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Choose the best answer and write it before the number. Good luck! 1. The class is discussing about Kawasaki disease, the instructor asked one of the student what is the pathognomonic sign of the disease. The student nurse is correct when he answered: a. fever b. butterfly rash c. strawberry tongue d. conjunctivitis 2. Aryana, a third year student caring for a child with Kawasaki disease asked her head nurse what is the action of Abciximab. The head nurse is CORRECT when he stated the following: a. reduce immune response b. decrease inflammation and blocks platelet aggregation c. platelet receptor inhibitor d. pain reliever 3. A 14 year old boy was rushed to the emergency room; the child has fever, rash on truncal area and bilateral, non-purulent conjunctivitis. The doctor ordered Ibuprofen 250g, the nurse is aware that the primary action of this drug is to: a. to reduce fever b. treat conjunctivitis c. to reduce rashes d. all of the above 4. Margo, a 7 year old girl with Kawasaki disease is suffering from discomfort due to skin problems such as erythematous rash and edema on the extremities. Nurse Ethan will include on his nursing care plan the following measures to promote comfort EXCEPT: a. administer aspirin and IVIG b. sponge bath to soothe skin problems c. keep skin clean and moist and avoid soap and other irritants d. offer cool frozen liquids by mouth 5. All of the following are manifestations of Kawasaki disease on Subacute phase EXCEPT: a. Extreme irritability b.Desquamation of fingers and toes c.Arthritis and arthralgia d. none of the above
6. IVIG and high dose of aspirin should be administered within 10 days of onset. a. True b. False c. either a or b d. none of the above 7.Follow-up electrocardiograms are recommended at 3 and 8 weeks after diagnosis and annually until aneurysm are resolved. a. True b. False c. either a or b d. none of the above 8. The peak incidence of Kawasaki Disease is under 2 years of age. a. True b. False c. either a or b d. none of the above 9. During rounds, a patient diagnosed with Kawasaki disease suddenly suffer from anaphylactic reaction due to the IVIG administered. The nurse immediately grabs which drug should? a. IVIG b. Aspirin c. Abciximab d. Epinephrine 10. Mela, a 4 year old child suffering from Subacute phase of Kawasaki Disease. The nurse expects that subacute phase lasts for how many days? a. 2 hours b. 2 days c. 2 weeks d. 2 months 11. A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority? a. applying lotions to the hands and feet b. offering foods the toddler likes c. placing the toddler in a quiet environment d. encouraging the parents to get some rest 12. The instructor asked the student nurse about Kawasaki Disease. The student nurse needs further teaching when he stated the following:
At what age would you perform definitive lip repair following lip adhesion? A. All of the following are criteria for diagnosis of Kawasaki disease EXCEPT: a. GI function 24. In an infant seat d.Bilateral congestion of ocular conjunctivae c. b. 1 week B. Ascariasis B. peripheral erythema. what muscle sling repair is important for improved velopharyngeal function? A. the nurse should position the child in which of the following positions? a. An infection with pinworms is called: A.12-16 months D. Trichinosis .Fever of 5 or more days’ duration. Risk for Fluid Volume Deficit related to fever. Fever c. When does cleft palate repair typically occur? A. Changes in mouth such as erythema. Enlarged cervical lymph nodes 15. When does the fusion and development of the secondary palate occur? A. 16. d. and uncertainty about long-term prognosis. 7 weeks 18.4-8 months B. 5 weeks D. 40 days D. skin manifestations. Tennison C. Levatorvelipalatini B. Locomotion d. Sucking ability b. both b and c 13. such as peripheral edema. Salpingopharyngeus D. Pain related to fever.10 pounds C. Respiratory status c. Palatopharyngeus 23. changes in child’s behavior. Arthritis and arthralgia d.10 weeks B. At what age would you do a lip adhesion on a patient with cleft lip? A. 20 days B.All of the above 14.20-24 months 21.a. Straight-line D. 50 days 17. On the side 25. which of the following are signs the child manifests? a. Millard 22. All of the following are nursing diagnoses for Kawasaki Disease EXCEPT? a. In cleft palate repair.10 Hgb 20. 30 days C. While assessing a newborn with cleft lip. desquamation of palms and soles.12 months 19.10-12 months D. Activity Intolerance r/t disease process b.4-6 months B. fissures of the lips. and joint inflammation. Fear related to hospitalization. it is also known as Mucocutaneous Lymph Node Syndrome d. Randall B. 3 weeks C. and strawberry tongue.8-10 months C. What does the ‘rule of tens’ not include: A.10 Hct D. c.Changes of the peripheral extremities. What is the most common technique used for unilateral cleft lip repair? A. When providing postoperative care for the child with a cleft palate. multisystem disorder that occurs almost exclusively in children before the age of puberty c. Supine b. b. d. an immune complex disorder characterized by generalized febrile of known origin. b. Prone c.8-12 months C. Tensor veli palatine C. A 13-month old child diagnosed with Kawasaki Disease is undergoing in subacute phase. the nurse would be alert that which of the following will most likely be compromised? a.
