1
NORMAL PEDIA DISORDERS UPGRADED FOR LNU CA
ACTUAL EXAM QUESTIONS AND ANSWERS
1. The nurse is teaching a class of pregnant women about diet. Which nutrient
decreases the incidence of neural tube defects (NTDs)?
a. Vitamin A
b. Vitamin C
c. Vitamin D
d. Folic acid
2. Which assessment finding suggests that Rod has spina bifida occulta?
a. Bilateral hip dislocation
b. Bulging anterior fontanel
c. Noticeable dimpling above the separation of the buttocks.
d. No movement in the lower extremities
3. A mother brought a 10-month-old boy born with myelomeningocele and
underwent surgical repair of myelomeningocele. Which measure should the
nurse use to prevent musculoskeletal deformity in the infant?
a. Placing the feet in flexion.
b. Allowing the hips to be abducted.
c. Maintaining knees in the neutral position.
d. Placing the legs in adduction.
4. When assessing the infant admitted to the pediatric unit with upper
lumbar myelomeningocele, which characteristic should Nurse Lilibeth
anticipate finding?
a. Minimal movement of the lower extremities.
b. Upper extremity paralysis.
c. Urinary bladder prolapsed.
d. Respiratory problems.
5. When positioning a neonate with unrepaired myelomeningocele, which of the
following positions is the most appropriate?
,2
a. Supine with hips at 90 degrees.
b. Right side-lying position with the knees flexed.
c. Prone with hips in abduction.
d. Supine in semi-fowler’s position with chest and abdomen elevated.
, 3
6. Which of the following signs and symptoms would the nurse most likely
find when assessing an infant with Arnold-Chiari formation?
a. Flaccidity, lack of sensation in the lower extremities, and loss of bowel and
bladder control
b. Diminished or absent gag and swallowing reflex, hydrocephalus, and
respiratory distress
c. thick mass over the neck muscle, holds the head tilted to the site of the
muscle involved
d. The foot cannot be properly aligned, the foot turns out
7. What would cause the closure of the Foramen ovale after the baby had been
delivered?
a. Decreased blood flow
b. Shifting of pressures from the right side to the left side of the heart
c. Increased PO2
d. Increased in oxygen saturation
8. Which of the following are defects associated with the Tetralogy of Fallot?
a. Coarctation of the aorta, aortic valve stenosis, mitral valve stenosis, and
patent ductus arteriosus
b. Ventricular septal defect, overriding aorta, pulmonic stenosis, and right
ventricular hypertrophy
c. Tricuspid valve atresia, atrial septal defect, ventricular septal defect,
and hypoplastic right ventricle
d. Aorta exits from the right ventricle, pulmonary artery exits from the
left ventricle, and two noncommunicating circulations
9. A child diagnosed with Tetralogy of Fallot becomes upset, crying and thrashing
around when a blood specimen is obtained. The child’s color becomes blue and
the respiratory rate increases to 44 breaths per minute. Which of the following
actions should Nurse Aubrey do first?
a. Obtain an order for sedation for the child.
b. Assess for an irregular heart rate and rhythm.
c. Explain to the child that it will hurt for a short time.
d. Place the child in a knee-to-chest position.
NORMAL PEDIA DISORDERS UPGRADED FOR LNU CA
ACTUAL EXAM QUESTIONS AND ANSWERS
1. The nurse is teaching a class of pregnant women about diet. Which nutrient
decreases the incidence of neural tube defects (NTDs)?
a. Vitamin A
b. Vitamin C
c. Vitamin D
d. Folic acid
2. Which assessment finding suggests that Rod has spina bifida occulta?
a. Bilateral hip dislocation
b. Bulging anterior fontanel
c. Noticeable dimpling above the separation of the buttocks.
d. No movement in the lower extremities
3. A mother brought a 10-month-old boy born with myelomeningocele and
underwent surgical repair of myelomeningocele. Which measure should the
nurse use to prevent musculoskeletal deformity in the infant?
a. Placing the feet in flexion.
b. Allowing the hips to be abducted.
c. Maintaining knees in the neutral position.
d. Placing the legs in adduction.
4. When assessing the infant admitted to the pediatric unit with upper
lumbar myelomeningocele, which characteristic should Nurse Lilibeth
anticipate finding?
a. Minimal movement of the lower extremities.
b. Upper extremity paralysis.
c. Urinary bladder prolapsed.
d. Respiratory problems.
5. When positioning a neonate with unrepaired myelomeningocele, which of the
following positions is the most appropriate?
,2
a. Supine with hips at 90 degrees.
b. Right side-lying position with the knees flexed.
c. Prone with hips in abduction.
d. Supine in semi-fowler’s position with chest and abdomen elevated.
, 3
6. Which of the following signs and symptoms would the nurse most likely
find when assessing an infant with Arnold-Chiari formation?
a. Flaccidity, lack of sensation in the lower extremities, and loss of bowel and
bladder control
b. Diminished or absent gag and swallowing reflex, hydrocephalus, and
respiratory distress
c. thick mass over the neck muscle, holds the head tilted to the site of the
muscle involved
d. The foot cannot be properly aligned, the foot turns out
7. What would cause the closure of the Foramen ovale after the baby had been
delivered?
a. Decreased blood flow
b. Shifting of pressures from the right side to the left side of the heart
c. Increased PO2
d. Increased in oxygen saturation
8. Which of the following are defects associated with the Tetralogy of Fallot?
a. Coarctation of the aorta, aortic valve stenosis, mitral valve stenosis, and
patent ductus arteriosus
b. Ventricular septal defect, overriding aorta, pulmonic stenosis, and right
ventricular hypertrophy
c. Tricuspid valve atresia, atrial septal defect, ventricular septal defect,
and hypoplastic right ventricle
d. Aorta exits from the right ventricle, pulmonary artery exits from the
left ventricle, and two noncommunicating circulations
9. A child diagnosed with Tetralogy of Fallot becomes upset, crying and thrashing
around when a blood specimen is obtained. The child’s color becomes blue and
the respiratory rate increases to 44 breaths per minute. Which of the following
actions should Nurse Aubrey do first?
a. Obtain an order for sedation for the child.
b. Assess for an irregular heart rate and rhythm.
c. Explain to the child that it will hurt for a short time.
d. Place the child in a knee-to-chest position.
