Pedia Drill-001
Pedia Drill-001
1).Which achievement best characterizes the physical development of a 3-month-old infant?
A.) A strong Moro reflex
B.) A strong tonic-neck reflex
C.) The ability to roll over intentionally
D.) The ability to lift the head and chest from a prone position
2. When assessing a 2 year-old child brought by his mother to the clinic for a routine check-up, which of the following would the nurse expect the child to be able to do?
a) ride a tricycle
b) tie his shoelaces
c) kick a ball forward
d) use blunt scissors
3. After having blood sample drawn, a 5 year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will …show more content…
come out. The nurse interprets this behavior as indicating a fear of which of the following?
a) injury
b) compromised body integrity
c) pain
d) loss of control
4. After teaching a group of mothers about temper tantrums, the nurse knows the teaching has been effective when one of the mothers states which of the following?
a) I will ignore the temper tantrums
b) I should pick up the child during the tantrums
c) I'll talk to my daughter during the tantrums
d) I would put my child in time out
5. After teaching the parents of a preschooler who has undergone T and A (Tonsillectomy and Adenoidectomy) about appropriate foods to give the child after discharge, which of the following, if stated by the parents as appropriate foods, indicates successful teaching?
a) meatloaf and uncooked carrots
b) pork and noodle casserole
c) cream of chicken soup and orange sherbet
d) hot dog and potato chips
6. When teaching the parents of an older infant with CF (cystic fibrosis) about the type of diet the child should consume, which of the following would be most appropriate?
a) low protein diet
b) high fat diet
c) low carbohydrate diet
d) high calorie diet
7. a school-age child with CF asks the nurse what sports she can be involved in as she becomes older. Which of the following activities would be most appropriate for the nurse to suggest?
a) swimming
b) track
c) baseball
d) javelin throwing
8. A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first?
a) obtain an order for sedation for the child
b) assess for an irregular heart rate and rhythm
c) explain to the child that it will only hurt for a short time
d) place the child in knee-to-chest position
9. Which of the following would the nurse perform to help alleviate a child's joint pain associated with rheumatic fever?
a) maintaining the joints in an extended position
b) applying gentle traction to the child's affected joints
c) supporting proper alignment with rolled pillows
d) using a bed cradle to avoid the weight of bed lines on the joints
10. A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority?
a) applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest
11. Which of the following foods would the nurse encourage the mother to offer to her child with iron-deficiency anemia?
a) rice cereal, whole milk, and yellow vegetables
b) potato, peas, and chicken
c) macaroni, cheese and ham
d) pudding, green vegetables and rice
12. Because of the risks associated with administration of factor VIII concentrate, the nurse would report which of the following?
a) yellowing of the skin
b) constipation
c) abdominal distention
d) puffiness around the eye
13. When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions would the nurse use?
a) mouthwash
b) providone - iodine (betadine) solution
c) a mild antiseptic solution
d) half-strength hydrogen peroxide
14. Which of the following nursing diagnosis would the nurse identify as a priority for the infant with tracheoesophageal fistula (TEF)?
a) impaired parenting related to newborn's illness
b) risk of injury related to increased potential for aspiration
c) ineffective nutrition: less than body requirements, related to poor sucking ability
d) ineffective breathing pattern related to a weak diaphragm
15. When the infant returns to the unit after imperforate anus repair, the nurse places the infant in which of the following position?
a) on the abdomen, with legs pulled up under the body
b) on the back, with legs extended straight out
c) lying on the side with hips elevated
d) lying on the back in a position of comfort
16. A child presents to the emergency room with the history of ingesting a large amount of acetaminophen. For which of the following would the nurse assess?
a) hypertension
b) frequent urination
c) right upper quadrant pain
d) headache
17. Which of the following statements by the mother of an !8 month old would indicate to the nurse that the child needs laboratory testing for lead levels?
a) my child does not always wash after playing outside
b) my child drinks 2 cups of milk everyday
c) my child has more temper tantrums than other kids
d) my child is smaller than other kids of the same age
18. An adolescent with a history of surgical repair for undescended testes comes to the clinic for a sport physical. Anticipatory guidance for the parents and adolescent would focus on which of the following as most important?
a) the adolescent sterility
b) the adolescent future plans
c) technique for monthly testicular self-examinations
d) need for a lot of psychosocial support
19. When developing the teaching plan for the parents of a 12 month old infant with hypospadias and chordee repair, which of the following would the nurse expect to include as most important?
a) assisting the child to become familiar with his dressing so he will leave them alone
b) encouraging the child to ambulate as soon as possible by using a favorite push toy
c) forcing fluids to at least 250 ml/day by offering his favorite juices
d) preventing the child from disrupting the catheter by using soft restraints
20. A school-aged client admitted to the hospital because of decreased urine output and periorbital edema is diagnosed with glomerulonephritis. Which of the following interventions would receive the highest priority?
a) assessing vital signs every four hours
b) monitoring intake and output every 12 hours
c) obtaining daily weight measurements
d) obtaining serum electrolyte levels daily
21. When assessing a 12 year old child with Wilm's tumor, the nurse should keep in mind that it most important to avoid which of the following?
a) measuring the child's chest circumference
b) palpating the child's abdomen
c) placing the child in an uprignt position
d) measuring the child's occipitofrontal circumference
22. When positioning the neonate with an unrepaired myelomeningocele, which of the following positions would be most appropriate?
a) supine the hip at 90 degree flexion
b) right side-lying position with knees flexed
c) prone with hips in abduction
d) semi-fowler's position with chest and abdomen elevated
23. A 4 year old with hydrocephalus is scheduled to have a ventroperitoneal shunt in the right side of the head. When developing the child's postoperative plan of care, the nurse would expect to place the preschooler in which of the following positions immediately after surgery?
a) on the right side, with the foot of the bed elevated
b) on the left side, with the head of the bed elevated
c) prone with the head of the bed elevated
d) supine, with the head of the bed flat
24. After talking with the parents of a child with Down Syndrome, which of the following would the nurse identify as an appropriate goal of care of the child?
a) encouraging self-care skills in the child
b) teaching the child something new each day
c) encouraging more lenient behavior limits for the child
d) achieving age-appropriate social skills
25. When teaching an adolescent with a seizure disorder who is receiving Valproic acid (Depakene), which of the following would the nurse instruct the client to report the health care provider?
a) three episodes of diarrhea
b) loss of appetite
c) jaundice
d) sore throat
26. A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time?
a) reading the child a story
b) painting with water colors
c) pounding on a pegboard
d) stacking a tower of blocks
27. The parents of a child tell the nurse they feel guilty because their child almost drowned. Which of the following remarks by the nurse would be most appropriate?
a) I can understand why you feel guilty, but these things happen
b) tell me a bit more about your feelings of guilt
c) you should not have taken your eyes off your child
d) you really shouldn't fell guilty; you're lucky because your child will be alright
28. The nurse teaches the parents of an infant with developmental dysplasia of the hip how to handle their child in a Pavlik harness. Which of the following interventions would be most appropriate?
a) fitting the diaper under the straps
b) leaving the harness off while the infant sleeps
c) checking for the skin redness under straps every other day
d) putting powder on the skin under the straps every day
29. When assessing the development of a 15 month old child with cerebral palsy, which of the following milestones would the nurse expect a toddler of this age to have achieved?
a) walking up steps
b) using a spoon
c) copying a circle
d) putting a block in cup
30. The nurse teaches the mother of a young child with Duchenne's muscular dystrophy about the disease and its management. Which of the following statements by the mother indicates successful teaching?
a) my son will probably be unable to walk independently by the time he is 9 to 11 years old
b) muscle relaxants are effective for some children; I hope they can help my son
c) when my son is a little bit older, he can have surgery to improve his ability to walk
d) I need to help my son be as active as possible to prevent progression of the disease
31. A 9 month infant is having severe diarrhea and is experiencing dehydration and metabolic acidosis. Which of the following signs and symptoms will the nurse assess?
a) reduced white blood cell count
b) reduced platelet count
c) shallow respiration
d) tachypnea
32. Which of the following behavior of a preschooler indicates that the child is in the stage of initiative?
a) the child wants to finish his game of Candyland before his dressing is changed
b) the child cries and has a temper tantrum when he is sent to bed to go to sleep
c) the child ignores his parents and continues to watch television with other child
d) the child talks to his friends on the telephone and arranges for them to visit
33. A 3 year old child had undergone surgery. Which finding best indicates that the child is no longer experiencing pain?
