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MHN 5

The document presents a series of multiple-choice questions related to pediatric nursing, focusing on conditions such as Tetralogy of Fallot, pyloric stenosis, jaundice in infants, leukemia, type 1 diabetes, and epiglottitis. Each question includes the correct answer and a rationale explaining the reasoning behind the choice. The emphasis is on recognizing critical symptoms and prioritizing patient safety in various pediatric scenarios.

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qwerty
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2 views2 pages

MHN 5

The document presents a series of multiple-choice questions related to pediatric nursing, focusing on conditions such as Tetralogy of Fallot, pyloric stenosis, jaundice in infants, leukemia, type 1 diabetes, and epiglottitis. Each question includes the correct answer and a rationale explaining the reasoning behind the choice. The emphasis is on recognizing critical symptoms and prioritizing patient safety in various pediatric scenarios.

Uploaded by

qwerty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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15. Which finding is expected in a child with Tetralogy of Fallot?

A. Bounding pulses
B. High blood pressure
C. Cyanosis with crying or feeding
D. Hyperglycemia
Answer: C. Cyanosis with crying or feeding
Rationale: Cyanotic spells or “tet spells” are common in Tetralogy of Fallot.

16. A nurse is caring for an infant with pyloric stenosis. Which symptom is most characteristic?
A. Diarrhea
B. Projectile vomiting
C. Fever
D. Constipation
Answer: B. Projectile vomiting
Rationale: Forceful, non-bilious vomiting is a hallmark of pyloric stenosis.

17. Which finding in a 3-week-old should be reported immediately?


A. Moro reflex present
B. Yellow sclera
C. Weight gain of 200 grams
D. Sleeps 16 hours per day
Answer: B. Yellow sclera
Rationale: Jaundice after 2 weeks of life may indicate pathological causes and must be evaluated.

18. A child with leukemia is receiving chemotherapy. What is the nurse's priority?
A. Encourage group play
B. Monitor for signs of infection
C. Offer high-fiber foods
D. Promote sunlight exposure
Answer: B. Monitor for signs of infection
Rationale: Chemotherapy suppresses immunity, so infection prevention is critical.

19. A 10-year-old is newly diagnosed with type 1 diabetes. What is the most appropriate initial
education?
A. Discuss long-term complications
B. Teach proper insulin administration
C. Review dietary fat restrictions
D. Emphasize exercise avoidance
Answer: B. Teach proper insulin administration
Rationale: Mastering insulin use is essential in early management of type 1 diabetes.

20. What should the nurse do first if a child with epiglottitis presents with drooling and stridor?
A. Suction the airway
B. Lay the child flat
C. Prepare for intubation
D. Give cough medicine
Answer: C. Prepare for intubation
Rationale: Epiglottitis is a medical emergency; airway protection is the priority.

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