PEDIATRIC NURSING 102

COLEGIO DE DAGUPAN
Dagupan City, Pangasinan

COLLEGE OF NURSING

PEDIATRIC NURSING 102

UNIT TEST

Seat Number: ______

Name: __________________________ Rating: __________
Level and Block: __________________ Date : ___________

ANSWER SHEET
I. MULTIPLE CHOICE

1. (A)(B)(C)(D) 24. (A)(B)(C)(D) 47. (A)(B)(C)(D)

2. (A)(B)(C)(D) 25. (A)(B)(C)(D) 48. (A)(B)(C)(D)
3. (A)(B)(C)(D) 26. (A)(B)(C)(D) 49. (A)(B)(C)(D)
4. (A)(B)(C)(D) 27. (A)(B)(C)(D) 50. (A)(B)(C)(D)
5. (A)(B)(C)(D) 28. (A)(B)(C)(D)
6. (A)(B)(C)(D) 29. (A)(B)(C)(D)
7. (A)(B)(C)(D) 30. (A)(B)(C)(D)
8. (A)(B)(C)(D) 31. (A)(B)(C)(D)
9. (A)(B)(C)(D) 32. (A)(B)(C)(D)
10. (A)(B)(C)(D) 33. (A)(B)(C)(D)
11. (A)(B)(C)(D) 34. (A)(B)(C)(D)
12. (A)(B)(C)(D) 35. (A)(B)(C)(D)
13. (A)(B)(C)(D) 36. (A)(B)(C)(D)
14. (A)(B)(C)(D) 37. (A)(B)(C)(D)
15. (A)(B)(C)(D) 38. (A)(B)(C)(D)
16. (A)(B)(C)(D) 39. (A)(B)(C)(D)
17. (A)(B)(C)(D) 40. (A)(B)(C)(D)
18. (A)(B)(C)(D)
19. (A)(B)(C)(D)
20. (A)(B)(C)(D)
41. (A)(B)(C)(D)
42. (A)(B)(C)(D)
43. (A)(B)(C)(D)
21. (A)(B)(C)(D) 44. (A)(B)(C)(D)
22. (A)(B)(C)(D) 45. (A)(B)(C)(D)
23. (A)(B)(C)(D) 46. (A)(B)(C)(D)

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I. MULTIPLE CHOICE:

GENERAL DIRECTION:
Read and understand each question carefully. Select the best answer. Shade the answer of your
choice on the answer sheet provided for. Please use your pencil only.

1. β – Thalassemia is an autosomal disorder with varied expressivity. The basic defect of

this disease is found to be associated with which of the following deficiencies?

a. α-chain polypeptide deficiency

b. Iron deficiency
c. β – chain polypeptide deficiency
d. Vitamin B12 deficiency

2. Which of the following types of β – Thalassemia has a severe case of anemia and is
incompatible with life without transfusion support?

a. Thalassemia trait
b. Thalassemia major
c. Thalassemia intermedia
d. None of the above

3. This is known as the excessive storage of iron in various tissues of the body, especially
the spleen, heart, and pancreas.

a. Hemosiderosis
b. Hemochromatosis
c. Ferrosis
d. Hematoma

4. Which would be the drug of choice for a child who has β-Thalassemia and is exhibiting a
sign associated to your answer in no. 3?

a. Ferrous sulfate
b. Calcium carbonate
c. Deferoxamine
d. Potassium iodide
5. A child named Paul Macchiato is diagnosed to have β-Thalassemia, according to his
history he is of Italian descent. He tells you that he is constantly tired even by doing a
small amount of activity. Which of the following is the best nursing diagnosis for him?

a. Body image disturbance

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 b. Activity intolerance
c. Altered family processes
d. Anticipatory grieving

6. People who have β-Thalassemia should be questioned regarding their ancestry, because
this blood disorder is associated with

a. Caribbean people
b. Asian people
c. European people
d. Mediterranean people

7. When the nurse is going to support the parents of the child with β-Thalassemia it is
important for her to include the following teachings

a. Explore feelings of guilt regarding the hereditary nature of the disease

b. Emphasize the need for the anemic child to lead as normal a life as possible
c. Help the family deal with the potentially fatal nature of the blood disease

8. A child named Coleen is diagnosed to have acute lymphocytic leukemia. Which of the
following is NOT true regarding this disorder?

a. It has about 85% of incidence among all leukemic cases

b. This type has a better prognosis than the other types of leukemia
c. There is a poorer prognosis is this disease
d. The involved white blood cell in this disorder are the lymphocytes

9. Which of the following antineoplastic agents are considered as folic acid antagonist?
a. Prednisone
b. Vincristine
c. Methotrexate
d. Cyclophosphamide

10. A child has acute myelogenous leukemia, he constantly suffers from infection, bleeding
tendencies and severe anemia. In order to improve his situation you are going to
anticipate the physician to prescribe which of the following blood products?

