AMS Pediatric Final

  1. Before a routine check up in the Pediatrician’s office, an eight month old infant is sitting contentedly on his mother’s lap chewing on a toy. When preparing to examine this infant, which of the following actions should the nurse do first?
    Auscultate heart and lung sounds
  2. Which of the following directions is most important when administering immunizations?
    Properly store the vaccine, and follow the recommended procedure for the injection
  3. Which of the following is a vaccine given to a healthy 4 month old baby?
    DTap, inactivated polio vaccine (IPV), Hib, and PCV
  4. What is the recommended age for receiving the measles vaccine?
    12 months
  5. Which comment by a 7 yr old boy to his friend best typifies his developmental age?
    "Girls are yucky"
  6. Which instructions should a nurse give to those visiting a child on protective isolation?
    Fresh fruit that cannot be peeled is prohibited in the room
  7. A person apparently in good health who’s body harbors the specific organisms of a disease is called a:
  8. Neonates (0-28 days) born to women infected with Hepatitis B should receive which of the following treatments?
    Hepatitis B immune globulin within 12 hrs and Hepatitis B vaccine at birth, 1 month and 6 months
  9. Which of the following characteristics is commonly seen in a child with Pertussis?
    Whopping cough
  10. Which of the following characteristics is commonly seen in a child with Pertussis?
    Inactivated polio virus vaccine (IPV)
  11. On observation of a child’s skin, the nurse notes a papular puretic rash with some vesicles. The rash is profuse on the trunk and sparse on the distal limbs.
    Based on this observation, which of the following illnesses does the client have?
    Chicken pox
  12. A child was admitted because of chickenpox, she was put into airborne precaution, which nursing action is correct when implementing the prescribed isolation precaution?
    Specimens are sent to laboratory in a zip closure biohazard bag
  13. A mother is concerned that her three yr old daughter has been exposed to Erythema Infectiosum (fifth disease). Which of the following are characteristics of this infection?
    Red rash on face that spreads to the extremities
  14. SRS for Leukemia complains bone/joint pain
  15. Lyme’s disease: A family recently went camping, bring child to clinic after complaint of rash after tick bite. Which finding will be seen along with?
    Red papule becomes large, red, round ring
  16. Which of the following periods of communicability is indicated for a client with Scarlet Fever?
    1-7 days
  17. The causative organism for Scarlet Fever is:
    beta-hemolytic streptococci group A
  18. Which of the following definition best describes etiology of SID (sudden infant death syndrome)
    Unexplained death of an infant
  19. A 6 week old infant, not breathing is brought to ED. A finding of SIDS is made to parents. Nursing interventions should nurse take?
    Allow them to see their infant
  20. Therapy for Kawasaki disease includes IV and prescribed at 400mg/kg a day for 4 days. Child weights 10kg
    400mg/1kg x 10kg= 4000mg
  21. Following route is allowed to take temperature for leukemia patient except:
  22. To prevent trauma to suture line of an infant who underwent cleft lip/palate repair, the nurse should perform which of the following interventions?
    Maintain elbow restraints
  23. Complication of cleft lip repair?
    Some scarring
  24. _________ is the absence of a normal body opening or the abnormal closure of a body passage
    Esophageal atresia
  25. Cause of esophageal atresia and tracheoesophageal fistula?
  26. ___________is a protrusion of the intestine through the umbilical ring.
    Umbilical hernia
  27. A 38 year old multiparas client gave birth a day ago to a full term newborn with myelomeningocele. Which assessment finding best indicates that the client is grieving over the loss of her “perfect” baby?
    The client states that she has not selected a name for her baby
  28. Which of the following nursing diagnosis is most relevant in the first 12 hrs of life in a neonatal born with myelomeningocele?
    Risk for infection
  29. While assessing a full term neonate, which of the following symptoms would cause the nurse to suspect a neurological impairment?
