SCFHS MCQs 2.4

 SCFHS MCQs 2.4

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1.             All of the following are types of spina bifida EXCEPT:
A. Myelomeningocele
B. Hemophilia
C. Meningocele
D. Spina Bifida Occulta
 
2.                   While caring for a neonate with a meningococcal, the nurse should avoid positioning the child on the:
A.    Abdomen
B.     Left side
C.     Right side
D.    Back
3.                   infant is born with spinal bifida Which of the following complication is always found in these Infants?
A.     Hydrocephalus
B.     Craniosynostosis
C.     Meningitis
D.    Cerebral palsy
 
4.       On the second day of hospitalization for ventriculoperitoneal shunt revision, a child with spina bifida developed hives, itching and wheezing. The nurse should determine if the patient has been exposed to:
A.    Peanuts
B.     Strawberries
C.     Eggs
D.    Latex
5.                   Infant with spina bifida the nurse should monitor
A.     Head circumference
B.     Abdomen cicumfrance
 
6.                   Position for the baby with spina bifida is :
A.     prone position
B.     back
C.     supine
7.       Definition :is a congenital anomaly also known as congenital aganglionosis or aganglionic megacolon. The disease occurs as the result of an absence of ganglion cells in the rectum and other areas of the affected intestine
 
8.       A 24 hours after delivery , the nurses noted that the newborn failed to pass meconium. This indicates which of the following condition?
A.    GERD
B.     Pyloric stenosis
C.     Failure to thrive
D.    Hirsch sprung disease
9.       A nurse is assessing a 6-month-old infant that has retar reduced responsiveness and interaction with the environment to smile or make eye contact. The nurse notices that the attempt to hold or comfort the crying infant. What diagnosis should the nurse anticipate?
A.    Celiac disease
B.    Failure to thrive
C.    Cystic fibrosis
D.    Growth hormone deficiency

10.   A 3 days old newborn is diagnosed with Hirschsprung disease. The nurse is conducting a physical examination. Which of the following findings will alert the nurse to suspect this disease in the newborn?
A.palpable sausage-shaped mass
B. cyanosis of fingers and toes
C. failure to pass meconium within 24-48 hours of life
D.weight less than expected for height and age
 
11.   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
 
12.   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
13.   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
 
14.               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
15.   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

16.   A 5-month-old boy has been vomiting green colored 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 
17.   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
 
18.   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
19.   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
 
20.   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
21.   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
22.               Surgery for pyloric stenosis movement?
A.    Pylorotomy
B.     Pylorectomy
C.     Pylorostomy
D.    Pyloromyotomy
 
23.               PYLORIC stenosis peristalsis movement ?
A.    From right to left
B.     From left to right
24.   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
25.   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
 
26.               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
 
27.               Tetralogy of Fallot where is it located :
A.     right heart side
B.     left heart side 
28.   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

29.   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
30.               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
 
31.   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”
 
32.   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
33.   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

34.          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
35.          Which of the following is the most common site to obtain a capillary blood sample from Neonates?
A.     Heel
B.     Earlobe
C.     Fingertip
 
36.            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
37.          How to storage vaccines in ICE
 
38.          9 month vaccine :
A.     MCV4
B.     Hepatitis A
C.     Hib
D.    MMR
 
39.          1 year vaccine :
A.     Opv
B.     Hib
C.     DTap
D.    Hepatitis A and varicella
40.          18 month vaccine :
A.    Rota
B.     Hepatitis B
C.     Hepatitis A

41.          First dose of hepatitis B should be given when ?
A.    At birth
B.     At 2 month
C.     At 6 month
D.    At 1 year
42.          Measles vaccine administration route
A.    Intramuscular
B.     Subcutaneous
C.     Intradermal
D.    Intravenous
 
43.          DTap vaccine administration route
A.     Intramuscular
B.     Subcutaneous
C.     Intradermal
D.    Intravenous 
44.               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
 
45.   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 
46.   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
 
47.   Which of the following routes is used to administered Diphtheria, Tetanus and pertussis DTP vaccine?
A.    Oral
B.     Intramuscular
C.     Subcutaneous
D.    Intradermal
48.   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