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Example Questions
Example Question #25 : Pediatric Conditions
What specific enzyme deficiency accounts for 95% of all cases of congenital adrenal hyperplasia?
7-alpha-hydroxylase deficiency
Beta-glucuronidase deficiency
Estrogen synthetase deficiency
21-hydroxylase deficiency
21-hydroxylase deficiency
In 21-hydroxylase deficiency, cortisol production is reduced, which in turn causes adrenocorticotropic hormone (ACTH) to increase. The precursors for the cortisol are then shunted into androgen production since these are steroids, and are thus derived from cholesterol.
Example Question #1 : Causes And Treatments Of Pediatric Conditions
The community health nurse knows that teaching has been effective when the father of a newborn states __________.
"I will place my child on his/her back to sleep."
"I will place my child on his/her side to sleep, supported by pillows."
"I will place my child on his/her back and in a crib with stuffed animals to create familiarity."
"I will place bumper pads in the crib to prevent injury."
"My child will sleep in the bed with me until the first month of life."
"I will place my child on his/her back to sleep."
Newborns should be placed on their back, in their crib, with nothing else when put to sleep. The crib may contain a fitted sheet or a light blanket. Crib pads, pillows, and stuffed animals are not advised because they may interfere with the child's ability to breathe.
Example Question #2 : Causes And Treatments Of Pediatric Conditions
The postpartum nurse is caring for a family and their new baby, a two day old infant. The baby is "spitting up" following every formula feeding. The nurse may suggest __________.
laying the baby on it's back after feedings
giving only 15-30 milliliters per feeding
using a "soft" instead of a "standard" bottle nipple
increasing the frequency of feedings
switching brands of formula
giving only 15-30 milliliters per feeding
Typically, the digestive system of a 2-day-old infant can only accommodate 15-30 milliliters of formula comfortably. The infant's stomach will grow considerably over the coming weeks. Frequent spitting up could be due to overfeeding. Before switching formula brands, try decreasing the amount fed at each feeding. Increasing the frequency of feedings may add to this problem. Another possibility, that the infant is feeding too fast, may be corrected by using a "slow-flow" instead of a "soft" or "standard" nipple. "Soft" nipples may be helpful in infants with poor suck or latch. While feeding and directly afterwards, it is advised to keep the infant in a semi-upright position.
Example Question #104 : Conditions And Treatments
Hippotherapy has the ability to positively impact children who are cognitively, socially, emotionally, or physically challenged. Which of the following therapies is most closely related to hippotherapy?
Art therapy
Massage therapy
Music therapy
Herbal therapy
Pet therapy
Pet therapy
Hippotherapy is therapeutic horseback riding for the handicapped. The motion of the horse can help the child develop flexibility and balance. Working with others and animals can help the child cross social and emotional boundaries. A therapy involving animals (pet therapy) is most similar to hippotherapy.
Example Question #31 : Pediatric Conditions
Jennifer is a 14-year-old patient who has been diagnosed with diphtheria and subsequently, myocarditis. The nurse implements all of the following except __________.
practicing airborne precautions
enforcing bed rest
administering antibiotics
practicing standard precautions
administering antitoxin
practicing airborne precautions
Diphtheria is an illness caused by bacteria (Corynebacterium diphtheriae). It is spread through droplets, requiring droplet precautions. Standard precautions should also be used, as with any patient. Delivery of antitoxin and antibiotics are important to a patient's recovery. Enforcing bedrest is important after a patient has developed myocarditis (inflammation of the heart).
Example Question #32 : Pediatric Conditions
A community health nurse is giving a presentation on pertussis (whooping cough). He tells his audience that which population is most at risk?
Children under 4 years of age
Children from 4-12
Older adults above 85
Older adults from 65-75
Older adults from 75-85
Children under 4 years of age
Children under 4 years of age hold the greatest risk of contracting Pertussis and developing serious complications, including death. Pertussis vaccines are recommended for all age groups. Children can start a vaccination series as early as 2 months of age. New parents are encouraged to become vaccinated before their baby arrives to prevent transmission before the infant is eligible for immunization.
Example Question #105 : Conditions And Treatments
A room designed to accommodate a child with the measles should include which of the following?
High microscopy pressure device
Negative air pressure
No air pressure device is necessary
Positive air pressure
Low microscopy pressure device
Negative air pressure
Measles is an airborne illness. For that reason, air pressure devices are necessary to prevent the spread of infection. Negative air pressure devices will adequately contain the measles virus because air will flow in to the room as opposed to out. Conversely, positive air pressure devices may be used to create an air flow out of a room in severely immunocompromised patients.
Example Question #106 : Conditions And Treatments
The school nurse is approached by a 9-year-old boy who is complaining of severe scalp pruritus. Upon closer examination, the nurse concludes that he has a case of head lice (Pediculosis capitis). She knows all of the following to be true except __________.
his personal grooming items should be soaked in hot water or shampoo
sealing his backpack in a plastic bag for 10 days should kill the lice
treating the clothing of the child may be necessary
head lice may be a sign of poor hygiene
his 5-year-old sister should be examined
head lice may be a sign of poor hygiene
Children and adults with exceptional personal hygiene are equally affected by head lice. The same applies to people of all socioeconomic groups, genders, and nationalities. All of the other options are true nursing interventions for head lice.
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