PEDS proctored Kaplan PDF

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this is the peds kaplan for the full 5 points...

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1. HYPERCHOLESTEROLEMIA: There is no treatment for hypercholesterolemia 2. The nurse is assigned to care for a child diagnosed with Wilm’s tumor. Preoperatively, it is MOST important for the nurse to include which nursing actions in the plan of care? Monitor intake and output Wilms' tumor is a rare kidney cancer that primarily affects children. Also known as nephroblastoma, Wilms' tumor is the most common cancer of the kidneys in children. Wilms' tumor most often affects children ages 3 to 4 and becomes much less common after age 5. Wilms' tumor most often occurs in just one kidney, though it can sometimes be found in both kidneys at the same time. 3. The nurse cares for a child admitted to the pediatric unit with a diagnoses of rule out aplastic anemia to confirm the diagnosis, the nurse expect the physician to order which of the following tests? Bone morrow aspiration 4. The nurse in the pediatric clinic assesses a 12-month-old infant who fell to the floor from a highchair. It is most important for the nurse to assess for which of the following injuries? Head injury 5. The nursing admits a child diagnosed with nephrotic syndrome to the pediatric unit. The nurse knows that which of the following is a common characteristic associated nephrotic syndrome? Weight gain 6. The schools nurse monitors the needs of the kindergarten aged child diagnosed with HIV. The school nurse should intervene if which of the following is observed? The kindergarten teacher report that the child bit another child 7. The nurse instructs the family of a child diagnosed with sickle cell disease about how to minimize the vasoocclusive crisis. The nurse knows further teaching is required if the family states which of the following? If my child experience pain, I will apply cold compresses 8. The nurse in the pediatric clinic cares for a school-aged child complaining of joint pain in the extremities. The parents ……throat about 10 days ago that did not required treatment. The nurse anticipates the physician will order which of the following? Antistreptolysin O (ASO) title 9. The nurse plans care for three-year-old just diagnosed with pneumonia. A private room is not available at this time on the unit. Which of the following placement is appropriate for the child? In a room with a patient diagnosed with pneumonia 10. The nurse plans scoliosis screening for a class of fifth graders. Which of the following is the correct screening procedure for scoliosis? Instruct the child to bend forward from the waist 11. The pediatric nurse performs an exam on a three-year-old. The nurse suspects that the child may have strabismus. Which of the following…..by the nurse may indicate this type of visual impairment? The nurse observed the child closes one eye when looking around the room 12. The nurse cares for an infant diagnosed with respiratory syncytial virus (RSV) receiving ribavirin (Rebetol). The nurse should intervene if witch of the following is observed? The pregnant nursing assistant gives the child bath 13. The nurse performs an assessment on a five-year-old child suspected of ventricular dystrophy. Which assessment data obtained from the parent would assist the medical team with this diagnosis? My child can’t ride a bike 14. The nurse knows which of the following is true about otitis media (OM)? Otitis media is caused by dysfunction of the Eustachian tubes

