A nurse in a well-child clinic is teaching parents about their child's immune system. Which statement by the nurse is correct? The immune system distinguishes and actively protects the body's own cells from foreign substances
The Center for Disease Control (CDC, 2009) recommendation for immunizing...
NUR 370 Peds Exam 3 Questions and
Correct Answers
A nurse in a well-child clinic is teaching parents about their child's immune system.
Which statement by the nurse is correct? ✅The immune system distinguishes and
actively protects the body's own cells from foreign substances
The Center for Disease Control (CDC, 2009) recommendation for immunizing infants
who are HIV positive is ✅Routine immunizations are administered; assess CD4+
counts before administering the MMR and varicella vaccinations
What is the most common mode of transmission of human immunodeficiency virus
(HIV) in the pediatric population? ✅Perinatal transmission
The nurse observes a red butterfly-shaped rash that spreads across the child's cheeks
and nose. This assessment finding is characteristic of which condition? ✅Systemic
lupus erythematosus (SLE)
Once an allergen is identified in a child with allergic rhinitis, the treatment of choice
about which to educate the parents is ✅Eliminating the allergen
What is an expected physical assessment finding for an adolescent with a diagnosis of
Hodgkin disease? ✅Enlarged, painless, firm cervical lymph nodes
Which statement, if made by a nurse to the parents of a child with leukemia, indicates
an understanding of teaching related to home care associated with the disease?
✅"Your son's temperature should be taken frequently."
What is an appropriate nursing action before surgery when caring for a child diagnosed
with a Wilms' tumor? ✅Do not palpate the abdomen
While completing an assessment on a 6-month-old infant, which finding should the
nurse recognize as a symptom of a brain tumor in an infant? ✅Increased head
circumference
Which clinical finding is an overt sign of retinoblastoma in children? ✅Whitish reflex in
the eye
An accurate description of anemia is ✅Decreased oxygen-carrying capacity of blood
What describes the pathologic changes of sickle cell anemia? ✅Increased red blood
cell destruction occurs
, The mother of a child with hemophilia asks the nurse how long her child will need to be
treated for hemophilia. What is the best response to this question? ✅"Hemophilia is a
lifelong blood disorder."
The nurse is admitting a child to the hospital for a cardiac workup. What is the first step
in a cardiac assessment? ✅History and inspection
When assessing a child for possible congenital heart defects (CHDs), where should the
nurse measure blood pressure? ✅All four extremities
What is an expected assessment finding in a child with coarctation of the aorta?
✅Disparity in blood pressure between the upper and lower extremities
Which statement suggests that a parent understands how to correctly administer
digoxin? ✅"I give the medicine at 8 in the morning and evening every day."
Nursing care for the child in congestive heart failure includes ✅Organizing care to
provide rest periods
The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is
the most serious complication for which the nurse should assess in Kawasaki disease?
✅Coronary aneurysm
The primary nursing intervention to prevent bacterial endocarditis is ✅Counsel parents
of high-risk children about prophylactic antibiotics
Why do infants and young children quickly have respiratory distress in acute and
chronic alterations of the respiratory system? ✅Mucus and edema obstruct small
airways
Which statement is characteristic of AOM? ✅It is treated with a broad range of
antibiotics
A 5-year-old child is brought to the emergency department with copious drooling and a
croaking sound on inspiration. Her mother states that the child is very agitated and only
wants to sit upright. What should be the nurse's first action in this situation? ✅Prepare
intubation equipment and call the physician
The nurse should implement which interventions for an infant experiencing apnea?
✅Stimulate the infant by gently tapping the foot
Have resuscitative equipment available
Maintain a neutral thermal environment
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