34. A 2 month old infant undergoes repair of a cleft lip. After surgery, which equipment should the nurse teach the parents to use to feed their infant?
a) cross-cut nipple
b) plastic spoon
c) paper cup
d) rubber dropper
35. A 7 month old child has had recurrent middle-ear infections since she was 4 months old. Which of the following is most important to assess?
a) how well the clients eats
b) the client's weight gain since her last visit
c) whether the client received all her prescribed antibiotics at the time of the last infection
d) the client's temperature
36. Which of the following is appropriate toy for an 8 month old infant?
a) finger paint
b) jack-in-the-box
c) small rubber ball
d) play gym strung across the crib
37. The nurse is teaching new parents before discharge to home. The nurse explains that the anterior fontanel closes between ages
a) 2 and 3 months
b) 12 and 18 months
c) 3 and 6 months
d) 1 and 9 months
38. Which of the following are characteristics of an adolescent? Select all that apply.
a) egocentricity
b) abstract thinking
c) high-risk behaviors
d) sense of morality
e) hand dominance development
f) secondary sex characteristics development
39. In which child would you suspect child abuse?
a) a 2 year old child with bruises on both shins
b) a 2 year old child who won't make eye contact with the nurse
c) a 3 year old child who acts withdrawn and has bruises on his back
d) a 10 year old child who comes to the emergency department with a broken wrist
40. Which drug is used as an antidote for acetaminophen poisoning?
a) vitamin K
b) acetylsalicylic acid (ASA)
c) acetylcysteine
d) ethlenediaminetetraacetic acid (EDTA)
43. Which of the following is expected finding in a child with idiophatic thrombocytopenic purpura?
a) petechiae
b) nose bleeding
c) dark, concentrated urine
d) fever
44. AN 8 year old child has been diagnosed to have iron deficiency anemia. Which of the following activities is most appropriate for the child to decrease oxygen demands on the body?
a) dancing
b) playing video games
c) reading a book
d) riding a bicycle
45. Which of the following nursing actions are appropriate for a child with hemophilia who is bleeding? Select all that apply
a) apply pressure
b) apply warm packs on the site
c) administer aspirin for pain
d) apply cold compresses to the site
e) elevate the injured part
f) perform range-of-motion exercises to the injured area immediately after bleeding stops
46. Which of the following medications for allergic rhinitis will not cause sedation?
a) brompheniramine and pseudoephedrine (dimetapp)
b) diphenhydramine (benadryl)
c) pseudoephedrine (triaminic)
d) loratadine (claritin)
47. A 6 month old infant is diagnosed to have bacterial meningitis. Which of the following is not a sign of meningeal irritation?
a) marked irritability
b) nuchal rigidity
c) depressed anterior fontanel
d) vomiting
48. Which assessment finding would lead the nurse to suspect Down syndrome in a newborn?
a) prominent scalp veins and high-pitched cry
b) single palmar crease and hypotonia
c) flat maxillary area and short papebral tissues
d) microcephaly, persistent postnatal growth lag
49. Which of the following nutrients decreases the incidence of neural tube defects (NTD's)?
a) vitamin C
b) vitamin K
c) vitamin B12
d) folic acid
50. Which instructions about preventing sudden infant death syndrome (SIDS) should the nurse include when teaching parents of infants? Select all that apply
a) place the infant in prone position
b) place the infant in a firm mattress
c) place the infant on his back to sleep
d) bottle feed the infant instead of breastfeeding
e) use soft mattress for the infant during the night
f) encourage breastfeeding of the infant
51. Who among these clients is prone to hepatitis C?
a) the client undergoing hemodialysis
b) the client who has diabetes mellitus
c) the client who has hypertension
d) the client who has Cushing's disease
52. Which of the following should the nurse assess in a client receiving steroid?
a) hyponatremia
b) hyperkalemia
c) hyperglycemia
d) weight loss
53. The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
a) uneven head shape
b) respiration are irregular, abdominal, 30-60/min
c) (+) moro reflex
d) heart rate is 80 bpm
54. The nurse is caring for several infants who are 2 day old. Who among these infants should be given highest priority by the nurse?
a) a bottlefed infant who takes 1 ounce of milk every 3 to 5 hours
b) a breastfed infant who lost 0.5 ounce of his weight
c) a bottlefed infant who takes 2 to 3 ounces of milk every 2 to 4 hours
d) a breastfed infant who feeds every 2 to 4 hours
55. The nurse evaluates that Zofran (Ondasetron) is effective in a client undergoing chemotherapy if which of the following is observed?
a) urine output is 1,500 ml/day
b) the client can tolerate mechanically soft diet
c) the client's anxiety is relieved
d) the client was able to sleep
56. Which of the following is most important to monitor in the client after surgery for abdominal aortic aneurysm?
a) intake and output measurement every shift
b) blood pressure every 4 hours
c) body temperature every 4 hours
d) abdominal girth
57. The client had been diagnosed to have complete intestinal obstruction. Which of the following assessment findings will the nurse expect?
a) medium pitched gurgling sounds
b) high-pitched tinkling bowel sounds
c) absence of bowel sounds
d) increased bowel sound
58. A mother tells the nurse that she is very worried because her 2 year old child does not finish his meals. What should the nurse advise the mother?
a) make the child seat with the family in the dining room until finishes his meal
b) provide quiet environment for the child few minutes before meals
c) do not give snacks to the child before meals
d) put the child on a chair and feed him
59. A nurse is caring for a client with colostomy created 3 days earlier. The client is beginning to pass malodorous flatus from the stoma. The nurse interprets that:
a) this is normal, expected event
b) this indicates inadequate preoperative bowel obstruction
c) the client is experiencing early signs of impaired circulation
d) the client should not have the nasogastric tube removed
60. A client does not respond when called by name. The next nursing action would be:
a) open the airway by head-tilt, chin-lift maneuver
b) provide rescue breathing
c) start external chest compression
d) tap the client by the shoulder
61. The nurse is teaching the parents of a young client how to handle poisoning. If the client ingests poison, what should the parents do first?
a) administer ipecac syrup
b) call an ambulance immediately
c) call the poison control center
d) inspect the home foe other potential poisons
62. The nurse will administer an oral medication to a 3 year old client. What is the best way for the nurse to proceed?
a) it's time for you to take your medicine right now
b) if you take your medicine now, you'll go home sooner
c) here's your medicine. Would you like apple juice or grape drink after?
d) see how Jerome took his medicine? He's a good boy. Now, be a good boy too
63. The nurse performs Guthrie screening test by drawing blood from the heel of an infant. The screening test is done to diagnose which of the following inborn error of metabolism?
a) glucose-6-phosphate dehydrogenase deficiency
b) phenylketonuria
c) galactosemia
d) hypothyroidism
64. The nurse is giving health teachings to a mother of a child with diabetes on signs and symptoms of hypoglycemia. The nurse should inform the mother that which of the following are manifestations of hypoglycemia?
a) behavioral changes, increased heart rate, sweating and tremors
b) nausea, fruity breath odor, headache, and fatigue
c) polydipsia, polyuria, polyphagia, and weight loss
d) enlarged tongue, hypotonia, easy weight gain, and cool skin temperature.
