DHA MCQs 3.4
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1. A 9 month old child is diagnosed with Hirschsprung disease he is scheduled for surgical operation which of the following is the most common complication expected during this age?
A. Mechanical obstraction
B. Entro colitis
C. Pleural effusion
D. Esophageal Artesia
2. An 8-month-old infant is admitted with Hirschsprung disease. Which of the following would be a significant finding in this infant?
A. Depressed anterior fontanel
B. Polyuria, hematuria
C. Weight gain, edema
D. Failure to thrive, constipation
3. The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid?
A. Putting the child in lateral position
B. Palpating the child's abdomen
C. Putting the child in a private room
D. Provide mouth hygiene 30 minutes after meal
4. A 9 month old child is diagnosed Hischsprung disease scheduled for surgical operation which of the following should the nurse understand the purpose for surgical intervention?
A. To remove the aganglion portion of the bowel to relieve obstruction
B. To maintain optimum nutritional status growth the intertinal
C. To stimulate intestinal adaptation with internal feeding
D. To minimize complication related to the disease
5. A nurse is taking a history from the infant parents who have a suspected diagnosis of intussusception. Which of the following assessment question would be most helpful?
A. Do you breast feeding your child ?
B. What does your child's stool look like?
C. How often your child urinating?
D. What is the colour of your child' urine?
6. A 5-month-old boy has been vomiting green coloured vomit He has intermittent abdominal pain during which he draws his chest, turns pale and cries forcefully. On observation, the in the stool which has a jelly-like consistency. Abdominal pal a long. tube-like mass. There is no fever, rash nor diarrhea are hyperactive in all quadrants which is the most likely form of initial treatment?
A. Manual manipulation
B. Surgical resection
C. Normal saline enema
D. Laparoscopy
7. A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant's stool became like red jelly. Abdominal examination revealed palpable sausage- shaped mass in the right upper quadrant. Which of the following is the first line of therapeutic management for this infant?
A. Non-surgical hydrostatic reduction
B. Surgical simple reduction
C. Pyloromyotomy
D. Endorectal pull-Through
8. 7month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant’s stool become like red jelly. Abdominal examinassions revealed palpable sausage-shaped mass in the right upper quadrant which of the following is the best diagnosis?
A. Hirschsprung disease
B. Hypertrophic pyloric stenosis
C. Infant colic
D. Intussuception
9. Nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented?
A. watery diarrhea
B. rib bone-like stools
C. profuse projectile vomiting
D. Red jelly stool
10. A 5year-old child was seen to the Emergency Department abdominal pain, palpable sauge-shaped mass, and Intussusception is suspected which of the following is the best diagnostic evaluation to?
A. X-ray
B. endoscopy
C. Rectal biopsy
D. Ultrasonograph
11. A 5-week-old newborn was admitted to pediatric Ward with pyloric stenosis, the newborn has weight loss, and projectile vomiting during feeding . They scheduled surgical repair of pyloric stenosis Which of the following postoperative intervention for this
A. IV fluid infant is retaining adequate amount by mouth
B. Administration of proper analgesia until infant discomfort resolve
C. Start feeding immediately after postoperative
D. Vomiting is uncommon in the first24-48 hrs
12. Surgery for pyloric stenosis movement?
A. Pylorotomy
B. Pylorectomy
C. Pylorostomy
D. Pyloromyotomy
13. PYLORIC stenosis peristalsis movement ?
A. From right to left
B. From left to right
14. 1 month-old infant is admitted to the surgical unit with hypertrophic pyloric stenosis and scheduled for the surgery. Which of the following is the findings of abdominal examination?
A. palpable olive-like mass in the left side
B. palpable olive-like mass in the right side
C. Palpable olive-like mass moved from left to right
D. Palpable olive-like mass moved from right to left
15. A 7-week-old infant boy is admitted with projectile vomiting decreased urine output, decreased bowel movements and weight loss. He has poor turgor and appears hungry. The nurse observes left-to right peristaltic waves after he vomits. The nurse would expect to find which of the following during the physical assessment?
A. Hepato-spleenomegaly
B. A palpable pyloric mass
C. Lymphadenopathy
D. Bulging fontanelles
16. The nurse is assessing a child (an infant ) with pyloric stenosis . which of the following is likely to note?
A. Diarrhea
B. Projectile vomiting
C. Swallowing difficulties
D. Currant jelly like stool
17. A 5 week old newborn admitted paediatric ward with pyloric stenosis the newborn has weight loss, and projectile vomiting after feeing. Which of the following abdominal organs are directly affected when stenosis diagnosed?
