Peds Exam 2 NCLEX Questions

Peds Exam 2 NCLEX Questions 4.0 (1 review) Students also studied Terms in this set (28) Science MedicinePaediatrics Save Peds Exam 1 NCLEX style questions 37 terms alanna_buonanno Preview the child with a cardiovascular disor...26 terms Amanda_Armstrong12 Preview

EXAM 2: RHEUMATIC FEVER AND H...

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Exam 1:

14 terms dan A 12-year-old child is in the urgent care clinic with a complaint of fever, headache, and sore throat. A diagnosis of group A beta-hemolytic streptococcus (GABHS) pharyngitis is established with a rapid-strep test, and oral penicillin is prescribed. The nurse knows which of the following statements about GABHS is correct?

• Children with a GABHS infection are less likely to

contract the illness again after the antibiotic regimen is completed.

• A follow-up throat culture is recommended following

the completion of antibiotic therapy.

• Children with a GABHS infection are at increased risk

for the development of rheumatic fever (RF) and glomerulonephritis.

• Children with a GABHS infection are at increased risk

for the development of rheumatoid arthritis in adulthood.

• Children with GABHS infection are at increased risk for the development of

rheumatic fever (RF) and glomerulonephritis

A 5-year-old is recovering from a tonsillectomy and adenoidectomy and is being discharged home with his mother. Home care instructions should include which of the following? Select all that apply.

• Observe the child for continuous swallowing.
• Encourage the child to take sips of cool, clear liquids.
• Administer codeine elixir as necessary for throat pain.
• Observe the child for restlessness or difficulty

breathing.

• Encourage the child to cough every 4 to 5 hours to

prevent pneumonia.

• Administer an analgesic such as acetaminophen for

pain.

• Observe the child for continuous swallowing
• Encourage the child to take sips of cool, clear liquids
• Observe child for restlessness or difficulty breathing
• Administer an analgesic such as acetaminophen for pain

A 3-month-old infant is seen in the clinic with the

following symptoms: irritability, crying, refusal to nurse

for more than 2 to 3 minutes, rhinitis, and a rectal temperature of 101.8° F (38.8° C). The labor, delivery, and postpartum history for this term infant is unremarkable.

The nurse anticipates a diagnosis of:

• Acute otitis media (AOM)
• Otitis media with effusion (OME)
• Otitis externa
• Respiratory syncytial virus (RSV)
• Acute Otitis Media (AOM)

A 5-year-old is seen in the urgent care clinic with the

following history and symptoms: sudden onset of severe

sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2° F (39.0° C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on these symptoms and history, the nurse anticipates a diagnosis

of:

• Group A beta-hemolytic streptococcus (GABHS)

pharyngitis

• Acute tracheitis
• Acute epiglottitis
• Acute laryngotracheobronchitis (LTB)
• Acute epiglottis

A 2-month-old formerly healthy infant born at term is seen in the urgent care clinic with intercostal retractions, respiratory rate of 62, heart rate of 128, refusal to breastfeed, abundant nasal secretions, and a pulse oximeter reading of 88% in room air. The diagnosis of respiratory syncytial virus (RSV) is made, and a bronchodilator is administered. The infant's oxygen saturation (SaO2) remains 95% in room air, and the respiratory rate is 54, with intercostal retractions; heart rate is 120 bpm. After 2 hours of observation and an intravenous (IV) bolus of fluids, the infant is being discharged home. The nurse provides which of the following home care instructions for this infant? Select all that apply.

• Continue breastfeeding infant.
• Discontinue breastfeeding and administer Pedialyte for

24 hours.

• Observe infant for labored breathing or apnea

(cessation of breathing).

• Instill normal saline drops in both nares and suction

thoroughly before feeding and before placing to sleep.

• Place infant to sleep on his side with the head of bed

slightly elevated to facilitate breathing.

• Keep the infant out of daycare or nursery.
• Continue breastfeeding infant
• Observe infant for labored breathing or apnea (cessation of breahting)
• Instill normal saline drops in both nares and suction thoroughly before feeding

and before placing to sleep

• Keep the infant out of daycare or nursery

Which of the following should be used in the care of all pediatric patients to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection?

• Transmission-based precautions
• Airborne precautions
• Standard precautions
• Droplet precautions
• Standard Precautions

Which childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneumonia?

• Hib vaccine
• Hepatitis B vaccine
• Varicella vaccine
• Influenza vaccine
• Hib vaccine

Which vaccine do the Advisory Committee on Immunization Practices (Centers for Disease Control and Prevention) and American College of Obstetricians and Gynecologists recommend that pregnant adolescents and women who are not protected against pertussis receive optimally between 27 and 36 weeks gestation or postpartum prior to discharge from the hospital?

• DTaP
• Td
• IPV
• Tdap
• Tdap

Which childhood vaccine provides protection against streptococcal infections, such as otitis media, sinusitis, and pneumonia?

• Rotavirus vaccine
• Hib vaccine
• Pneumococcal vaccine
• MMR vaccine
• Pneumococcal vaccine

One of the most common intestinal parasitic pathogens in the United States acquired from a contaminated water

source such as a lake or swimming pool is:

• Tinea capitis
• Giardia intestinalis
• Pediculosis capitis
• Enterobiasis
• Giardia intestinalis

A 9-year-old child in the emergency department is diagnosed with Lyme disease. The nurse anticipates that the health care personnel orders will include the

administration of:

• Cefotaxime
• Aqueous penicillin
• Doxycycline
• Trimethoprim-sulfamethoxazole
• Doxycycline

Vitamin A may be administered in significant amounts to children with this childhood communicable illness to

decrease morbidity and mortality:

• Pertussis
• Varicella
• Rubella
• Measles
• Measles