65. Which of the following foods are allowed for a child with galactosemia? Select all that apply
a) instant potatoes
b) chicken
c) lima foods
d) whole wheat bread
e) apples
f) 2% cow's milk
66. Which of the following statements indicate that the adolescent is having an early sign of anorexia nervosa?
a) I have my menses every month
b) I go out to eat with my friends
c) I run three times a day for a total of 5 hours per day
d) I try to maintain my weight around 115 lbs. for my height of 5 feet
67. A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances of her children having sickle cell disease. Which of the following is appropriate response by the nurse?
a) one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease
68. Which of the following health teachings regarding sickle cell crisis should be included by the nurse?
a) it results from altered metabolism and dehydration
b) tissue hypoxia and vascular occlusion cause the primary problems
c) increased bilirubin levels will cause hypertension
d) there are decreased clotting factors with an increase in white blood cells
69. A child with leukemia is being discharged after beginning chemotherapy. Which of the following instructions will the nurse include when teaching the parents of this child?
a) provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house
70.
A client with hemophilia has a very swollen knee after falling from bicycle riding. Which of the following is the first nursing action?
a) initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee
Pedia Drill- 2 Questions
Situation 1: Raphael, a 6 year’s old prep pupil is seen at the school clinic for growth and development monitoring (Questions 1-5)
1. Which of the following is characterized the rate of growth during this period?
a. most rapid period of growth
b. a decline in growth rate
c. growth spurt
d. slow uniform growth rate
2. In assessing Raphael’s growth and development, the nurse is guided by principles of growth and development. Which is not included?
a. All individuals follow cephalo-caudal and proximo-distal
b. Different parts of the body grows at different rate
c. All individual follow standard growth rate
d. Rate and pattern of growth can be modified
3. What type of play will be ideal for Raphael at this period?
a. Make
believe
b. Hide and seek
c. Peek-a-boo
d. Building blocks
4. Which of the following information indicate that Raphael is normal for his age?
a. Determine own sense self
b. Develop sense of whether he can trust the world
c. Has the ability to try new things
d. Learn basic skills within his culture
5. Based on Kohlberg’s theory, what is the stage of moral development of Raphael?
a. Punishment-obedience
b. “good boy-Nice girl”
c. naïve instrumental orientation
d. social contact
Situation 2 Baby boy Lacson delivered at 36 weeks gestation weighs 3,400 gm and height of 59 cm (6-10)
6. Baby boy Lacson’s height is
a. Long
b. Short
c. Average
d. Too short
7. Growth and development in a child progresses in the following ways EXCEPT
a. From cognitive to psychosexual
b. From trunk to the tip of the extremities
c. From head to toe
d. From general to specific
8. As described by Erikson, the major psychosexual conflict of the above situation is
a. Autonomy vs. Shame and doubt
b. Industry vs. Inferiority
c. Trust vs. mistrust
d. Initiation vs. guilt
9. Which of the following is true about Mongolian Spots?
a. Disappears in about a year
b. Are linked to pathologic conditions
c. Are managed by tropical steroids
d. Are indicative of parental abuse
10. Signs of cold stress that the nurse must be alert when caring for a Newborn is:
a. Hypothermia
b. Decreased activity level
c. Shaking
d. Increased RR
Situation 3 Nursing care after delivery has an important aspect in every stages of delivery
11. After the baby is delivered, the cord was cut between two clamps using a sterile scissors and blade, then the baby is placed at the:
a. Mother’s breast
b. Mother’s side
c. Give it to the grandmother
d. Baby’s own mat or bed
12. The baby’s mother is RH(-). Which of the following laboratory tests will probably be ordered for the newborn?
a. Direct Coomb’s
b. Indirect Coomb’s
c. Blood culture
d. Platelet count
13. Hypothermia is common in newborn because of their inability to control heat. The following would be an appropriate nursing intervention to prevent heat loss except
a. Place the crib beside the wall
b. Doing Kangaroo care
c. By using mechanical pressure
d. Drying and wrapping the baby
14. The following conditions are caused by cold stress except
a. Hypoglycemia
b. Increase ICP
c. Metabolic acidosis
d. Cerebral palsy
15. During the feto-placental circulation, the shunt between two atria is called
a. Ductus venosous
b. Foramen Magnum
c. Ductus arteriosus
d. Foramen Ovale
16. What would cause the closure of the Foramen ovale after the baby had been delivered?
a. Decreased blood flow
b. Shifting of pressures from right side to the left side of the heart
c. Increased PO2
d. Increased in oxygen saturation
17. Failure of the Foramen Ovale to close will cause what Congenital Heart Disease?
a. Total anomalous Pulmunary Artery
b. Atrial Septal defect
c. Transposition of great arteries
d. Pulmunary Stenosis
Situation 4 Children are vulnerable to some minor health problems or injuries hence the nurse should be able to teach mothers to give appropriate home care.
18. A mother brought her child to the clinic with nose bleeding. The nurse showed the mother the most appropriate position for the child which is:
a. Sitting up
b. With low back rest
c. With moderate back rest
d. Lying semi flat
19. A common problem in children is the inflammation of the middle ear. This is related to the malfunctioning of the:
a. Tympanic membrane
b. Eustachian tube
c. Adenoid
d. Nasopharynx
20. For acute otitis media, the treatment is prompt antibiotic therapy. Delayed treatment may result in complications of:
a. Tonsillitis
b. Eardrum Problems
c. Brain damage
d. Diabetes mellitus
21. When assessing gross motor development in a 3 year old, which of the following activities would the nurse expect to finds?
a. Riding a tricycle
b. Hopping on one foot
c. Catching a ball
d. Skipping on alternate foot.
