Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

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Emil, just had a thyroidectomy this morning. Upon awakening, he complains of circumoral tingling, has a positive Chvostek's sign and positive Trousseau's sign. Nurse Ofel assesses this to be an indication of:

  • A. Overstimulation of the parathyroid hormone
  • B. Insufficient iodine intake
  • C. inadvertent removal of the parathyroid
  • D. Overuse of radioactive iodine gland
Correct Answer: A

Rationale: The symptoms Emil is experiencing, such as circumoral tingling, positive Chvostek's sign (facial muscle spasm when the facial nerve is tapped), and positive Trousseau's sign (carpal spasm when a blood pressure cuff is inflated), are characteristic signs of hypocalcemia. Hypocalcemia commonly occurs after thyroidectomy due to inadvertent damage or removal of the parathyroid glands. These glands regulate calcium levels in the body by secreting parathyroid hormone (PTH). Therefore, the symptoms Emil is exhibiting are likely due to the overstimulation of the parathyroid hormone in response to decreased calcium levels after the thyroidectomy. Insufficient iodine intake or overuse of radioactive iodine gland would not be the most likely explanations for his symptoms.

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A 2-year-old admitted 2 days ago is crying and inconsolable. The nurse tells the parents this is the:

  • A. Detachment phase of separation anxiety.
  • B. Despair stage of separation anxiety.
  • C. Bargaining stage of separation anxiety.
  • D. Protest stage of separation anxiety.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which of the following is TRUE regarding hepatitis A virus

  • A. Several serotypes have been recognized
  • B. Common source of outbreak is food and water contamination
  • C. Maternal-neonatal transmission is possible
  • D. Mainly occurs via hematogenous mode of transmission
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

During a well-baby visit, Liza asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?

  • A. Applesauce
  • B. Egg whites
  • C. Rice cereal
  • D. Yogurt
Correct Answer: C

Rationale: When introducing solid foods to an infant for the first time, rice cereal is generally recommended as it is mild, easy to digest, and less likely to cause food allergies compared to other foods. It is a good source of iron and a suitable first food for most infants. Introducing rice cereal as the first solid food also helps the baby get accustomed to a different texture and aids in their transition from a milk-only diet to solid foods. It is important to follow the guidance of healthcare professionals regarding the introduction of solid foods to infants to ensure they receive appropriate nutrition and avoid any potential digestive issues.

A 5-year-old comes to your office with 4 nontender, 2-cm, blue-red discolored nodules over both cheeks on the face. The day before, she was sledding down the local snow-covered hill. The most likely diagnosis is

  • A. panniculitis
  • B. facial cellulitis
  • C. thrombocytopenia purpura
  • D. Henoch-Schanlein purpura
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which menu choices for a child diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?

  • A. Carrots and green, leafy vegetables
  • B. Spaghetti and meat sauce with breadsticks
  • C. Hamburger on a bun and cherry gelatin
  • D. Chips, cold cuts, and canned foods
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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