Term
A patient with type 1 diabetes has received diet instruction as part of the treatment plan. The nurse determines a need for additional instruction when the patient says,
a. “I may have an occasional alcoholic drink if I include it in my meal plan."
b. “I will need a bedtime snack because I take an evening dose of NPH insulin."
c. "I will eat meals as scheduled, even if I am not hungry, to prevent hypoglycemia."
d. "I may eat whatever I want, as long as I use enough insulin to cover the calories.” |
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Definition
| d. "I may eat whatever I want, as long as I use enough insulin to cover the calories.” |
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Term
Patients with type 1 diabetes mellitus may require which of the following changes to their daily routine insulin during times of infection?
a. No change
b. Less insulin
c. More insulin
d. Oral diabetic agents |
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Definition
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Term
The nurse administered 28 units of Humulin N, to a client diagnosed with Type 1 diabetes at 1600. Which action should the nurse implement?
a. Ensure the client eats the bedtime snack.
b. Determine how much food the client ate at lunch.
c. Perform a glucometer reading at 0700.
d. Offer the client protein after administering insulin. |
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Definition
| a. Ensure the client eats the bedtime snack. |
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Term
1. A child is newly diagnosed with diabetes type 1. What are the signs and symptoms to be aware of? (CHOOSE ALL THAT APPLY)
A. polydipsia
B. polyuria
C. dysphagia
D. behavioral changes |
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Definition
A. polydipsia
B. polyuria
D. behavioral changes |
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Term
3. The nurse knows that a patient with type 1 diabetes is in need of further teaching when the patient states:
A. I will alternate sites when giving myself insulin
B. I will mix my insulin with my food
C. I will check my glucose levels before meals and bed time
D. I will carry simple carbohydrates when I exercise |
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Definition
| B. I will mix my insulin with my food |
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Term
Why are infants more at risk for hypoglycemia?
A) inability to chew
B) excessive crying
C) belly sleeping
D) abnormal feeding hours & inconsistencies |
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Definition
| D) abnormal feeding hours & inconsistencies |
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Term
How do toddlers express symptoms of hypoglycemia and hyperglycemia?
A) dancing
B) temper tantrums
C) hiccups
D) earaches |
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Definition
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Term
Why do adolescences require a larger dose of insulin?
A) higher weight
B) smaller pancreas size
C) growth hormone is active and acts as an anti insulin agent
D) polyuria |
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Definition
| C) growth hormone is active and acts as an anti insulin agent |
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Term
A parent of a child recently diagnosed with DM type 1 states, “What is DM type 1?” The best response by the nurse would be.
A. Your child's muscles are wasting away from their bones due to a genetic abnormality
B. In DM type 1, there is some insulin production but your child still requires some supplemental insulin.
C. In DM type 1, there is no insulin production. Therefore, the sugar cannot enter the cell to be used for energy and insulin must be supplemented.
D. The cardiovascular muscles are compromised and heart failure is the result |
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Definition
| C. In DM type 1, there is no insulin production. Therefore, the sugar cannot enter the cell to be used for energy and insulin must be supplemented. |
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Term
The nurse knows that a patient with prolonged high blood glucose is most likely to present with what sign or symptom?
A. Vision problems
B. Decreased WBC count
C. Increased perfusion and rapid wound healing
D. Decreased SPO2 |
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Definition
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Term
The school nurse knows that the best way to prevent the transmission of pediculosis from one child to another while doing a routine head check is:
A. Avoid touching children’s hair completely
B. Frequent hand hygiene
C. Taking a shower every day
D. Putting an infected child’s belongings in a plastic bag |
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Definition
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Term
A child comes into the nursing clinic with clinical manifestations of scabies. Where would the nurse expect to see these findings? Choose all that apply.
A. In-between the fingers
B. On the boney prominences of knees and elbows
C. Along underwear line
D. Under the armpits
E. On the shin |
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Definition
A. In-between the fingers
C. Along underwear line
D. Under the armpits |
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Term
A nurse knows a child has been properly treated for pediculosis if:
A. Care giver states they rigorously used regular shampoo
B. Students scalp is free of nits and lice
C. Caregiver states they used mayonnaise to rid hair of lice
D. Only a few nits found on students scalp |
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Definition
| B. Students scalp is free of nits and lice |
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Term
A nurse knows scabies clinically presents as:
A. Tick like creatures on the surface of the skin
B. A linear trail of pustules accompanied by a reddened irritated area
C. Redness over a large surface of the back
D. Bruising in the armpit |
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Definition
| B. A linear trail of pustules accompanied by a reddened irritated area |
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Term
The school nurse knows that systems most affected by Cystic Fibrosis include:
A. Endocrine and cardiac
B. Neurological and respiratory
C. Cardiac and arterial
D. GI and respiratory |
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Definition
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Term
The nurse knows that the mother of a child diagnosed with CF needs further teaching when she says:
A. My child will out grow CF by adulthood
B. My child may need chest PT during the school day
C. My child will eat a different diet than most children
D. My child can play on the playground just like other children |
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Definition
| A. My child will out grow CF by adulthood |
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Term
A child visits the school nurse after experiencing trouble breathing and a productive cough after playing in P.E. For this assessment, what health history would be pertinent to the school nurse?
