Peds final EXAM QUESTIONS AND ANSWERS 2022

Peds final EXAM QUESTIONS AND ANSWERS 2022 Nurse is caring for a child with suspected appendicitis. which should be questioned Correct Answer: Administer sodium bisphosphate/sodium phosphate Male infant with palpable mass in upper right quadrant. What should you suspect? Correct Answer: Bring the baby to the clinic today A mother calls the nurse to report her 2 month old is always hungry, but projectile vomits after feeding. Advice? Correct Answer: Bring the baby to the clinic today What type of restraints would you apply to a 2 month old post op for cleft lip and palate? Correct Answer: Elbow restraints Which of the following is a manifestation of acute lead poisoning? Correct Answer: Anorexia Of the following, which is most appropriate to give as clear fluids post op for intussusception? Correct Answer: Oral electrolyte solution T/F? Manifestations of acute lead poisoning include anorexia, nausea, vomiting, abdominal pain and constipation Correct Answer: True Which of the following should you consider in caring for a child with large ingestion of acetylsalicylic acid Correct Answer: Perform gastric lavage with activated charcoal Expectation for anorexia nervosa? Correct Answer: Bloating A toddler drinking a quart of milk daily and no appetite for solids is at risk for? Correct Answer: Iron deficiency anemia Which of the following signs should alert the nurse of a ruptured appendix? Correct Answer: Sudden decrease of abdominal pain Safe food choice for a 2 year old Correct Answer: Bananas Which of the following actions to take for a toddler 24 h post op cleft palate repair? Correct Answer: Administer opioids for pain A child with hirschsprung disease is scheduled for initial surgery. Which statement indicates understanding? Correct Answer: A child with hirschsprung disease is scheduled for initial surgery. Which statement indicates understanding? Nutrition teaching for a child with cystic fibrosis should include? Correct Answer: Pancreatic enzymes with meals and snacks Which fluid items to offer 2 h post op tonsillectomy? Correct Answer: Crushed ice Which should be included in POC for 8 h post op cleft palate repair for a 10 month old Correct Answer: Apply and release elbow restraints Which to be included in POC for a child with gastroesophageal reflux Correct Answer: Keep them in a upright position after feeds Which patient can be in a room with a child with leukemia? Correct Answer: A child with nephrotic syndrome What is the correct position for a child with GE reflux after feeds? Correct Answer: In an infant seat Which is an incorrect statement by a parent concerning pancreatic enzymes and cystic fibrosis? Correct Answer: I will give my son the enzymes between meals Which is appropriate for a child with acute gastroenteritis (vomiting and diarrhea) and can tolerate oral fluids? Correct Answer: Oral rehydration fluid What should you include in the teaching for a child with cystic fibrosis and prescription for a pancreatic enzyme 3x daily Correct Answer: Take the enzymes to help digest fat in foods Manifestation of hemorrhage following tonsillectomy? Correct Answer: Frequent swallowing Which is a food choice for a child with Celiac disease? Correct Answer: Rice child abuse Correct Answer: intentional and unitentional physical and emotinal abuse and neglect what age is mostly affected by child abuse Correct Answer: children under the age of 1 most common type of child abuse Correct Answer: neglect nursing assessment for child abuse Correct Answer: injuries not congruent with Childs developmental age injuries not related to the stated cause SIDS Correct Answer: sudden infant death syndrome SIDS (sudden infant death syndrome) Correct Answer: death of infant 12 months of age unexpectebly and with no obvious cause what is the leading cause of infant mortality world wide Correct Answer: SIDS SIDS contributing factors Correct Answer: premature and low birth weights Apnea maternal smoking sleep position and bedtime environment reflixive apnea Correct Answer: regurgitation of gastric contents with acidid PH can caue reflexive apnea resulting in hypoxia what type of baby is less susceptible to SIDS Correct Answer: Breast feed baby's SIDS nursing considerations Correct Answer: patient education prior to discharges allow expression of feeling by parents make appropriate referals ( chaplain) Lead poising's can cause what type of damage Correct Answer: Brain and nervous system lead poising results Correct Answer: slowed groeth and development learning and behavior problems hearing and speech problems source of lead poisining Correct Answer: lead paint dust toys candy wrappers contaminated water Signs of lead poisoning in children? Correct Answer: developmental delay learnign difficulties irritability loss of appetite weight loss sluggishness and fatigue