Gerald is a 9-year-old boy diagnosed with

cystic fibrosis. Which of the following must
Nurse Archie keep in mind when developing
a care plan for a child?
- Pulmonary secretions are abnormally
thick
Which of the following should the nurse do
first after noting that a child with
Hirschsprung disease has a fever and what
they're explosive diarrhea?
- Notify the physician immediately

Richie, 2 months, is supected a coartation of

the aorta. The cardinal sign of this defect is
- Upper extremity hypertension
Which of the following is an important
assessment for an infant in sichle cell crisis?
- Normal skin turgor
which of the following parameters would
nurse Veronica monitor to evaluate the
effectiveness of thickened feeding for an
infant with gastroesophageal reflux (GER)?
- Vomiting

Your are asked to assess the lymph nodes of

a 15 year old patient who is suspected of
having hodgkin’s lymphoma. You will start
you examination where the disease usually
begins. Which of the following area would
examine first?
in the fatal Physiology of congenital heart
defects, a cyanotic heart defect follows what
type of shunting?
- Write the left shunting

- Neck

In pediatric gastrosophageal reflux While assessing baby Nikki, an infant with

disease(GERD), the immaturity of lower go coartation of aorta, the nurse would
esophageal sphincter function is manifested expect to find which of the following?
by frequent transient lower esophageal
- BP higher on upper extremities
relaxations, which results in retrograde flow
of gastric contents into the esophagus.
Which statement about the esphagus is true?
(SATA) In patent ductus arteriosus, what is the drug
used to facilitate closure of this defect?
- It is a highway for food and drinks to
travel along to make it to the stomach - Indomethacin (indocin)

- it has upper and lower sphincters

it lies anterior to the trachea

After giving the due dose of digoxin
(Lanoxin) elixir in an infant with congenital
heart defect, the infant suddenly vomits. The
nurse checked the infants vital signs and the
infants apical heart rate is 89. What is the
best intervention?
- Hold the dose digoxin (Lanoxin) elixir
The nurse is providing home care
instructions to the parents of a 10-year-old
child with hemophilia. Which sport activity
should the nurse suggest for this child?
- Swimming
You are administering the Mantoux test for
tuberculosis the in 9-year-old patient. You
recognized that which of the following
would invalidate the test?
- Administering it via subcutaneous
injection
SITUATION: 10 year old John is admitted
because of the sickle cell crisis
QUESTION: which of the following
interventions would be highest priority for
JOHN?
- Maintain iv fluids and encouraging
increased oral fluid anything
The nurse is caring for a client experiencing
an acute asthma attack. The client stops
wheezing and breathing sounds are not
audible. Why did this change occur?
- The Airways are so swollen that no air
can get through
a 13 year old patient came into the ER
complaining of pain on the right lower
abdomen. When assessing a client with
appendicitis you would expect to find which
of the following? Check all the answers that
apply
- client in side lying position with
abdominal guarding and legs flexed
- elevated white blood cell count
- Rebound tenderness
Nico, a 14 year old patient was diagnosed
with appendicitis. Which of the following
increased abdominal pain and then
distension in a client with appendicitis?
- Peritonitis
The clinic nurse instructs parent of a child
with sickle cell anemia about the
precipitating factors related to a sickle cell
crisis. Which, if identified by the parents as
a precipitating factor, indicates the need for
further instructions?
- Fluid overload
A pediatrician has prescribed oxygen as - Polyarthritis, fever, elevated antibody
needed for an infant with heart failure. In and ESR
which situation should the nurse administer
the oxygen to the infant?

- When drawing blood for electrolyte The nurse obtains vital signs on a six hour
level testing old newborn. The nurse would consider
which of the following assessment findings
indicative of respiratory distress?

Laboratory studies are performed for a child - the nostrils player with each breath
suspected to have iron deficiency anemia.
The nurse reviews the laboratory results,
knowing that which result indicates this type
Assessment findings of an infant admitted to
of anemia?
the hospital reveal a machinery like murmur
- Red blood cells that are microcytic and on auscultation of the heart and signs of
hypochromic heart failure. The nurse reviews congenital
cardiac anomalies and identifies the infants
condition as which disorder? Refer to figure
(the circled area) t0 determine the condition.
The nurse is planning to care for it
two-week-old infant who has a congenital
heart defect. Which of the following actions
is not appropriate?

- Allowing him to cry to promote

increased oxygenation

the nurse is providing dietary teaching for a

parents of a child with celiac disease. This
child should avoid what?

- Prepared puddings

following Jones criteria, aside from history - Patent ductus arteriosus

of sore throat, which of the following signs
will confirm rheumatic heart disease?
A child with rheaumatic fever will be
arriving to the nursing unit for admission.
On admission assessment, the nurse should
ask the parents which question to elicit
assessment information specific to the
development of rheaumatic fever?

- “Did the child have a sore throat or fever

within the last two months?”

Tetralogy of Fallot is the most common

cyanotic heart defect. Which of the
following defects/problems are found in
TOF? (SATA)

- right ventricular hypertrophy

- ventricular septal defec

- overriding aorta

you are caring for a 8 year old patient with

congenital heart problem. What type of
cardiac disorder leads to cyanosis from
deoxygenated blood entering the synthetic
arterial circulation?

- Tetralogy of fallot