15. The nurse prepares to discharge a new mother and her newborn. It is most important for the nurse until which of the following discharge instructions about preventing sudden infant death syndrome? Place your infant on his back when he is sleeping 16. The nurse in the pediatric clinic excesses a child complaining of chronic headaches which of the following statements if made by the child to the nurse requires immediate follow up? My headache have started causing me to awake at night 17. The nurse cares for a one-year-old diagnosis expected osteogenesis imperfecta. It is most important for the nurse to include which of the following in the infants plan of care? Turn a position the child carefully 18.The nurse in the pediatric clinic performs a well assessment on a 6-month-old infant. As the infant is sitting quietly on the mother’s laps obtains an apical heart rate of 190 bpm. Which of the following responses by the nurse is MOST appropriate? Obtain the infant temperatures 19. The nurse cares for an infant receiving oxygen through an oxygen hood. With observation requires an intervention by the nurse? The infant mother cover the infant with a colored blanked 20. The nurse cares for a child diagnosed with cardiac dysrhythmia. The nurse knows that which of the following NOT a common dysrhythmia in child is. Ventricular tachycardia 21. The pediatric nurse cares for a 4 year old admitted with a diagnosis of Hirschsprung disease. The nurse expects to find which of the following signs and symptoms? Constipation, Abdominal distention, and ribbon-like stools 22. The home care nurse cares for a child diagnosed with seizure disorder. The child’s mother calls to report her child had a tonic-clonic seizure…..MOST important for the nurse to follow up on which of the following statement made by the child’s mother? When the seizure just began, I tried to move my child to the bed 23. The nurse cares for a preterm infant diagnosed with patent ducts arteriosus (PDA) receiving indomethacin (Indocin) 0.1 mg/kg IV. The infant’s mother asks the nurse why her baby is receiving the medication. Which of the following responses by the nurse is BEST? Indomethacin (Indocin), is given to close the patent ductus arteriosus 24. An adolescent with a diagnosis of major depression tells the nurse I feel empty which of the following responses by the nurse is the most therapeutic? You have been feeling empty 25. EVALUATE INFANTS HEARING: My baby may startle when I make a loud noise close to his head 26. The nurse instructs parents about care safety for infants it is most important for the nurse to include which of the following in the presentation? Infants from birth to 20 Lbs should be in a rear-facing car seat 27. A 5 y/o diagnosed with asthma. The nurse demonstrates the child parents how to measure the peak expiratory flow rate. The nurse asked the child to forcefully exhale into the meter and the nurse knows the results are in the red zone. The nurse knows the red zone means which is following? Severe airway narrowing maybe occurring 28. The nurse performs a nutritional assessment on a three-month-old infant which of the following questions best assist the nurse to obtain a dietary history from the infants parents? How many once of formula does your infant drink each day

29. A young child is scheduled to receive Hepatitis B vaccine the nurse identifies which of the following methods is correct administer Hepatitis B? Intramuscularly in the deltoid muscle 30. The nurse cares for an infant diagnosed with type I Spinal Muscular Atrophy (Werdning-Hoffman disease). The nurse identifies that which of the following statements is true about type 1 Spinal Muscular Atrophy (WerdningHoffman disease)? Type 1 (SMA), is characterized by progressive weakness and wasting of skeletal muscle 31. The nursing student cares for clients in the pediatric clinic the nurse student reports to the nurse that a 12-yearold child has a blood pressure 150/90 which of the following responses on the nurse is BEST? Please show me the blood pressure cuff that you used. 32. The nurse consuls the mother of a four-year-old diagnosed with group A B hemolytic streptococcus infection of the upper airway which statement if made by the mother to the nurse indicates an understanding of the nurses instructions? I will buy my son a new toothbrush tomorrow 33. LANOXIN: The father report the infant vomited 4 times during the night 34. The nurse provides instructions to the parents of a child being discharged after a myringotomy with tympanostomy tubes inserted. It is most important for the nurse to respond which of the following statements made. Our child loves to jump off the dock into the lake 35. CRANIOTONY: Contact the physician 36. The nurse instructs the mother of a young child diagnosed with constipation due to diarrhea. The nurse determines that teaching is successful if the mother states which of the following? I will offer my child ½ cup of oral rehydration after diarrheal stool 37. The nurse performs a well baby assessment on a 10-month-old infant the nurse should intervene if the mother states which of the following? My baby drinks about 40 ounces of cow’s milk each day 38. The nurse plans care for infants on the pediatric unit. The nurse understands that careful assessment of infants’ fluid and electrolyte balance is required for which of the following reasons? Infants have larger amount of extra cellular fluids than adult 39. The nurse cares for a 7 year old girl diagnosed with central precocious puberty. It is MOST important for the nurse to include which statement when counseling the child’s mother? Your child should dress in age appropriate clothing 40. An infant falls off the changing table and the mother rushes the infant to the emergency room the nurse performs an assessment and identifies which of the following as an early sign of increasing intracranial pressure? Bulging Fontanel 41. ATRIAL SEPTAL DEFECT / CARDIAC DEFECT: Atrial septal defect 42. The pediatric nurse instructs families of children diagnosed with difference between hypoglycemia and hyperglycemia. Which the following information should the nurse include in the diagnosis. Hyperglycemia causes a fruity breath odor. 43. The nurse observes a 10-year-old child in the clinic waiting room with a diagnosis of attention deficit hyperactivity disorder. The nurse expects to observe which of the following behaviors? The child wonders the hallways.

