A Inurse Iis Iassessing Ia I4-year-old Ichild Iat Ia Iwell-child Ivisit. IWhich Iof Ithe IfollowingIdevelopmental
Imilestones Ishould Ithe Inurse Iexpect Ito Iobserve?
a. Identifies Iright Ifrom Ileft Ihand
b. Uses Ia Iutensil Ito Ispread Ibutter
c. Cuts Ia Ishape Iusing Iscissors
d. Draws Ia Istick Ifigure Iwith Iseven Ibody Iparts
c. ICuts Ia Ishape Iusing Iscissors
A- IIdentifying Ithe Iright Ifrom Ileft Ihand Iis Ian Iexpected Idevelopmental Imilestone Iof Ia I6-year-oldIchild.
B- IUsing Ia Iutensil Ito Ispread Ibutter Iis Ian Iexpected Idevelopmental Imilestone Iof Ia I6-year-old Ichild.ID-
IDrawing Ia Istick Ifigure Iwith Iseven Ibody Iparts Iis Ian Iexpected Idevelopmental Imilestone Iof Ia I5-
Iyear-old Ichild.
A Ischool Inurse Iis Ipreparing Ito Iadminister Iatomoxetine I1.2 Img/kg/day IPO Ito Ia Ischool-age Ichild
Iwho Iweighs I75lb. IAvailable Iis Iatomexetine I40 Img/capsule. IHow Imany Icapsules Ishould Ithe
Inurse Iadminister Iper Iday?
1
A Inurse Iin Ithe Iemergency Idepartment Iis Iassessing Ia Itoddler Iwho Ihas IKawasaki Idisease. IWhichIof
Ithe Ifollowing Ifindings Ishould Ithe Inurse Iexpect? I(select Iall Ithat Iapply.)
a. Increased Itemperature
b. Gingival Ihyperplasia
c. Xerophthalmia
d. Bradycardia
e. Cervical Ilymphadenopathy
Answer- Ia,c,e
Increased Itemperature Iis Icorrect. IKawasaki Idisease Iis Ian Iacute Iillness Iassociated Iwith Ia Ifever
Ilasting Imore Ithan I4 Idays Ithat Iis Iunresponsive Ito Iantipyretics Ior Iantibiotics.
Gingival Ihyperplasia Iis Iincorrect. IChildren Iwho Ihave IKawasaki Idisease Idevelop Ia Istrawberry
Itongue, Icracked Ilips, Iand Iedema Iof Ithe Ioral Imucosa Iand Ipharynx. IA Ichild Iwho I is Ireceiving
Iphenytoin Itherapy Ican Idevelop Igingival Ihyperplasia.
Xerophthalmia Iis Icorrect. IOphthalmic Imanifestations Iof IKawasaki Idisease Iinclude Ireddening IofIthe
Iconjunctiva Iand Idryness Iof Ithe Ieyes, Ior Ixerophthalmia.
Bradycardia Iis Iincorrect. IKawasaki Idisease Iis Ian Iinfection Ithat Iaffects Ithe Ivascular Isystem,
Iincluding Ithe Iheart. IThe Inurse Ishould Iexpect Ithe Ichild Ito Ibe Itachycardic Iwith Ia Igallop Irhythm.
ILong Iterm Ieffects Iof IKawasaki Idisease Iinclude Ithe Idevelopment Iof Icoronary Iartery Ianeurysms Ior
Imyocardial Iinfarction.
Cervical Ilymphadenopathy Iis Icorrect. IThe Ichild Iwho Ihas IKawasaki Idisease Imay Idevelop
Ienlarged Icervical Inodes Ion Ione Iside Iof Ithe Ineck Ithat Iare Inontender Iand Igreater Ithan I1.5 Icm Iin
Isize.
,N212 IPEDS IATI IPRACTICE IB IQUIZ
A Inurse Iis Iteaching Ia Ischool-age Ichild Iwho Ihas Ia Inew Idiagnosis Iof Itype I1 Idiabetes IMELITIS. IThe
Inurse Ishould Iidentify Iwhich Iof Ithe Ifollowing Istatements Iby Ithe Ichild Ias Iunderstanding Ithe
Iteaching?
a. I Iwill Ipuncture Ithe Ipad Iof Imy Ifinger Iwhen II Iam Itesting Imy Iblood Iglucose."
b. "I Iwill Igive Imyself Ia Ishot Iof Iregular Iinsulin I30 Iminutes Ibefore II Ieat Ibreakfast."
c. "I Iwill Ieat Ia Isnack Iof I5 Igrams Iof Icarbohydrates Iif Imy Iblood Iglucose Iis Ilow."
d. "I Iwill Idecrease Ithe Iamount Iof Ifluids II Idrink Iwhen II Iam Isick."
