Title: Module 6 Quiz
Course: NUR 1411C Nursing for the Family Part 2 > Section: Module 6

Q: When planning the nursing care of an infant with meningitis, the nurse would include which of the following interventions?
- Measure the head circumference daily
- Monitor the blood sugar daily
- Place infant on routine intake and output
- Give mouth care Q shift
A: Measure the head circumference daily

Q: An appropriate nursing intervention when caring for a child with Osteomyelitis is which of the following?
- Encourage active range of motion
- Move gently only when necessary
- Encourage frequent ambulation
- Administer antibiotics with meals
A: Move gently only when necessary

Q: In a child with a diagnosis of Osteomyelitis, why must the nurse carefully monitor hematologic, renal, hepatic, and other organ systems?
- Blood cultures may be negative
- Prolonged high-dose antibiotics are administered
- Bed rest and joint immobilizers are utilized
- Infective emboli can travel to the bone metaphysic
A: Prolonged high-dose antibiotics are administered

Q: The nurse is providing pre-operative teaching to a 16 year-old female preparing for a spinal fusion to correct scoliosis. The nurse is aware that teaching:
- Teaching is not necessary as the patient will be sedated
- Teaching should only be directed at the parents
- Teaching allows the patient to participate and cooperate in recovery
- Teaching should be limited to answering questions only
A: Teaching allows the patient to participate and cooperate in recovery

Q: Which of the following problems is most often associated with myelo-meningocele?
- Hydrocephalus
- Craniosynostosis
- Biliary atresia
- Esophageal atresia
A: Hydrocephalus

Q: The major goal of therapy for children with cerebral palsy is?
- Reverse degenerative processes that have occurred
- Recognize the disorder early and promote optimal development
- Cure the underlying defect causing the disorder
- Prevent spread to individuals in close contact with the child
A: Recognize the disorder early and promote optimal development

Q: A 3 year-old child with cerebral palsy has difficulty swallowing and cannot hold a utensil to feed himself. He is slightly underweight for his height. Which of the following is the most appropriate nursing action to assist with feeding?
- Suggest a gastrostomy tube
- Stabilize the jaw with one hand (either front or side position) to facilitate swallowing
- Place in a well-supported, semi-reclining position to make use of gravity flow
- Place in a sitting position with neck hyperextended to make use of gravity flow
A: Stabilize the jaw with one hand (either front or side position) to facilitate swallowing

Q: What observations are important when assessing an older child with bacterial meningitis?
- Head circumference, intake and output
- Daily weights, play activities
- Neuro signs, level of consciousness
- Pain level, parental interaction
A: Neuro signs, level of consciousness

Q: The nurse is discussing long-term-care with the parents of a child who has a ventriculoperitoneal shunt to correct hydrocephalus. Which of the following should the nurse include?
- Mental retardation is to be expected with hydrocephalus
- Shunt malfunction or infection requires immediate treatment
- Usual childhood activities must be restricted
- Parental protection is essential until the child reaches adulthood
A: Shunt malfunction or infection requires immediate treatment

Q: Cerebral palsy (CP) may result from a variety of causes. What is the single most important risk factor for developing CP?
- Prematurity
- Neonatal infectious diseases
- Failure to thrive
- Birth trauma
A: Prematurity

Q: What clinical manifestations would suggest hydrocephalus in a neonate?
- Bulging fontanel, dilated scalp veins
- High-pitched cry, cyanosis
- Restlessness, loose stools
- Confusion, decreased blood pressure
A: Bulging fontanel, dilated scalp veins

Q: Which challenge is most often associated with the life-long care of a child with myelo-meningocele (Spina bifida)?
- Neurogenic bladder
- respiratory compromise
- Failure of fontanels to close
- Cognitive impairment
A: Neurogenic bladder

Q: When does idiopathic scoliosis become most noticeable?
- Newborn period
- When child starts to walk
- During preadolescent growth spurt
- Adolescence
A: During preadolescent growth spurt

Q: Immediate post-op care for an infant with placement of a ventriculoperitoneal shunt would include which important nursing action?
- Administer opiates for severe pain
- Place flat, on unaffected side
- Administer sedation to decrease irritability
- Monitor for signs of skin breakdown
A: Place flat, on unaffected side

Q: A child diagnosed with bacterial meningitis is admitted to your nursing unit. The nurse understands that the child needs:
- A quiet, non-stimulating environment
- Oral fluids encouraged
- No visitors for the first 24 hours
- To maintain a flat position in bed
A: A quiet, non-stimulating environment

Q: What clinical manifestations would suggest hydrocephalus in an older child?
- Hypotension
- Headache upon awakening
- Bulging fontanel
- Fever
A: Headache upon awakening

Q: What is the most important interventions for a child diagnosed with Bacterial meningitis?
- Administer sedatives/analgesics around the clock to manage agitation
- Place in isolation and administer IV antibiotics promptly on admission
- Place in isolation after the bacterial organism has been identified
- Provide distraction and play intervention to provide stimulation
A: Place in isolation and administer IV antibiotics promptly on admission

Q: What is the purpose of bracing in combination with exercise for a child with scoliosis?
- Slow progression of curve
- Provide traction before surgery
- Allow normal physical activities
- Avoid arthritic changes
A: Slow progression of curve

Q: You have a prescription for Amoxicillin 100mg/kg/day. Your patient weighs 18 pounds. What would be the total daily dose for this child?
- 500 mg
- 950 mg
- 819 mg
- 750 mg
A: 819 mg

Q: You have a child who weighs 55 pounds who needs to receive Ampicillin IV 150 to 200 mg/kg/day to be given divided doses Q six hours. What is the safe dose range for this child for each dose?
- 937.5-1250 mg
- 3750-5000 mg
- 1250-1666.66 mg
- 2000-60000 mg
A: 937.5-1250 mg