.

Which clothing item was not given as something that would make people walk out on a date?

a)

Top hat

b)

Bald cap

c)

Flip flops

d)

Kilt

e)

Clown mask