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WorksheetsFinal Exam Class Activity
Total questions: 48
Worksheet time: 17mins
Which of the following is not a common sign and symptom of diabetic ketoacidosis (DKA)?
Kussmaul respirations
Acetone breath
Proteinuria
Blood pH <7.3
Which child does not have risk factors for iron-deficiency anemia?
A 32-week preterm newborn
A 9-month-old drinking 6 oz cow's milk 4 times a day
A 9-month-old drinking 6 oz Enfamil formula 4 times a day
A 4-month-old infant of a family with financial strains
Impetigo has what characteristic finding?
Large, silvery-grey patches
Annular rash with centralized clearing
Bright red skin with satellite lesions
Reddened skin with honey-crusted crusts
For the question, "which animal is the scariest?", which animal was not given as a scariest animal?
Megalodon
Giant squid
Crocodile
Hungry Hailey
Which intervention is not appropriate for a child with Sickle Cell Disease in a sickle cell crisis?
Increased hydration
O2 at 2 Lpm via NC to maintain O2 sats ≥93%
PO and IV analgesics as needed
Out of bed every 15 minutes to encourage ambulation
What is the rationale for needing to repeat many lice shampoo treatments in 10 days?
Most lice treatments are ineffective
Most lice treatments only treat eggs or live bugs, but not both
Pharmacy company greed
Most lice treatments wash out of hair before taking effect
What scabies treatment should not be used in pediatrics due to the risk of neurotoxicity?
Lindane
Topical permethrin
Oral ivermectin
Topical spinosad
Which intervention would you question for a patient with hemophilia?
Restriction from all physical activity
Routine PTT monitoring
Hold pressure to any injection for 10 minutes following needle removal
Genetic counseling
What allergy are we most concerned a spina bifida patient might acquire?
Penicillins
Latex
Adhesives
Cephalosporins
Which sign/symptom would make you concerned about a VP shunt malfunction in a 4 month old?
Fever
Abdominal swelling
Runny nose
Inconsolable crying
Which intervention is not appropriate for treatment of beta-thalassemia?
Routine blood transfusions
Chelation
Routine iron infusions
Hematopoietic stem cell transplant
Which of the following return to school recommendations is most appropriate for a child with school phobia?
Stay out of school for a full year to reduce anxiety
Restart school as soon as possible, but performing half-days
Restart school as soon as possible with no restrictions
Homeschool for the remainder of their schooling
Idiopathic Thrombocytopenic Purpura (ITP) involves the destruction of which blood cell?
Lymphocytes
Erythrocytes
Platelets
Plasma cells
When a child squats during a Tet spell, where are they diverting more blood flow through?
The aorta
The pulmonary artery
The pulmonary vein
The mitral valve
Which is not one of the 3 P's of diabetes?
Polydipsia
Porphyria
Polyuria
Polyphagia
A child born with an inability to create thyroid hormone is at risk of:
Rapid mental decline
Irritability
Feeding intolerance
Accelerated growth
Which assessment is not associated with appendicitis?
Tenderness at McBurney's point
Psoas sign
Obturator sign
Kernig sign
Acromegaly is caused by a dysfunction of which gland?
Anterior Pituitary
Adrenal
Thyroid
Posterior Pituitary
What percentage of the class thinks Bigfoot is real?
0%
45%
67%
100%
Which group of foods was chosen most frequently as people's "favorite food"?
Beef-containing foods
Desserts
Carby foods
Cheesy foods
Which of the following is not elevated in tumor lysis syndrome?
Intracellular ions
Uric acid
Creatinine
Transaminase
Initial breast bud development in females is also known as:
Menarche
Precocious puberty
Thelarche
Gynecomastia
What lab is closely monitored while on antifungals for tinea rashes?
BMP
CBC
LFT
Blood cultures
What order would you question in the long-term treatment of anxiety in an adolescent?
Fluoxetine
Cognitive Behavioral Therapy
Lorazepam
Sertraline
Which intervention would you question in the treatment of candida diaper dermatitis?
Application of nystatin to area 2-4 times a day
Zinc oxide ointment applied to moist skin
Wet wash cloths for diaper changes
Leave diaper off for 15-20 minutes after changing
What precautions are appropriate when treating bacterial meningitis?
Droplet
Contact
Neutropenic
Standard
A Blaylock-Taussig-Thomas shunt allows blood to pass between which two cardiac locations?
The aorta and the pulmonary artery
The pulmonary artery and the pulmonary veins
The aorta and the pulmonary veins
The superior vena cava and the pulmonary artery
What assessment finding would you not expect in a 2-year old with hydrocephalus?
Bulging fontanels
Frontal bossing
Large head circumference
Sun-setting eyes
What is the first-line medication treatment for pediatric asthma?
Albuterol
Fluticasone
Salmeterol
Budesonide-formoterol
Ortolani's maneuver for assessing DDH is the inward rotation with posterior pressure applied
True
False
Which is NOT one of the 6 P's of compartment syndrome that are assessed with cast assessments?
Pain
Palsy
Pulselessness
Pallor
When assessing for rotavirus, what are you assessing for in your abdominal assessment?
Honey crusted lesions
Sausage shaped mass
Olive shaped mass
Fruity smelling breath
Daycare attendance, vaccine refusal, and parental smoking all increase the risk of a child developing ear infections
True
False
To synthetically replace antidiuretic hormone, you would see _________ prescribed:
Epinephrine
Furosemide
Depo-Provera
DDAVP
You would expect little to no urine output with Diabetes Insipidus (DI)
True
False
Which reigned supreme? Cake, cookies, or pie?
Cake
Cookies
Pie
__________ is a form of temporary paralysis that progresses from peripherals inward/upward due to destruction of myelin.
Guillan-Barré
Hemiparesis
Spina bifida
Skeletal Muscular Atrophy
Pictured is an example of a ______________.
Spina Bifida Occulta
Meningocele
Myelomenengocele
Exstrophy of the bladder
What medication class are we most concerned about triggering Reye syndrome?
Salicylates
Penicillins
Cephalosporins
Opioids
Which nursing intervention is not appropriate following a head injury?
Increase HOB to 30-45 degrees
Strict I and O's
Decreased stimulation
Bear hugger for warmth
What monitoring tool do we use to monitor neurological status?
Glasgow Coma Scale
Good Coma Scale
Greenwich Coma Scale
Guggenheim Coma Scale
Which blood cell components are decreased in aplastic anemia?
RBC's
WBC's
Platelets
All blood cell components
Common signs/symptoms of cancer in pediatrics include all of the following EXCEPT
Unexplained weight loss
Abnormal bruising
Increased hemoglobin and hematocrit
White appearance to pupil
What medication should be started urgently after a diagnosis of congenital hypothyroidism?
Synthroid
DDAVP
Methimazole
Insulin
If someone has hypothyroidism, we would expect their TSH to be _________ and their T3/T4 to be _________
High, low
Low, high
Low, low
High, high
How can we support a school-aged child to successfully complete the industry vs. inferiority stage?
Encourage them in their interests
Help them problem-solve to complete school assignments
Offer them emotional support when they don't succeed
All are good options to offer support
Which intervention is not appropriate for a child with GERD?
Keeping upright following feedings
More frequent burpings during feedings
Thickening formula with rice cereal
Large volume feedings
Which clothing item was not given as something that would make people walk out on a date?
Top hat
Bald cap
Flip flops
Kilt
Clown mask