22. When assessing the weight of a 5-month old, which of the following indicates healthy growth?
a. Doubling of birth weight
b. Tripling of birth weight
c. Quadrupling of birth weight
d. Stabilizing of birth weight
23. An appropriate toy for a 4 year old child is:
a. Push-pull toys
b. Card games
c. Doctor and nurse kits
d. Books and Crafts
24. Which of the following statements would the nurse expects a 5-year old boy to say whose pet gerbil just died
a. “The boogieman (kamatayan- the man with the scythe) got him”
b. “He’s just a bit dead”
c. “Ill be good from now own so I wont die like my gerbil”
d. “Did you hear the joke about…”
25. When assessing the fluid and electrolyte balance in an infant, which of the following would be important to remember?
a. Infant can concentrate urine at an adult level
b. The metabolic rate of an infant is slower than in adults
c. Infants have more intracellular water that adult do
d. Infant have greater body surface area than adults
26. When assessing a child with aspirin overdose, which of the following will be expected?
a. Metabolic alkalosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Respiratory acidosis
27. Which of the following is not a possible systemic clinical manifestation of severe burns?
a. Growth retardation
b. Hypermetabolism
c. Sepsis
d. Blisters and edema
28. When assessing a family for potential child abuse risks, the nurse would observe for which of the following?
a. Periodic exposure to stress
b. Low socio-economic status
c. High level of self esteem
d. Problematic pregnancies
29. Which of the following is a possible indicator of Munchausen syndrome by proxy type of child abuse?
a. Bruises found at odd locations, with different stages of healing
b. STD’s and genital discharges
c. Unexplained symptoms of diarrhea, vomiting and apnea with no organic basis
d. Constant hunger and poor hygiene
30. Which of the following is an inappropriate intervention when caring for a child with HIV?
a. Teaching family about disease transmission
b. Offering large amount of fresh fruits and vegetables
c. Encouraging child to perform at optimal level
d. Teach proper hand washing technique
Situation 5 Agata, 2 years old is rushed to the ER due to cyanosis precipitated by crying. Her mother observed that after playing she gets tired. She was diagnosed with Tetralogy of Fallot.
31. The goal of nursing care fro Agata is to:
a. Prevent infection
b. Promote normal growth and development
c. Decrease hypoxic spells
d. Hydrate adequately
32. The immediate nursing intervention for cyanosis of Agata is:
a. Call up the pediatrician
b. Place her in knee chest position
c. Administer oxygen inhalation
d. Transfer her to the PICU
33. Agata was scheduled for a palliative surgery, which creates anastomosis of the subclavian artery to the pulmonary artery. This procedure is:
a. Waterston-Cooley
b. Raskkind Procedure
c. Coronary artery bypass
d. Blalock-Taussig
34. Which of the following is not an indicator that Agata experiences separation anxiety brought about her hospitalization?
a. Friendly with the nurse
b. Prolonged loud crying, consoled only by mother
c. Occasional temper tantrums and always says NO
d. Repeatedly verbalizes desire to go home
35. When Agata was brought to the OR, her parents where crying. What would be the most appropriate nursing diagnosis?
a. Infective family coping r/t situational crisis
b. Anxiety r/t powerlessness
c. Fear r/t uncertain prognosis
d. Anticipatory grieving r/t gravity of child’s physical status
36. Which of the following respiratory condition is always considered a medical emergency?
a. Laryngeotracheobronchitis (LTB)
b. Epiglottitis
c. Asthma
d. Cystic Fibrosis
37. Which of the following statements by the family of a child with asthma indicates a need for additional teaching?
a. “We need to identify what things triggers his attacks”
b. “He is to use bronchodilator inhaler before steroid inhaler”
c. “We’ll make sure he avoids exercise to prevent asthma attacks”
d. “he should increase his fluid intake regularly to thin secretions”
38. Which of the following would require careful monitoring in the child with ADHD who is receiving Methylphenidate (Ritalin)?
a. Dental health
b. Mouth dryness
c. Height and weight
d. Excessive appetite
Situation 6 Laura is assigned as the Team Leader during the immunization day at the RHU
39. What program for the DOH is launched at 1976 in cooperation with WHO and UNICEF to reduce morbidity and mortality among infants caused by immunizable disease?
a. Patak day
b. Immunization day on Wednesday
c. Expanded program on immunization
d. Bakuna ng kabtaan
40. One important principle of the immunization program is based on?
a. Statistical occurrence
b. Epidemiologic situation
c. Cold chain management
d. Surveillance study
41. The main element of immunization program is one of the following?
a. Information, education and communication
b. Assessment and evaluation of the program
c. Research studies
d. Target setting
42. What does herd immunity means?
a. Interruption of transmission
b. All to be vaccinated
c. Selected group for vaccination
d. Shorter incubation
43. Measles vaccine can be given simultaneously. What is the combined vaccine to be given to children starting at 15 months?
a. MCG
b. MMR
c. BCG
d. BBR
Situation 7: Braguda brought her 5-month old daughter in the nearest RHU because her baby sleeps most of the time, with decreased appetite, has colds and fever for more than a week. The physician diagnosed pneumonia.
44. Based on this data given by Braguda, you can classify Braguda’s daughter to have:
a. Pneumonia: cough and colds
b. Severe pneumonia
c. Very severe pneumonia
d. Pneumonia moderate
45. For a 3-month old child to be classified to have Pneumonia (not severe), you would expect to find RR of:
a. 60 bpm
b. 40 bpm
c. 70 bpm
d. 50 pbm
46. You asked Braguda if her baby received all vaccines under EPI. What legal basis is used in implementing the UN’s goal on Universal Child Immunization?
a. PD no. 996
b. PD no. 6
c. PD no. 46
d. RA 9173
47. Braguda asks you about Vitamin A supplementation. You responded that giving Vitamin A starts when the infant reaches 6 months and the first dose is”
a. 200,000 “IU”
b. 100,000 “IU”
c. 500,000 “IU”
d. 10,000 “IU”
48. As part of CARI program, assessment of the child is your main responsibility. You could ask the following question to the mother except:
a. “How old is the child?”
b. “IS the child coughing? For how long?”
c. “Did the child have chest indrawing?”
d. “Did the child have fever? For how long?”
49. A newborn’s failure to pass meconium within 24 hours after birth may indicate which of the following?
a. Aganglionic Mega colon
b. Celiac disease
c. Intussusception
d. Abdominal wall defect
50. The nurse understands that a good snack for a 2 year old with a diagnosis of acute asthma would be:
a. Grapes
b. Apple slices
c. A glass of milk
d. A glass of cola
51. Which of the following immunizations would the nurse expect to administer to a child who is HIV (+) and severely immunocomromised?
a. Varicella
b. Rotavirus
c. MMR
d. IPV
52. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following/
a. Symmetrical gluteal folds
b. Trendelemburg sign
c. Ortolani’s sign
d. Characteristic limp
53. While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate’s urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following?
a. Phimosis
b. Hydrocele
c. Epispadias
d. Hypospadias
54. When teaching a group of parents about seat belt use, when would the nurse state that the child be safely restrained in a regular automobile seatbelt?
a. 30 lb and 30 in
b. 35 lb and 3 y/o
c. 40 lb and 40 in
d. 60 lb and 6 y/o
55. When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be compromised?
a. Sucking ability
b. Respiratory status
c. Locomotion
d. GI function
56. For a child with recurring nephritic syndrome, which of the following areas of potential disturbances should be a prime consideration when planning ongoing nursing care?
a. Muscle coordination
b. Sexual maturation
c. Intellectual development
d. Body image
57. An inborn error of metabolism that causes premature destruction of RBC?
a. G6PD
b. Hemocystinuria
c. Phenylketonuria
d. Celiac Disease
58. Which of the following would be a diagnostic test for Phenylketonuria which uses fresh urine mixed with ferric chloride?
a. Guthrie Test
b. Phenestix test
c. Beutler’s test
d. Coomb’s test
59. Dietary restriction in a child who has Hemocystenuria will include which of the following amino acid?
a. Lysine
b. Methionine
c. Isolensine tryptophase
d. Valine
60. A milk formula that you can suggest for a child with Galactosemia:
a. Lofenalac
b. Lactum
c. Neutramigen
d. Sustagen
1).Which achievement best characterizes the physical development of a 3-month-old infant?
