Test Bank for Wong’s Essentials of Pediatric Nursing, 10th Edition – Test Bank Sample Here: |
a. | Nursing process |
b. | Epidemiologic process |
c. | Community-based statistics |
d. | Mortality and morbidity statistics |
a. | A lesion that is elevated, palpable, firm, and circumscribed; less than 1 cm in diameter |
b. | A lesion that is elevated, flat-topped, firm, rough, and superficial; greater than 1 cm in diameter |
c. | An elevated lesion, firm, circumscribed, palpable; 1 to 2 cm in diameter |
d. | An elevated lesion, circumscribed, filled with serous fluid; less than 1 cm in diameter |
a. | Cyst |
b. | Papule |
c. | Pustule |
d. | Vesicle |
a. | Flat, nonpalpable, and irregularly shaped lesion that is greater than 1 cm in diameter |
b. | Heaped-up keratinized cells, flaky exfoliation, irregular, thick or thin, dry or oily, varied in size |
c. | Flat, brown mole less than 1 cm in diameter |
d. | Elevated, flat-topped, firm, rough, superficial papule greater than 1 cm in diameter |
a. | Apply topical corticosteroids to decrease inflammation. |
b. | Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris. |
c. | Carefully wash hands and maintain cleanliness when caring for an infected child. |
d. | Examine child under a Wood lamp for possible spread of lesions. |
a. | There will be no scarring. |
b. | There may be some pigmented spots. |
c. | It is likely there will be some slightly depressed scars. |
d. | There will be some atrophic white scars. |
a. | Herpes zoster |
b. | Candidaalbicans |
c. | Human papillomavirus |
d. | Streptococcus or Staphylococcus organisms |
a. | Cellulitis |
b. | Folliculitis |
c. | Impetigo contagiosa |
d. | Staphylococcal scalded skin |
a. | Bacteria |
b. | Fungus |
c. | Parasite |
d. | Virus |
a. | Vaccination |
b. | Local destruction |
c. | Corticosteroids |
d. | Specific antibiotic therapy |
a. | sympathetic nerve fibers. |
b. | parasympathetic nerve fibers. |
c. | posterior root ganglia and posterior horn of the spinal cord. |
d. | lateral and dorsal columns of the spinal cord. |
a. | Corticosteroids |
b. | Oral griseofulvin |
c. | Oral antiviral agent |
d. | Topical and/or systemic antibiotic |
a. | Virus |
b. | Fungus |
c. | Allergic reaction |
d. | Bacterial infection |
a. | Administering oral griseofulvin |
b. | Administering topical or oral antibiotics |
c. | Applying topical sulfonamides |
d. | Applying Burow solution compresses to affected area |
a. | Poison ivy does not itch and needs further investigation. |
b. | Scratching the lesions will not cause a problem. |
c. | Scratching the lesions will cause the poison ivy to spread. |
d. | Scratching the lesions may cause them to become secondarily infected. |
a. | Edema |
b. | Redness |
c. | Pruritus |
d. | Maceration |
a. | Itching |
b. | Vesicles |
c. | Scalp rash |
d. | Localized inflammatory response |
a. | “You will need to cut the hair shorter if infestation and nits are severe.” |
b. | “You can distinguish viable from nonviable nits, and remove all viable ones.” |
c. | “You can wash all nits out of hair with a regular shampoo.” |
d. | “You will need to remove nits with an extra-fine-tooth comb or tweezers.” |
a. | Flea |
b. | Tick |
c. | Mosquito |
d. | Mouse or rat |
a. | Difficult to prevent |
b. | Treated with oral antibiotics in stages 1, 2, and 3 |
c. | Caused by a spirochete that enters the skin through a tick bite |
d. | Common in geographic areas where the soil contains the mycotic spores that cause the disease |
a. | Impetigo |
b. | Candida albicans |
c. | Urine and feces |
d. | Infrequent diapering |
a. |
b. |
c. |
d. |
a. | mumps. |
b. | chickenpox. |
c. | exanthema subitum (roseola). |
d. | erythema infectiosum (fifth disease). |
a. | minimize scarring. |
b. | decrease the number of lesions. |
c. | prevent aplastic anemia. |
d. | prevent spread of the disease. |
a. | Reassure the parent that it is not necessary to stay home with the child. |
b. | Explain that no medication will shorten the course of the illness. |
c. | Explain the advantages of the medication acyclovir (Zovirax) to treat chickenpox. |
d. | Explain the advantages of the medication VCZ immune globulin (VariZIG) to treat chickenpox. |
a. | Acyclovir (Zovirax) |
b. | Varicella globulin |
c. | Diphenhydramine hydrochloride (Benadryl) |
d. | VCZ immune globulin (VariZIG) |
a. | Mumps |
b. | Rubella |
c. | Measles (rubeola) |
d. | Erythema infectiosum |
a. | When fever is absent |
b. | When lesions are crusted |
c. | 24 hours after lesions erupt |
d. | 8 days after onset of illness |
a. | Rubella |
