Chapter 10 The Critically Ill Pediatric Patient

Chapter 10  The Critically Ill Pediatric Patient

Complete Chapter Questions And Answers
 

Sample Questions

1.
A child in the ICU exhibits tachycardia, tachypnea, hypertension, and low pulse pressure in the extremities. Which of these signs is the best indicator of inadequate perfusion of blood?
A)
Tachycardia
B)
Tachypnea
C)
Hypertension
D)
Low pulse pressure

2.
A 12-month-old child is admitted to the ICU after being found abandoned in a hot car. The child is responsive, but the nurse notices that the anterior fontanelle of the child is sunken. Which of the following conditions should the nurse suspect in this situation?
A)
Dehydration
B)
Increased intracranial pressure
C)
Fluid overload
D)
Hypertension

3.
An ICU nurse, in testing the reflexes of a 3-month-old baby girl, strokes the lateral aspect of the sole of the foot to test for possible nerve damage. In response, the child fans her toes and dorsiflexes her big toe. What is the name of this reflex, and is the child’s response normal?
A)
Moro reflex; abnormal
B)
Rooting reflex; normal
C)
Grasp reflex; abnormal
D)
Babinski reflex; normal

4.
A nurse in the ICU observes paradoxical irritability, meningeal irritability, and nuchal rigidity in a 5-year-old girl. She suspects meningitis. What other finding or findings would support this belief? Select all that apply.
A)
Positive Babinski reflex
B)
Positive Moro reflex
C)
Positive Brudzinski’s sign
D)
Positive Kernig’s sign

5.
A newborn baby involved in an auto accident has been admitted to the ICU and is currently being assessed by a nurse in a drafty, cool room. The nurse notes mottling on the infant’s skin, a progression of coolness toward the trunk, peripheral cyanosis, normal blood pressure, low pulse pressure, and tachycardia. Given the circumstances, which of the following are reliable signs that the infant is in shock? Select all that apply.
A)
Mottled skin
B)
Progression of coolness toward the trunk
C)
Peripheral cyanosis
D)
Normal blood pressure
E)
Low pulse pressure
F)
Tachycardia

Answer Key

1.
D
2.
A
3.
D
4.
C, D
5.
B, E