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1:30:00
CHILD HEALTH NURSING
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Choose the correct answer for the following questions.
ONLY
one answer.
- اختر الإجابة الصحيحة للأسئلة الآتية :
- إختر إجابة
واحدة فقط
لكل سؤال
(في حالة اختيار أكثر من إجابة ستكون درجة السؤال لاغية).
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تغيير اتجاه الصفحة
عربي - لليمين
انجليزي - لليسار
رقم السؤال: 1
من 51
درجة السؤال: 1
A nurse in a nutritional clinic is calculating body mass index (BMI) for several clients. Which of the following BMI represents an overweight client?
24
30
27
32
رقم السؤال: 2
من 51
درجة السؤال: 1
A nurse is teaching a nutritional class to a group of newly licensed nurses. Which of the following should be included in the teaching?
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
رقم السؤال: 3
من 51
درجة السؤال: 1
Which condition or treatment best ensures lung maturity in an infant?
Meconium in the amniotic fluid
Glucocorticoid treatment just before delivery
Lecithin to sphingomyelin ratio more than 2:1
Absence of phosphatidylglycerol in amniotic fluid
رقم السؤال: 4
من 51
درجة السؤال: 1
Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what its indication the nurse will say is:
Relax smooth muscles of the bronchial airway
Promote expectoration
Prevent thickening of secretions
Suppress cough
رقم السؤال: 5
من 51
درجة السؤال: 1
The nurse finds a 4-year-old child not breathing. Which intervention should the nurse do first?
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
رقم السؤال: 6
من 51
درجة السؤال: 1
As a nurse you are always alerted to monitor status asthmaticus who will likely and initially manifest symptoms of:
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
metabolic acidosis
رقم السؤال: 7
من 51
درجة السؤال: 1
By keeping the nursery temperature warm and wrapping the neonate in blankets, the nurse is preventing which type of heat loss?
Conduction
Convection
Evaporation
Radiation
رقم السؤال: 8
من 51
درجة السؤال: 1
The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. She emphasizes that the optimum time to initiate lactation is
as soon as possible after the infant’s birth.
after the mother has rested for 4-6 hours.
during the infant’s second period of reactivity.
after the infant has taken sterile water without complications.
رقم السؤال: 9
من 51
درجة السؤال: 1
The nurse instructs a primipara about safety considerations for the neonate. The nurse determines that the client does not understand the instructions when she says
All neonates should be in an approved car seat when in an automobile.
It’s acceptable to prop the infant’s bottle once in awhile.
Pillows should not be used in the infant’s crib.
Infants should never be left unattended on an unguarded surface.
رقم السؤال: 10
من 51
درجة السؤال: 1
Soon after delivery a neonate is admitted to the central nursery. The nursery nurse begins the initial assessment by
auscultate bowel sounds.
determining chest circumference.
inspecting the posture, color, and respiratory effort.
checking for identifying birthmarks.
رقم السؤال: 11
من 51
درجة السؤال: 1
An insulin-dependent diabetic delivered a 10-pound male. When the baby is brought to the nursery, the priority of care is to
clean the umbilical cord with Betadine to prevent infection
give the baby a bath
call the laboratory to collect a PKU screening test
check the baby’s serum glucose level and administer glucose if < 40 mg/dL
رقم السؤال: 12
من 51
درجة السؤال: 1
When teaching umbilical cord care to a new mother, the nurse would include which information?
Apply peroxide to the cord with each diaper change
Cover the cord with petroleum jelly after bathing
Keep the cord dry and open to air
Wash the cord with soap and water each day during a tub bath
رقم السؤال: 13
من 51
درجة السؤال: 1
A woman delivers a 3.250 g neonate at 42 weeks’ gestation. Which physical finding is expected during an examination if this neonate?
Abundant lanugo
Absence of sole creases
Breast bud of 1-2 mm in diameter
Leathery, cracked, and wrinkled skin
رقم السؤال: 14
من 51
درجة السؤال: 1
A nurse is providing teaching for a client who has a new prescription for warfarin (Coumadin). Which of the following foods should the patient be taught to avoid?
Spinach
Grapefruit
Peanuts
Milk
رقم السؤال: 15
من 51
درجة السؤال: 1
The home health nurse visits the Cox family 2 weeks after hospital discharge. She observes that the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. The mother can be instructed to
cover the umbilicus with a band-aid.
continue to clean the stump with alcohol for one week.
apply an antibiotic ointment to the stump.
give him a bath in an infant tub now.
رقم السؤال: 16
من 51
درجة السؤال: 1
Neonates of mothers with diabetes are at risk for which complication following birth?
Atelectasis
Microcephaly
Pneumothorax
Macrosomia
رقم السؤال: 17
من 51
درجة السؤال: 1
A mother of a term neonate asks what the thick, white, cheesy coating is on his skin. Which correctly describes this finding?
Lanugo
Milia
Nevus flammeus
Vernix
رقم السؤال: 18
من 51
درجة السؤال: 1
Which of the following should the nurse include in a discharge teaching plan for parents of a child who has undergone cardiac catheterization for a ventricular septal defect (VSD)?
