NURS 232 PEDS EXAM 3 LATEST 2023-2024
ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse knows that a definitive diagnosis of pyloric stenosis will be made by which of the following tests?
- abd x-ray
- colonoscopy
c) CT scan
- abd ultrasound - ANSWER- d) abd ultrasound
Which of the following observations would be most concerning to a nurse caring for a toddler w diagnosis of idiopathic thrombocytopenia purpura ?
- the child is jumping up and down on bed
- mother of child placing blankets along side of crib
- an order for acetaminophen for discomfort
- petechiae on bilateral legs - ANSWER- a) the child is jumping up and
down on bed
*petechiae is an expected finding 1 / 4
*padding the side of the crib helps prevent injury *can give acetaminophen for discomfort—no aspirin b/c increases risk of bleeding
You are the nurse caring for following pts. Which pt would you assess 1st
- 12 yr old w sickle cell anemia in vaso-occlusive crisis rating pain 8/10
- 7 yr old diagnosed w hemophilia A w right knee bleed rating his pain
- 2 yr old w sickle cell anemia in vaso-occlusive crisis w RR of 46 bpm
- 3 yr old w ITP w platelet count of 50,000 - ANSWER- c) 2 yr old w
4/10 on FACES scale
sickle cell anemia in vaso-occlusive crisis w RR of 46 bpm *Normal RR for 1 yrs: [25-40] and 3 yrs: [20-30] *tachypneic concerned w oxygenation; could be from complication acute chest syndrome
Which assessment finding is of greatest concern in a child who has sickle cell anemia and of experiencing sickle cell pain crisis
- oxygen saturation of 91%
- hgb 8.2
- hct 30%
- platelet 205,000 - ANSWER- a) oxygen saturation of 91%
Which statement best describes the technique to feed an infant w cleft lip? 2 / 4
- thicken feeding and enlarge nipple opening to allow for easier
- feed upright and slowly, slowing for frequent breaks
- lay the infant on his right side to prevent aspiration
- give small, frequent feedings to prevent aspiration - ANSWER- b)
delivery
feed upright and slowly, slowing for frequent breaks
The nurse is teaching the family of a child w sickle cell anemia about triggers that may cause a pain crisis. Which of the following would be included in teaching? (Select al apply)
- infection
- overhydration
- hot humid day
- stress at school
- being outside on a cold winter day - ANSWER- a) infection
- hot humid day
- stress at school
- being outside on a cold winter day
The parent of a 3 yr old cold asks the nurse for suggestions on how to decrease their child's constipation. Which of the following would be the best response by the nurse?
- be sure to increase the amount of fluid that your child drinks each day
- be sure to add fresh fruits and veggies, such as ba as and grapes to
your child's diet 3 / 4
- decrease the amount of whole grains in your child's diet
- increased the amount of milk the cold drinks each day - ANSWER- a)
be sure to increase the amount of fluid that your child drinks each day *bananas can bind a child up and cause constipation
The nurse should qs which order written by the physician treating a 10yr old boy w sick cell who was just admitted w Vaso-occlusive crisis
a) morphine sulfate PCA: 1 mg/hr basal rate and 0.5 mg bolus every 10
mins
- iv fluids of D5 0.45NS at 2x maintanence rate
- oxygen at 1-2 l/min by NC to keep O2 >93%
- ambulate in hall 4x/day - ANSWER- d) ambulate in hall 4x/day
*should be bedrest
T or F: there is a decrease in the incidence of childhood cancer w new
education on prevention - ANSWER- False! Theres an increase in incidence, but also an increase in survival
*research and protocols conducted by cooperative group called "Children's Oncology Group (COG)" for state of the art treatment
What is considered the #1 disease related cause of death in children? - ANSWER- Cancer *leukemia is most common type
- / 4