Chapter 31: Care of the Child with a Physical and Mental or Cognitive Disorder

Chapter 31: Care of the Child with a Physical and Mental or Cognitive Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse uses a diagram to show that the tetralogy of Fallot involves a combination of four congenital defects. What are the defects?

a.	Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
b.	Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
c.	Aortic stenosis, atrial septal defect, overriding aorta, right ventricular hypertrophy
d.	Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy

 

 

ANS:  B

Tetralogy of Fallot involves a combination of four congenital defects: pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 990        OBJ:   1

TOP:   Heart defect    KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

2. What is the most common clinical manifestation of coarctation of the aorta?

a.	Clubbing of the digits
b.	Upper extremity hypertension
c.	Pedal edema and portal congestion
d.	Loud systolic ejection murmur

 

 

ANS:  B

Coarctation of the aorta results in hypertension in the upper extremities. The pressure in the arms is typically 20 mm Hg higher than in the legs.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 991        OBJ:   1

TOP:   Heart defect    KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

3. Parents of a 6-month-old child, who has just been diagnosed with iron deficiency anemia, ask why it was not diagnosed earlier. What would be the best response by the nurse?

a.	“Are you sure your child has iron deficiency anemia?”
b.	“This happens when the maternal stores of iron are depleted at about 6 months.”
c.	“This anemia is caused by blood loss.”
d.	“The child may not have had it for a long time.”

 

 

ANS:  B

Iron deficiency anemia becomes apparent at about 6 months of age in a full-term infant, when maternal stores of iron are depleted.

 

DIF:    Cognitive Level: Application           REF:   Page 992        OBJ:   2

TOP:   Anemia          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

4. What should the therapeutic management of iron deficiency anemia include?

a.	Multivitamins
b.	Calcium
c.	Ferrous sulfate
d.	Iodine

 

 

ANS:  C

Therapeutic management of iron deficiency anemia is iron (ferrous sulfate) supplementation, nutritional counseling, and treatment of any underlying condition.

 

DIF:    Cognitive Level: Knowledge            REF:   Pages 992-993

OBJ:   2                    TOP:   Anemia          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity