1106 Test 2

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1106 Test 2
2012-10-08 23:45:30

Chapter 25 and 31
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  1. An appropriate intervention for a child with bronchiolitis is:
    a.       isolation.
    b.      increased fluids.
    c.       antihistamines.
    d.      increased solids.
  2. What is the best liquid for the nurse to give to a child who has had a tonsillectomy?
    a.       Apple juice
    b.      Milk
    c.       Cola
    d.      Lemonade
  3. The nurse determines a parent understands diet teaching for a child with cystic fibrosis when she states the child should eat which type of diet food?
    a.       High calorie, high protein
    b.      High calorie, low protein
    c.       Low calorie, high protein
    d.      Low calorie, low protein
  4. The nurse places a child with croup in an environment of high humidity for which effect?
    a.       Decrease the possibility of dehydration
    b.      Decrease risk of spreading the infection
    c.       Decrease mucosal swelling
    d.      Decrease body temperature
  5. An appropriate nursing action when a child is suspected of having epiglottitis is to:
    a.       avoid examination of the pharynx.
    b.      collect a throat culture.
    c.       place the child on the right side.
    d.      institute isolation precautions.
  6. The nurse observes a child who had a tonsillectomy a few hours  earlier is swallowing frequently. What is the appropriate action for the nurse to take?
    a.       Offer the child a drink.
    b.      Reposition the child.
    c.       Give the child an analgesic.
    d.      Notify the physician.
  7. What information would be included in teaching plan for a child with asthma?
    a.       Avoid exercise and sports activities.
    b.      Keep house humidity above 50%.
    c.       Identify early signs of an asthma attack.
    d.      Decrease the amount of liquids taken after 6:00 pm.
  8. The nurse would expect the parent of an infant with croup to describe the infant's cough as:
    a.       dry.
    b.      barking.
    c.       productive.
    d.      quiet.
  9. Which medication is not useful when a child is experiencing an asthma attack?
    a.       Albuterol
    b.      Cromolyn sodium
    c.       Corticosteroids
    d.      Theophylline
  10. A 3-year-old boy was seen in the clinic by the pediatrician and diagnosed with pneumonia. Amoxicillin for 10 days was prescribed, with a follow-up visit in 2 weeks. Choose the priority parent teaching.
    a.       Avoid giving cough medication at naptime or bedtime.
    b.      Importance of taking all of the prescribed amoxicillin.
    c.       Maintain high humidity in the child's surroundings.
    d.      Room-temperature soft drinks enhance amoxicillin absorption.
  11. True/False
    The symptoms of diabetes mellitus appear more slowly in children.
  12. True/False
    Exercise lowers blood glucose levels.
  13. True/False
    Water intake should be limited for the child with diabetes insipidus.
  14. True/False
    Children with type 1 diabetes mellitus require special foods.
  15. True/False
    The child with type 1 diabetes mellitus is able to participate in almost allsports activities.
  16. True/False
    If left untreated, congenital hypothyroidism can result in mental retardation.
  17. True/False
    When mixing insulin, the nurse draws up the longer-acting insulin into the syringefirst.
  18. True/False
    Human insulin manufactured by biosynthesis is the treatment of choice for type Idiabetes mellitus.
  19. The "honeymoon period" after diagnosis of type 1 diabetes in the child may result in:
    a.       parental denial of child's need for lifetime insulin.
    b.      return of child's weight gain to the previous level.
    c.       brief period with no food restrictions needed.
    d.      more active exercise with increased insulin available.
  20. Children can usually give their own insulin injections after the age of:
    a.       7 years.
    b.      9 years.
    c.       11 years.
    d.      13 years.
  21. An initial sign of diabetes insipidus is:
    a.       polyphagia.
    b.      polydipsia.
    c.       excessive perspiration.
    d.      hyperglycemia.
  22. What is the best immediate food choice for the nurse to give to a child having an insulin reaction?
    a.       Orange juice
    b.      Unsalted crackers
    c.       Diet soda
    d.      Apple slices
  23. The nurse recognizes a sign of diabetic ketoacidosis is:
    a.       cold perspiration.
    b.      decreased heart rate.
    c.       deep, rapid respirations.
    d.      slurred speech.
  24. The most common concentration of insulin is:
    a.       U35 insulin.
    b.      U40 insulin.
    c.       U80 insulin.
    d.      U100 insulin.
  25. The nurse determines a parent understands teaching about hypoglycemia when he identified which as a cause of hypoglycemia in children?
    a.       Eating too much food
    b.      Using insufficient insulin
    c.       Gastrointestinal illness
    d.      Poorly planned exercise
  26. The nurse recognizes a child with type 1 diabetes mellitus is having an insulin reaction when which sign occurs?
    a.       Dry skin
    b.      Flushed face
    c.       Cold perspiration
    d.      Increased thirst
  27. Regular insulin is considered:
    a.       short-acting.
    b.      rapid-acting.
    c.       intermediate-acting.
    d.      long-acting.
  28. A characteristic common to type 1 diabetes mellitus is that it:
    a.       is more common in preschool-age children.
    b.      is often seen in obese individuals.
    c.       always requires insulin therapy.
    d.      has few blood sugar fluctuations.
  29. What information would the nurse include when speaking to expectant parents about Tay-Sachs disease?
    a.       One parent passes the disease to the child.
    b.      There is no known cause for this disease.
    c.       There is a positive outcome if diagnosed before age 6 months.
    d.      Carriers can be identified by a screening test.
  30. The nurse would teach a child with type 1 diabetes mellitus to check urine for acetone when he:
    a.       is exercising.
    b.      is sick.
    c.       eats meals.
    d.      has a growth spurt.
  31. The nurse would explain to parents that screening for hypothyroidism is done for all infants:
    a.       of high-risk families.
    b.      at 6 months of age.
    c.       at birth.
    d.      at 2 weeks of age.
  32. What information would the nurse include in teaching about thyroid hormone replacement for children with hypothyroidism?
    a.       It may cause excessive hair growth on the body.
    b.      Medication is continued for the duration of the child's life.
    c.       The full effect may not be reached for 3 months.
    d.      Signs of overdosage include lethargy and constipation.
  33. The nurse determines a parent of a child with diabetes insipidus requires additional teaching when she says a sign of water intoxication is:
    a.       polyuria.
    b.      edema.
    c.       nausea.
    d.      lethargy.
  34. The nurse teaching parents about type 2 diabetes mellitus would explain that it is associated with insulin:
    a.       overproduction.
    b.      sensitivity.
    c.       deficiency.
    d.      resistance.