Title: NUR 1411C part 2 Final
Course: NUR 1411C Nursing for the Family Part 2 > Section: Module 8

Q: The nurse is aware of the growing incidence of misshapen infant heads (plagiocephaly) related to the Back to Sleep initiative. When educating parent of the prevention, the nurse suggests?
- Reposition the infant every two hours from supine to prone
- Massage the infant's head daily
- Provide "tummy time" while awake and carefully observed
- Allow naps in the prone position
A: Provide "tummy time" while awake and carefully observed

Q: What is the most frequent condition associated with acute glomerulonephritis?
- Streptococcal infection
- Structural anomalies of the genitourinary system
- Renal vascular disorders
- Urinary tract infection
A: Streptococcal infection

Q: A preschooler with a diagnosis of Autism is being admitted to the hospital for elective surgery. The nurse knows that the best way to help this child adjust to his environment is to:
- Introduce him to the staff responsible for his care
- Introduce him to other children in the playroom
- Be sure to make eye contact when speaking to the child
- Encourage the parents to remain at the bedside
A: Encourage the parents to remain at the bedside

Q: A correct statement regarding fevers in children is that:
- Less serious infections respond best to antipyretics
- There is a specific degree of fever that requires treatment
- Shivering indicates a decrease in an elevated temperature
- Attention to hydration is essential
A: Attention to hydration is essential

Q: Therapeutic management of a child recovering from diarrhea and mild dehydration begins with?
- Early introduction of a normal diet for age
- Bananas, rice, apple sauce and toast
- Antiemetics
- Clear, cool fluids
A: Early introduction of a normal diet for age

Q: A child with diabetes eats some sugar cubes after experiencing a hypoglycemic symptoms. This rapid releasing sugar should be followed by which of the following?
- Extra insulin
- Fruit juice
- Several glasses of water
- Peanut butter crackers and milk
A: Peanut butter crackers and milk

Q: Which assessment tool is most appropriate for the nurse to use when assessing pain in a severely cognitively impaired child?
- Numeric scale
- FLACC scale
- Objective pain scale
- Faces pain scale
A: FLACC scale

Q: A six year-old has difficulty hearing faint or distant speech. His speech is normal, but he is having problems with his school performance. What is the most likely cause?
- Chronic otitis media
- Congenital hearing loss
- Ototoxic drugs given as a neonate
- Visual loss
A: Chronic otitis media

Q: When preparing to give immunizations the nurse must be aware of exceptions/alterations to the immunization schedule. In which group of children would the nurse withhold or alter immunizations?
- A premature infant
- An Immune suppressed child
- A child with a newborn in the family
- An elderly parent in home
A: An Immune suppressed child

Q: Why should the nurse be more concerned about dehydration in an infant verses a six year old with the same condition?
- An infant has a relatively small body surface area
- Infant renal function is immature
- Infants have smaller fluid requirements
- Infants are less likely to become highly febrile
A: Infant renal function is immature

Q: The parent of a 5 year old explains to the nurse that his son needs to use a metered dose inhaler to treat his asthma but is having trouble coordinating his breath and the medication dose. What would the nurse suggest to this parent?
- A spacer
- A nebulizer
- A peak flow meter
- A trial of chest physiotherapy
A: A spacer

Q: Cystic Fibrosis (CF) may affect single or multiple organ systems of the body. What is the pathological basis for the clinical manifestations seen in a child with CF?
- Atrophy of the mucosal wall of the intestines
- Hypo activity of the autonomic nervous system
- Obstruction from increased viscous (thick) mucus
- Hyperactivity of the sweat glands
A: Obstruction from increased viscous (thick) mucus

Q: Which signs/symptoms would alert the nurse that a 2 year-old child admitted with croup is experiencing respiratory distress?
- Respiratory rate of 28 and an increased pulse rate.
- Abdominal breathing and an increased pulse rate
- Pulse oximeter reading 95% on room air
- Sub sternal retractions and restlessness
A: Sub sternal retractions and restlessness

Q: Diagnostic evaluation of a child for anemia typically includes which of the following studies?
- Hemoglobin electrophoresis
- Liver enzymes
- Reticulocyte count
- Bone marrow aspiration
A: Reticulocyte count

Q: An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy and tachycardia. This is suggestive of which of the following?
- Mild dehydration
- Severe dehydration
- Sodium deficit
- Potassium excess
A: Severe dehydration

Q: Which of the following is the viral pathogen that frequently causes acute diarrhea in young children?
- Giardia
- Shigella
- Rotavirus
- Salmonella
A: Rotavirus

Q: When performing a nursing assessment on a three year old child, which of the following techniques would be most effective to gain cooperation?
- Inspect the body through play
- Postpone the exam if uncooperative
- Perform uncomfortable procedures first
- Perform vital signs first
A: Inspect the body through play

