CHILD HEALTH NURSING EXAM
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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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