44. The mother of an infant brings her childhood pediatric unit the infant has edema of the hands and feet. The nurse observes widely spaced nipples and a low posterior hairline. Which of these findings are consistent with diagnoses of which genetic disorder? Turner syndrome 45. A student nurse prepares to present a conference about hematological disorders in children. The student nurse knows that which is the following should be included in the presentation about idiopathic thrombocytopenia purpura (ITP)? It is caused by excessive destruction of platelets. There is discoloration due to petechial, and the bone marrow is normal 46. The nurse cares for a pre-adolescent admitted with right lower quadrant abdominal pain, decreased bowel sounds and fever, the child has appendicitis. The nurse knows that the child’s appendix ruptured if which of the following occurs? The pre-adolescent report a sudden decrease in pain 47. The nurse admits a child diagnosed with hemophilia A. It is MOST important for the nurse to assess for which of the following symptoms? Joint pain 48.The nurse counsels a school-age child diagnosed with type I diabetes the child tells the nurse he sometimes goes to the park after school to play with his friends is most important for the nurse to include which of the following instructions. Eat extra food before going to the park to play with your friends 49. The nurse admits an infant suspected of having pyloric stenosis during the nursing history the nurse expect the person state which the following? My baby has frequent projectile vomiting Definition Pyloric stenosis is a narrowing of the pylorus, the opening from the stomach into the small intestine. Signs of pyloric stenosis usually appear within three to five weeks after birth. Pyloric stenosis is rare in babies older than age 3 months. Watch for these signs and symptoms: Projectile vomiting: Pyloric stenosis often causes projectile vomiting — the forceful ejection of milk or formula up to several feet away — within 30 minutes after your baby eats. Vomiting may be mild at first and gradually become more severe. The vomit may sometimes contain blood. Persistent hunger: Babies who have pyloric stenosis often want to eat soon after vomiting. Stomach contractions: You may notice wave-like contractions that move across your baby's upper abdomen (peristalsis) soon after feeding but before vomiting. This is caused by stomach muscles trying to force food past the outlet of the pylorus. Dehydration: Your baby may cry without tears or become lethargic. You may find yourself changing fewer wet diapers or diapers that aren't as wet as you expect. Changes in bowel movements: Since pyloric stenosis prevents food from reaching the intestines, babies with this condition may be constipated. Weight problems: Pyloric stenosis can prevent a baby from gaining weight, and can sometimes even cause weight loss. Causes, incidence, and risk factors: Normally, food passes easily from the stomach into the duodenum (the first part of the small intestine) through a valve called the pylorus. In pyloric stenosis, the muscles of the pylorus are thickened. This thickening prevents the stomach from emptying into the small intestine. The cause of the thickening is unknown, although genetic factors may play a role. Children of parents who had pyloric stenosis are more likely to have this problem. Pyloric stenosis occurs more often in boys than in girls, and is rare in children older than 6 months. The condition is usually diagnosed by the time a child is 6 months old. 50. The nurse admits an infant suspected of having intussusception. During the nursing assessment…information? The parent stated that the infant stool look like currant jelly 51. DOWN SYNDROME: There is a greatest risk of having a child with down syndrome if the mother is under 35 y/o 52. The nursing student represents a conference about signs of cerebral palsy which of the following statements will the nursing student include in the presentation? The child has poor head control after 3 month of age 53. The nurse instructs the parents of a 4 year old being discharge with a diagnosis of grade of vesicuretral reflux to include which of the following statement.