Bed linen C.A only 29. All of the above 30. False C. The nurse should schedule the . Avoid all raw fruits and vegetables unless they can be peeled D. True B. Don't use ice that is made from tap water E. A. Broth C. All of the above 36. None of the above 28. Either A or B D. A. Which of these is a symptom of pinworm infection? A. Strongyloidiasis D. Either A or B D. How does a health care provider diagnose a pinworm infection? A. Which of these fluids is best to drink to prevent dehydration when you have diarrhea? A. Nits are baby head lice. A only 38. B and C 27. Which of these is a good tip to follow when traveling to places where food and water may be a problem? A. Either A or B D. A only 31. Wear clean underwear and pajamas C. No treatment. True B. By looking at the rash the infection produces C. Doorknobs D. True B. Pinworms enter the body when the pinworm eggs are swallowed. Fruit juice D. Head lice get their nourishment from human hair. False C. because children usually outgrow the infection B. Wash your hands after using the bathroom and before eating E. Bathe frequently B. A only 37. Where are pinworms primarily found in the body? A. Enterobiasis 26. Traveler's diarrhea is caused when people visiting developing countries eat food or drink water that is contaminated. By collecting eggs around the anus D. A. What can you do to prevent a pinworm infection? A. False C. Someone with head lice probably has dirty hair. False C. True B. False C. A. A. All of the above 39. Surgery C. Nausea B. The community nurse collects a stool specimen to confirm the diagnosis. Regularly launder bed sheets D.C. Medication D. Head lice travel from one person's head to another's by jumping. Where are the eggs found in the environment? A. Faucets E. Under the skin B. Intense itching D. Either A or B D. Head lice usually are found behind the ears or at the back of the neck along the hairline. All of the above 34. Paranoia C.A young child named Richard is suspected of having pinworms. A only 33. Lungs D. Either A or B D. Diarrhea 32. In dust outdoors B. Colon/rectum C. Don't drink any milk that hasn't been pasteurized C. How are pinworm infections treated? A. Water B. True B. With a blood test B. Don't brush your teeth with tap water B. A and C 35.
Either A or B D. True B. as a way of preventing head lice. Treatment is not recommended for children less than 10 years B. If the child doesn't have an appetite D. Any time during the day D. False C. The best way to treat head lice is by using really hot water when you wash your hair. Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep B. Either A or B D. After the child has been bathe C. True B. Avoid all raw fruits and vegetables unless they can be peeled D. Either A or B D. Rice C. Just before bedtime B. Intravenous antibiotic therapy will be ordered 43. Don't brush your teeth with tap water B. Traveler's diarrhea is caused when people visiting developing countries eat food or drink water that is contaminated. False C. Plain toast E. The 5-year-old is being tested for enterobiasis (pinworms). Abdominal pain B. All of the above 46. A. Contaminated food or water B. Bloating C. To collect a specimen for assessment of pinworms. A. All of the above 49. then wait several weeks before unbagging. Viral infection C. Don't drink any milk that hasn't been pasteurized C. The entire family should be treated. False C. Bananas B. you should bag all clothing and toys the child has used. Which instruction should be given regarding the medication? A.collection of this specimen for: A. All of the above 45. the nurse should teach the mother to: A. Applesauce D. when should you call the doctor? A. All of the above 50. A only 47. Which of these foods is a good choice when you have diarrhea? A. Nausea D. Wear clean underwear and pajamas C. Which of these is a good tip to follow when traveling to places where food and water may be a problem? A. Early in the morning 40. A only 41. If the child can't sleep C. True B. Scrape the skin with a piece of cardboard and bring it to the clinic C. Wash your hands after using the bathroom and before eating E.Bring a hair sample to the clinic for evaluation 42. Don't use ice that is made from tap water E. A and D 48. If a child has diarrhea. If a child in your family has head lice. What can you do to prevent a pinworm infection? A. All of the above . Regularly launder bed sheets D. Besides watery stools. If the child shows signs of dehydration E. The nurse is teaching the mother regarding treatment for enterobiasis. You should tell your children never to share hats with a friend. D. Intolerance to milk D. Bathe frequently B. Which of these is a common cause of diarrhea? A. which of these symptoms also may occur during diarrhea? A. C. A. Medication therapy will continue for 1year. Obtain a stool specimen in the afternoon D. If the child has a temperature above 102 degrees B. A only 44.