a. Fresh whole blood

b. Platelet concentrate
c. Packed red blood cells
d. Cryoprecipitate

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 11. A patient named Celine is suffering from loss of hair, moon face and debilitation brought
about by antineoplastic therapy. The best nursing diagnosis for this patient is

a. Activity intolerance
b. Fear
c. Body image disturbance
d. Risk for infection

12. An 8-year old child is diagnosed to have acute lymphocytic leukemia (ALL). What would
be the concept of death of this child?

a. Concept that death is reversible; greatest fear is separation from parents

b. Concept that death is personified; a person actually comes and removes the child
c. Adult concept of death as irreversible and inevitable; cause is brought about by
different factors
d. None of the above

13. When teaching the child with acute myelogenous leukemia (AML) regarding infection
control it is vital for the nurse to emphasize the following EXCEPT

a. Teach the patient how to do handwashing

b. Avoid contact with people who are suffering from an obvious infection
c. Encourage the child to play outdoors with other children as the child can tolerate
d. Tell the child to avoid going to crowded places or wear a face mask when going
to crowded places

14. This is known as the decrease in the number of platelets brought about by the abnormal
proliferation of immature leukocytes

a. Anemia
b. Thrombocytopenia
c. Leucopenia
d. Neutropenia

15. This is known as the congenital absence of the iris which is commonly associated with
Wilm’s Tumor or nephroblastoma

a. Aniridia
b. Hemihypertrophy
c. Hypospadias
d. Cryptorchidism

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 16. A child who has Wilm’s tumor (nephroblastoma) also has cryptorchidism which is

a. Undescended testes
b. Abnormal enlargement of the testes
c. Absence of the testes
d. Swelling of the testes

17. A child named Robert is being diagnosed for the presence of tumor in the kidneys. It was
found that he has nephroblastoma. The tumor is only encapsulated within the kidney.
What stage of cancer is the child on?

a. Stage I
b. Stage II
c. Stage III
d. Stage IV

18. What are the chances of survival if the Robert’s nephroblastoma has metastasized to the
other organs of the body?

a. 10%
b. 30%
c. 90%
d. 50%

19. If the child has the presence of an encapsulated tumor in the kidney, the most appropriate
nursing diagnosis for him is

a. Fear
b. Altered family processes
c. Risk for injury
d. Altered nutrition

20. When caring for the child with nephroblastoma the priority nursing intervention for the
child is to

a. Palpate the abdomen for tender swelling and a nontender mass which is usually
confined to one side of the abdomen
b. Observe for the presence of blood in the urine which is indicative of stage III
cancer
c. Look for signs of metastasis such as cough, dyspnea, shortness of breath.

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 d. Place a sign over the bed saying, “Do not palpate the abdomen.”

21. Which of the following is NOT a treatment option for a child with nephroblastoma?

a. Surgery
b. Chemotherapy
c. Kidney transplant
d. Radiation therapy

22. Eighty percent of all cases in nephrotic syndrome is coming from which of the following
classifications?

a. Congenital nephrotic syndrome

b. Secondary nephrotic syndrome caused by acute glumerulonephritis
c. Minimal change nephrotic syndrome
d. None of the above

23. Which of the following urine findings would be important in the assessment of nephrotic
syndrome in a 5-year old child?

a. Glycosuria
b. Hematuria
c. Proteinuria
d. Ketonuria

24. When the child has hypoalbuminemia the consequences of this condition is fluid shifting
into the

a. Vascular spaces
b. Interstitial spaces
c. Extracellular compartment
d. Intracellular compartment

25. When the child has protein and fluid loss the most appropriate nursing diagnosis for this
child is

a. Risk for fluid volume deficit

b. Activity intolerance
c. Body image disturbance
d. Risk for impaired skin integrity

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 26. When caring for the child named Kevin (4 years old) who has nephrotic syndrome, the
nurse should

a. Increase the fluid intake

b. Restrict sodium and fluid
c. Increase protein in the diet
d. Both B and C

27. When there is respiratory difficulty associated to ascites the best position the child should
be placed in is
a. Prone position
b. Fowler’s position
c. Supine position
d. Side-lying position

28. When modifying the diet of children with minimal change nephrotic syndrome the nurse
must offer this food in high amounts

a. Ripe tomatoes
b. Baked skinned chicken
c. Mashed potatoes
d. Canned salmon

29. Which of the following definitions best describes asthma?

a. Inflammation of the pulmonary parenchyma

b. Chronic lung disease caused by damaged alveoli
c. Infection of the lower airway, most often caused by a viral agent
d. Disease of the airways characterized by hyperactivity of the bronchi

30. A 2-year-old child has been diagnosed with asthma. Which of the following allergens can
be considered one of the most common asthma triggers?

a. Weather
b. Peanut butter
c. The cat next door
d. One parent with asthma

31. Which of the following symptoms is common in asthma?

a. Barky cough
b. Bradycardia
c. Dry, productive cough
d. Wheezing

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 32. Presence of which of the following factors would place a child at increased risk for an
asthma-related death?

a. Use of an inhaler at home

b. One admission for asthma last year
c. Prior admission to the general pediatric floor
d. Prior admission to an intensive care unit for asthma

33. Which of the following characteristics would be expected of the asthma of a client with
status asthmaticus?

a. Several attacks per month

b. Less than six attacks per year
c. Little or no response to bronchodilators
d. Constant and unrelieved by bronchodilators

