1) When the child with rheumatic fever begins involuntary, purposeless movements of her limbs, the nurse recognizes that this is an indication of: a) Hypoxia b) Seizure activity c) Syndenham’s chorea d) Tonic-Clonic Seizure 2) The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the child will need to receive monthly injections of penicillin G for a minimum of how many years? a) 1 year b) 3 years c) 5 years d) 10 years 3) Clinical manifestations associated with a diagnosis of Diabetes Mellitus Type I include all of the following, EXCEPT: a) Polyuria b) Ketonuria c) Polyphagia d) Hypoglycemia 4) Rotating injection sites when administering insulin prevents which of the following complications? a) Insulin edema b) Insulin resistance c) Insulin lipodystrophy d) Insulin allergic reactions 5) What is the medical condition in which excess body fat accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems? a) Obesity b) Anorexia c) Marasmus d) Kwashiorkor 6) Which of the following are NOT the causes of appendicitis? 1. fecalith; 2. use of NSAIDs; 3. diet low in fiber; 4. infection due to H. pylori; 5. lymph node enlargement due to infection a) 1, 2, 3 b) 1, 4, 5 c) 2, 4, 5 d) 3, 4, 5 7) A 12-year-old patient is admitted with suspected appendicitis. While Nurse Nathan is assessing the patient, he noted that the patient is having pain around the umbilicus that extends in the lower part of the abdomen. When the nurse asks to point to the location in his abdomen, the patient points at a location which is about one-third distance between the anterior superior iliac spine and umbilicus. This area is known as which of the following? a) Rovsing’s point b) Hamman’s point c) Murphy’s point d) McBurney’s point 8) What other signs and symptoms are associated with appendicitis? 1. abdominal flaccidity; 2. increased red blood cells; 3. abdominal rebound tenderness; 4. umbilical pain that extends in the right lower quadrant; 5. Patient's desired position is prone position to relieve pain. a) 1, 3 b) 2, 4 c) 3, 4 d) 4, 5 9) To prevent spread of lice infestation, which among the following is the LEAST concern for the nurse? a) Washing of belongings b) Manual retraction of the louse c) Discourage sharing of head gears and combs d) Sending home, the child from school for treatment 10) To ensure non-recurrence of lice infestation the following should be observed, EXCEPT: a) Shaving of hair b) Vacuuming pillows and mattresses c) Identifying all infected child in the area d) Combing with fine-toothed comb to remove nits 11) A child has an elevated anti-streptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever? a) Polyarthritis and carditis b) Subcutaneous nodules and fever c) Chorea and elevated sedimentation rate d) Erythema marginatum and elevated WBC 12) Rotating injection sites when administering insulin prevents which of the following complications? a) Insulin edema b) Insulin resistance c) Insulin lipodystrophy d) Insulin allergic reactions 13) What is the medical condition in which excess body fat accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems? a) Obesity b) Anorexia c) Marasmus d) Kwashiorkor 14) Ana is 4 days post-op from appendectomy. Which assessment findings require further evaluation? The patient: a) Reports pain on the incision site. b) Performs deep breathing and cough exercises. c) Reports her last bowel movement was the day before the surgery. d) Coughs and deep breathes while splinting the abdominal incision. 15) A patient is scheduled for appendectomy at noon. While performing your assessment, you noted that the patient has a fever 39.8 C (103.8F), shallow respiration, and rates abdominal pain 9/10. In addition, the abdomen is distended. Based on the scenario, what do you expect the patient is experiencing? a) Peritonitis b) Hemorrhage c) Colon Fistulae d) Pulmonary embolism 16) To prevent spread of lice infestation, which among the following is the LEAST concern for the nurse? a) Washing of belongings b) Manual retraction of the louse c) Discourage sharing of head gears and combs d) Sending home, the child from school for treatment 17) To ensure non-recurrence of lice infestation the following should be observed, EXCEPT: a) Shaving of hair b) Vacuuming pillows and mattresses c) Identifying all infected child in the area d) Combing with fine-toothed comb to remove nits 18) A 7-year-old is admitted to your unit with severe case of scabies. It is important the nurse follows which of the following in providing care to this patient? a) Contact precautions b) Droplet precautions c) Standard precautions d) Airborne precautions 19) Nurse Ella discovers scabies when assessing a client who has just been transferred to the pediatric unit. The nurse is aware that to prevent scabies infection in other patients, the nurse should: a) Place the client on enteric precautions. b) Notify the nurse in the other unit of a potential scabies outbreak. c) Wash hands and apply pediculicide to the client’s scalp and skin. d) Isolate the client’s bed linens until the client is no longer infectious. 20) A 10-year-old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, finds the pain relieved, and calls the nurse. Which of the following should be the nurse’s next action? a) Bring the patient to the operating room for surgery. b) Immediately notify the physician of the child’s status. c) Cancel ultrasound and prepare to administer an intravenous bolus. d) Cancel the ultrasound and obtain an order for oral pain medications.

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