b. | Measles (rubeola) |
c. | Chickenpox (varicella) |
d. | Exanthema subitum (roseola) |
a. | Erythema infectiosum |
b. | Roseola |
c. | Rubeola |
d. | Rubella |
a. | Enteroviruses |
b. | Corynebacterium organisms |
c. | Scarlet fever virus |
d. | Group A b-hemolytic streptococci (GABHS) |
a. | viral conjunctivitis. |
b. | allergic conjunctivitis. |
c. | bacterial conjunctivitis. |
d. | conjunctivitis caused by foreign body. |
a. | Apply topical anesthetics before eating. |
b. | Drink from a cup, not a straw. |
c. | Wait to brush teeth until lesions are sufficiently healed. |
d. | Explain to parents how this is sexually transmitted. |
a. | Lower gastrointestinal (GI) series |
b. | Three stool specimens, at intervals of 4 days |
c. | Observation for presence of worms after child defecates |
d. | Laboratory examination of a fecal smear |
a. |
b. |
c. |
d. |
a. | Metronidazole (Flagyl) |
b. | Amoxicillin clavulanate (Augmentin) |
c. | Clarithromycin (Biaxin) |
d. | Prednisone (Orapred) |
a. | This cannot be prevented. |
b. | Infants do not feel pain as adults do. |
c. | This is not a good reason for refusing immunizations. |
d. | A topical anesthetic, EMLA, can be applied before injections are given. |
a. | Dryclean nonwashable items. |
b. | Spray the environment with an insecticide. |
c. | Seal nonwashable items in a plastic bag for 5 days. |
d. | Boil combs and brushes for 10 minutes. |
e. | Discourage sharing of personal items. |
a. | Measles, mumps, and rubella (MMR) |
b. | Rotavirus (RV) |
c. | Diphtheria, tetanus, pertussis (DTaP) |
d. | Varicella |
e. | Haemophilus influenzae type b (HIB) |
f. | Inactivated poliovirus (IPV) |
a. | Closure of fetal shunts in the heart |
b. | Stabilization of fluid and electrolytes |
c. | Body-temperature maintenance |
d. | Onset of breathing |
a. | Provides ready source of calories in the newborn period |
b. | Insulates the body against lowered environmental temperature |
c. | Protects the newborn from injury during the birth process |
d. | Generates heat for distribution to other parts of body |
a. | Stomach capacity is approximately 90 ml. |
b. | Peristaltic waves are relatively slow. |
c. | Overproduction of pancreatic amylase occurs. |
d. | Intestines are shorter in relation to body size. |
a. | Meconium |
b. | Transitional |
c. | Miliaria |
d. | Milk stool |
a. | 6 to 8 |
b. | 8 to 12 |
c. | 12 to 24 |
d. | 24 to 48 |
a. | Ciliary muscles are mature. |
b. | Blink reflex is absent. |
c. | Tear glands function. |
d. | Pupils react to light. |
a. | Resuscitation is likely to be needed. |
b. | Adjustment to extrauterine life is adequate. |
c. | Additional scoring in 5 more minutes is needed. |
d. | Maternal sedation or analgesia contributed to the low score. |
a. | The newborn’s length and weight are the most accurate indicators of gestational age. |
b. | The newborn’s Apgar score and the mother’s estimated date of confinement (EDC) are combined to determine gestational age. |
c. | The newborn’s posture at rest and arm recoil are two physical signs used to determine gestational age. |
d. | The newborn’s chest circumference compared to the head circumference is the determinant for gestational age. |
a. | Recommend supplemental feedings of formula. |
b. | Explain that this weight loss is within normal limits. |
c. | Assess child further to determine cause of excessive weight loss. |
d. | Encourage mother to express breast milk for bottle feeding the newborn. |
a. | They are inaccurate. |
b. | They do not reflect core body temperature. |
c. | They can cause perforation of rectal mucosa. |
d. | They take too long to obtain an accurate reading. |
a. | 60 to 80 beats/min |
b. | 80 to 100 beats/min |
c. | 120 to 140 beats/min |
d. | 160 to 180 beats/min |
a. | Circle |
b. | Triangle |
c. | Square |
d. | Diamond |
a. | Frontal |
b. | Coronal |
c. | Sagittal |
d. | Occipital |
a. | congenital cataracts. |
b. | lack of binocularity. |
c. | absence of red reflex. |
d. | inability of pupil to react to light. |
a. | Irregular, abdominal, 30 to 60 breaths/min |
b. | Regular, abdominal, 25 to 35 breaths/min |
c. | Regular, noisy, 35 to 45 breaths/min |
d. | Irregular, quiet, 45 to 55 breaths/min |
a. | normal finding. |
b. | hydrocele. |
c. | absence of testes. |
d. | inguinal hernia. |
a. | Perez |
b. | Sucking |
c. | Rooting |
d. | Extrusion |
a. | It begins when the newborn awakes from a deep sleep. |
b. | It ends when the amount of respiratory mucus has decreased. |
c. | It is an excellent time to acquaint the parents with the newborn. |
