Title EVAL EXAM - AB PEDIA (KEY) ✅

REFRESHER PHASE EVALUATIVE EXAMINATION PEDIATRIC NURSING ( ABNORMAL) NOVEMBER 2024 Philippine Nurse Licensure Examination Review Situation: Nurse Meong is hired to at Toprank Medical Center Sampaloc Branch where is assigned as a staff nurse in their Pediatric Ward. The complexities of Pediatric Nursing Concepts tested his knowledge and skills in taking care of children with various congenital disorders. 1.A Patient is to undergo Guthrie test. The nurse should instruct client to have which of the following the day before the test? a. Nothing per orem b. High CHON diet c. High Gluten Diet d. Increase fluid intake 2. An amniocentesis done at the first trimester of pregnancy is usually to detect: a. Fetal cord compression b. Neural Tube Defect c. Maturity of fetal lung d. Neural Tube Defect 3. Effect of cystic fibrosis to male babies includes: a. sterility b. infertility c. Testosterone surge d. BPH 4. Nurse must recognize that the short term complication of spina bifida is? a. Hydrocephalus b. Meningitis c. Learning disabilities d. Mental retardation 5. (+)Brudzinski sign is best elicited by: a. Passively flexing the neck while patient lies prone results to flexion of knees. b. Passively flexing the neck while patient lies supine results to flexion of knees. c. Passively flexing the neck while patient lies to side results to flexion of knees. d. Passively flexing the neck while patient lies prone results to extension of knees. 6. Foods high in gluten includes the following except: a. Pizza b. Corn c. Wheat d. Spaghetti 7. All of the following except one are hallmark signs of nephrotic syndrome: a. Hypoproteinemia b. Hypercholesterolemia c. EDEMA d. Hypertension 8. Nurse must recognize that the long term complication of spina bifida is? a. Hydrocephalus b. Meningitis c. Learning disabilities d. Mental retardation 9. Hyperhemolytic crisis results from deficiency in? a. Amino acid b. Folate c. G-6-PD d. Oxygen 10. To promote healthy teeth in a 2-yr old child, the nurse should: a. Teach child tooth brushing b. Encourage parents to provide tooth cleaning c. Set-up dental opportunities d. Teach children to rinse their mouth 11. Hemophilia is a bleeding disorder involving: a. Father as the carrier b. Mother as the one manifesting the disease c. Mother passing the carrier state to the son d. Mother passing the carrier state to the daughter 12. The nurse knows that IgA is an immunoglobulin present in all these body fluids except: a. Sweat b. Tears c. Colostrum d. Saliva 13. Rosalka a healthy female fell in love and married Mark, a hemophiliac. If they will bear children, how many percent of their female offspring having tendency to inherit the carrier state of the disease? a. 25% b. 50% c. 75% d. 100% 14. The characteristic murmur in pulmonic stenosis is located: a. Bruit on 2ND ICS to the left b. Bruit on 2-3rd ICS to the right c. Bruit on the 5th ISC on the left d. Bruit on 5th ICS to the right 15. A school-age child experiences the following signs and symptoms of rheumatic fever. The nurse should plan any interventions based on the knowledge that only one may result in permanent damage is: a. Sydenham’s chorea TOP RANK REVIEW ACADEMY, INC. Page 1 | 3
b. Migratory polyarthritis c. Carditis d. Erythema marginatum 16. Complete repair of Transposition of the Great Vessel is: a. Jatene Procedure b. Blalock -Taussig Procedure c. Down’s Procedure d. Ren Procedure 17. If the child is having epiglottitis the nurse must remember that: a. Eliciting gag reflex is avoided b. There is no fever involve c. Larynx is involve she must plan to manage aphonia d. No need for intubation 18. A 5-year-old with suspected epiglottitis has just been admitted to the pediatric unit. His temperature is 102 degrees F. He has difficulty swallowing, and has respiratory stridor. The most important immediate intervention is to: a. Check the mouth for gag reflex b. Sit the child in an upright position c. Monitor vital signs d. Give the child sips of ice water 19. Which one behavior should the nurse expect in a 3-yr old to be capable of demonstrating? a. Climbs in stairs with alternate step b. Climbs in stairs one foot at a time c. Plays rattle d. Rolls over from back to abdomen 20. Baby Jacob has coarctation of the aorta. When taking the vital signs of this child, which of the following vital sign assessment would the nurse expect to observe? a. Weak and thready radial pulses b. Absence of palpable femoral pulses c. Elevated blood pressure d. Low body temperature 21. A mother with gestational diabetes mellitus gave birth to a baby boy. As the nurse does newborn care, she is aware that all of the following manifestations may be present to the newborn. SELECT ALL THAT APPLY. 