Q: A 6 month-old infant does not smile, has poor head control, has a persistent Moro reflex, and often gags and chokes while eating. These findings are most suggestive of:
- Hypotonia
- Cerebral palsy
- Spinal cord injury
- Neonatal Myasthenia Gravis
A: Cerebral palsy

Q: Excessive vomiting can result in which of the following in an infant with pyloric stenosis?
- Hyperchloremia
- Hypernatremia
- Hyperkalemia
- Metabolic Alkalosis
A: Metabolic Alkalosis

Q: Which of the following is an important nursing consideration when caring for a child with impetigo contagiosa?
- Apply corticosteroids to decrease inflammation
- Apply moisturizer to prevent dryness
- Wash hands carefully, and maintain cleanliness when caring for an infected child
- Examine under a Wood lamp for possible spread of lesions
A: Wash hands carefully, and maintain cleanliness when caring for an infected child

Q: What is the earliest manifestation of Cystic Fibrosis?
- Newborn with diarrhea
- Rectal prolapse
- Meconium ileus
- Cough with tenacious mucus
A: Meconium ileus

Q: When administering medications to a child, the nurse understands that the most important responsibilities include:
- Calculating the safe dose range for each medication
- Identifying the patients by asking her name
- Giving the medicine in the smallest amount
- Allowing the child to make her own choice
A: Calculating the safe dose range for each medication

Q: What information about oral steroids should the nurse teach the parents of a child with asthma?
- The medication is useful to prevent exercise induces asthma
- Oral steroids are given long term as a maintenance drug
- Oral steroids may be given in 3-10 day dosing or "bursts"
- Oral steroids have no long term effects
A: Oral steroids may be given in 3-10 day dosing or "bursts"

Q: The majority of infants with Gastro esophageal Reflux will be successfully treated with?
- Nissen Fundoplication
- Antibiotic Therapy
- Positioning supine after feeds
- Feeding/formula modifications
A: Feeding/formula modifications

Q: The nurse is providing parental education for an infant with Hirschsprung's disease. The most accurate information regarding this disease is?
- The disease may progress up the bowel
- Only the affected bowel will be surgically removed
- The condition may heal with medical management
- A barium enema may resolve the obstruction
A: Only the affected bowel will be surgically removed

Q: The dietary management of a child with Nephrotic Syndrome includes which of the following?
- Increased fluid intake
- Decreasing sodium intake
- Decreasing potassium intake
- Increasing protein intake
A: Decreasing sodium intake

Q: Which of the following symptoms will alert the nurse that a 5 year old may have a urinary tract infection?
- Strong smelling urine and incontinence
- Weight gain and pallor
- Heartburn and abdominal pain
- Weight loss and cough
A: Strong smelling urine and incontinence

Q: Which of the following should the nurse include when teaching parents how to prevent the spread Pediculosis capitis?
- Children should wear short hair cuts to prevent lice infestations
- Children who are clean don't get head lice
- Children who share hats and brushes increase their risk of head lice
- Head lice can be carried by pet
A: Children who share hats and brushes increase their risk of head lice

Q: An eight year-old child with Varicella is complaining that her skin is itching. What nursing intervention would you suggest?
- Provide the ordered antibiotic
- Place gloves on child's hands
- Provide cool baths
- Tell the child to remain quiet
A: Provide cool baths

Q: The nurse is taking the history on a 6 week old male infant admitted from the Emergency room with vomiting. What information would lead the nurse to suspect the diagnosis of pyloric stenosis?
- Forceful vomiting after feeding
- Seedy yellow stools after eating
- Two pound weight gain since birth
- A sick sibling at home
A: Forceful vomiting after feeding

Q: On a busy day in the Emergency room, a nurse sees 4 children with various injuries. Which child's injury would lead the nurse to suspect child abuse?
- A six old with a fractured arm from a tree
- A six month old with burns on buttocks who turned on the hot water in a tub
- A five year old with a fractured arm from falling out of a tree
- A 2 year old with a concussion from falling out of shopping cart
A: A six month old with burns on buttocks who turned on the hot water in a tub

Q: When assessing/managing pain in an infant or child, the nurse must consider which of the following?
- Infants and children do not experience pain the same as adult
- Pain medication should be given if the parents ask for it
- A pain assessment tool is available for any age group
- Pain cannot be measured well if the child can not quantify numbers
A: A pain assessment tool is available for any age group

Q: After a parent teaching session about proper medication administration for a child with Cystic Fibrosis, which of the following statements made by a parent would indicate that the teaching session was effective?
- Pancrease should be given with all meals and snacks
- Pancrease is an antibiotic
- A pancrease dose should never be skipped even if the child is not eating
- Pancrease should be skipped if the child is passing frequent, bulky stools
A: Pancrease should be given with all meals and snacks