Your child will receiving a continuous low dose antibacterial 54. The nurse counsels the parents of a child diagnosed with iron deficiency anemia. The nurse instructs the parent…. Prescribed liquid iron supplement. It is MOST important for the nurse to include which of the following instructions. Administer the liquid iron supply through straw 55. HEART FAILURE: Tachycardia 56. The nurse cares for a child after a tonsillectomy. The child vomits bright red blood. Witch of the following actions should the nurse take FIRST. Turn the child to the side 57. The nurse monitors a 13 month old for speech and hearing development. To better understand the child’s speech development….. For the nurse to ask the parents which of the following questions? Does your child say da’, na’ or ya’? 58. An infant is diagnosed with gastro esophageal reflux is hospitalized for anemia forceful vomiting and weight loss to decrease the episodes of vomiting to know should take which of the following actions? Thicken formula with rice cereal 59. The school nurse discusses triggers that precipitate asthma with the parents of elementary school age children. The nurse determines that the teaching is effective if the parent states which of the following? Cold air can trigger my son’s asthma 60. The nurse in the pediatric clinic counsels the mother of a six-year-old who has developed new onset constipation the nurse understands the new onset constipation in a six-year-old is most commonly caused by which of the following? Beginning school 61. The nurse plans care for a child diagnosed with cystic fibrosis (CF). The nurse determines which of the following nursing actions is MOST important? Instruct the family about how to perform chest physiotherapy 62. The nurse cares for young child diagnosed with a Respiratory infection the nurse understands the children are more prone to respiratory infections because of which of the following reasons? The child’s airway is smaller than found in adults. 63. TUMOR/ IMPLEMENTATION/ NEPHROBLASTOMA: Most children are diagnose after tumor metastize 64. The school nurse administers glucagon IM to a child diagnosed with type I diabetes. The child immediately begins to vomit which of the following actions should the nurse take first? Please the child on his side 65. The nurse performs discharge teaching for parents with a child in a hip spica cast. The nurse determines further teaching is necessary if the parents state which of the following? I will place my child in supine position to eat 66. A child sustains a puncture wound contaminated with dirt. The nurse knows the physician will order which of the following medications? Tetanus immunoglobulin (TIG) 67. The nurse cares for a child with a suspected diagnosis of cystic fibrosis the quantities sweat chlorite test is administered, the nurse knows that which of the following results confirms a diagnosis of cystic fibrosis? 69 Eq/L 68. ULCERATION COLITIS: Bloody diarrhea is common in crohn’s disease

69. The nurse cares for a seven-year-old child diagnosed with osteomyelitis of the right arm. The nurse expects to observe which are the following? The child holds the right arm in a semi-flexed position. 70. The nurse performs a well baby assessment on a 15 month old. The infant’s mother tells the nurse that her child has started to walk is eating with a spoon and builds a two-block tower. During the visit the mother mentioned that the toddler’s right eyes sometimes “glows”. Which of the following responses by the nurse is BEST? I will tell the physician about your observation 71.The nurse reviews the record of a child diagnosed with acute glomerulonephritis. The nurse knows that which of the following is MOST common associated with the diagnosis of glomerulonephritis? Impetigo 14 days ago 72. The nurse care for the child was suspected bacterial meningitis which of the following actions should the nurse take first? Place the child on droplet precautions. 73. The nurse cares for a 2 week old infant diagnosed with developmental dysplasia of the hip. The nurse notes which of the following is consistent with diagnosis of developmental dysplasia of the hip? Asymmetric of the gluteal folds 74. The nurse counsels the parents of an infant diagnosed with down syndrome the nurse discusses down syndrome. Which of the following may determine that for the instruction is required if the infants mother states which of the following? I should push solid food toward the back and side of my baby’s mouth...