NURS 371 Quiz Review questions with correct
answers
Please select all findings from the history and physical exam that suggest
the possibility of child maltreatment.
Mom's boyfriend did not come to the emergency department with them
Bruising in a 4 month old
Injuries in various stages of healing
Injuries inconsistent with developmental age
Mom has wrapped Alex in a blanket and is holding him close Correct
Answer-Bruising in a 4 month old
Injuries in various stages of healing
Injuries inconsistent with developmental age
Based on the NP exam finding, which diagnosis is most likely?
Findings: difficult to arouse, retinal hemorrhages, lethargy, several chest
bruises
Shaken baby syndrome (abusive head trauma) - retinal hemorrhages
suggest a contra coup brain injury
Meningitis - Alex is too young to be vaccinated
Dehydration - Alex hasn't eaten in almost 12 bourse
Anemia - Alex shouldn't bruise so easily Correct Answer-Shaken baby
syndrome (abusive head trauma) - retinal hemorrhages suggest a contra
coup brain injury
,Since the nurse suspects child maltreatment, a CPS report must be
completed. Which of the following is NOT necessary to include in the
report?
Alex's full name and DOB
Mom's full name and address
Size, shape, and location of Alex's bruising
Mom switched from breast milk to formula without telling pediatrician
Correct Answer-Mom switched from breast milk to formula without
telling pediatrician
Dylan, a 15 year old trans female, presents to the pediatric clinic asking
to be tested for STIs. She is accompanied by an older male who will not
leave her side and answers all the nurse's questions for Dylan. What
action should be the nurse's priority?
Check to make sure Dylan is up to date on her HPV vaccine
Find an opportunity to get Dylan alone and ask her if she's safe
Collect a urine sample for both a urinalysis and culture
Recommend that Dylan is also test for HIV Correct Answer-Find an
opportunity to get Dylan alone and ask her if she's safe
Categorize the below options to indicate which are characteristic of a
successful child maltreatment prevention program and which are not.
,Connecting families to community resources
Caregiver education
Threatening teen parents with taking away their children
Building strong social connections
Shaming caregivers
Taking away resources as punishment
Close nurse-family partnerships Correct Answer-Successful programs:
Connecting families to community resources
Caregiver education
Building strong social connections
Close nurse-family partnerships
Elsa is a 4 month old female with a history of prematurity (ex 34
weeker) who is exclusively breastfed. What is correct about Elsa's
nutritional needs? Select all that apply.
Elsa should be receiving vitamin D supplements
Elsa is at increased risk for iron deficiency anemia, and should start iron
fortified cereals by 4-6 months
Elsa will need less calories as a premature baby
Elsa requires extra fluids like water to avoid dehydration Correct
Answer-Elsa should be receiving vitamin D supplements
Elsa is at increased risk for iron deficiency anemia, and should start iron
fortified cereals by 4-6 months
, Match the correct information with the corresponding vaccine.
vaccines: MMR, HiB, Varicella, Flu vaccine
info:
Protects against haemophilus influenzae which can lead to meningitis,
epiglottitis, and other serious conditions during infancy
Because this is Elsa's first dose and she is under age 8, she will receive
another in 4 weeks
Protects against chickenpox; sometimes can see fever/rash following
administration
Protects against measles, mumps, and rubella; LIVE vaccine Correct
Answer-MMR: Protects against measles, mumps, and rubella; LIVE
vaccine
HiB: Protects against haemophilus influenzae which can lead to
meningitis, epiglottitis, and other serious conditions during infancy
Varicella: Protects against chickenpox; sometimes can see fever/rash
following administration
Flu vaccine: Because this is Elsa's first dose and she is under age 8, she
will receive another in 4 weeks
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