Pediatric Nursing Practice Questions

Pediatric Nursing Practice Questions Related

Review Pediatric Nursing Practice Questions related questions and content

In a 28-year-old female client who is being successfully treated for Cushing syndrome, the nurse would expect a decline in:

  • A. serum glucose level.
  • B. bone mineralization.
  • C. hair loss
  • D. menstrual flow.
Correct Answer: D

Rationale: In a 28-year-old female client who is being successfully treated for Cushing syndrome, a decline in menstrual flow would be expected due to the normalization of the hormonal imbalances associated with Cushing syndrome. Cushing syndrome can lead to elevated levels of cortisol, which can disrupt the normal menstrual cycle by affecting the production of reproductive hormones. As treatment successfully addresses the underlying cause of the hormonal imbalance, such as surgery to remove the source of excessive cortisol production or medication to control cortisol levels, the menstrual cycle is likely to return to normal, resulting in a decline in menstrual flow. This improvement in menstrual regularity is a positive indicator of successful treatment for Cushing syndrome in female clients.

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You are meeting a couple who are going to adopt a 1-year-old girl; they are asking you about medical investigations that are needed for the child before adoption. Of the following, the LEAST likely required investigation for the adoption of this girl is

  • A. neonatal screening tests
  • B. immunization history
  • C. screening tests for sexually transmitted diseases
  • D. cognitive tests
Correct Answer: C

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

A parent of an infant with gastroesophageal reflux is being taught by a nurse. Which of the following instructions should the nurse include in the teaching?

  • A. Offer the infant feedings every 2 hours.
  • B. Position the infant upright after feedings.
  • C. Feed the infant thickened formula.
  • D. Place the infant in a prone position after feedings.
Correct Answer: B

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

Which of the ff. statements does the nurse understand is true concerning air conduction of sound in the ear?

  • A. It is caused by the vibration of bones in the skull.
  • B. It is less efficient than bone conduction.
  • C. It is heard longer than bone conduction.
  • D. It is caused by transmission of heat through the air.
Correct Answer: B

Rationale: Air conduction of sound in the ear involves the transmission of sound waves through the air from the outer ear canal to the middle ear, where they cause the tympanic membrane (eardrum) to vibrate. These vibrations are then transmitted through the ossicles (tiny bones in the middle ear) to the inner ear, where they ultimately stimulate the hair cells in the cochlea to create the auditory nerve impulses. While air conduction is the most common method of sound transmission, it is less efficient than bone conduction. Bone conduction is the transmission of sound vibrations directly to the inner ear through the bones in the skull. This method bypasses the outer and middle ear and is often more efficient in conducting sound, especially at higher frequencies or in individuals with hearing loss related to the outer or middle ear.

Heimlich maneuver is used for which of the following purposes:

  • A. Assessing if the child is breathing
  • B. Expelling a foreign body in an unconscious child
  • C. Chest compression in a large child
  • D. Opening the airway in possible cervical spine injury
Correct Answer: B

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

Which strategy is most likely to promote positive behavior in children?

  • A. Providing flexible instructions with no consequences
  • B. Limiting opportunities until the child performs adequately
  • C. Improving the child's competence and creating a positive environment
  • D. Setting strict rules with punishments for misbehavior
Correct Answer: C

Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.

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