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CHILD HEALTH NURSING EXAM
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Student data
Student name: ***
Student number: ***
Class or section: ***
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Test instructions
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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Q1
Score: 1
Give 15 mL of juice, and repeat dose in 15 minutes
Give 15 grams (g) of carbohydrates and retest blood sugar in 15 minutes
Give 15 g of carbohydrates and 15 g of protein
Give 15 ounces (oz) of juice and retest blood sugar in 15 minutes
Q2
Score: 1
Completing spring semester of school
Gaining 7 pounds
Death of a family member
Undergoing a root canal
Q3
Score: 1
CD4 cell count.
Western blot.
IgG levels.
p24 antigen assay.
Q4
Score: 1
Vital signs every 6 hours
Hourly intake and output records
Skin care
Passive range-of-motion exercises
Q5
Score: 1
Sit in High-Fowler’s position with extended legs
Sit-up with shoulders back
Push on abdomen during exhalation
Lean forward 30-40 degrees with each exhalation
Q6
Score: 1
Serum albumin 3.5g/dL
Serum prealbumin 5/mg/dL
Serum albumin 4.5 g/dL
Serum prealbumin 10 mg/dL
Q7
Score: 1
The child should not go to day care until older, because there is a high risk for transmission of the disease.
The child can be admitted to day care without restrictions and should be allowed to participate in all activities.
The child can go to day care but should avoid physical activity.
The child may go to day care, but the parent must inform all the parents at the day care that the child is human immunodeficiency virus-infected.
Q8
Score: 1
I will eat foods high in calcium.
I will increase my fluid intake.
I should participate in weight bearing exercises.
I should get my vit D from the sunlight.
Q9
Score: 1
Abdominal distention
Eye swelling
Constipation
Yellowing of the skin
Q10
Score: 1
Palpating the abdomen
Positioning the child upright
Measuring the child’s chest circumference
Taking a blood pressure in the left arm
Q11
Score: 1
The same staging system is used for lymphoma and Hodgkin disease.
The aggressive chemotherapy with central nervous system prophylaxis will give the child a good prognosis.
All children with lymphoma need a bone marrow transplant for a good prognosis.
Despite high-dose chemotherapy, the prognosis is very poor for most children with a diagnosis of lymphoma.
Q12
Score: 1
Limit saturated fat to 10% of total caloric intake
Good bowel function requires 35 g/day of fiber for women.
Limit cholesterol comsumption to 400 mg/day.
Normal functioning cardiac systems depend on B-complex vitamins
Q13
Score: 1
The child will have chemotherapy and, after that has been completed, radiation.
The child will need to have surgery to remove the tumor.
The child will go to surgery for removal of the tumor and the kidney and will then start chemotherapy.
The child will need radiation and later surgery to remove the tumor.
Q14
Score: 1
Helps reduce the uric acid level caused by cell destruction.
Used to make the chemotherapy work better.
Given to reduce the nausea and vomiting associated with chemotherapy.
Helps decrease pain in the bone marrow.
Q15
Score: 1
Observe standard precautions
Administer antibiotics as soon as possible
Single-bag all linens
Use sterilizable eating utensils
Q16
Score: 1
Absent bowel sounds
Depressed anterior fontanel
Pale yellow urine
Marked skin turgor
Q17
Score: 1
Fever, fatigue, and pain in the joints.
Anorexia with weight loss.
Enlarged, painless, and movable lymph nodes in the cervical area.
Enlarged liver with jaundice.
Q18
Score: 1
Scaphoid abdomen
Cyanosis of distal extremities
Hyperactive reflexes
Weight less than normal for height and age
Q19
Score: 1
Wear a gown
Wear a mask
Wear a gown and hair net
Wear goggles and a mask
Q20
Score: 1
Hepatitis B vaccine will not be given to this child.
Members of the family should be cautioned not to receive the varicella vaccine.
The child will need to have a Western blot test done prior to all immunizations.
Pneumococcal and influenza vaccines are recommended.
Q21
Score: 1
Avoid emotional stress and extreme temperature
Avoid pollution like smoking
Avoid pollens, dust seafood
Practice respiratory isolation
Q22
Score: 1
Give a precordial thump
Begin giving breaths with a bag-valve-mask at a rate of 16 breaths per minute
Clear the airway
Start chest compressions at a rate of 100 per minute
Q23
Score: 1
Reed-Sternberg cells in the lymph nodes.