A.) A strong Moro reflex
B.) A strong tonic-neck reflex
C.) The ability to roll over intentionally
D.) The ability to lift the head and chest from a prone position
2. When assessing a 2 year-old child brought by his mother to the clinic for a routine check-up, which of the following would the nurse expect the child to be able to do?
a) ride a tricycle
b) tie his shoelaces
c) kick a ball forward
d) use blunt scissors
3. After having blood sample drawn, a 5 year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will …show more content…
come out. The nurse interprets this behavior as indicating a fear of which of the following?
a) injury
b) compromised body integrity
c) pain
d) loss of control
4. After teaching a group of mothers about temper tantrums, the nurse knows the teaching has been effective when one of the mothers states which of the following?
a) I will ignore the temper tantrums
b) I should pick up the child during the tantrums
c) I'll talk to my daughter during the tantrums
d) I would put my child in time out
5. After teaching the parents of a preschooler who has undergone T and A (Tonsillectomy and Adenoidectomy) about appropriate foods to give the child after discharge, which of the following, if stated by the parents as appropriate foods, indicates successful teaching?
a) meatloaf and uncooked carrots
b) pork and noodle casserole
c) cream of chicken soup and orange sherbet
d) hot dog and potato chips
6. When teaching the parents of an older infant with CF (cystic fibrosis) about the type of diet the child should consume, which of the following would be most appropriate?
a) low protein diet
b) high fat diet
c) low carbohydrate diet
d) high calorie diet
7. a school-age child with CF asks the nurse what sports she can be involved in as she becomes older. Which of the following activities would be most appropriate for the nurse to suggest?
a) swimming
b) track
c) baseball
d) javelin throwing
8. A child diagnosed with tetralogy of fallot becomes upset, crying and thrashing around when a blood specimen is obtained. The child's color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first?
a) obtain an order for sedation for the child
b) assess for an irregular heart rate and rhythm
c) explain to the child that it will only hurt for a short time
d) place the child in knee-to-chest position
9. Which of the following would the nurse perform to help alleviate a child's joint pain associated with rheumatic fever?
a) maintaining the joints in an extended position
b) applying gentle traction to the child's affected joints
c) supporting proper alignment with rolled pillows
d) using a bed cradle to avoid the weight of bed lines on the joints
10. A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority?
a) applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest
11. Which of the following foods would the nurse encourage the mother to offer to her child with iron-deficiency anemia?
a) rice cereal, whole milk, and yellow vegetables
b) potato, peas, and chicken
c) macaroni, cheese and ham
d) pudding, green vegetables and rice
12. Because of the risks associated with administration of factor VIII concentrate, the nurse would report which of the following?
a) yellowing of the skin
b) constipation
c) abdominal distention
d) puffiness around the eye
13. When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions would the nurse use?
a) mouthwash
b) providone - iodine (betadine) solution
c) a mild antiseptic solution
d) half-strength hydrogen peroxide
14. Which of the following nursing diagnosis would the nurse identify as a priority for the infant with tracheoesophageal fistula (TEF)?
a) impaired parenting related to newborn's illness
b) risk of injury related to increased potential for aspiration
c) ineffective nutrition: less than body requirements, related to poor sucking ability
d) ineffective breathing pattern related to a weak diaphragm
15. When the infant returns to the unit after imperforate anus repair, the nurse places the infant in which of the following position?
a) on the abdomen, with legs pulled up under the body
b) on the back, with legs extended straight out
c) lying on the side with hips elevated
d) lying on the back in a position of comfort
16. A child presents to the emergency room with the history of ingesting a large amount of acetaminophen. For which of the following would the nurse assess?
a) hypertension
b) frequent urination
c) right upper quadrant pain
d) headache
17. Which of the following statements by the mother of an !8 month old would indicate to the nurse that the child needs laboratory testing for lead levels?
a) my child does not always wash after playing outside
b) my child drinks 2 cups of milk everyday
c) my child has more temper tantrums than other kids
d) my child is smaller than other kids of the same age
18. An adolescent with a history of surgical repair for undescended testes comes to the clinic for a sport physical. Anticipatory guidance for the parents and adolescent would focus on which of the following as most important?
a) the adolescent sterility
b) the adolescent future plans
c) technique for monthly testicular self-examinations
d) need for a lot of psychosocial support
19. When developing the teaching plan for the parents of a 12 month old infant with hypospadias and chordee repair, which of the following would the nurse expect to include as most important?
a) assisting the child to become familiar with his dressing so he will leave them alone
b) encouraging the child to ambulate as soon as possible by using a favorite push toy
c) forcing fluids to at least 250 ml/day by offering his favorite juices
d) preventing the child from disrupting the catheter by using soft restraints
20. A school-aged client admitted to the hospital because of decreased urine output and periorbital edema is diagnosed with glomerulonephritis. Which of the following interventions would receive the highest priority?
a) assessing vital signs every four hours
b) monitoring intake and output every 12 hours
c) obtaining daily weight measurements
d) obtaining serum electrolyte levels daily
21. When assessing a 12 year old child with Wilm's tumor, the nurse should keep in mind that it most important to avoid which of the following?
a) measuring the child's chest circumference
b) palpating the child's abdomen
c) placing the child in an uprignt position
d) measuring the child's occipitofrontal circumference
22. When positioning the neonate with an unrepaired myelomeningocele, which of the following positions would be most appropriate?
a) supine the hip at 90 degree flexion
b) right side-lying position with knees flexed
c) prone with hips in abduction
d) semi-fowler's position with chest and abdomen elevated
23. A 4 year old with hydrocephalus is scheduled to have a ventroperitoneal shunt in the right side of the head. When developing the child's postoperative plan of care, the nurse would expect to place the preschooler in which of the following positions immediately after surgery?
a) on the right side, with the foot of the bed elevated
b) on the left side, with the head of the bed elevated
c) prone with the head of the bed elevated
d) supine, with the head of the bed flat
24. After talking with the parents of a child with Down Syndrome, which of the following would the nurse identify as an appropriate goal of care of the child?
a) encouraging self-care skills in the child
b) teaching the child something new each day
c) encouraging more lenient behavior limits for the child
d) achieving age-appropriate social skills
25. When teaching an adolescent with a seizure disorder who is receiving Valproic acid (Depakene), which of the following would the nurse instruct the client to report the health care provider?
a) three episodes of diarrhea
b) loss of appetite
c) jaundice
d) sore throat
26. A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time?
a) reading the child a story
b) painting with water colors
c) pounding on a pegboard
d) stacking a tower of blocks
27. The parents of a child tell the nurse they feel guilty because their child almost drowned. Which of the following remarks by the nurse would be most appropriate?
a) I can understand why you feel guilty, but these things happen
b) tell me a bit more about your feelings of guilt
c) you should not have taken your eyes off your child
d) you really shouldn't fell guilty; you're lucky because your child will be alright
28. The nurse teaches the parents of an infant with developmental dysplasia of the hip how to handle their child in a Pavlik harness. Which of the following interventions would be most appropriate?
a) fitting the diaper under the straps
b) leaving the harness off while the infant sleeps
c) checking for the skin redness under straps every other day
d) putting powder on the skin under the straps every day
29. When assessing the development of a 15 month old child with cerebral palsy, which of the following milestones would the nurse expect a toddler of this age to have achieved?
a) walking up steps
b) using a spoon
c) copying a circle
d) putting a block in cup
30. The nurse teaches the mother of a young child with Duchenne's muscular dystrophy about the disease and its management. Which of the following statements by the mother indicates successful teaching?
a) my son will probably be unable to walk independently by the time he is 9 to 11 years old
b) muscle relaxants are effective for some children; I hope they can help my son
c) when my son is a little bit older, he can have surgery to improve his ability to walk
d) I need to help my son be as active as possible to prevent progression of the disease
31. A 9 month infant is having severe diarrhea and is experiencing dehydration and metabolic acidosis. Which of the following signs and symptoms will the nurse assess?
a) reduced white blood cell count
b) reduced platelet count
c) shallow respiration
d) tachypnea
32. Which of the following behavior of a preschooler indicates that the child is in the stage of initiative?
a) the child wants to finish his game of Candyland before his dressing is changed
b) the child cries and has a temper tantrum when he is sent to bed to go to sleep
c) the child ignores his parents and continues to watch television with other child
d) the child talks to his friends on the telephone and arranges for them to visit
33. A 3 year old child had undergone surgery. Which finding best indicates that the child is no longer experiencing pain?
