Question Answered step-by-step 1) A child with a non- functioning anterior gland would have the followingdiagnosis. a) Hypopituitarism b) Pituitarism c) hyperpituitarism d) Panhypopituitarism 2) Appropriate nursing management for syndrome of inappropriate SIADH would be which of the following. Select all that apply a) Restriction of PO fluids b) Insertion of foley c) Administration of DDAVP d) Neurological checks e) Monitor potassium levels3) Is the following statement true or false. There is no difference in risk for UTI if a newborn male is circumcised or uncircumcised. a) True b) False4) A child having secondary side effects of gluten intolerance related to celiac disease would appear with which of the following symptoms a) Diarrhea, elevated potassium and sodium levels and decrease triglyceride lipid level b) Diarrhea, Irritability, decrease potassium and sodium levels area c) Diarrhea, decrease glucose level and elevated triglyceride (lipid) level d) Diarrhea, increased glucose level, and elevated triglyceride (lipid) level.5) When checking blood glucose of a 2 years old with diabetes you get a result of 60. The child refuses to eat anything. what would be the next action by the nurse. a) Wait for about 30 minutes and try again b) place an NG tube to administer the juice c) Call the family to come and speak to the child d) Administer glucagon6) A child is being treated for DKA has a glucose of 300 for this hour. One hour later the glucose is 250. The nurse would anticipate the administration a) sodium bicarbonate b) Potassium chloride c) Insulin bolus d) Dextrose7)The 3 signs and symptoms of diabetes would be which of the following a) hyperglycemia, ogluria and polyuria b) ketones, ogliuria and glycosuria c) polydipsia, polyuria and glycosuria d) Ogliuria, polydipsia and hypoglycemia 8) when caring for a child with Meckel diverticulum, the nurse should monitor the child for the following most common problem that can arise from the congenital disorder a) Diarhhea b) bleeding c) constipation d) Abdominal pain 9) praise a 10 years old with DKA. his serum glucose was 986 at noon with IV insulin was started at 0.1 u/kg at 1400, his glucose was 680. which of the following does the nurse recommended as appropriate actions. a) Continue the insulin at the current rate and start a bolus of normal saline of 10mls/kg. insert a foley. b) Continue the insulin at the current rate and add dextrose to the maintenance fluids. monitor neurological status frequently every 15min c) continue the insulin at the current rate and recheck the glucose in one hour. check blood pressure frequently every 15minutes d) stop the insulin drip for one hour and then recheck glucose in one hour10) you are explaining to the family how and when to administer growth hormone to the child. which statement demonstrates that more teaching required. a) we are to give it once our child gets up in the morning b) giving the providers the hormones that our child needs c) we are to use rotating sites for the injections d) we are to give this as an injection11) the nurse starts an insulin drip at 0.1 unit/kg/her on a 16 yr old with DKA . the nurse understand that the insulin administration will cause ———– that will cause——- a) a shift of glucose into the cells that will cause hyperglycemia b) a shift of glucose out of the cells that will cease hypoglycemia c) a shift of potassium out of the cells that will cause hyperkalemia. d) a shift potassium into the cells that will cause hypokalemia 12) The nurse is giving discharge information to the parents of a 2 years old who had orchiopexy to correct cryptorchidism. which statement would be included in the information. a) Pain medication would not be needed after the procedure b) it is normal to not void after this procedure for couple of days c) checking temperature will be needed after the procedure. d) the child will be able to play as normal after the procedure. 13) Test used to determine growth delay would be which of the following a) Muscle biopsy b) MRI of brain c) CT scan d) Bone Age Test 14) When reviewing the history of an infant admitted for suspected Hirschsprung’s disease, the nurse anticipate the history to include which sign a) Diarrhea b) Flatulence (gas) c) Fou-smelling ribbon-like stools d) projectile vomiting. 15) The nurse is providing discharge instructions to a newborn’s family before leaving the hospital. he received a diagnosis of phimosis at birth. The nurse knows the parents understand the discharge care when they state which of the following. a) I will apply antibiotic ointment to the foreskin b) I will apply steroid cream to the foreskin c) I will monitor until this resolves which should be next week d)I will gently retract the penis at bath time. 16) You are caring for a 5 years old child. mom reports child is irritable seems to tire easily has not been eating well but clothing tighter as if gaining weight. mom also thinks child has been ”holding his urine” exam positive for swelling of face, legs, and abdomen (ascites). serum albumin is decreased urinalysis shows frothy urine with hyperalbuminuria. what do you suspect. a) chronic renal failure b) child needs to eat more protein c) pyelonephritis d) minimal change nephrotic syndrome 17) Is the following statement True or false ”Glycogenolysis is the breakdown of lipids and protein into glucose whereas gluconeogenesis is the breakdown of glycogen into glucose” a) True b) False 18) nurses providing education to parents of a child receiving post-operative care for cleft lip and palate repair would teach on which of the following. select all that apply. a)The use of a cold teething ring and pacifier would help with the healing process b) To apply petroleum jelly to the operative site on the lip for several days after surgery c) syringe feeding for the first week or so d) laying flat is best for infants after cleft lip and palate surgery. e) administration of Tylenol or pain medication 19) What is the most important nursing intervention in esophageal atresia with tracheoesophageal fistula? a) promote feedings b) Maintain a patient airway c) give IV medications d) surgical repair 20) Michael a 4 month old infant is brought into the pediatric clinic for evaluation. his mother reports he spits up small amount of formula and fussy after each feed. she also stated he has difficulty sleeping when she puts him down at night. which conditions has the characteristic of michael symptoms a) malrotation b) pyloric stenosis c) GERD d) biliary atresia 21) The fire department was called to a home for a grease fire. The firemen reported limited visibility when retrieving the family from the home. an 11 year old was brought to your pediatric facility for post thermal injury treatment. upon assessment you notice a partial thickness burn on the palm of the hand which the child report he grabbed hot doorknob during the incident. these appear to be no other injuries to the skin however upon further assessment you notice assessment singed nasal hairs and shoot around nasal passage. you know the child will need which of the following interventions a) 15L 100% 02 via nonbreather b) 2L 02 via nasal cannula c) controlled intubation d) Lab values every 4 hours 22) A child present to the emergency department after coming into contact with boiling hot water. the palmar surface of the child’s hand shows blistering and degloving. the hand is very sensitive to touch. which degree of burn a) 4th degree b) 2nd degree c) 1st degree d) 3rd degree 23) A classic clinical sign when a child is suffering from intussusception is called a) distension sign b) dance’s sign c) patafio’s sign d) child sign 24) The typical route of transmission for hepatitis A is which of the following. a) Transmitted parentally or percutaneously by humans b) spreads by fecal matter or contaminated food c) spreads by exposure to blood or blood products d) spreads through blood and sexual contact Health Science Science Nursing NURS 4331 Share QuestionEmailCopy link Comments (0)

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