Georgian Court University

NURSING HEALTH ASS

Quiz 3

1)What laboratory blood evaluation and results would the nurse expect to see in a patient with acute appendicitis? Select all that apply.

1. Elevated number of bands indicating a shift to the left
2. Elevated eosinophils with an elevated number of neutrophils indicative of a shift to the right
3. Elevated C-reactive protein
4. A white blood cell count with a differential elevated greater than 10,000/mm3

2. To assist school-age children in coping with stress in their lives, the nurse should:

1. Teach the child how to recognize signs of stress in herself/himself
2. Reassure the child that the stress is only temporary
3. Be able to recognize signs that indicate the child is undergoing stress
4. Help the child plan a means for dealing with any stress through problem solving

3. To obtain relevant information from the parents of a child with fluid and electrolyte disturbances, the nurse should question the parents about

1. The child’s general appearance
2. The type and amount of the child’s intake and output
3. The child’s weight over the past month
4. Whether they have taken the child’s temperature within the past 24 hours

4. Which type of dehydration occurs when electrolyte and water deficits are present in balanced proportion?

1. Isotonic
2. Hypertonic
3. Transcellular
4. Hypotonic

5. A common feature of inflammatory bowel disease (IBD) in pediatric patients is

1. Growth failure
2. Chronic constipation
3. Obstruction
4. Burning epigastric pain

6.                           shock results from impaired cardiac muscle function resulting in reduced cardiac output.  cardiogenic

The nurse is assessing a 10-year-old with the application of an all-purpose insect repellent that contains the active ingredient DEET. Which of the following should be included in the nurse’s discussion with the child?

1. Protection will last several hours but will need to be washed off with soap and water before the child goes to bed this evening
2. DEET should be applied to the whole body including the face and hands for better protection
3. DEET is effective against most insects and arachnids, but not ticks
4. DEET must be reapplied after sweating, swimming, wiping, or exposure to rain

7. Ongoing fluid losses can overwhelm the child ability to compensate, resulting in shock. What early clinical sign precedes shock?

1. Slow respirations
2. Tachycardia
3. Warm, flushed skin
4. Decreased blood pressure

8. The standard adult “rule of nines” cannot be used to determine the total body surface area of a burn in a child because

1. The child has different body proportions than the adult
2. As the infant grows, the percentage allotted for the head increases while the percentages from the arms decrease
3. The child’s trunk and arm proportions are larger than the adults
4. The child has different fluid body weight than the adult

9. Which of the following statements related to bullying is correct?

1. Bullying usually occurs in school hallways and playgrounds where supervision is minimal, but peers are presented to witness the attack
2. Bullying or cyberbullying affects 50% of elementary school students either as the bully or the victim
3. Victims of bullying are at higher risk for development of future problems of school dropouts, unemployment, and participation in criminal behavior
4. The victim of bullying is usually male, depressed, has poor academic performance, and poor relationships and communication with parents

10. The position of choice for the child in shock is

1. Semi-fowler
2. Trendelenburg
3. Position of conduct
4. Flat with legs elevated
5. Head-down with feet straight

11. In preschool children, GER, may manifest with

1. Intermittent vomiting
2. Symptoms of heartburn and reswallowing
3. Respiratory conditions, such as bronchospasm and pneumonia
4. Failure to thrive, bleeding, and dysphagia

12. Which of the following descriptions of school-age children is most closely linked to Erickson’s theory?

1. During this time, children experience relationships with same-sex peers
2. During this time, temperamental traits from infancy continue to influence behavior
3. During this time, interests expand and children with a growing sense of independence engage in tasks that can be carried through to completion
4. During this time, there is an overlapping of developmental characteristics between childhood and adolescence

13. Preoperative care of the neonate with either gastroschisis or omphalocele includes all of the following expect:

1. Mechanical ventilation
2. Fluid management
3. Protect the exposed bowel from injury
4. Adequate thermoregulation

14. The prognosis for children with short-bowel syndrome has improved as a result of

1. Total parental nutrition (TPN) and eternal feeding
2. Improved home care availability
3. Eliminating corn, rice, and millet from the diet
4. Improvement in surgical procedures to correct the defect

15. The sudden development of high fever, vomiting and diarrhea, profound hypotension, shock, oliguria, and an erythematous macular rash with subsequent desquamation are clinical signs of:

1. Anaphylaxis
2. C difficile infection
3. Irreversible shock
4. Toxic shock syndrome

16. Identify the following false statements: Select all that apply.

1. The reward and punishment administered by the teach have little effect on the child self-concept
2. Television con increase the child’s vocabulary, extended the child’s horizon, and enrich the school experience
3. Being responsible for school work helps children learn to keep promises, meet deadlines, and succeed at jobs as adults
4. Television can encourage children to believe that violence is an effective solution to conflict

17. The most reliable way to detect peptic ulcer disease in children is:

1. Complete blood count with differential, erythrocyte sedimentation rate, and stool analysis
2. Fiberoptic endoscopy
3. An upper GI series
4. C urea breath test

18. The electrolyte that is usually depleted wit most diuretic therapy and is most likely to cause dysrthmias:

1. Chloride