Answer- Ib. I"I Iwill Igive Imyself Ia Ishot Iof Iregular Iinsulin I30 Iminutes Ibefore II Ieat Ibreakfast." IThe
Ichild Ishould Iadminister Iregular I insulin I30 Imin I before Imeals Iso Ithat Ithe Ionset Icoincides Iwith
Ifood I intake.
A- IThe Ichild Ishould Iavoid Ipuncturing Ithe Ipads Iof Ithe Ifingers Ibecause Ithey Ihave Ifewer Iblood
Ivessels Iand Imore Inerve Ifibers. IInstead, Ithe Ichild Ishould Ipuncture Ithe Iskin Ito Ieither Iside Iof Ithe
Ifinger Ipad Ito Ipromote Iblood Iflow Iand Idecrease Ipain.
C- IThe Ichild Ishould Ieat Ia Isnack Iof I15 Ig Iof Icarbohydrates, Isuch Ias I120 ImL I(4 Ioz) Iof Ifruit Ijuice IorI66
Ig I(1/2 Icup) Iof Iice Icream, Ito Irapidly Iincrease Ia Imild Ihypoglycemic Ireaction.
D- IDuring Iacute Iillness Ithe Ichild Iis Iprone Ito Ihyperglycemia Iand Iketonuria Iand Iis Iat Irisk Ifor
Idehydration. ITherefore, Ithe Ichild's Ifluid Iintake Ishould Iincrease Irather Ithan Idecrease.
A Ischool Inurse Iis Iassessing Ian Iadolescent Iwho Ihas Iscoliosis. IWhich Iof Ithe Ifollowing Ifindings
Ishould Ithe Inurse Iexpect?
a. Increase Iin Ianterior Iconvexity Iof Ithe Ilumbar Ispine
b. Increased Icurvature Iof Ithe Ithoracic Ispine
c. Lateral Iflexion Iof Ithe Ineck
d. A Iunilateral Irib Ihump
Answer- I d. IA Iunilateral Irib Ihump
When Iassessing Ian Iadolescent Ifor Iscoliosis, Ithe Ischool Inurse Ishould Iexpect Ito Isee Ia Iunilateral
Irib Ihump Iwith I hip I flexion. IThis Iresults Ifrom Ia Ilateral IS- Ior IC-shaped I curvature Ito Ithe Ithoracic
Ispine Iresulting Iin Iasymmetry Iof Ithe Iribs, Ishoulders, Ihips, Ior Ipelvis. IScoliosis Ican Ibe Ithe Iresult IofIa
Ineuromuscular Ior Iconnective Itissue Idisorder, Ior Iit Ican Ibe Icongenital Iin Inature.
A- IAn Iincreased Ianterior Iconvexity Iof Ithe Ilumbar Ispine Iis Ia Imanifestation Iof Ilordosis. IAn
Iexpected Ifinding Iin Itoddlers, Ilordosis Ican Iindicate I a Icomplication I of Ia Idisease Iprocess, Isuch Ias
Iflexion Icontractures, Icongenital Idislocation I of Ithe I hip, I or I obesity, Iwhen Iseen Iin Iolder Ichildren.
IB- IAn Iincreased Icurvature Iof Ithe Ithoracic Ispine Iis Ia Imanifestation Iof Ikyphosis. IKyphosis Ican Ibe Ia
Imanifestation Iof Ia Icongenital Icondition Ior I disease Iprocess Isuch Ias Irickets, Ior Iit Ican I be Iposture-
Irelated. IIn Iposture-related Ikyphosis, Ithe Iadolescent Ipresents Iwith Irounded Ishoulders Iand Ia
Islouching Iposture.