A. Stomach and duodenum
B. Stomach and oesophagus
C. Liver and spleen
D. Liver and bile duct
18. Tetralogy of Fallot where is it located :
A. right heart side
B. left heart side
19. The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot. Which of the following positions is used for congenital heart condition?
A. Semi fowler's position
B. knee chest position
C. prone position
20. A 9-month-old child who has a repair cleft palate the nurse explaining mother on how she will give feeds to her child. Which of the following instruction can be expected to include feeling education?
A. Open cup
B. Tea spoon
C. Bottle feed
D. Special bottle feed
21. Which of the following instruction should be given to the parents about colostomy care?
A. Use baby powder after stoma cleaning
B. Empty the pouch when it is completely full
C. Avoid tight diapers around the infant abdomen.
D. Use baby wipes to clean the skin around the stoma
22. A Community Nursing nurse is working with a family in their home The parents complain that their eight year-old son is "wild" and that he never listens to them. They become upset at his antics to gain attention from the nurse and send him out of the room. Which of the following responses from the nurse is the most appropriate?
A. " That was the right thing, it teaches him who is in charge”
B. " Don't worry, he is a boy and with time, he will grow out of this”
C. " Let's talk about how we can teach your child the right behavior and your expectations of him”
D. " You are only reinforcing his behavior when you do that. Try putting him in time out instead”
23. 11- child is admitted to the pediatrics ward with acute lymphocytic LEUKEMIA , and has had joint pain for several weeks. Physical findings ude widespread ecchymosis, generalized lymphadenopathy, hepatosplenomegaly, and pallor. Lab work shows a low hemoglobin level, RBC count, low WBC count low hematocrit , and low platelets. Which high risk is expected?
A. Infection
B. Fractures
C. Dehydration
D. Hepatitis
24. A nurse is teaching a group of new mothers in the post-natal ward on how to manage breast engorgement after they are discharged to home. Which of the following statements by the mother will indicate to the nurse that they understood how to prevent engorgement of the breasts?
A. breast feed every 4 hours
B. breast feeding during the day and bottle feeds at night
C. breast feed every 2-3 hours during the day and stop at night
D. breastfeed the baby every 2-3 hours during the day and night
25. When would the nurse schedule a woman for a glucose tolerance test?
A. 6-10h week of pregnancy
B. 12th-16h week of pregnancy
C. 24th-28 week of pregnancy
D. 32h-36 week of pregnancy
26. Which of the following is the most common site to obtain a capillary blood sample from Neonates?
A. Heel
B. Earlobe
C. Fingertip
27. mother came to the clinic and afraid that her baby maybe will have meningitis as his brother already have What should the nurse tell the mother?
A. The vaccine is reducing the risk for this decease
28. Temperature 41 c is Hyperpyrexia
29. When checking rectal temperature how depth thermometer should be inserted
A. 2cm
B. 3.5cm
C. 4cm
D. 4.5
30. Patients with cardiac disease, the nurse should avoided which of the following place when taking temperature
A. Rectal
B. Oral
C. Axillary
D. Tympanic
31. A 15-year-old girl is admitted to the hospital with diarrhea. She has been repeatedly vomiting for now weak and lethargic. She is oriented to time to questions appropriately. The nurse prepares temperature using an electronic thermometer. Which measurement would be most appropriate?
A. Oral
B. Rectal
C. Axillary
D. Tympanic
32. Fastest and most sanitary thermometer is :
A. Glass
B. Electronic
C. Chemical
D. Tympanic
How to store vaccines
in ICE
33. 9 month vaccine :
A. MCV4
B. Hepatitis A
C. Hib
34. 1 year vaccine :
A. OPV
B. Hib
C. DTap
D. Hepatitis A and varicella
35. 18 month vaccine :
A. Rota
B. Hepatitis B
C. Hepatitis A
36. First dose of hepatitis B should be given when ?
A. At birth
B. At 2 month
C. At 6 month
D. At 1 year
37. Measles vaccine administration route
A. Intramuscular
B. Subcutaneous
C. Intradermal
D. Intravenous
38. DTap vaccine administration route
A. Intramuscular
B. Subcutaneous
C. Intradermal
D. Intravenous
39. What of the following disease are prevented by MMR vaccine?
A. Mumps-measles-Scarlet fever
B. Mumps-measles-rotavirus
C. Mumps-measles-rabies
D. Mumps-measles-germen- measles
40. A mother brought her 6-month-old healthy infant to the well-baby clinic Which immunization should the nurse anticipate to administer as per World Health Organization's recommendation?