A. Child suffers from GERD
B. Child has history of Anemia
C. Child has salty taste to skin according to mother
D. Child wears corrective eyewear |
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Definition
| A. Child suffers from GERD |
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Term
A child arrives at the school nurse’s office with complaints of abdominal pain and discomfort. What health history would indicate possible cystic fibrosis?
A. Extreme flatulence
B. Bulky, fatty, and oily stool
C. Bloody stool
D. Constipation |
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Definition
| B. Bulky, fatty, and oily stool |
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Term
What would a nurse assess for in a child with cystic fibrosis? Select all that apply.
A. Salty skin
B. Trouble breathing due to mucous buildup
C. Stunted growth
D. Greasy stools |
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Definition
A. Salty skin
B. Trouble breathing due to mucous buildup
C. Stunted growth
D. Greasy stools |
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Term
Which of the following interventions would help improve symptoms for a child with cystic fibrosis? Select all that apply.
A. Give Pancreatic enzymes
B. Decreased calorie and protein diet
C. Chest physiotherapy
D. Fluid restriction |
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Definition
A. Give Pancreatic enzymes
C. Chest physiotherapy |
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Term
What does a sweat test evaluate for a patient with Cystic Fibrosis?
A) How much sweat the patient produces in a selected amount of time
B) Concentration of Chloride in the patient's sweat
C) Concentration of Sodium in the patient's sweat
D) Patency of patient's sweat glands |
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Definition
| B) Concentration of Chloride in the patient's sweat |
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Term
A nurse knows that a sweat test is conducted by:
A) Applying a chemical and electrode to the leg or arm of a patient to produce sweating
B) Instructing a child to exercise vigorously and then sweat is collected
C) Swabbing a child's sweaty arm pit
D) Nothing is done because this isn't real |
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Definition
| A) Applying a chemical and electrode to the leg or arm of a patient to produce sweating |
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Term
A nurse who suspects his or her patient has GERD and should expect which of the following diagnostic tests?
A. Endoscopy
B. Abdominal X-Ray
C. Throat swab
D. Stool sample |
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Definition
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Term
Patient comes in with burning sensation in the throat, indigestion, and difficulty swallowing. What does the nurse expect as a diagnosis?
A. cystic fibrosis
B. GERD
C. C. DIFF.
D. MRSA |
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Definition
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Term
A nurse is teaching a client newly diagnosed with GERD about management of the disease, select all that apply:
A) Elevate head of bed
B) Avoid meals/snacks 2-3 hours before bedtime
C) Avoid milk, caffeine, tobacco, alcohol, and mint
D) Take medications as prescribed |
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Definition
A) Elevate head of bed
B) Avoid meals/snacks 2-3 hours before bedtime
C) Avoid milk, caffeine, tobacco, alcohol, and mint
D) Take medications as prescribed |
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Term
Patient arrives to E.R. with complaints of burning in the chest and throat with severe heartburn. The nurse knows these symptoms are possibly associated with G.E.R.D. because?
a. There is food stuck in the esophagus
b. There is not enough acid in the stomach
c. There is a back flow of gastric or duodenal contents into the esophagus
d. Patient has oral herpes and is spreading to his esophagus |
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Definition
| c. There is a back flow of gastric or duodenal contents into the esophagus |
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Term
The nurse knows to teach celiac disease patients to avoid gluten in their diet in order to prevent damage to which of the following body systems?
A. Bronchioles
B. Oral cavity
C. Nasal cavity
D. Small intestine |
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Definition
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Term
A client has received dietary counseling after being diagnosed with Celiac disease. The nurse knows the client understands when he states:
a. I will avoid eating foods that have been heavily fermented
b. I will not eat foods that contain high levels of Tyramine.
c. I will avoid using salt substitutes.
d. I will check the label of commercially produced foods to see if they contain gluten. |
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Definition
| d. I will check the label of commercially produced foods to see if they contain gluten. |
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Term
A nurse knows that a patient is in need of further education of their new diagnosis of celiac disease when the patient states:
A. I will avoid eating foods that contain wheat products
B. I should find alternatives to my morning yogurt
C. I will reduce my alcohol intake to 1 beer a day
D. I should use fresh vegetables instead of canned vegetables |
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Definition
| C. I will reduce my alcohol intake to 1 beer a day |
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Term
A nurse recognizes this is NOT a sign or symptom of celiac disease when taking a patient's health history:
A) Oily, fatty, loose stools
B) Anemia
C) Abdominal distention, bloating
D) Excessive thirst |
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Definition
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Term
The nurse notices a child during playtime using hands to push on legs to stand. This sign of muscular dystrophy is known as?
A) Homan's sign
B) Babinski
C) Gower's sign
D) Morrow's sign |
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Definition
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Term
In muscular dystrophy serum creatinine kinase levels are elevated. The nurse knows this is because?