C- ILateral Iflexion Iof Ithe Ineck Iis Ian Iindication Iof Itorticollis Ias Ia Iresult Iof Icontracture Iof Ithe
Isternocleidomastoid Imuscle. ITorticollis Ican Ibe Icongenital, Ithe Iresult Iof Iintrauterine Ifetal
, N212 IPEDS IATI IPRACTICE IB IQUIZ
posturing Ior Iabnormality Iof Ithe Icervical Ispine, Ior Iit Ican Ibe Iacquired, Idue Ito Isuch Ifactors Ias Ia
Itraumatic Ilesion Ito Ithe Isternocleidomastoid Imuscle.
A Inurse Iis Ireviewing Ithe Ilumbar Ipuncture Iresults Iof Ia Ischool-age Ichild Isuspected Iof Ihaving
Ibacterial Imeningitis. IWhich Iof Ithe Ifollowing Iresults Ishould Ithe Inurse Iidentify Ias Ia Ifinding
Iassociated Iwith Ibacterial Imeningitis?
a. Decreased Icerebrospinal Ifluid Ipressure
b. Decreased IWBC Icount
c. Increased Iprotein Iconcentration
d. Increased Iglucose Ilevel
Answer- Ic. IIncreased Iprotein Iconcentration. IThe Inurse Ishould Irecognize Ithat Ian Iincreased
Iprotein I concentration I in Ithe Ispinal Ifluid Iis Ia Ifinding Iassociated Iwith Ibacterial Imeningitis.
IA- IIncreased Icerebrospinal Ifluid Ipressure Iis Ia Ifinding Iassociated Iwith Ibacterial Imeningitis.
B- IAn Iincreased IWBC Icount Iin Ithe Ispinal Ifluid Iis Ia Ifinding Iassociated Iwith Ibacterial Imeningitis.
ID- IA Idecreased Iglucose Ilevel Iin Ithe Ispinal Ifluid Iis Ia Ifinding Iassociated Iwith Ibacterial Imeningitis.
A Inurse Iis Iplanning Icare Ifor Ia Ipreschooler Iwho Ihas Icystic Ifibrosis. IWhich Iof Ithe Ifollowing
Iinterventions Ishould Ithe Inurse Iinclude Iin Ithe Iplan?
a. Administer Ipancreatic Ienzymes I2 Ihr Iafter Imeals.
b. Decrease Ipancreatic Ienzymes Iif Isteatorrhea Idevelops.
c. Limit Ifluid Iintake Ito I750 ImL Iper Iday.
d. Increase Ifat Icontent Iin Ithe Ichild's Idiet Ito I40% Iof Itotal Icalories.
Answer I- Id. IIncrease Ifat Icontent Iin Ithe Ichild's Idiet Ito I40% Iof Itotal Icalories. IA Ichild Iwho Ihas Icystic
Ifibrosis Iis Iunable Ito Iproperly Idigest Ifats Idue Ito Ifibrosis Iof Ithe Ipancreas Iand I limited Isecretion Iof
Ipancreatic Ienzymes. IThe Inurse Ishould Iincrease Ithe Ichild's Ifat Iintake Ito Iequal I40% Iof Itotal Icaloric
Iintake.
A- IThe Inurse Ishould Iplan Ito Iadminister Ipancreatic Ienzymes Iwithin I30 Imin Iof Imeals Iand Isnacks.
B- IA Ichild Iwho Ihas Icystic Ifibrosis Iand Idevelops Isteatorrhea, Ior Ifatty Istools, Ineeds Ito Iincrease Ithe
Iintake Iof Ipancreatic Ienzymes.
C- IThe Inurse Ishould Iencourage Ifluid Iintake, Irather Ithan Irestrict Iit, Ito Iprevent IdehydrationIcaused
Iby Ithe Iloss Iof Isodium Iand Ichloride Ithrough Iperspiration.
A Inurse Iis Iassessing Ia Itoddler Iwho Ihas Igastroenteritis Iand Iis Iexhibiting Imanifestations Iof
Idehydration. IWhich Iof Ithe Ifollowing Ifindings Ishould Ithe Inurse Iaddress Ifirst?
a. Skin Ibreakdown
b. Hypotension
c. Hyperpyrexia
d. Tachypnea
Answer- Id. ITachypnea. IWhen Iusing Ithe Iairway, Ibreathing, Icirculation Iapproach Ito Iclient Icare,Ithe
Ifirst Ifinding Ithe Inurse Ishould Iaddress Iis Ithe Itoddler's Itachypnea, Iwhich Iresults Iwhen Ithe