Q: A 9 year old with insulin dependent diabetes is sick at home with the flu. Her mother calls the nurse for advice on her child's diabetes care while she is ill. The nurse would recommend which of the following?
- Hold insulin until child tolerates solid foods
- The child should be admitted to the hospital to manage care
- Insulin dosing will always be the same no matter if child is ill
- Insulin dosing may vary depending on severity of illness
A: Insulin dosing may vary depending on severity of illness

Q: A nurse is planning a play activity for a group of preschoolers in the playroom. Which of the following activities would the nurse plan to support the typical type of play associated with this age group?
- Dollhouses and dress up clothes
- Mobiles and music
- Board games and writing materials
- Talking dolls and toy phones
A: Dollhouses and dress up clothes

Q: ACE inhibitors, such as Vasotec is used in some children with Congestive heart failure. What nursing intervention is important when using ACE inhibitors?
- Assess apical pulse before and after giving
- Assess Blood Pressure before and after giving
- Weigh child daily in am
- Give medication on empty stomach
A: Assess Blood Pressure before and after giving

Q: An important nursing intervention in a child with leukemia who has neutropenia is:
- Careful assessment for pain
- Protection from injuries
- Avoid fresh fruits and vegetables
- Medicate for fever
A: Avoid fresh fruits and vegetables

Q: You receive a CSF (cerebral spinal fluid) laboratory report on a toddler recently admitted with suspected bacterial meningitis. The results: WBC 2300, Glucose 17, Protein 71. The child's serum glucose is 98. Your assessment?
- The child has bacterial meningitis
- The child has viral meningitis
- This report is inconclusive
- The child has a sinus infection
A: The child has bacterial meningitis

Q: What is the nurse's best response to the mother who asks how to prevent ear infections in her infant?
- Avoid giving infant cold formula
- Feed infant in an upright position
- Keep infant away from other people until older
- Give saline nose drops daily as a precaution
A: Feed infant in an upright position

Q: Which of the following factors predispose the urinary tract to infection?
- Increased fluid intake
- Short urethra in young females
- Prostatic secretions in males
- Frequent emptying of the bladder
A: Short urethra in young females

Q: A parent of an infant with VUR (vesico urethral reflux) should be taught that:
- Children rarely outgrow reflux
- Voiding cysto-urethrograms are necessary each time the child is febrile
- Unexplained irritability may indicate a urinary tract infection
- Hospitalization and IV antibiotics are necessary with each UTI during the first year of life
A: Unexplained irritability may indicate a urinary tract infection

Q: A child with diabetes eats some sugar cubes after experiencing hypoglycemic symptoms. This rapid releasing sugar should be followed by which of the following?
- Extra insulin
- Fruit juice
- Several glasses of water
- Peanut butter crackers and milk
A: Several glasses of water

Q: The nurse is discussing with an adolescent and her parents about various sites used for insulin injections. Of the following, which site has the fastest rate of absorption?
- Arm
- Abdomen
- Leg
- Buttock
A: Abdomen

Q: In which case of a child with GE Reflux would surgical management (Nissen fundoplication) be considered?
- Sudden Infant Death Syndrome
- Apnea/choking spells
- Weight gain
- Irritability and excessive crying
A: Apnea/choking spells

Q: Because toddlers and young children have limited language skills, the nurse knows that when explaining procedures to the child, the nurse needs to:
- Use simple, familiar terms
- Have mother explain procedure
- Proceed without explanation
- Use favorite toy to demonstrate
A: Use simple, familiar terms

Q: What is the preferred site for intramuscular injections on an infant?
- The Deltoid muscle
- The Vastus Lateralis muscle
- The Ventrogluteal muscle
- The Abdominal muscle
A: The Vastus Lateralis muscle

Q: What nursing intervention is important for a child with Hirschsprung's disease prior to surgical intervention?
- Monitor vital signs every four hours
- Measure abdominal circumference every four hours
- Elevate head of bed thirty degrees
- Place child on left side
A: Measure abdominal circumference every four hours

Q: The usual dose of Motrin is 5-10 mg/kg/dose Q 6-8 hours. What is the safe dose range for a child weighing 11 kg?
- 70-110 mg
- 55mg-110 mg
- 14 mg- 28 mg
- 18mg-37mg
A: 55mg-110 mg

Q: Clindamycin 200mgs is available in 5mls. A child needs to receive 0.5 teaspoon po T.I.D. How many milligrams will be in each dose?
- 200 mg
- 33 mg
- 100 mg
- 50 mg
A: 33 mg

Q: Digoxin has been ordered for your patient who is 9 kg to be given orally BID. The safe dose is 10 mcg per day. How many mcg's will you give for the morning dose?
- 90 mcg
- 45mcg
- 180 mcg
- 30 mcg
A: 45mcg