d. | It is an excellent time for mother to sleep and recover. |
a. | Examine newborn’s eyes for ability to focus. |
b. | Assess for other attachment behaviors. |
c. | Recognize this as a common reaction in new mothers. |
d. | Ask mother why she won’t look at newborn. |
a. | Miliaria |
b. | Meconium |
c. | Amniotic fluid |
d. | Vernix caseosa |
a. | Milia |
b. | Lanugo |
c. | Mongolian spots |
d. | Cutis marmorata |
a. | Feet and hands |
b. | Bridge of nose |
c. | Circumoral area |
d. | Mucous membranes |
a. | Acrocyanosis |
b. | Erythema toxicum |
c. | Mongolian spots |
d. | Harlequin color changes |
a. | nasal occlusion. |
b. | sign of respiratory distress. |
c. | common response to sneezing. |
d. | snuffles of congenital syphilis. |
a. | Nystagmus |
b. | Profuse drooling |
c. | Dark green or black stools |
d. | Slight vaginal reddish discharge |
a. | Maintain patent airway. |
b. | Maintain stable body temperature. |
c. | Administer prophylactic eye care. |
d. | Establish identification of mother and baby. |
a. | radiation. |
b. | conduction. |
c. | convection. |
d. | evaporation. |
a. | prevent bleeding. |
b. | enhance immune response. |
c. | prevent bacterial infection. |
d. | maintain nutritional status. |
a. | Deltoid |
b. | Dorsogluteal |
c. | Vastus medialis |
d. | Vastus lateralis |
a. | First dose is given between birth and age 2 days. |
b. | First dose is given between ages 12 and 15 months. |
c. | It is not recommended for neonates who are at low risk for hepatitis B. |
d. | It is not recommended for neonates whose mothers are positive for HBV surface antigen. |
a. | Daily with mild soap |
b. | Daily with an alkaline soap |
c. | Two or three times this week with plain water |
d. | Two or three times this week with mild soap |
a. | 3 |
b. | 10 to 14 |
c. | 16 to 20 |
d. | 28 |
a. | Experience pain with circumcision |
b. | Do not experience pain with circumcision |
c. | Quickly forget about the pain of circumcision |
d. | Are too young for anesthesia or analgesia |
a. | The newborn voids |
b. | Receiving vitamin K |
c. | Yellow exudate forms over glans |
d. | The Plastibell rim falls off |
a. | Exclusive breastfeeding until age 2 months. |
b. | Exclusive breastfeeding until age 6 months. |
c. | Commercially prepared newborn formula for 1 year. |
d. | Commercially prepared newborn formula until age 4 to 6 months. |
a. | Mother’s socioeconomic level |
b. | Size of mother’s breasts |
c. | Mother’s desire to breastfeed |
d. | Birth weight of newborn |
a. | Delaying parent-newborn interactions until the second period of reactivity |
b. | Explaining individual differences among newborns to the parents |
c. | Alleviating stress for parents by decreasing their participation in the newborn’s care |
d. | Allowing a newborn to fuss for a period of time before soothing by holding |
a. | Newborn has voided at least once |
b. | Newborn does not spit up after feeding |
c. | Jaundice, if present, appeared before 24 hours |
d. | Appointment is made for home care or a primary care practitioner office visit within next 2 or 3 days |
a. | Sleeping in the prone (on abdomen) position |
b. | Wrapping neonate as snugly as possible |
c. | Positioning neonate supine while sleeping |
d. | Using bulb syringe to suction as needed, suctioning nose first, and then pharynx |
a. |
b. |
c. |
d. |
a. | Human immunodeficiency virus (HIV) in mother |
b. | Mastitis |
c. | Inverted nipples |
d. | Maternal cancer therapy |
e. | Twin births |
a. | Covering the cord with the diaper |
b. | Cleansing the cord with water daily |
c. | Keeping the cord area free of urine and stool |
d. | Monitoring for signs of infection |
e. | Applying bacitracin ointment to the cord daily |
a. | Limiting the feeding to 15 minutes |
b. | Propping the bottle for night feedings is acceptable |
c. | Proper technique for cleansing the bottles and nipples |
d. | Feeding infant on alternate sides of the lap |
e. | Use of bottled water without fluoride should be avoided to mix powdered formula. |
a. | Posture with fully flexed arms and legs |
b. | Arm recoil brisk |
c. | Square window at 90 degrees |
d. | Scarf sign of elbow crossing over the midline |
e. | Popliteal angle less than 90 degrees |
Sign | 0 | 1 | 2 |
Heart rate | Absent | Slow, <100 beats/min | >100 beats/min |
Respiratory effort | Absent | Irregular, slow, weak cry | Good, strong cry |
Muscle tone | Limp | Some flexion of extremities | Well flexed |
Reflex irritability | No response | Grimace | Cry, sneeze |
Color | Blue, pale | Body pink, extremities blue | Completely pink |