A. Varicella (Chicken pox)
B. Rotavirus and hepatitis
C. Measles, Mumps, Rubella
D. Diphtheria, Tetanus and pertussis
41. 6month-old boy with hydrocephalus is admitted to the pediatric surgical Ward for ventriculoperitoneal Shunt (VPS) insertion. Which of the following findings should be of the most concern when assessing the child postoperative?
A. Sunken fontanelle and irritability
B. decreased head circumference
C. poor feeding and pupillary change
D. headache and excessive sleepiness
42. Which of the following routes is used to administered Diphtheria, Tetanus and pertussis DTP vaccine?
A. Oral
B. Intramuscular
C. Subcutaneous
D. Intradermal
43. The nurse are reviewing the immunized schedule if the 11-month of baby Which of the disease should the nurse expect the infant that here immunized against?
A. Pertussis, Tetanus, polio, and varicella
B. Polio, Pertussis, Tetanus, and Diphtheria
C. Varicella, polio, Tuberculosis, and pertussis
D. Measles, Mumps. Rubella, and Tuberculosis
44. Dexamethasone ............ accelerates maturation of fetal lung .
45. Hirschsprung disease failure of neonate to pass stool )Meconium ) for 24 hours
46. Apgar score done at 1 minute and 5 minutes at birth
47. most common cause of diarrhoea in paediatric virus rotavirus ,
48. Meconium is Dark green stool in newborn
49. Less than 24 hours after postpartum calls a nurse in the Mother/Infant Unit. She reports that she has very heavy bright-red bleeding. being discharged, a mother who is newly What would be the best advice to give her?
A. "Don't worry about it; it is normal."
B. "Call your doctor and ask what to do."
C. "Lie down, massage lower abdomen. If it does not work then come to the hospital immediately."
A. Mechanical obstraction
B. Entro colitis
C. Pleural effusion
D. Esophageal Artesia
2. An 8-month-old infant is admitted with Hirschsprung disease. Which of the following would be a significant finding in this infant?
A. Depressed anterior fontanel
B. Polyuria, hematuria
C. Weight gain, edema
D. Failure to thrive, constipation
3. The nurse is assessing a 2 -years-old child with Wilms surgery Which of the following should the nurse avoid?
A. Putting the child in lateral position
B. Palpating the child's abdomen
C. Putting the child in a private room
D. Provide mouth hygiene 30 minutes after meal
4. A 9 month old child is diagnosed Hischsprung disease scheduled for surgical operation which of the following should the nurse understand the purpose for surgical intervention?
A. To remove the aganglion portion of the bowel to relieve obstruction
B. To maintain optimum nutritional status growth the intertinal
C. To stimulate intestinal adaptation with internal feeding
D. To minimize complication related to the disease
5. A nurse is taking a history from the infant parents who have a suspected diagnosis of intussusception. Which of the following assessment question would be most helpful?
A. Do you breast feeding your child ?
B. What does your child's stool look like?
C. How often your child urinating?
D. What is the colour of your child' urine?
6. A 5-month-old boy has been vomiting green coloured vomit He has intermittent abdominal pain during which he draws his chest, turns pale and cries forcefully. On observation, the in the stool which has a jelly-like consistency. Abdominal pal a long. tube-like mass. There is no fever, rash nor diarrhea are hyperactive in all quadrants which is the most likely form of initial treatment?
A. Manual manipulation
B. Surgical resection
C. Normal saline enema
D. Laparoscopy
7. A 7-month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant's stool became like red jelly. Abdominal examination revealed palpable sausage- shaped mass in the right upper quadrant. Which of the following is the first line of therapeutic management for this infant?
A. Non-surgical hydrostatic reduction
B. Surgical simple reduction
C. Pyloromyotomy
D. Endorectal pull-Through
8. 7month-old infant seen in the Emergency Department suffering from episodes of severe abdominal pain, and the infant’s stool become like red jelly. Abdominal examinassions revealed palpable sausage-shaped mass in the right upper quadrant which of the following is the best diagnosis?