34. A 2 month old infant undergoes repair of a cleft lip. After surgery, which equipment should the nurse teach the parents to use to feed their infant?
a) cross-cut nipple
b) plastic spoon
c) paper cup
d) rubber dropper
35. A 7 month old child has had recurrent middle-ear infections since she was 4 months old. Which of the following is most important to assess?
a) how well the clients eats
b) the client's weight gain since her last visit
c) whether the client received all her prescribed antibiotics at the time of the last infection
d) the client's temperature
36. Which of the following is appropriate toy for an 8 month old infant?
a) finger paint
b) jack-in-the-box
c) small rubber ball
d) play gym strung across the crib
37. The nurse is teaching new parents before discharge to home. The nurse explains that the anterior fontanel closes between ages
a) 2 and 3 months
b) 12 and 18 months
c) 3 and 6 months
d) 1 and 9 months
38. Which of the following are characteristics of an adolescent? Select all that apply.
a) egocentricity
b) abstract thinking
c) high-risk behaviors
d) sense of morality
e) hand dominance development
f) secondary sex characteristics development
39. In which child would you suspect child abuse?
a) a 2 year old child with bruises on both shins
b) a 2 year old child who won't make eye contact with the nurse
c) a 3 year old child who acts withdrawn and has bruises on his back
d) a 10 year old child who comes to the emergency department with a broken wrist
40. Which drug is used as an antidote for acetaminophen poisoning?
a) vitamin K
b) acetylsalicylic acid (ASA)
c) acetylcysteine
d) ethlenediaminetetraacetic acid (EDTA)
43. Which of the following is expected finding in a child with idiophatic thrombocytopenic purpura?
a) petechiae
b) nose bleeding
c) dark, concentrated urine
d) fever
44. AN 8 year old child has been diagnosed to have iron deficiency anemia. Which of the following activities is most appropriate for the child to decrease oxygen demands on the body?
a) dancing
b) playing video games
c) reading a book
d) riding a bicycle
45. Which of the following nursing actions are appropriate for a child with hemophilia who is bleeding? Select all that apply
a) apply pressure
b) apply warm packs on the site
c) administer aspirin for pain
d) apply cold compresses to the site
e) elevate the injured part
f) perform range-of-motion exercises to the injured area immediately after bleeding stops
46. Which of the following medications for allergic rhinitis will not cause sedation?
a) brompheniramine and pseudoephedrine (dimetapp)
b) diphenhydramine (benadryl)
c) pseudoephedrine (triaminic)
d) loratadine (claritin)
47. A 6 month old infant is diagnosed to have bacterial meningitis. Which of the following is not a sign of meningeal irritation?
a) marked irritability
b) nuchal rigidity
c) depressed anterior fontanel
d) vomiting
48. Which assessment finding would lead the nurse to suspect Down syndrome in a newborn?
a) prominent scalp veins and high-pitched cry
b) single palmar crease and hypotonia
c) flat maxillary area and short papebral tissues
d) microcephaly, persistent postnatal growth lag
49. Which of the following nutrients decreases the incidence of neural tube defects (NTD's)?
a) vitamin C
b) vitamin K
c) vitamin B12
d) folic acid
50. Which instructions about preventing sudden infant death syndrome (SIDS) should the nurse include when teaching parents of infants? Select all that apply
a) place the infant in prone position
b) place the infant in a firm mattress
c) place the infant on his back to sleep
d) bottle feed the infant instead of breastfeeding
e) use soft mattress for the infant during the night
f) encourage breastfeeding of the infant
51. Who among these clients is prone to hepatitis C?
a) the client undergoing hemodialysis
b) the client who has diabetes mellitus
c) the client who has hypertension
d) the client who has Cushing's disease
52. Which of the following should the nurse assess in a client receiving steroid?
a) hyponatremia
b) hyperkalemia
c) hyperglycemia
d) weight loss
53. The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
a) uneven head shape
b) respiration are irregular, abdominal, 30-60/min
c) (+) moro reflex
d) heart rate is 80 bpm
54. The nurse is caring for several infants who are 2 day old. Who among these infants should be given highest priority by the nurse?
a) a bottlefed infant who takes 1 ounce of milk every 3 to 5 hours
b) a breastfed infant who lost 0.5 ounce of his weight
c) a bottlefed infant who takes 2 to 3 ounces of milk every 2 to 4 hours
d) a breastfed infant who feeds every 2 to 4 hours
55. The nurse evaluates that Zofran (Ondasetron) is effective in a client undergoing chemotherapy if which of the following is observed?
a) urine output is 1,500 ml/day
b) the client can tolerate mechanically soft diet
c) the client's anxiety is relieved
d) the client was able to sleep
56. Which of the following is most important to monitor in the client after surgery for abdominal aortic aneurysm?
a) intake and output measurement every shift
b) blood pressure every 4 hours
c) body temperature every 4 hours
d) abdominal girth
57. The client had been diagnosed to have complete intestinal obstruction. Which of the following assessment findings will the nurse expect?
a) medium pitched gurgling sounds
b) high-pitched tinkling bowel sounds
c) absence of bowel sounds
d) increased bowel sound
58. A mother tells the nurse that she is very worried because her 2 year old child does not finish his meals. What should the nurse advise the mother?
a) make the child seat with the family in the dining room until finishes his meal
b) provide quiet environment for the child few minutes before meals
c) do not give snacks to the child before meals
d) put the child on a chair and feed him
59. A nurse is caring for a client with colostomy created 3 days earlier. The client is beginning to pass malodorous flatus from the stoma. The nurse interprets that:
a) this is normal, expected event
b) this indicates inadequate preoperative bowel obstruction
c) the client is experiencing early signs of impaired circulation
d) the client should not have the nasogastric tube removed
60. A client does not respond when called by name. The next nursing action would be:
a) open the airway by head-tilt, chin-lift maneuver
b) provide rescue breathing
c) start external chest compression
d) tap the client by the shoulder
61. The nurse is teaching the parents of a young client how to handle poisoning. If the client ingests poison, what should the parents do first?
a) administer ipecac syrup
b) call an ambulance immediately
c) call the poison control center
d) inspect the home foe other potential poisons
62. The nurse will administer an oral medication to a 3 year old client. What is the best way for the nurse to proceed?
a) it's time for you to take your medicine right now
b) if you take your medicine now, you'll go home sooner
c) here's your medicine. Would you like apple juice or grape drink after?
d) see how Jerome took his medicine? He's a good boy. Now, be a good boy too
63. The nurse performs Guthrie screening test by drawing blood from the heel of an infant. The screening test is done to diagnose which of the following inborn error of metabolism?
a) glucose-6-phosphate dehydrogenase deficiency
b) phenylketonuria
c) galactosemia
d) hypothyroidism
64. The nurse is giving health teachings to a mother of a child with diabetes on signs and symptoms of hypoglycemia. The nurse should inform the mother that which of the following are manifestations of hypoglycemia?
a) behavioral changes, increased heart rate, sweating and tremors
b) nausea, fruity breath odor, headache, and fatigue
c) polydipsia, polyuria, polyphagia, and weight loss
d) enlarged tongue, hypotonia, easy weight gain, and cool skin temperature.