Blast cells in the blood.
Lymphocytes in the bone marrow.
VMA in the urine.
Q24
Score: 1
Limit fruit juices
Measure urinary output in the bag daily
Avoid tub baths until the stent is removed
Clean the penis tip 3 to 4 times a day with soap and water
Q25
Score: 1
Relax smooth muscles of the bronchial airway
Promote expectoration
Prevent thickening of secretions
Suppress cough
Q26
Score: 1
Spinach
Grapefruit
Peanuts
Milk
Q27
Score: 1
Deficient fluid volume related to prolonged vomiting
Ineffective airway clearance related to impaired swallowing
Imbalanced nutrition: Less than body requirements related to prolonged vomiting
Anxiety related to loss of body control
Q28
Score: 1
A 3-month-old infant
A 6-month-old infant who has had 2 bouts of pneumonia
A first-born child of a 45-year-old mother
A 2-year-old with frequent episodes of 5-second apnea
Q29
Score: 1
The initial white blood cell count on diagnosis.
The race of the child.
The amount of time needed to initiate treatment.
The allergy history of the child.
Q30
Score: 1
Basically the same as those in Hodgkin disease.
Depends on the anatomic site and extent of involvement.
Those that affect the abdomen, as non-Hodgkin lymphoma is a fast-growing cancer in very young children.
Changes that occur in the lower extremities.
Q31
Score: 1
Suppress the function of normal lymphocytes in the immune system.
Are alkylating agents and are cell-specific.
Cause a replication of DNA and are cell-specific.
Interrupt cell cycle, thereby causing cell death.
Q32
Score: 1
Obtain a peak flow reading
Instruct the adolescent to lie down for 30 minutes
Call a parent for more information
Give two puffs of a short-acting bronchodilator
Q33
Score: 1
Promote emotional support
Administer oxygen at 6L/min
Suction the client every 30 min
Administer bronchodilator by nebulizer
Q34
Score: 1
Encourage outdoor activities
Limit bathing to prevent skin irritation
Promote interaction with one friend instead of a group
Set the thermostat higher than normal for comfort
Q35
Score: 1
Anterior chest wall pain
Irregular heart rhythm
Heart murmur
Low blood pressure
Q36
Score: 1
24
30
27
32
Q37
Score: 1
Soccer
Track
Swimming
Cheerleading
Q38
Score: 1
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
metabolic acidosis
Q39
Score: 1
A blood pressure of 126/80
A blood glucose of 110 mg/dl
A heart rate of 60 bpm
A respiratory rate of 30 per minute
Q40
Score: 1
Roasted pork tenderloin
Fried chicken
Skim milk shake
Egg omelet
Q41
Score: 1
Maintain the child in an undisturbed, upright position
Assess the child’s throat using a small tongue depressor
Obtain intravenous access and draw blood cultures
Provide cool liquids to soothe the child’s throat and provide hydration
Q42
Score: 1
Hamburger with egg noodles, canned peas, milk
Ham, baked potato, canned carrots
Baked chicken, rice, green beans, orange juice
Hot dog in a bun, corn chips, pickle
Q43
Score: 1
Aloin
Dioxins
Oral contraceptives
Coumestans derived from alfalfa
Q44
Score: 1
Lack of oxygen in the red blood cells
Elevated serum bilirubin from red cell breakdown
Obstruction to circulation
Autoimmune reaction triggered by stress
Q45
Score: 1
Enhances protein metabolism.
Enhances sodium excretion.
Increases absorption of the chemotherapy.
Destroys abnormal lymphocytes.
Q46
Score: 1
Prolonged bleeding.
Failure to thrive.
Fatigue and malaise.
Susceptibility to infection.
Q47
Score: 1
Bone.
Kidneys.
Abdomen.
Liver.
Q48
Score: 1
CMV.
Encephalitis.
Meningitis
Pneumocystic pneumonia.
Q49
Score: 1
Assess the child for neuropathy since this is a common side effect.
Provide adequate rest, as the child may experience excessive malaise and lack of energy.
Encourage the child to eat a low-protein diet while on radiation therapy.
Q50
Score: 1
More insulin
More calories
Less insulin
Less protein
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