A. Hirschsprung disease
B. Hypertrophic pyloric stenosis
C. Infant colic
D. Intussuception
9. Nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented?
A. watery diarrhea
B. rib bone-like stools
C. profuse projectile vomiting
D. Red jelly stool
10. A 5year-old child was seen to the Emergency Department abdominal pain, palpable sauge-shaped mass, and Intussusception is suspected which of the following is the best diagnostic evaluation to?
A. X-ray
B. endoscopy
C. Rectal biopsy
D. Ultrasonograph
11. A 5-week-old newborn was admitted to pediatric Ward with pyloric stenosis, the newborn has weight loss, and projectile vomiting during feeding . They scheduled surgical repair of pyloric stenosis Which of the following postoperative intervention for this
A. IV fluid infant is retaining adequate amount by mouth
B. Administration of proper analgesia until infant discomfort resolve
C. Start feeding immediately after postoperative
D. Vomiting is uncommon in the first24-48 hrs
12. Surgery for pyloric stenosis movement?
A. Pylorotomy
B. Pylorectomy
C. Pylorostomy
D. Pyloromyotomy
13. PYLORIC stenosis peristalsis movement ?
A. From right to left
B. From left to right
14. 1 month-old infant is admitted to the surgical unit with hypertrophic pyloric stenosis and scheduled for the surgery. Which of the following is the findings of abdominal examination?
A. palpable olive-like mass in the left side
B. palpable olive-like mass in the right side
C. Palpable olive-like mass moved from left to right
D. Palpable olive-like mass moved from right to left
15. A 7-week-old infant boy is admitted with projectile vomiting decreased urine output, decreased bowel movements and weight loss. He has poor turgor and appears hungry. The nurse observes left-to right peristaltic waves after he vomits. The nurse would expect to find which of the following during the physical assessment?
A. Hepato-spleenomegaly
B. A palpable pyloric mass
C. Lymphadenopathy
D. Bulging fontanelles
16. The nurse is assessing a child (an infant ) with pyloric stenosis . which of the following is likely to note?
A. Diarrhea
B. Projectile vomiting
C. Swallowing difficulties
D. Currant jelly like stool
17. A 5 week old newborn admitted paediatric ward with pyloric stenosis the newborn has weight loss, and projectile vomiting after feeing. Which of the following abdominal organs are directly affected when stenosis diagnosed?
A. Stomach and duodenum
B. Stomach and oesophagus
C. Liver and spleen
D. Liver and bile duct
18. Tetralogy of Fallot where is it located :
A. right heart side
B. left heart side
19. The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot. Which of the following positions is used for congenital heart condition?
A. Semi fowler's position
B. knee chest position
C. prone position
20. A 9-month-old child who has a repair cleft palate the nurse explaining mother on how she will give feeds to her child. Which of the following instruction can be expected to include feeling education?
A. Open cup
B. Tea spoon
C. Bottle feed
D. Special bottle feed
21. Which of the following instruction should be given to the parents about colostomy care?
A. Use baby powder after stoma cleaning
B. Empty the pouch when it is completely full
C. Avoid tight diapers around the infant abdomen.
D. Use baby wipes to clean the skin around the stoma
22. A Community Nursing nurse is working with a family in their home The parents complain that their eight year-old son is "wild" and that he never listens to them. They become upset at his antics to gain attention from the nurse and send him out of the room. Which of the following responses from the nurse is the most appropriate?
A. " That was the right thing, it teaches him who is in charge”
B. " Don't worry, he is a boy and with time, he will grow out of this”
C. " Let's talk about how we can teach your child the right behavior and your expectations of him”
D. " You are only reinforcing his behavior when you do that. Try putting him in time out instead”
23. 11- child is admitted to the pediatrics ward with acute lymphocytic LEUKEMIA , and has had joint pain for several weeks. Physical findings ude widespread ecchymosis, generalized lymphadenopathy, hepatosplenomegaly, and pallor. Lab work shows a low hemoglobin level, RBC count, low WBC count low hematocrit , and low platelets. Which high risk is expected?
A. Infection
B. Fractures
C. Dehydration
D. Hepatitis
24. A nurse is teaching a group of new mothers in the post-natal ward on how to manage breast engorgement after they are discharged to home. Which of the following statements by the mother will indicate to the nurse that they understood how to prevent engorgement of the breasts?