65. Which of the following foods are allowed for a child with galactosemia? Select all that apply
a) instant potatoes
b) chicken
c) lima foods
d) whole wheat bread
e) apples
f) 2% cow's milk
66. Which of the following statements indicate that the adolescent is having an early sign of anorexia nervosa?
a) I have my menses every month
b) I go out to eat with my friends
c) I run three times a day for a total of 5 hours per day
d) I try to maintain my weight around 115 lbs. for my height of 5 feet
67. A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances of her children having sickle cell disease. Which of the following is appropriate response by the nurse?
a) one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease
68. Which of the following health teachings regarding sickle cell crisis should be included by the nurse?
a) it results from altered metabolism and dehydration
b) tissue hypoxia and vascular occlusion cause the primary problems
c) increased bilirubin levels will cause hypertension
d) there are decreased clotting factors with an increase in white blood cells
69. A child with leukemia is being discharged after beginning chemotherapy. Which of the following instructions will the nurse include when teaching the parents of this child?
a) provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house
70.
A client with hemophilia has a very swollen knee after falling from bicycle riding. Which of the following is the first nursing action?
a) initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee
Pedia Drill- 2 Questions
Situation 1: Raphael, a 6 year’s old prep pupil is seen at the school clinic for growth and development monitoring (Questions 1-5)
1. Which of the following is characterized the rate of growth during this period?
a. most rapid period of growth
b. a decline in growth rate
c. growth spurt
d. slow uniform growth rate
2. In assessing Raphael’s growth and development, the nurse is guided by principles of growth and development. Which is not included?
a. All individuals follow cephalo-caudal and proximo-distal
b. Different parts of the body grows at different rate
c. All individual follow standard growth rate
d. Rate and pattern of growth can be modified
3. What type of play will be ideal for Raphael at this period?
a. Make
believe
b. Hide and seek
c. Peek-a-boo
d. Building blocks
4. Which of the following information indicate that Raphael is normal for his age?
a. Determine own sense self
b. Develop sense of whether he can trust the world
c. Has the ability to try new things
d. Learn basic skills within his culture
5. Based on Kohlberg’s theory, what is the stage of moral development of Raphael?
a. Punishment-obedience
b. “good boy-Nice girl”
c. naïve instrumental orientation
d. social contact
Situation 2 Baby boy Lacson delivered at 36 weeks gestation weighs 3,400 gm and height of 59 cm (6-10)
6. Baby boy Lacson’s height is
a. Long
b. Short
c. Average
d. Too short
7. Growth and development in a child progresses in the following ways EXCEPT
a. From cognitive to psychosexual
b. From trunk to the tip of the extremities
c. From head to toe
d. From general to specific
8. As described by Erikson, the major psychosexual conflict of the above situation is
a. Autonomy vs. Shame and doubt
b. Industry vs. Inferiority
c. Trust vs. mistrust
d. Initiation vs. guilt
9. Which of the following is true about Mongolian Spots?
a. Disappears in about a year
b. Are linked to pathologic conditions
c. Are managed by tropical steroids
d. Are indicative of parental abuse
10. Signs of cold stress that the nurse must be alert when caring for a Newborn is:
a. Hypothermia
b. Decreased activity level
c. Shaking
d. Increased RR
Situation 3 Nursing care after delivery has an important aspect in every stages of delivery
11. After the baby is delivered, the cord was cut between two clamps using a sterile scissors and blade, then the baby is placed at the:
a. Mother’s breast
b. Mother’s side
c. Give it to the grandmother
d. Baby’s own mat or bed
12. The baby’s mother is RH(-). Which of the following laboratory tests will probably be ordered for the newborn?
a. Direct Coomb’s
b. Indirect Coomb’s
c. Blood culture
d. Platelet count
13. Hypothermia is common in newborn because of their inability to control heat. The following would be an appropriate nursing intervention to prevent heat loss except
a. Place the crib beside the wall
b. Doing Kangaroo care
c. By using mechanical pressure
d. Drying and wrapping the baby
14. The following conditions are caused by cold stress except
a. Hypoglycemia
b. Increase ICP
c. Metabolic acidosis
d. Cerebral palsy
15. During the feto-placental circulation, the shunt between two atria is called
a. Ductus venosous
b. Foramen Magnum
c. Ductus arteriosus
d. Foramen Ovale
16. What would cause the closure of the Foramen ovale after the baby had been delivered?
a. Decreased blood flow
b. Shifting of pressures from right side to the left side of the heart
c. Increased PO2
d. Increased in oxygen saturation
17. Failure of the Foramen Ovale to close will cause what Congenital Heart Disease?
a. Total anomalous Pulmunary Artery
b. Atrial Septal defect
c. Transposition of great arteries
d. Pulmunary Stenosis
Situation 4 Children are vulnerable to some minor health problems or injuries hence the nurse should be able to teach mothers to give appropriate home care.
18. A mother brought her child to the clinic with nose bleeding. The nurse showed the mother the most appropriate position for the child which is:
a. Sitting up
b. With low back rest
c. With moderate back rest
d. Lying semi flat
19. A common problem in children is the inflammation of the middle ear. This is related to the malfunctioning of the:
a. Tympanic membrane
b. Eustachian tube
c. Adenoid
d. Nasopharynx
20. For acute otitis media, the treatment is prompt antibiotic therapy. Delayed treatment may result in complications of:
a. Tonsillitis
b. Eardrum Problems
c. Brain damage
d. Diabetes mellitus
21. When assessing gross motor development in a 3 year old, which of the following activities would the nurse expect to finds?
a. Riding a tricycle
b. Hopping on one foot
c. Catching a ball
d. Skipping on alternate foot.
