Exam Questions And Answers
/. If a child has an allergy to neomycin with a anapylactic reaction what vaccine should
you withhold? or an allergy to eggs or gelatin - Answer-✅measles, mumps, rubella
(MMR)
/.what is an indication of bacterial meningitis? - Answer-✅increased protein
concentration, increased WBC, decreased glucose level, increased cerebrospinal fluid
pressure
/.normal Hematocrit for a child - Answer-✅32 - 44%
/.what can a child experience with a low Hematocrit? - Answer-✅tachycardia,
lightheadedness, fatigue, dyspnea, pallor
/.normal wbc for child - Answer-✅5,000 - 10,000 mm3
/.normal platelet for child - Answer-✅150,000-400,000
/.normal Hgb Hemoglobin for child - Answer-✅9.5-14 g/dL
/.normal prealbumin for child - Answer-✅15-33 mg/dL
/.pavlik harness - Answer-✅used for hip dysplasia in infants
Remove only to take baths, place diapers under the harness straps, do not use
products becuase can cause skin irritation, and do not adjust straps
/.peritonitis - Answer-✅inflammation of the peritoneum (membrane lining the abdominal
cavity and surrounding the organs within it)
abdominal distension, chills, irritability, restlessness
/.scoliosis - Answer-✅should expect to see a unilateral rib hump with hip flexion
/.peristalis - Answer-✅involuntary waves of muscle involves contractions of the smooth
muscles that push the food toward the stomach
/.what should you expect with a child following a perforated appendix repair? - Answer-
✅absence of peristalsis
, /.what to do following a lumbar puncture? - Answer-✅apply topical analgesic 1 hr
before, place client in prone or flat position for up to 12 hours after, encourage to drink
extra fluids
/.nursing interventions for a child with an epidural hematoma? - Answer-✅neuro checks
q15mins, avoid suctioning nares, implement seizure activity, position infant midline
slightly elevated
/.nursing interventions for a child scheudled for a wound debridement? - Answer-
✅apply topical ointment following hydrotherapy, apply gauze after therapy, administer
an analgesic beforehand, and AVOID prophylactic antibiotic therapy
/.who can sign consent? - Answer-✅over 18 y/o, parent of a minor, or if under 18 and
married can sign themselves
/.nursing interventions for a child in a tonic clonic seizure. - Answer-✅turn to side, no
food or drink, nothing by mouth (meds)
/.epinephrine - Answer-✅treats anaphylaxis
/.Prednisone - Answer-✅treats severe inflammation
Anti-inflammatory
/.Diphenhydramine - Answer-✅Benadryl, decreases allergic reaction
/.Albuterol - Answer-✅Bronchodilator, improves childs breathing
/.ventricular septal defect - Answer-✅nurse should expect to hear a loud harsh murmur
due to the left to right shunting of blood
/.coarction of the aorta (CoA) - Answer-✅narrowing of the aorta, should expect to have
high blood pressure and weak femoral pulses
/.indication of early septic shock - Answer-✅increased heart rate, normal BP, fever and
chills, normal urinary output
/.how to test for a sickle turbidity test - Answer-✅perform a finger stick, if test is positive
hemoglobin electrophoresis is required to distinguish b/w children who have the genetic
trait and children who have the disease
/.McBurney's point - Answer-✅A point on the right side of the abdomen, about two-
thirds of the distance between the umbilicus and the anterior bony prominence of the
hip