Tiêu đề EVAL EXAM - NORMAL PEDIA (KEY) ✅

TOP RANK REVIEW ACADEMY, INC. Page 2 | B. Obstruction of blood flow from the right ventricle C. Obstruction of blood from the left ventricle D. A single vessel arising from both ventricles (40) 16. Failure of the Foramen Ovale to close will cause what Congenital Heart Disease? A. Total anomalous Pulmunary Artery B. Atrial Septal defect C. Transposition of great arteries D. Pulmunary Stenosis 17. After birth, the newborn’s circulation converts from a fetal to a neonatal circulation. The nurse understands that the increase in the infant’s PO 2 causes which shunt to close? A. Foramen ovale B. Ductus arteriosus C. Ductus venosus D. Ventricular septum 18. Which of the following represents an effective nursing intervention to reduce cardiac demands and decrease cardiac workload? A. Scheduling care to provide for uninterrupted rest periods B. Developing and implementing a consistent plan of care C. Feeding the infant over long periods of time D. Allowing the infant to have her way to avoid conflict 19. Which of the following nursing interventions would be appropriate to promote optimal nutrition in an infant with congestive heart failure? A. Offering formula that is high in sodium and calories B. Providing large feedings evenly spaced every 4 hours C. Replacing regular nipples with easy-to-suck ones D. Allowing the infant to feed for at least 1 hour 20. Which of the following would the nurse do first for a 3-year old boy who arrives in the emergency room with a temperature of 105 degrees, inspiratory stridor, and restlessness, who is leaning forward and drooling? A. Auscultate his lungs and place him in a mist tent B. Have him lie down and rest after encouraging fluids C. Examine his throat and perform a throat culture D. Notify the physician immediately and prepare for intubation 21. (4) Which of the following respiratory conditions is always considered a medical emergency? A. Laryngotracheobronchitis B. Epiglottitis C. Asthma D. Acute nasopharyngitis 22. Epiglottitis, an inflammation of the epiglottis creates an emergency situation. This is: A. An autoimmune disorder B. Viral only in nature C. Caused only by bacteria D. Is bacterial and viral in nature 23. If the child has epiglottitis, the nurse should not attempt to do which of the following before an artificial airway is established? A. Give intravenous therapy to maintain hydration B. Administer oxygen C. Visualize the epiglottis using a tongue blade D. Give moist air to reduce epigiottal inflammation 24. A child in the emergency room is diagnosed with an acute episode of Croup (Acute lanryngothracheobronchitis).During the initial assessment, which of the following finding would the nurse expect to find? A. Diffuse expiratory wheezing B. inspiratory stridor with a brassy cough C. Decreased aeration in lung fields D. Shallow respirations 25. Croup is most likely to be caused by: A. H. Influenza B. Staphylococcus aureus C. parainfluenza virus D. Streptococcus 26. (1)A 2-year-old child is brought to the emergency department with suspected croup. Which of the following assessment findings reflects increasing respiratory distress? A. Intercostals retractions B. Bradycardia C. Decreased level of consciousness D. Flushed skin 27. Which of the following would the nurse keep in mind as a rationale for using a mist tent for the child with acute laryngotracheobronchitis? A. Provide 100% oxygen B. Liquefy secretions C. Warm the respiratory tract D. reverse isolation 28. For which of the following reasons would the nurse expect to institute intravenous fluid therapy and nothing by mouth (NPO) status for an infant with bronchiolitis? A. Tachypnea B. Fever C. Irritability D. Tachycardia 29. One of the primary nursing diagnoses for a child with chronic bronchitis is “ineffective airway clearance related to retained secretions,” plans to decrease retained secretions should include: A. Administering oxygen as ordered B. Placing the client in a high-Flower’s position C. Gargling periodically with warm normal saline D. Increasing fluid intake to at least 2,000 ml/day 30. A child with cystic fibrosis is hospitalized for a respiratory infection. Which documentation in the chart would indicate the need for counseling regarding nutrition and gastrointestinal complication? A. Frothy, foul-smelling stools B. Consumed 80 percent of breakfast C. Weight unchanged from yesterday. D. Eats three snacks every day. 31. 2 year-old child has just been diagnosed with cystic fibrosis. The child's father asks the nurse "What is our major concern now, and what will we have to deal with in the future?" Which of the following is the best response? A. "There is a probability of life-long complications." B. "Cystic fibrosis results in nutritional concerns that can be dealt with." C. "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis." D. "You will work with a team of experts and also have access to a support group that the family can attend." 32. The parent of a child with cystic fibrosis informs the nurse that they will be unable to perform postural drainage at home because their bed does not recline like the hospital bed. The nurse’s response is based on an understanding that: A. Postural drainage is essential to mobilize secretions in the airways so they can be coughed out. B. Postural drainage is not necessary as long as the child takes his pulmozyme to decrease the viscosity of the mucus. C. Postural drainage dose not influence the pulmonary status of a child with cystic fibrosis. D. The parents can be referred to the Cystic Fibrosis Foundation for a flexible bed. 33. The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along with a diet A. High in carbohydrates and proteins B. Low in carbohydrates and proteins C. High in carbohydrates, low in proteins D. Low in carbohydrates, high in proteins 34. Which test result is a key finding in the child with cystic fibrosis? A. Chest X-ray revealing interstitial fibrosis B. Neck X-ray showing areas of upper airways narrowing C. Lateral X-ray revealing an enlarged epiglottis D. Positive pilocarpine iontophoresis sweat test 35. Baby Ama, an infant of Chavez couple, who has cleft lip and palate is admitted for surgery. Nurse Maganda teaches the