22. When assessing the weight of a 5-month old, which of the following indicates healthy growth?
a. Doubling of birth weight
b. Tripling of birth weight
c. Quadrupling of birth weight
d. Stabilizing of birth weight
23. An appropriate toy for a 4 year old child is:
a. Push-pull toys
b. Card games
c. Doctor and nurse kits
d. Books and Crafts
24. Which of the following statements would the nurse expects a 5-year old boy to say whose pet gerbil just died
a. “The boogieman (kamatayan- the man with the scythe) got him”
b. “He’s just a bit dead”
c. “Ill be good from now own so I wont die like my gerbil”
d. “Did you hear the joke about…”
25. When assessing the fluid and electrolyte balance in an infant, which of the following would be important to remember?
a. Infant can concentrate urine at an adult level
b. The metabolic rate of an infant is slower than in adults
c. Infants have more intracellular water that adult do
d. Infant have greater body surface area than adults
26. When assessing a child with aspirin overdose, which of the following will be expected?
a. Metabolic alkalosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Respiratory acidosis
27. Which of the following is not a possible systemic clinical manifestation of severe burns?
a. Growth retardation
b. Hypermetabolism
c. Sepsis
d. Blisters and edema
28. When assessing a family for potential child abuse risks, the nurse would observe for which of the following?
a. Periodic exposure to stress
b. Low socio-economic status
c. High level of self esteem
d. Problematic pregnancies
29. Which of the following is a possible indicator of Munchausen syndrome by proxy type of child abuse?
a. Bruises found at odd locations, with different stages of healing
b. STD’s and genital discharges
c. Unexplained symptoms of diarrhea, vomiting and apnea with no organic basis
d. Constant hunger and poor hygiene
30. Which of the following is an inappropriate intervention when caring for a child with HIV?
a. Teaching family about disease transmission
b. Offering large amount of fresh fruits and vegetables
c. Encouraging child to perform at optimal level
d. Teach proper hand washing technique
Situation 5 Agata, 2 years old is rushed to the ER due to cyanosis precipitated by crying. Her mother observed that after playing she gets tired. She was diagnosed with Tetralogy of Fallot.
31. The goal of nursing care fro Agata is to:
a. Prevent infection
b. Promote normal growth and development
c. Decrease hypoxic spells
d. Hydrate adequately
32. The immediate nursing intervention for cyanosis of Agata is:
a. Call up the pediatrician
b. Place her in knee chest position
c. Administer oxygen inhalation
d. Transfer her to the PICU
33. Agata was scheduled for a palliative surgery, which creates anastomosis of the subclavian artery to the pulmonary artery. This procedure is:
a. Waterston-Cooley
b. Raskkind Procedure
c. Coronary artery bypass
d. Blalock-Taussig
34. Which of the following is not an indicator that Agata experiences separation anxiety brought about her hospitalization?
a. Friendly with the nurse
b. Prolonged loud crying, consoled only by mother
c. Occasional temper tantrums and always says NO
d. Repeatedly verbalizes desire to go home
35. When Agata was brought to the OR, her parents where crying. What would be the most appropriate nursing diagnosis?
a. Infective family coping r/t situational crisis
b. Anxiety r/t powerlessness
c. Fear r/t uncertain prognosis
d. Anticipatory grieving r/t gravity of child’s physical status
36. Which of the following respiratory condition is always considered a medical emergency?
a. Laryngeotracheobronchitis (LTB)
b. Epiglottitis
c. Asthma
d. Cystic Fibrosis
37. Which of the following statements by the family of a child with asthma indicates a need for additional teaching?
a. “We need to identify what things triggers his attacks”
b. “He is to use bronchodilator inhaler before steroid inhaler”
c. “We’ll make sure he avoids exercise to prevent asthma attacks”
d. “he should increase his fluid intake regularly to thin secretions”
38. Which of the following would require careful monitoring in the child with ADHD who is receiving Methylphenidate (Ritalin)?
a. Dental health
b. Mouth dryness
c. Height and weight
d. Excessive appetite
Situation 6 Laura is assigned as the Team Leader during the immunization day at the RHU
39. What program for the DOH is launched at 1976 in cooperation with WHO and UNICEF to reduce morbidity and mortality among infants caused by immunizable disease?
a. Patak day
b. Immunization day on Wednesday
c. Expanded program on immunization
d. Bakuna ng kabtaan
40. One important principle of the immunization program is based on?
a. Statistical occurrence
b. Epidemiologic situation
c. Cold chain management
d. Surveillance study
41. The main element of immunization program is one of the following?
a. Information, education and communication
b. Assessment and evaluation of the program
c. Research studies
d. Target setting
42. What does herd immunity means?
a. Interruption of transmission
b. All to be vaccinated
c. Selected group for vaccination
d. Shorter incubation
43. Measles vaccine can be given simultaneously. What is the combined vaccine to be given to children starting at 15 months?
a. MCG
b. MMR
c. BCG
d. BBR
Situation 7: Braguda brought her 5-month old daughter in the nearest RHU because her baby sleeps most of the time, with decreased appetite, has colds and fever for more than a week. The physician diagnosed pneumonia.
44. Based on this data given by Braguda, you can classify Braguda’s daughter to have:
a. Pneumonia: cough and colds
b. Severe pneumonia
c. Very severe pneumonia
d. Pneumonia moderate
45. For a 3-month old child to be classified to have Pneumonia (not severe), you would expect to find RR of:
a. 60 bpm
b. 40 bpm
c. 70 bpm
d. 50 pbm
46. You asked Braguda if her baby received all vaccines under EPI. What legal basis is used in implementing the UN’s goal on Universal Child Immunization?
a. PD no. 996
b. PD no. 6
c. PD no. 46
d. RA 9173
47. Braguda asks you about Vitamin A supplementation. You responded that giving Vitamin A starts when the infant reaches 6 months and the first dose is”
a. 200,000 “IU”
b. 100,000 “IU”
c. 500,000 “IU”
d. 10,000 “IU”
48. As part of CARI program, assessment of the child is your main responsibility. You could ask the following question to the mother except:
a. “How old is the child?”
b. “IS the child coughing? For how long?”
c. “Did the child have chest indrawing?”
d. “Did the child have fever? For how long?”
49. A newborn’s failure to pass meconium within 24 hours after birth may indicate which of the following?
a. Aganglionic Mega colon
b. Celiac disease
c. Intussusception
d. Abdominal wall defect
50. The nurse understands that a good snack for a 2 year old with a diagnosis of acute asthma would be:
a. Grapes
b. Apple slices
c. A glass of milk
d. A glass of cola
51. Which of the following immunizations would the nurse expect to administer to a child who is HIV (+) and severely immunocomromised?
a. Varicella
b. Rotavirus
c. MMR
d. IPV
52. When assessing a newborn for developmental dysplasia of the hip, the nurse would expect to assess which of the following/
a. Symmetrical gluteal folds
b. Trendelemburg sign
c. Ortolani’s sign
d. Characteristic limp
53. While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate’s urinary meatus appears to be located on the ventral surface of the penis. The physician is notified because the nurse would suspect which of the following?
a. Phimosis
b. Hydrocele
c. Epispadias
d. Hypospadias
54. When teaching a group of parents about seat belt use, when would the nurse state that the child be safely restrained in a regular automobile seatbelt?
a. 30 lb and 30 in
b. 35 lb and 3 y/o
c. 40 lb and 40 in
d. 60 lb and 6 y/o
55. When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be compromised?
a. Sucking ability
b. Respiratory status
c. Locomotion
d. GI function
56. For a child with recurring nephritic syndrome, which of the following areas of potential disturbances should be a prime consideration when planning ongoing nursing care?
a. Muscle coordination
b. Sexual maturation
c. Intellectual development
d. Body image
57. An inborn error of metabolism that causes premature destruction of RBC?
a. G6PD
b. Hemocystinuria
c. Phenylketonuria
d. Celiac Disease
58. Which of the following would be a diagnostic test for Phenylketonuria which uses fresh urine mixed with ferric chloride?
a. Guthrie Test
b. Phenestix test
c. Beutler’s test
d. Coomb’s test
59. Dietary restriction in a child who has Hemocystenuria will include which of the following amino acid?
a. Lysine
b. Methionine
c. Isolensine tryptophase
d. Valine
60. A milk formula that you can suggest for a child with Galactosemia:
a. Lofenalac
b. Lactum
c. Neutramigen
d. Sustagen