Essential of Pediatric Nursing Test Bank

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which of the following is a characteristic in a child with acute lymphocytic leukemia?

  • A. fatigability
  • B. persistent fever of unknown cause
  • C. tendency to bruise easily
  • D. all of the above are correct
Correct Answer: D

Rationale: Children with acute lymphocytic leukemia commonly present with a combination of symptoms which can include fatigability, persistent fever of unknown cause, and a tendency to bruise easily. Fatigue is a common complaint in children with leukemia due to anemia caused by decreased production of healthy red blood cells. Persistent fevers can be a sign of infection, anemia, or other complications related to leukemia. Additionally, children with leukemia may have a low platelet count, leading to easy bruising or bleeding tendencies. Therefore, all of the characteristics mentioned in the options are correct for a child with acute lymphocytic leukemia.

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When administering oxygen to a client, under which of the ff situations should the nurse discontinue the administration and notify the physician?

  • A. When the client's color does not improve
  • B. When the client level of consciousness decreases
  • C. When the client is in a state of respiratory arrest
  • D. When the client cannot effectively use the diaphragm
Correct Answer: C

Rationale: When a client is in a state of respiratory arrest, it means their breathing has stopped. This is a life-threatening emergency situation that requires immediate action. The nurse should discontinue administering oxygen and promptly notify the physician for further intervention, such as initiating CPR or advanced airway management. Prompt recognition and timely response to respiratory arrest are crucial in saving the client's life.

In fetal period, all are true EXCEPT

  • A. 10 weeks - midgut returns to abdomen
  • B. 12 weeks - external genitalia formed
  • C. 24 weeks - surfactant production begun
  • D. 26 weeks - face clearly recognizable
Correct Answer: D

Rationale: Face recognition typically occurs earlier than 26 weeks.

The age of a child who can imitate construction of gate with 2-4 parts; draws longer lines; and draws a man with 5 cubes is

  • A. 24 months
  • B. 30 months
  • C. 48 months
  • D. 54 months
Correct Answer: B

Rationale: These milestones are typically achieved around 30 months.

What is cellulitis often caused by?

  • A. Herpes zoster
  • B. Candida albicans
  • C. Human papillomavirus
  • D. Streptococcus or Staphylococcus organisms
Correct Answer: D

Rationale: Cellulitis is a common skin infection that is often caused by bacteria, primarily Streptococcus or Staphylococcus organisms. These bacteria typically enter the skin through a crack or break, such as a cut, insect bite, or scratch. Once inside the skin, they can cause inflammation and infection, leading to symptoms such as redness, warmth, swelling, and tenderness in the affected area. Prompt treatment with antibiotics is essential to clear the infection and prevent complications.

An adolescent with new-onset diabetes is struggling with 'daytime accidents.' What is this condition called?

  • A. Primary enuresis.
  • B. Secondary enuresis.
  • C. Diurnal enuresis.
  • D. Nocturnal enuresis.
Correct Answer: C

Rationale: Secondary enuresis is the recurrence of incontinence in a child who had previously achieved bladder control.

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