Restriction of the child’s activities for 2 weeks following the procedure
Sponge bathing until the stitches are removed
Use of prophylactic antibiotics before any dental procedures
Use of a pressure dressing until the health care provider has evaluated the site
رقم السؤال: 19
من 51
درجة السؤال: 1
A nurse is caring for a client on an orthopedic unit who sustained trauma in a motor vehicle crash. Which of the following laboratory values indicates moderate protein deficiency?
Serum albumin 3.5g/dL
Serum prealbumin 5/mg/dL
Serum albumin 4.5 g/dL
Serum prealbumin 10 mg/dL
رقم السؤال: 20
من 51
درجة السؤال: 1
A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. The neonate has an axillary temperature of 99.5oF, a respiratory rate of 80 breaths/minute, and a heel stick glucose value of 60 mg/dl. Which action should the nurse take?
Wrap the neonate warmly and place her in an open crib
Administer an oral glucose feeding of 10% dextrose in water
Increase the temperature setting on the radiant warmer
Obtain an order for IV fluid administration
رقم السؤال: 21
من 51
درجة السؤال: 1
A client with group AB blood whose husband has group O has just given birth. The major sign of ABO blood incompatibility in the neonate is which complication or test result?
Negative Coombs test
Bleeding from the nose and ear
Jaundice after the first 24 hours of life
Jaundice within the first 24 hours of life
رقم السؤال: 22
من 51
درجة السؤال: 1
While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially?
Activate the code blue or emergency system
Do nothing because acrocyanosis is normal in the neonate
Immediately take the newborn’s temperature according to hospital policy
Notify the physician of the need for a cardiac consult
رقم السؤال: 23
من 51
درجة السؤال: 1
A 6-month-old client with a ventricular septal defect is receiving Lanoxin elixir for regulation of his heart rate. Which finding should be reported to the doctor?
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
رقم السؤال: 24
من 51
درجة السؤال: 1
Which neonatal behavior is most commonly associated with fetal alcohol syndrome (FAS)?
Hypoactivity
High birth weight
Poor wake and sleep patterns
High threshold of stimulation
رقم السؤال: 25
من 51
درجة السؤال: 1
A child diagnosed with asthma states she would like to join a school sports team. Which sport would be most appropriate?
Soccer
Track
Swimming
Cheerleading
رقم السؤال: 26
من 51
درجة السؤال: 1
Which child is at greatest risk for sudden infant death syndrome (SIDS)?
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
رقم السؤال: 27
من 51
درجة السؤال: 1
When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact?
Gaze aversion
Hiccups
Quiet alert state
Yawning
رقم السؤال: 28
من 51
درجة السؤال: 1
Which of the following is an initial sign of carditis in a child diagnosed with rheumatic fever?
Anterior chest wall pain
Irregular heart rhythm
Heart murmur
Low blood pressure
رقم السؤال: 29
من 51
درجة السؤال: 1
The asthmatic client asked you what breathing technique he can best practice when asthmatic attack starts. What will be the best position?
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
رقم السؤال: 30
من 51
درجة السؤال: 1
The nurse decides on a teaching plan for a new mother and her infant. The plan should include:
Discussing the matter with her in a non-threatening manner
Showing by example and explanation how to care for the infant
Setting up a schedule for teaching the mother how to care for her baby
Supplying the emotional support to the mother and encouraging her independence
رقم السؤال: 31
من 51
درجة السؤال: 1
The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery. The client is breastfeeding her newborn. The nurse instructs the client that if engorgement occurs the client should
wear a tight fitting bra or breast binder.
apply warm, moist heat to the breasts.
contact the nurse midwife for a lactation suppressant.
restrict fluid intake to 1000 ml. daily.
رقم السؤال: 32
من 51
درجة السؤال: 1
A nurse is teaching a client measures for healthy bones. Which of the following statements by the client requires additional teaching?
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.
رقم السؤال: 33
من 51
درجة السؤال: 1
When performing an assessment on a neonate, which assessment finding is most suggestive of hypothermia?
Bradycardia
Hyperglycemia
Metabolic alkalosis
Shivering
رقم السؤال: 34
من 51
درجة السؤال: 1
A neonate is admitted to a hospital’s central nursery. The neonate’s vital signs are: temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute. The infant is pink with slight acrocyanosis. The priority nursing diagnosis for the neonate is
Ineffective thermoregulation related to fluctuating environmental temperatures.
Potential for infection related to lack of immunity.
Altered nutrition, less than body requirements related to diminished sucking reflex.
Altered elimination pattern related to lack of nourishment.
رقم السؤال: 35
من 51
درجة السؤال: 1
A client has just given birth at 42 weeks’ gestation. When assessing the neonate, which physical finding is expected?
A sleepy, lethargic baby
Lanugo covering the body
Desquamation of the epidermis
Vernix caseosa covering the body
رقم السؤال: 36
من 51
درجة السؤال: 1
Situation– Carlo, 16 years old, comes to the ER with acute asthmatic attack. RR is 46/min and he appears to be in acute respiratory distress.
