1) A mother is concerned her 4 years old daughter may be constipated. she explains to the provider that her daughter often has fecal stains in her

Question Answered step-by-step 1) A mother is concerned her 4 years old daughter may be constipated.she explains to the provider that her daughter often has fecal stains in her undergarment but does not have regular bowel movement. when the child goes, she often ends up having stooling accidents in her clothes. The nurse recognize this as …………….. a) Freud syndrome b) iron toxicity c) obstipation d) encopresis 2) which are most important goals in management of acute diarrhea? select all that apply a) reintroduction of an adequate diet b) rehydration c) Fluid and electrolyte balance d) Testing of stool e) Glucose tolerance test. 3)You are caring for a patient with a burn injury. The patient has a sulfa allergy , which medication would be appropriate to use? a) neomycin ointment b) clotrimazole ointment c) bacitracin ointment d) polysporin ointment 4) which of the following is the most common viral cause of diarrhea in young children a) Enterovirus b) salmonella c) rotavirus d) RSV 5) The nurse is caring for a new born with a suspected diagnosis of imperforate anus. The nurse monitors the infant knowing which is a manifestation associated with the disorder a) mass in the upper right abdomen quadrant b) currant jelly-like stools c) bilious emesis d) failure to pass meconium stool in the first 24hours after birth. 6) you are caring for a child with biliary atresia. the child will need to have which of the following completed a) bowel resection b) Liver resection c) kasai procedure d) gall bladder removal 7) You are in an outpatient clinic seeing a child after receiving burns while playing with matches. you calculate total body surface affected based on the both arms, hands, chest. you anticipate which of the following a) no intervention is needed, the burns will heal on their own b) you will send the child to the primary care physician for ongoing pain reduction c) you will send the child home with topical antimicrobial ointment d) the child will be referred to a burn center for advanced treatment 8) which congenital disorder must a newborn be screened for if the child is born with esophageal atresia and / or anorectal malformation a) Cushing disease b) down’s syndrome c) vater syndrome d)trisomy 13 9) what is the most important nursing intervention in esophageal atresia with tracheoesohageal fistula. a) promote feedings b) maintain patient airways c) give IV medications d) Surgical repair 10) During the immediate phase following a full thickness thermal injury, which pain medication regimen is most effective for pain control a) Tylenol every 6 hours b) fentanyl and versed every 12 hours c) morphine sulfate every 2 hours d) Motrin every 4 hours 11) The nurse in a pediatrician’s office is assessing a 3 year old with known vesicoureteral reflux. mom states the child has had a fever of 39.0 for 2 days and has a slight cough. which intervention would the nurse explain to the mother is occurring during the visit a) Urine culture b) administration of 10mg/kg of tylenol c) BUN and creatine labs drawn d) No intervention is needed at this time. 12)when an infant is born with a cleft lip or a cleft lip palate specialized feeding techniques need to be used. however an infant with cleft lip may be able to breast feed whereas an infant born with cleft lip palate cannot breast feed. TRUE or FALSE. 13) tammy had a urinalysis completed at an outside lab for complaints of pain with urination. which urinalysis values would be considered a normal a) PH of 5.0, specific gravity 1.035, trace ketones b) PH 7.5, specific gravity 1.040, RBC casts present c) PH 5.2, specific gravity 1.005, trace proteins, no glucose present d) PH 7.4 specific gravity 1.081, RBCs and glucose present 14) A 3 years old is admitted with a diagnosis of celiac disease. The mother and father are asking for education on which foods their child will need to avoid. which foods should the nurse tell the family to avoid a) rice b) rye c) corn d) oats 15) Urinary system test that used to identify anatomic abnormalities that can be the cause of recurrent infection would be which diagnostic test a) bladder catherization b) urine analysis c) clean catch urine d) voiding cystourethrogram 16) parents are learning care for a child with a hypospadias . which statements demonstrate that they understand education provided. a) Caution should be used when straddling the infant on my hip b) circumcision has to be delayed to safe tissue for surgical repair c) I need to check each day if the child has a UTI d) I need to learn how to cath in the event he does not pee17) when completing a genitourinary assessment in a new born male, the nurse would be concerned about which of the following except a) palpation of left versus night testis b) retraction of the foreskin over the gland of the penis c) location or urethra is midshaft on penile shaft d) dribbling steam of urine when voiding e) peritoneal fluid in the scrotum 18) proper nasogastric placement confirmation for a pediatric patient other than using radiographic methods would be which of the following . select all that apply a) visual aspiration of