Waiting for Exam Concept Map to add to this google doc.
KAHOOT (these questions are most likely going to be on our exam- so make sure to memorize
them .
1. During sick days for a child with diabetes, the caregiver/child should be instructed to do
all of the following EXCEPT:
a. Continue Taking Insulin
b. Test Urine for Ketones
c. Notify provider if BG is above 240 mg/dL
d. Limit fluid Intake
2. All of the following are manifestations of hyperglycemia in a child with type one diabetes
EXCEPT
a. Increase thirst
b. Increase Hunger
c. Weight Loss
d. Decreased Urine Output
3. A nurse notices a sac of fluid that contains nerves herniating through the skin back of a
newborn. She Suspects:
a. Spina Bifida Occulta
b. Menigocele
c. Myelomeningocele
d. Meningitis
4. When caring for a child with cerebral palsy, the nurse should:
a. Position child in high fowlers when feeding
b. Place the child in the prone position when sleeping and for all naps
c. Keep the HOB less than 30 degrees
d. Placing the bed in the highest position so that the child can see the visitors
5. Caregiver Education given to a parent of a child prescribed a Pavlik Harness should
include all of the following EXCEPT
a. The diaper should be under the harness
b. Apply lotions and Powders
c. Remove the harness and manipulate the straps several times a day
d. Return to the clinical every few weeks for adjustments
6. The Registered Nurse is educating a child and parent on cast care, She tells them to
report all of the following to the HCP EXCEPT
a. Odor coming from the cast
b. Loose fitting cast
c. Bluish colored toes on the extremity that has the cast
d. Itching coming from under the cast
7. An important goal for a child diagnosed with muscular dystrophy is:
a. To maintain an optimal level of functioning
b. To meet all developmental milestones
, c. To consume 6 small, high calorie meals every day
d. To keep all scheduled appt. Until 18 yrs old
8. A priority action by the nurse after application of a cast to the lower extremities is:
a. Assess LOC
b. Perform neurovascular checks
c. Admin ordered pain med
d. Transfer the client to the radiology dep for x-ray
9. All of the followings are s/ of Reye’s syndrome EXCEPT:
a. Lethargy
b. Confusion
c. Vomiting
d. Dysphagia
10. When providing education to the parent of a child with hypopituitarism, the RN should
include:
a. A need to increase consumption of K+ foods
b. The medication will be taken for life
c. Medication will be needed to be administered SQ
d. BUN and creatinine labs will need to be drawn regularly
11. A school aged RN is caring for a child who complains of having a headache, feeling
unwell, and seeing “double”. The RN should:
a. Provide 3-5 pieces of hard candy
b. Provide 4 oz of milk
c. Check pts Blood Glucose
d. Give lunch time insulin early
12. A Child with a VP shunt has been admitted with ICP. The nurse is aware that the most
common reason for this to occur is:
a. Infected shunt
b. Shunt malfunction
c. Endocarditis
d. Peritonitis
13. The parents of a child who is experiencing status epilepticus should be educated to
provide Diazepam via which route?
a. IM
b. SubQ
c. PO
d. Rectal
14. The RN educated the parents of a child with Spina Bifida to:
a. Keep the child in the supine position at all times
b. Avoidance of Kiwi and Bananas
c. The need for breastmilk only during the first year of life
d. Avoidance of immunizations until 4 months old
15. The nurse is performing an assessment and notices the child has a positive Brudzinski
sign. This is indicated of:
a. Decorticate posturing
, b. Decerebrate posturing
c. Meningitis
d. Tennatus
16. According to Orem’s theory, a child with Type 1 diabetes should be expected to:
a. Maintain a HgB A1C of 8.0
b. Eliminate all carbs from their diet
c. Manage their diabetes independently
d. Have yearly ophthalmology exam
17. The Nurse plans to keep a child with Bacterial meningitis in isolation for how long?
a. Until all blood cultures are negative
b. 24-48 hrs after the initiation of IV antibiotics
c. 7-10 days from cultures
d. Until antibiotic regime is complete
18. Nursing interventions when a child is having a seizure includes all of the following
EXCEPT:
a. Turn the child on their side
b. Make sure padded side rails are all in place
c. Observe seizure activities
d. Assess V/S
19. All of the following are expected if a shunt malfunction EXCEPT:
a. High-pitched cry
b. Vomiting
c. Buldging fontanel
d. Weight gain of 2 kg/day
20. This position is necessary to check for:
a. Intracranial pressure
b. Scoliosis
c. Meningitis
d. Reyes’ Syndrome