Which of the following nursing actions should be initiated first?
Promote emotional support
Administer oxygen at 6L/min
Suction the client every 30 min
Administer bronchodilator by nebulizer
رقم السؤال: 37
من 51
درجة السؤال: 1
A neonate has been diagnosed with caput succedaneum. Which statement is correct about this condition?
It usually resolves in 3-6 weeks
It doesn’t cross the cranial suture line
It’s a collection of blood between the skull and the periosteum
It involves swelling of tissue over the presenting part of the presenting head
رقم السؤال: 38
من 51
درجة السؤال: 1
An adolescent with a history of asthma reports feeling chest pain to the school nurse. The nurse determines the adolescent has not had asthmatic problems in years. Which of the following should the nurse do next?
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
رقم السؤال: 39
من 51
درجة السؤال: 1
A newborn’s mother is alarmed to find small amounts of blood on her infant girl’s diaper. When the nurse checks the infant’s urine it is straw colored and has no offensive odor. Which explanation to the newborn’s mother is most appropriate?
"It appears your baby has a kidney infection"
"Breast-fed babies often experience this type of bleeding problem due to lack of vitamin C in the breast milk"
"The baby probably passed a small kidney stone"
"Some infants experience menstruation like bleeding when hormones from the mother are not available"
رقم السؤال: 40
من 51
درجة السؤال: 1
A child with respiratory syncytial virus (RSV) is receiving ribavirin (Virazole), and requires an oxygen tent. Which precaution will the nurse specifically take while caring for the child?
Wear a gown
Wear a mask
Wear a gown and hair net
Wear goggles and a mask
رقم السؤال: 41
من 51
درجة السؤال: 1
After reviewing the client’s maternal history of magnesium sulfate during labor, which condition would the nurse anticipate as a potential problem in the neonate?
Hypoglycemia
Jitteriness
Respiratory depression
Tachycardia
رقم السؤال: 42
من 51
درجة السؤال: 1
A 3-year-old child is brought to the emergency room. The child’s mouth is open, and he is drooling and lethargic. The mother reports these symptoms began suddenly within the last 2 hours. Which intervention should the nurse perform first?
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
رقم السؤال: 43
من 51
درجة السؤال: 1
A 2-year-old child with tetralogy of Fallot becomes upset during a routine blood draw. The child turns blue and the respiratory rate increases to 45 breaths per minute. Which of the following interventions should the nurse do first?
Notify the provider and request sedation
Assess for irregular heart rhythm and rate
Reassure the child that the pain will be mild
Position the child with the knees to the chest
رقم السؤال: 44
من 51
درجة السؤال: 1
When performing nursing care for a neonate after a birth, which intervention has the highest nursing priority?
Obtain a dextrostix
Give the initial bath
Give the vitamin K injection
Cover the neonates head with a cap
رقم السؤال: 45
من 51
درجة السؤال: 1
The most common neonatal sepsis and meningitis infections seen within 24 hours after birth are caused by which organism?
Candida albicans
Chlamydia trachomatis
Escherichia coli
Group B beta-hemolytic streptococci
رقم السؤال: 46
من 51
درجة السؤال: 1
You will give health instructions to a case of bronchial asthma. The health instruction will include the following EXCEPT:
Avoid emotional stress and extreme temperature
Avoid pollution like smoking
Avoid pollens, dust seafood
Practice respiratory isolation
رقم السؤال: 47
من 51
درجة السؤال: 1
Which of the following behaviors would indicate that a client was bonding with her baby?
The client asks her husband to give the baby a bottle of water.
The client talks to the baby and picks him up when he cries.
The client feeds the baby every three hours.
The client asks the nurse to recommend a good child care manual.
رقم السؤال: 48
من 51
درجة السؤال: 1
Which of the following foods would not be appropriate for a client with cystic fibrosis?
Roasted pork tenderloin
Fried chicken
Skim milk shake
Egg omelet
رقم السؤال: 49
من 51
درجة السؤال: 1
The nurse is aware that a neonate of a mother with diabetes is at risk for what complication?
Anemia
Hypoglycemia
Nitrogen loss
Thrombosis
رقم السؤال: 50
من 51
درجة السؤال: 1
The nurse hears the mother of a 5-pound neonate telling a friend on the telephone, “As soon as I get home, I’ll give him some cereal to get him to gain weight?” The nurse recognizes the need for further instruction about infant feeding and tells her
If you give the baby cereal, be sure to use Rice to prevent allergy.
The baby is not able to swallow cereal, because he is too small.
The infant’s digestive tract cannot handle complex carbohydrates like cereal.
If you want him to gain weight, just double his daily intake of formula.
رقم السؤال: 51
من 51
درجة السؤال: 1
Which action best explains the main role of surfactant in the neonate?
Assists with ciliary body maturation in the upper airways
Helps maintain a rhythmic breathing pattern
Promotes clearing mucus from the respiratory tract
Helps the lungs remain expanded after the initiation of breathing
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