1. Macrosomnia 2. Small for gestational age 3. Hyperglycemia 4. Hypoglycemia 5. Hypocalcemia 6. Fever a. 1,4 b. 1,4,5,6 c. 1,3,5 d. 1,4,5 22. The infant of a substance-abusing mother is at risk for developing a sense of which of the following? a. Mistrust b. Shame c. Guilt d. Inferiority 23. All are characteristics of a three year old child, except: a. climbs stairs, stepping one foot at a time b. feeds himself properly c. unbutton shirt d. endless questioning 24. A child’s birth weight is expected to be 6x on what age? a. 1 year old b. 5 years old c. 10 years old d. 2 years old 25. Using the formula on dentition, a child who is 15 months of age is expected to have how many teeth? a. five b. seven c, eight d. nine 26. Honesto is experiencing convulsion. It is essential that the nurse employ measures that will decrease the frequency and severity of convulsions. Which action will not address this problem? a. Place the client near the nurse station for close monitoring b. Keep the room quiet c. Keep the patient’s room dark d. Warn the visitors not to overly stimulate the patient 27. Which among the following is not classified as acyanotic heart defect? A. Tetralogy of Fallot B. PDA C. VSD D. ASD 28. The most common sight for bleeding in hemophilia is? A. Eyes B. Abdomen C. Joints D. Skin 29. The characteristic murmur in pulmonic stenosis is located: A. Bruit on 2ND ICS to the left B. Bruit on 2-3rd ICS to the right C. Bruit on the 5th ISC on the left D. Bruit on 5th ICS to the right 30. The characteristic murmur in aortic stenosis is located: A. Bruit on 2-3rd ICS to the left B. Bruit on 2ND ICS to the right C. Bruit on the 5th ISC on the left D. Bruit on 5th ICS to the right 31. Complete repair of Transposition of the Great Vessel is: A. Jatene Procedure B. Blalock Procedure C. Down’s Procedure D. Ren Procedure 32. Best diagnostic test for Intussuception is? A. Barium Enema B. Angiogram C. X-ray D. Doudenal Acidity Test 33. Best sign in determining KAWASAKI disease is? A. Berry Tongue B. L-R Shunting C. R-L Shunting D. High/Constant Fever 34. The 2 most common type of accidents among infants are: A. Accident and falls B. Malaria and Dengue Fever C. Dengue and Kawasaki Disease D. Tetralogy of Fallot 35. If the child is having epiglottitis the nurse must remember that: A. Eliciting gag reflex is avoided TOP RANK REVIEW ACADEMY, INC. Page 2 | 3
B. There is no fever involve C. There is no inflammation involve D. No need for intubation 36. Before administering an injectable medication, as nurse you’ve learned that the proper injection site for infants is at: A. vastus lateralis B. gluteal area C. deltoid D. rectus femoris 37. In cystic fibrosis, the sweat chloride test is expected to be: A. Decreased B. Lofty C. Plummeted D. Normal 38. Which of the following is appropriate for the safety of the client with ADHD while playing? A. padded toy B. parents should play with child C. provide sleeping D. give Demerol 39. Nurse Lester is caring for a patient with status epilepticus. Which nursing intervention is most appropriate for the client? A. IV injection B. IM Demerol C. give O2 D. put tongue depressor/blade 40. The reason why to prick and not to inject or puncture in done in obtaining blood for NBS? A. prevent damage of tissue B. prevent damage of blood vessels C. prevent bone damage D. prevent muscle damage 41. There are a lot of fruits in the market. What type of fruits may help the client with hyperactivity A. Marang and durian, B. Apples and grapes, C. Guava and atis, D. Banana and papaya 42. The nurse is to take the blood specimen for NBS. The nurse should take the blood specimen from the newborns: a. Umbilicus b. Heel c. Fingers d. Brachial area 43. Mella, a mother of a 6-year-old child having chicken pox asked the CHN nurse how to minimize itchiness. What would be the most appropriate nursing intervention for the itchiness in patients with chicken pox? A. calamine lotion B. talcum powder C. baking soda D. 70% alcohol 44. While admitting an infant, the nurse notes that which one is classic of a client with Hirschprung’s Disease? A. Olive shape mass B. Projectile vomiting C. Bile stained vomitus D. Diarhhea 45. The characteristic stool of a client with intussusception is: A. Black saffron B. Currant jelly-like C. Musty odor D. Bloody 46. The characteristic mass in a client with intussusception is: A. Olive-shaped mass in LLQ B. Olive-shaped mass in RUQ C. Sausage-shaped mass in RUQ D. Sausage-shaped mass in LUQ 47. Classic sign of hemophilia is: A. Epistaxis B. Nose bleeding C. Spontaneous hematuria D. Easy bruising 48. In Sickle Turbidity Test, blood is considered sickled if the result is: A. Turbid B. Bluish C. Cherry red D. Cyanotic 49. Cystic Fibrosis can result to multiple system disorder. As a nurse, which is your priority? A. Decrease fertility B. Thick Bronchial Secretions C. Sterility in Males D. Meconium Ileus 50. A child is diagnosed with celiac disease. Which of the following foods will you give the child? A. Rice oatmeal B. Rice C. Peanut Butter Sandwich D. Wheat bread TOP RANK REVIEW ACADEMY, INC. Page 3 | 3