    A weak sucking reflex
  30. Myelomeningocele requires nearly immediate surgical repair for which of the following purposes?
    Decrease the possibility of infection and further cord damage
  31. _____________ is characterized by an excess of cerebrospinal fluid (CSF) within the ventricular and subarachnoid spaces of the cranial cavity.
  32. IV ordered for 27ml/hr, tubing delivers 60ml/hr. How many drops per minute should the nurse set the pump for?
  33. An infant is being treated for inadequate treatment for congenital hypothyroidism. The nurse would expect to observe which of the following symptoms?
    Fatigue and sleepiness
  34. The mother of a neonate born with hypospadias is sharing her feeling of guilt about this anomaly with the nurse. The nurse should explain which of the following about the defect?
    It is congenital
  35. __________ is a congenital condition in which the urethra terminates on the ventral (underside) surface.
  36. The following are considered chromosomal abnormalities. Select all that apply
    • Down syndrome
    • Klinefelter syndrome
    • Turner syndrome
  37. Which of the following definitions best describes a condition called clubfoot Talipes Varus?
    Inversion of the foot
  38. A boy with patent (open) ductus arteriosus (usually closes within 1st hr after delivery but doesn’t stay close until healed – sealed shut) was delivered
    6 hrs ago and is being held by his mother. As the nurse enters the room to assess the neonate’s vital
    signs, the mother states that my baby has a heart murmur and the mother says, “Does that mean he has a bad heart?” Which response by the nurse would be appropriate?
    "The murmur is caused by a natural opening which can take a week or two close"
  39. A mother is concerned that her 3yr old daughter has been exposed to fifth’s disease. Which of the following symptoms are characteristic of this viral infection?
    Red rash on face that spreads to the extremities
  40. Diagnosis of congenital hip dislocation can best be confirmed by which of the following diagnostic techniques?
  41. For coarctation of the aorta, the nurse correctly advises the parents that the optimal time for surgical correction is when?
    Before the child is 2 yrs old
  42. A 2 yr old child is showing signs of shock. A 10ml/kg bolus of normal saline solution is ordered. The child weighs 20kg. How many ml should be administered?
    10ml/kg x 20kg = 200ml
  43. A teenage client with heart failure is prescribed Digoxin, to which of the following classifications does this drug belong?
    Cardiac glycoside
  44. A child with congenital heart defect is receiving Digoxin, which nursing intervention is most important to perform before giving the medication?
    Check apical pulse for 1 minute
  45. A toddler is immobilized with traction to the legs, which play activity would be appropriate for this child?
    A pounding board
  46. Which of the following statements about patent ductus arteriosus is correct?
    Normally closes completely by 16 weeks
  47. The nurse can best facilitate reduction of the heart’s workload by which method?
    Organizing nursing care so that the infant longer rest periods
  48. The nurse should counsel parents to postpone which of the following actions until after their son’s hypospadias has been repaired?
  49. A child is given 0.5mg/kg/day in two divided dosages. The child’s weight is 10kg. How much is given in each dose?
    0.5mg/kg/day x 10kg = 5mg/day/2 doses =2.5mg
  50. Order: 80mg/kg/day in 4 divided doses until child is afibrile. The child weighs 15kg. How much is given in 1 dose?
    80mg/kg/day x 15kg = 1200mg/day/4doses =300mg
  51. A child has sinus bradycardia. Treatment includes atropine 0.02mg/kg. If the child weighs 20kg, how much is given per dose?
    0.02mg/kg x 20kg = 0.4mg
  52. Which intervention would be appropriate for an infant after cardiac catheterization?
    Apply pressure if oozing or bleeding is noted
  53. Which of the following explanations of how to decrease the chances of having a second child with spina bifida is most accurate?
    Pre-pregnancy intake of 400mcg of folic acid reduces the recurrence rate
  54. Which of the following complications involving leg length is seen with congenital hip dislocation?
    Decreased leg length on the affected side
  55. When obtaining a blood specimen for a PKU test, which action by the nurse is incorrect?
    Apply pressure with an alcohol wipe after the specimen is obtained
Card Set
AMS Pediatric Final