A. breast feed every 4 hours
B. breast feeding during the day and bottle feeds at night
C. breast feed every 2-3 hours during the day and stop at night
D. breastfeed the baby every 2-3 hours during the day and night
25. When would the nurse schedule a woman for a glucose tolerance test?
A. 6-10h week of pregnancy
B. 12th-16h week of pregnancy
C. 24th-28 week of pregnancy
D. 32h-36 week of pregnancy
26. Which of the following is the most common site to obtain a capillary blood sample from Neonates?
A. Heel
B. Earlobe
C. Fingertip
27. mother came to the clinic and afraid that her baby maybe will have meningitis as his brother already have What should the nurse tell the mother?
A. The vaccine is reducing the risk for this decease
28. Temperature 41 c is Hyperpyrexia
29. When checking rectal temperature how depth thermometer should be inserted
A. 2cm
B. 3.5cm
C. 4cm
D. 4.5
30. Patients with cardiac disease, the nurse should avoided which of the following place when taking temperature
A. Rectal
B. Oral
C. Axillary
D. Tympanic
31. A 15-year-old girl is admitted to the hospital with diarrhea. She has been repeatedly vomiting for now weak and lethargic. She is oriented to time to questions appropriately. The nurse prepares temperature using an electronic thermometer. Which measurement would be most appropriate?
A. Oral
B. Rectal
C. Axillary
D. Tympanic
32. Fastest and most sanitary thermometer is :
A. Glass
B. Electronic
C. Chemical
D. Tympanic
How to store vaccines
in ICE
33. 9 month vaccine :
A. MCV4
B. Hepatitis A
C. Hib
34. 1 year vaccine :
A. OPV
B. Hib
C. DTap
D. Hepatitis A and varicella
35. 18 month vaccine :
A. Rota
B. Hepatitis B
C. Hepatitis A
36. First dose of hepatitis B should be given when ?
A. At birth
B. At 2 month
C. At 6 month
D. At 1 year
37. Measles vaccine administration route
A. Intramuscular
B. Subcutaneous
C. Intradermal
D. Intravenous
38. DTap vaccine administration route
A. Intramuscular
B. Subcutaneous
C. Intradermal
D. Intravenous
39. What of the following disease are prevented by MMR vaccine?
A. Mumps-measles-Scarlet fever
B. Mumps-measles-rotavirus
C. Mumps-measles-rabies
D. Mumps-measles-germen- measles
40. A mother brought her 6-month-old healthy infant to the well-baby clinic Which immunization should the nurse anticipate to administer as per World Health Organization's recommendation?
A. Varicella (Chicken pox)
B. Rotavirus and hepatitis
C. Measles, Mumps, Rubella
D. Diphtheria, Tetanus and pertussis
41. 6month-old boy with hydrocephalus is admitted to the pediatric surgical Ward for ventriculoperitoneal Shunt (VPS) insertion. Which of the following findings should be of the most concern when assessing the child postoperative?
A. Sunken fontanelle and irritability
B. decreased head circumference
C. poor feeding and pupillary change
D. headache and excessive sleepiness
42. Which of the following routes is used to administered Diphtheria, Tetanus and pertussis DTP vaccine?
A. Oral
B. Intramuscular
C. Subcutaneous
D. Intradermal
43. The nurse are reviewing the immunized schedule if the 11-month of baby Which of the disease should the nurse expect the infant that here immunized against?
A. Pertussis, Tetanus, polio, and varicella
B. Polio, Pertussis, Tetanus, and Diphtheria
C. Varicella, polio, Tuberculosis, and pertussis
D. Measles, Mumps. Rubella, and Tuberculosis
44. Dexamethasone ............ accelerates maturation of fetal lung .
45. Hirschsprung disease failure of neonate to pass stool )Meconium ) for 24 hours
46. Apgar score done at 1 minute and 5 minutes at birth
47. most common cause of diarrhoea in paediatric virus rotavirus ,
48. Meconium is Dark green stool in newborn
49. Less than 24 hours after postpartum calls a nurse in the Mother/Infant Unit. She reports that she has very heavy bright-red bleeding. being discharged, a mother who is newly What would be the best advice to give her?
A. "Don't worry about it; it is normal."
B. "Call your doctor and ask what to do."
C. "Lie down, massage lower abdomen. If it does not work then come to the hospital immediately."
D. "Lie down for about an hour. Then check your bleeding, if it is still as heavy, call me back."
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