Review

1) a neonate born with ambiguous genitalia is diagnosed with congenital adrenogenital hyperplasia. Therapeutic management includes the administration of which substance?

• Cortisone- given to suppress the abnormally high secretion of adrenocorticotropic hormone (ACTH); inhibits secretion.

2) The nurse recognizes that treatment for a child with precocious puberty will involve the injection of which synthetic medication

• Luteinizing Hormone- monthly SQ injections

3) A nurse is assessing a child who was just admitted to the hospital for observation after a head injury. Which is the most essential part of the nursing assessment to detect early signs of worsening condition?

• Level of Consciousness

4) A nurse is instructing a group of parents about head injuries in young children. The nurse should explain that infants are particularly vulnerable to acceleration-deceleration head injuries because of…

• Musculoskeletal support of head is insufficient

5) A child is admitted to the PICU for a submersion injury. The child’s parents express guilt over the injury to the nurse. The most appropriate response by the nurse is…

• Tell me about your feelings

6) A child has fallen into the pool and paramedics have revived the child at the scene and brought him to the ER for follow up treatment. With regard to submersion injury, what priority assessments should be included in the plan of care? SATA.

• Obtain ABG’s

  • establish acid-base balance

• Maintain airway and ventilation support

  • obviously

• Find out the temperature of the pool water

  • changes for the body responds

7) A 5 yo child is being evaluated for hydrocephalus. The nurse notes which of the following as early signs of hydrocephalus indicating possible increased ICP? SATA/

• Early morning headaches

• vomiting upon waking

8) Which interventions would the nurse plan to implement for a child with juvenile hypothyroidism? SATA.

• moisturizer for skin

• stool softener

• thyroxine therapy

  • hormone replacement

9) The parents of a child who has just been diagnosed with type 1 diabetes asks about exercise. Which would the nurse explain about exercise in type 1 diabetes?

• extra snacks are needed Before exercise

10) the pediatric ICU nurse suspects brainstem damage in a newly admitted patient. Which of the following clinical manifestations would the nurse recognize as associated with brainstem damage?

• Bilateral dilated, nonreactive pupils

11) A nurse is caring for a child who has absence seizures. Which of the following findings should the nurse expect? SATA

• Loss of Consciousness

• Appearance of Daydreaming

• Dropping held objects

12) A nurse is caring for a child who has Just Experienced a generalized seizure. Which of the following is the PRIORITY action for the nurse to take?

• Position the child in a side-lying position

13) A nurse is providing preconception teaching with a patient who has PKU. Which of the following information should the nurse include in the teaching?

• The patient will undergo testing of phenylalanine levels 1-2 times per week throughout their pregnancy

  • they need to be on a low phenylalanine diet 3 months BEFORE conception

  • they need a LOW protein diet

  • they won’t require a c-section

14) Which of the following describes the characteristics of most neonatal seizures?

• Subtle and barely discernable seizures

  • lip-smacking, tongue thrusting, eye rolling, and arching their back

  • their CNS isnt even developed enough to do tonic-clonic, generalized or well-organized seizures

15) A pediatric nurse is assessing a child who has myopia. Which of the following findings should the nurse expect?

• Headaches, Difficulty reading, and poor school performance

16) A parent of a school-aged child who has GH deficiency asks the nurse how long the child will need to take injections for growth delay. Which of the following response by the nurse is correct?

• injections might be stopped once your child grows less than 1 inch per year

  • they’ve reached required bone maturity

  • also we dont want them growing too much

17) A nurse is performing a neurological assessment on a 2-month old infant after a car accident. Moro, Tonic neck, and withdrawal reflexes are present. The nurse should recognize that these reflexes suggest…

• Neurologic Health

18) What are the four priority measures when caring for the child with a suspected spinal cord injury

• Stabilize spine

• ensuring airway

• treating shock

• recognizing s/s of increasing ICP

19) Reye syndrome is a disorder defined as metabolic encephalopathy associated with Liver and Brain organ involvment.

20) Hydrocephalus is a condition caused by an imbalance in the production and absorption of CSF in the ventricular system, causing an increased accumulation of CSF in the ventricles.

21) Which assessment findings would the nurse note is a school-aged child with Duchenne muscular dystrophy? SATA

• Waddling gait, Gower Sign, Lordosis