A) renal disease
B) decreased cardiac output
C) elevated hemoglobin
D) muscle wasting |
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Definition
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Term
A child comes into the clinic suffering from muscle weakness and has trouble standing. What would you expect the urinalysis to show?
A. creatine kinase levels are elevated
B. creatine kinase levels are low
C. levels would be normal
D. sodium levels are elevated |
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Definition
| A. creatine kinase levels are elevated |
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Term
A pregnant mother is worried about her future child having muscular dystrophy. Which of the following is true?
A. muscular dystrophy develops later in life
B. muscular dystrophy is more common in males
C. avoid foods containing calcium
D. promote ROM exercises for the mother |
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Definition
| B. muscular dystrophy is more common in males |
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Term
A 10-year-old boy with muscular dystrophy comes to the school nurse with aspiration pneumonia. What signs and symptoms would alert the nurse of aspiration pneumonia?
a.The boy has trouble raising his arm
b.The boy show the Gower’s sign when he falls over
c.The boy has trouble ambulating
d.The boy has bilateral diminished lung sounds when auscultating and he has trouble breathing |
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Definition
| d.The boy has bilateral diminished lung sounds when auscultating and he has trouble breathing |
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Term
A school nurse knows that when maintaining quality of life for a child with Muscular Dystrophy it is important to: (SELECT ALL THAT APPLY)
A. Promote mobility through ROM exercises
B. Maintain cardiopulmonary functions
C. Educate classmates/teachers/parents about the disease process
D. Encourage the child to join the football team to promote healthy exercise. |
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Definition
A. Promote mobility through ROM exercises
B. Maintain cardiopulmonary functions
C. Educate classmates/teachers/parents about the disease process |
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Term
A nurse knows that the pharmaceutical management for a child with Muscular Dystrophy includes:
A. Corticosteroids, Calcium channel blockers, and baby aspirin
B. Corticosteroids, Calcium Supplements, and Antidepressants
C. Antibiotics, antitussives, and pain medications
D. Muscle relaxers and sedatives |
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Definition
| B. Corticosteroids, Calcium Supplements, and Antidepressants |
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Term
The parent of a child with muscular dystrophy needs further teaching when they say:
A. I need to monitor my child for aspiration.
B. I will perform range of motion activities daily.
C. I need to work on infection control in the home.
D. My child cannot participate in yoga or tai chi. |
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Definition
| D. My child cannot participate in yoga or tai chi. |
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Term
What complication can arise from extended wear of a scoliosis back brace?
A) yeast infection
B) acne
C) irritation of skin under brace
D) eczema |
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Definition
| C) irritation of skin under brace |
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Term
What are the priority nursing managements for a child with scoliosis? Select all that apply.
A) promote positive self image
B) Check feet daily
C) provide pre/post operative care after rod placement
D) encourage brace compliance |
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Definition
A) promote positive self image
C) provide pre/post operative care after rod placement
D) encourage brace compliance |
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Term
A nurse is caring for a child after spinal fusion for scoliosis treatment. The child complains of abdominal discomfort and episodes of vomiting. On further assessment, the nurse notes abdominal distention. Based on these findings, the nurse should take which action?
A. Administer an antiemetic
B. Increase the IV fluids
C. Place a child in a Sims’ position
D. Notify the physician |
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Definition
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Term
The mother of a middle school daughter is recently diagnosed with scoliosis. The mother asks the nurse, “What is scoliosis?” What is the best response by the nurse?
a.Your daughter has a bent back and it will be more comfortable for her to have a wheelchair
b.The vertebrae of your daughter’s spinal column has rotated, causing a s-curvature of the spine
c.Your daughter will eventually experience acute respiratory failure
d.Your daughter will grow out of scoliosis without medical or surgical intervention |
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Definition
| b.The vertebrae of your daughter’s spinal column has rotated, causing a s-curvature of the spine |
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Term
When screening for scoliosis, what position would the nurse ask the child to perform?
A. stand straight up and raise both arms
B. stand straight up, raise both arms, and bend over
C. semi-fowlers
D. squat position |
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Definition
| B. stand straight up, raise both arms, and bend over |
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Term
A teenager is diagnosed with scoliosis. What would the nurse expect as a finding?
A. humpback
B. S curve
C. moon face
D. Z curve |
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Definition
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Term
The nurse knows that when providing care to a patient with scoliosis it is important to assess for:
A. Abnormal vital signs
B. Electrolyte and Fluid Imbalance
C. Bilateral forward hunching of the patients shoulders and back
D. Lateral curvature of the patient's back resembling a S curve |
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Definition
| D. Lateral curvature of the patient's back resembling a S curve |
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Term
A parent is concerned about their 8 year old child recently diagnosed with scoliosis. The nurse knows to include which of the following in patient education: (SELECT ALL THAT APPLY)
A. The child may never play sports
B. Schedule regular checkups and evaluations with Primary Care Provider
C. Promote positive self esteem and self image
D. The child must take steroids daily for the rest of their life |
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Definition
B. Schedule regular checkups and evaluations with Primary Care Provider
C. Promote positive self esteem and self image |
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