34. A 2-year-old child with status asthmaticus is admitted to the pediatric unit and begins to
receive continuous treatment with albuterol given by nebulizer. Which of the following
adverse effects is common with albuterol?

a. Bradycardia
b. Lethargy
c. Tachycardia
d. Tachypnea

35. A 10-year-old child is admitted with asthma. The physician orders an aminophylline
infusion. A loading dose of 6 mg/kg is ordered. The client weighs 30 kg. how much
aminophylline is contained in the loading dose?

a. 60 mg
b. 90 mg
c. 120 mg
d. 180 mg

36. The mother of a patient named Hiro Nakamura, 7 years old, who is suffering from
mucocutaneous lymph node syndrome (Kawasaki’s disease), asks you the cause of this
disorder. The best answer of the nurse should be

a. “This disease is still undergoing research; although it is geographic and seasonal

the primary cause is still unknown.”
b. “This disease is spread through a virus. Your son must have gotten it from school
during the winter season.”
c. “It is a hereditary disease common to people of Japanese descent.”
d. “This disease is thought to be autoimmune.”

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 37. What would be the pathognomonic sign of mucocutaneous lymph node syndrome or
Kawasaki disease?

a. Strawberry tongue
b. Dry and black hairy tongue
c. Fissuring of the lips
d. Peripheral edema

38. Which of the following medications would the physician prescribe to control fever?

a. Prednisone
b. Aspirin
c. Mefenamic acid
d. IV gamma globulin

39. Tonsillectomy is indicated to patients who have

a. Cleft palate
b. Recurrent otitis media
c. Leukemia
d. Hemophilia

40. The nurse must report to the physician which of the following postoperative occurrences
of tonsillectomy?

a. Frequent swallowing
b. Absence of gag reflex
c. Gingivitis
d. Fever

41. When caring for a child post-tonsillectomy the most appropriate thing the nurse should
do is

a. Offer the child iced water or ice chips

b. Give the child a bowl of hot soup
c. Offer the child ice cream
d. Give the child a full meal

42. Which of the following is a late sign of hyperglycemia in a child named Winston (8 years
old) who is suffering from diabetes mellitus type I?

a. Weakness and drowsiness

b. Acetone breath
c. Kussmaul breathing
d. Lack of appetite and thirst

43. When planning a teaching program for a child who is newly diagnosed as having diabetes
mellitus, the nurse should be especially concerned that

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 a. The child is taught to give injections before being discharged
b. The parents receive instruction about blood glucose monitoring
c. The child’s activity be limited and the parents understand the need for this
d. The parents and child be helped to understand their feelings about diabetes
mellitus

44. When teaching an insulin-dependent adolescent client about dietary management, the
nurse should instruct the client to

a. Eat all meals at home

b. Weigh all food on a gram scale
c. Always carry a concentrated form of glucose
d. Have the parent prepare food separately from the rest of the family

45. An evening snack is planned for a child receiving NPH (Humulin N) insulin. The nurse
understands that this will provide

a. Added calories to help the child gain weight

b. Encouragement for the child to stay on a diet
c. High carbohydrate nourishment for immediate utilization
d. Nourishment with a latent effect to counteract late insulin activity

46. An 11-year old child, newly diagnosed with diabetes mellitus, receives a combination of
isophane suspension (NPH) and regular insulin at 7AM. The nurse should be aware that
the child’s response prior to lunch at noon will be controlled by

a. The isophane suspension (NPH) rather than the regular insulin

b. Equal effects of the regular and the isophane suspension (NPH) insulin
c. Increasing effects of the ruglar and the isophane suspension (NPH) insulin
d. Decreasing effects of the regular and increasing effects of the isophane
suspension (NPH) insulin

47. The most common site of internal bleeding in children with hemophilia is the

a. Joints
b. Intestines
c. Cerebrum
d. Ends of the long bones

48. To control bleeding in a child with hemophilia A the nurse would expect to give

a. Albumin
b. Fresh frozen plasma
c. Factor VIII concentrate
d. Factor II, VII, IX, X complex

49. When discussing hemophilia with the parents of a child recently diagnosed with this
disorder, the nurse should explain that
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 a. Hemophilia is an autosomal dominant disorder in which the woman carries the
trait
b. Hemophilia follows regular laws of Mendelian inherited disorders such as sickle
cell anemia
c. This disorder can carried by either male or female but occurs in the sex opposite
of the carrier
d. Hemophilia is an X-linked disorder in which the mother is usually the carrier of
the illness but is not affected by it

50. The parents of a 10-year old boy named Justin, who has hemophilia are very worried
about their children, two girls and another boy, and want to know what the chances are
concerning their having the disorder or being a carrier. An appropriate answer to this
question would be that

a. All the girls will be normal and the other son a carrier
b. All the girls will be carriers and one half the boys will be affected
c. Each son has a 50% chance of being either affected or a carrier, and the girls will
all be carriers
d. Each son has a 50% chance of being affected and each daughter a 50% chance of
being a carrier

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