gastric contents b) auscultation of air in the stomach c) instilling contrast, dye into the tube d) PH of 6 or more e) PH of 5 or less 19) In severe cases, a surgical procedure called nissen fundoplication may be performed to correct gastroesophageal reflux. TRUE OR FALSE 20) when educating a family on how to care for a child with PKU , the nurse would instruct the family to limit which food item listed below a) cheese b) fruit c) French fries candy d) candy 21) A 4 year old is being evaluated for possible growth delays. what are some reasons that a child’s growth may be delayed before growth hormones deficiency can be determine a) hypothyroidism b) precocious puberty c) obesity d) genetic condition e) malnourishment 22) A lethargic 1 year old present in the ED in acute kidney failure with platelet count of 70/mm3 and hemoglobin of 8g/dl. based on the presentation, what condition would the nurse suspect the child has developed a) hemolytic- uremic syndrome b) urinar tract infection c) Nephrotic syndrome d) kidney stones 23) when interviewing a parent with a child suspected having glomerulonephritis, the nurse would include which question when speaking with the parents a) Did your child fall off a bike onto the handlebars b) has your child had a sore throat or an infection recently c) has your child been vomiting a lot d) has anyone in your family had kidney failure 24)nephrotic syndrome classical presentation is which of the following a) protenuria, hypoalbuminemia, edema b) protenuria, polydipsia, hematuria c) hyperproteninema, hyperkalemia, hypophosphatemia, d) enuresis, polydipsia, hypoalbuminemia 25) A nursing care plan for a new born with bladder exstrophy repair would include which of the following a) pain management b) report mild blood loss from repair site to MD c) range of motion of lower extremities twice a shift d) monitor skin integrity of surgical wound e) monitor strict intake and output26) which drug would be best used to relieve bladder pain a) pyridium b) cranberry juice c) macrobid d) cipro 27)You are interviewing the parent of a 7 year old boy. the father is upset because his son seem to be upset all the time. the mother states the child is having problems at school and is losing weight but he eat all the time. on assessment the nurse notices protruding eyeballs and excess blinking by the child. based on the information, what test should the nurse expect to see ordered and possible diagnosis a) thyroid levels for possible graves disease b) thyroid levels for possible hypothyroid disease c) growth stimulating test for positive hypopituitary disease d) electrolyte panel for possible diabetes28) future fertility is affected more in which GU dysfunction below a) cryptorchidism b) recurrent UTI’s c) hydrocele d) hypospadias 29) when caring for a child with an indwelling urinary drainage catheter. which of the following will be a component of a CAUTI prevention bundle. select all that apply a) frequent monitoring to ensure unobstructed urine flow b) Aseptic catheter insertion c) daily assessment of abdominal girth d) daily assessment of the necessary for the indwelling catheter 30) An 8 year old has been admitted for the past 3 days for a newly discovered brain tumor. the child had a few seizures and now is considered post traumatic brain injury. the child output has increased to 5ml/kg/hr and is very irritable. the MD thinks that the child may be developing diabetes insipidus. the MD order serum electrolyte and renal function test. which result below do you expect to be resulted. BUN for children is 7-20mg/dl. a) serum osmolarity 295, serum sodium 150, BUN 23 b) serum osmolarity 295, serum sodium 125, BUN 23 c) serum osmolarity 270, serum sodium 150, BUN 23 d) serum osmolarity 295, serum sodium 150, BUN 431) 7 year old present to the ED complaining of plan with urination and voiding small amount frequently . mother report child has had fever ,chills, vomiting and not eating well for the previous days. vital signs significant for temp of 38.5 and B/P of 80/60. exam positive for CVA tenderness. urine is foul smelling and do stick UA positive for RBC and WBC, negative for protein, you suspect……………….. a) UTI b) glomerulonephritis c) pyelonephritis d) vesicoureteral reflux 32) what is the most common leading factor with UTIs a) urinary stasis b) polynephritis c) antibiotic resistance d) development off kidney stones 33) There is no difference in risk for UTIs if a newborn male is circumcised or uncircumcised. TRUE OR FALSE. 34) Which assessment findings in a child would you suspect a diagnosis of glomerulonephritis to be present. select all that apply. a) cola colored urine b) foamy frothy urine c)WBC casts d)reduced urine output of 0.4ml/kg/hr e) BP 150/9535) 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 test36) you are working in the ED and a 10 yr old child with type 1 diabetes mellitus has been admitted. he has been diagnosed with diabetics ketoacidosis(DKA). what assessment data will you expect to see in this child a) Low urine output b) hunger and irritability c) shallow respirations, hypertension and tachycardia d) fruity breath odor and decreasing level of consciousness Health Science Science Nursing NURS 4331 Share QuestionEmailCopy link Comments (0)