FNP Pediatric Practice Questions

FNP Pediatric Practice Questions Related

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The physician orders cystoscopy and random biopsies of the bladder for a client who reports painless hematuria. Test results reveal carcinoma in situ in several bladder regions. To treat bladder cancer, the client will have a series of intravesical instillations of bacillus Calmette-Guerin (BCG), administered 1 week apart. When teaching the client about BCG, the nurse should mention that this drug commonly causes:

  • A. Renal calculi
  • B. Delayed ejaculation
  • C. Hematuria
  • D. Impotence
Correct Answer: C

Rationale: Bacillus Calmette-Guerin (BCG) is a form of immunotherapy used to treat bladder cancer by stimulating the immune system to attack cancer cells in the bladder. One of the common side effects of BCG therapy is hematuria, which is the presence of blood in the urine. This can be expected due to the irritation caused by the BCG instillations in the bladder lining. Hematuria is usually mild to moderate and can resolve on its own without specific treatment.

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An infant has been pronounced dead from sudden infant death syndrome (SIDS) in the emergency department. Which is an appropriate question to ask the parents?

  • A. "Did you hear the infant cry out?"
  • B. "Why didn't you check on the infant earlier?"
  • C. "What time did you find the infant?"
  • D. "Was the head buried in a blanket?"
Correct Answer: C

Rationale: This is an appropriate question to ask the parents because determining the time the infant was found is important for investigating the circumstances surrounding the sudden infant death syndrome (SIDS) event. Understanding the timeline can help healthcare providers gather valuable information to determine the cause of death and evaluate any potential contributing factors. This question also allows the healthcare team to better understand the sequence of events leading up to the tragic outcome and offer support to the grieving parents. Asking about the time the infant was found is non-accusatory and focuses on gathering relevant details for the medical evaluation.

At what age does an infant start to recognize familiar faces and objects, such as a feeding bottle?

  • A. 1 month
  • B. 2 months
  • C. 3 months
  • D. 4 months
Correct Answer: B

Rationale: At around 2 months of age, infants typically start to show signs of recognizing familiar faces and objects, such as a feeding bottle. At this stage, their vision and cognitive abilities have developed enough for them to begin differentiating and responding to familiar stimuli in their environment. This recognition is an important developmental milestone in an infant's early cognitive and social development.

The major pharmacologic action of albuterol sulfate (Proventil HFA) is:

  • A. decreasing airway reactivity.
  • B. decreasing inflammation and airway obstruction.
  • C. improving the action of cilia to sweep trapped mucous upward.
  • D. relaxing constricted bronchial smooth muscle.
Correct Answer: D

Rationale: Albuterol acts as a beta-2 agonist, relaxing bronchial smooth muscle to relieve airway constriction.

A child is brought to your clinic for a routine exam. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely:

  • A. 1 year
  • B. 2 years
  • C. 3 years
  • D. 4 years
Correct Answer: C

Rationale: At 3 years, children typically have the ability to dress with assistance, ride a tricycle, know their age, and speak in short sentences. Copying a square usually occurs later, around 4 years of age.

the vital sign that the nurse should most certainly check before administering digoxin is:

  • A. pulse rate
  • B. temperature
  • C. blood pressure
  • D. respiratory rate 99- coarctation of the aorta reflects which of the statements?
Correct Answer: A

Rationale: Before administering digoxin, it is crucial for the nurse to check the patient's pulse rate. Digoxin is a medication commonly used to treat heart conditions such as atrial fibrillation and heart failure by increasing the strength and efficiency of the heart's contractions. However, digoxin can also cause adverse effects such as bradycardia (slow heart rate) or heart block. Therefore, it is important to assess the patient's pulse rate to ensure that it is within the safe range before administering digoxin.

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