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nur 230 peds exam 1

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 16 pages. Originally published on StudyMerit.

Pages
16
Academic year
2025/2026
Language
English

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PEDS EXAM 1 LEGEND: correct ; maybe ; incorrect 1. The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child’s spasticity. The nurse’s response should be based on which of the following? a. Many different medications can be highly effective in controlling spasticity b. Anti coagulant medications are sometimes useful for controlling spasticity c. Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity may be helpful for some children d. Medications that would be useful in reducing spasticity ar e too toxic for use with children 2. The nurse is developing a teaching plan to educate the parents of an infant with cleft lip and cleft palate regarding the feeding challenges of their infant. Which teaching interventions should be included? (SATA) a. A spe cial bottle is necessary such as the Special Needs Feeder (formerly Haberman) b. Burp (bubble) the infant frequently c. Breast feeding is encouraged d. Special formula will be necessary e. Infant should be positioned upright during feeds 3. A child with autism spectrum disorder (ASD) is admitted to the hospital with pneumonia. The nurse should plan which priority intervention when caring for the child? a. Take the child frequently to the playroom to pay with other children b. Place the child in a room with a roommate of the s ame age c. Maintain a structured routine and keep stimulation to a minimum d. Maintain frequent touch and eye contact with the child 4. Which assessment findings indicate to the nurse a child has Down syndrome? (SATA) a. Depressed nasal bridge b. Transverse palmar crease c. Long, slender fingers d. Hypertonic muscle tone e. Protruding tongue * * *

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5. A 3 - year - old female is admitted to the hospital with asthma. The nurse is trying to work with the child on breathing exercises to increase her expiratory phase. What should the nurse have the child do? a. Use an incentive spirometer b. Take several deep breaths c. Blow a pinwheel d. Breathe into a paper bag 6. The nurse recommends boy scouts as an activity that will promote a particular stage of development. Based on what you know regarding g rowth and development, which stage of Erikson’s “psychological stages of development” is the child in? a. Industry versus inferiority b. Initiative versus guilt c. Trust versus mistrust d. Identity versus role confusion 7. What is the best nursing response to the parent of a child with asthma who asks if his child can still participate in sports? a. “Avoid swimming because breathing underwater is dangerous for people with asthma” b. “Children with asthma are usually restricted from physical activities” c. “Even with good a sthma control, I would advise limiting the child to one athletic activity per school year” d. “ Children can usually play any type of sport if their asthma is well controlled” 8. A mother calls the clinic to report that her son has recently started medication to treat attention deficit hyperactivity disorder (ADHD). The mother fears her son is experiencing side effects of the medication. Which of the following side effects are typically related to medications used for ADHD? a. Poor appetite b. Frequency of urination c. W eight gain d. Sedation e. Insomnia 9. What should the nurse keep in mind when planning to communicate with a child who has autism? f. Agitation * * D *

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a. The child has normal verbal communication b. The child is not listening if she is not looking at the nurse c. The child is expected to use sign language d. The child may exhibit monotone speech and echolalia 10. The nurse is assessing a 10 - month - old infant during a checkup. Which developmental milestones would the nurse expect the infant to display? (SATA) a. Holding the head erect b. Demonstrating good bowel and bladder control c. Sitting on a firm surface without support d. Displays object permanence e. Walking alone f. Self feeding with a spoon and fork 11. Which intervention is most likely to be helpful when caring for an infant hospitalized with inorganic failure to thrive? a. Provide parents with literature on infant nutrition b. Assign different nurses each day so the infant does not become attached to the nurse c. Model appropriate parenting behaviors when caring for the infant d. Restrict the parents’ co ntact with the infant during feedings 12. When introducing hospital equipment to a preschooler who seems afraid, the nurse’s approach should be based on which principle? a. The child is too young to understand what the equipment does b. One brief explanation is en ough to reduce the child’s fears c. Explaining the equipment will only increase the child’s fear d. The child may think the equipment is alive 13. Which of the following are components of family - centered care? (SATA) a. Recognizes family strengths b. Recognizes that the family is the constant in the child’s life c. Encourages family dependence on health care system d. Reduces effect of culture diversity on the family e. Avoids expecting families to be part of the decision - making process * * *

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