CHILD HEALTH NURSING EXAM - Free Online Quiz Maker

Q1 Score: 1

Encourage outdoor activities

Limit bathing to prevent skin irritation

Promote interaction with one friend instead of a group

Set the thermostat higher than normal for comfort

Q2 Score: 1

Sit in High-Fowler’s position with extended legs

Sit-up with shoulders back

Push on abdomen during exhalation

Lean forward 30-40 degrees with each exhalation

Q3 Score: 1

Maintain the child in an undisturbed, upright position

Assess the child’s throat using a small tongue depressor

Obtain intravenous access and draw blood cultures

Provide cool liquids to soothe the child’s throat and provide hydration

Q4 Score: 1

Prolonged bleeding.

Failure to thrive.

Fatigue and malaise.

Susceptibility to infection.

Q5 Score: 1

Hepatitis B vaccine will not be given to this child.

Members of the family should be cautioned not to receive the varicella vaccine.

The child will need to have a Western blot test done prior to all immunizations.

Pneumococcal and influenza vaccines are recommended.

Q6 Score: 1

Palpating the abdomen

Positioning the child upright

Measuring the child’s chest circumference

Taking a blood pressure in the left arm

Q7 Score: 1

The initial white blood cell count on diagnosis.

The race of the child.

The amount of time needed to initiate treatment.

The allergy history of the child.

Q8 Score: 1

Observe standard precautions

Administer antibiotics as soon as possible

Single-bag all linens

Use sterilizable eating utensils

Q10 Score: 1

Give a precordial thump

Begin giving breaths with a bag-valve-mask at a rate of 16 breaths per minute

Clear the airway

Start chest compressions at a rate of 100 per minute

Q11 Score: 1

Basically the same as those in Hodgkin disease.

Depends on the anatomic site and extent of involvement.

Those that affect the abdomen, as non-Hodgkin lymphoma is a fast-growing cancer in very young children.

Changes that occur in the lower extremities.

Q12 Score: 1

Serum albumin 3.5g/dL

Serum prealbumin 5/mg/dL

Serum albumin 4.5 g/dL

Serum prealbumin 10 mg/dL

Q14 Score: 1

Reed-Sternberg cells in the lymph nodes.

Blast cells in the blood.

Lymphocytes in the bone marrow.

VMA in the urine.

Q16 Score: 1

Assess the child for neuropathy since this is a common side effect.

Provide adequate rest, as the child may experience excessive malaise and lack of energy.

Encourage the child to eat a low-protein diet while on radiation therapy.

Q17 Score: 1

Helps reduce the uric acid level caused by cell destruction.

Used to make the chemotherapy work better.

Given to reduce the nausea and vomiting associated with chemotherapy.

Helps decrease pain in the bone marrow.

Q19 Score: 1

Hamburger with egg noodles, canned peas, milk

Ham, baked potato, canned carrots

Baked chicken, rice, green beans, orange juice

Hot dog in a bun, corn chips, pickle

Q20 Score: 1

Anterior chest wall pain

Irregular heart rhythm

Heart murmur

Low blood pressure

Q22 Score: 1

Vital signs every 6 hours

Hourly intake and output records

Skin care

Passive range-of-motion exercises

Q24 Score: 1

Relax smooth muscles of the bronchial airway

Promote expectoration

Prevent thickening of secretions

Suppress cough

Q25 Score: 1

I will eat foods high in calcium.

I will increase my fluid intake.

I should participate in weight bearing exercises.

I should get my vit D from the sunlight.

Q26 Score: 1

A blood pressure of 126/80

A blood glucose of 110 mg/dl

A heart rate of 60 bpm

A respiratory rate of 30 per minute

Q27 Score: 1

Give 15 mL of juice, and repeat dose in 15 minutes

Give 15 grams (g) of carbohydrates and retest blood sugar in 15 minutes

Give 15 g of carbohydrates and 15 g of protein

Give 15 ounces (oz) of juice and retest blood sugar in 15 minutes

Q28 Score: 1

Completing spring semester of school

Gaining 7 pounds

Death of a family member

Undergoing a root canal

Q29 Score: 1

Enhances protein metabolism.

Enhances sodium excretion.

Increases absorption of the chemotherapy.

Destroys abnormal lymphocytes.

Q30 Score: 1

A 3-month-old infant

A 6-month-old infant who has had 2 bouts of pneumonia

A first-born child of a 45-year-old mother

A 2-year-old with frequent episodes of 5-second apnea

Q31 Score: 1

Absent bowel sounds

Depressed anterior fontanel

Pale yellow urine

Marked skin turgor

Q32 Score: 1

Scaphoid abdomen

Cyanosis of distal extremities

Hyperactive reflexes

Weight less than normal for height and age

Q34 Score: 1

Obtain a peak flow reading

Instruct the adolescent to lie down for 30 minutes

Call a parent for more information

Give two puffs of a short-acting bronchodilator

Q35 Score: 1

Suppress the function of normal lymphocytes in the immune system.

Are alkylating agents and are cell-specific.

Cause a replication of DNA and are cell-specific.

Interrupt cell cycle, thereby causing cell death.

Q36 Score: 1

Avoid emotional stress and extreme temperature

Avoid pollution like smoking

Avoid pollens, dust seafood

Practice respiratory isolation

Q38 Score: 1

Promote emotional support

Administer oxygen at 6L/min

Suction the client every 30 min

Administer bronchodilator by nebulizer

Q39 Score: 1

The child will have chemotherapy and, after that has been completed, radiation.

The child will need to have surgery to remove the tumor.

The child will go to surgery for removal of the tumor and the kidney and will then start chemotherapy.

The child will need radiation and later surgery to remove the tumor.

Q40 Score: 1

Lack of oxygen in the red blood cells

Elevated serum bilirubin from red cell breakdown

Obstruction to circulation

Autoimmune reaction triggered by stress

Q41 Score: 1

The same staging system is used for lymphoma and Hodgkin disease.

The aggressive chemotherapy with central nervous system prophylaxis will give the child a good prognosis.

All children with lymphoma need a bone marrow transplant for a good prognosis.

Despite high-dose chemotherapy, the prognosis is very poor for most children with a diagnosis of lymphoma.

Q42 Score: 1

The child should not go to day care until older, because there is a high risk for transmission of the disease.

The child can be admitted to day care without restrictions and should be allowed to participate in all activities.

The child can go to day care but should avoid physical activity.

The child may go to day care, but the parent must inform all the parents at the day care that the child is human immunodeficiency virus-infected.

Q45 Score: 1

metabolic alkalosis

respiratory acidosis

respiratory alkalosis

metabolic acidosis

Q46 Score: 1

Limit saturated fat to 10% of total caloric intake

Good bowel function requires 35 g/day of fiber for women.

Limit cholesterol comsumption to 400 mg/day.

Normal functioning cardiac systems depend on B-complex vitamins

Q47 Score: 1

Deficient fluid volume related to prolonged vomiting

Ineffective airway clearance related to impaired swallowing

Imbalanced nutrition: Less than body requirements related to prolonged vomiting

Anxiety related to loss of body control

Q49 Score: 1

Limit fruit juices

Measure urinary output in the bag daily

Avoid tub baths until the stent is removed

Clean the penis tip 3 to 4 times a day with soap and water

Q50 Score: 1

Fever, fatigue, and pain in the joints.

Anorexia with weight loss.

Enlarged, painless, and movable lymph nodes in the cervical area.

Enlarged liver with jaundice.