21. Which describes a child who is abused by the parent(s)?

a.Unintentionally contributes to the abusing situation

b.Belongs to a low socioeconomic population

c.Is healthier than the nonabused siblings

d.Abuses siblings in the same way as child is abused by the parent(s)

22. Which is a common characteristic of those who sexually abuse children?

a.Pressure victim into secrecy

b.Are usually unemployed and unmarried

c.Are unknown to victims and victims’ families

d.Have many victims that are each abused once only

23. A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. The nurse should suspect:

a.unintentional injury.

b.shaken-baby syndrome.

c.sudden infant death syndrome (SIDS).

d.congenital neurologic problem.

24. Which is probably the most important criterion on which to base the decision to report suspected child abuse?

a.Inappropriate parental concern for the degree of injury

b.Absence of parents for questioning about child’s injuries

c.Inappropriate response of child

d.Incompatibility between the history and injury observed

25. A nurse is admitting a child to the hospital with a diagnosis of giardiasis. Which medication should the nurse expect to be prescribed?

a.Metronidazole (Flagyl)

b.Amoxicillin clavulanate (Augmentin)

c.Clarithromycin (Biaxin)

d.Prednisone (Orapred)

26. A nurse is beginning chelation therapy on a child for lead poisoning. Which intervention should the nurse implement during the time the child is receiving chelation therapy?

a.Calorie counts

b.Strict intake and output

c.Telemetry monitoring

d.Contact isolation

27. A child has been admitted to the emergency department with an acetaminophen (Tylenol) poisoning. An antidote is being prescribed by the health care provider. Which antidote should the nurse prepare to administer?

a.Naloxone (Narcan)

b.N-acetylcysteine (Mucomyst)

c.Flumazenil (Romazicon)

d.Digoxin immune Fab (Digibind)

28. A clinic nurse is assessing a child with erythema infectiosum (fifth disease). Which figure depicts the rash the nurse should expect to assess?

a.c.

b.d.

MULTIPLE RESPONSE

1. A nurse is teaching parents methods to reduce lead levels in their home. Which should the nurse include in the teaching? (Select all that apply.)

a.Plant bushes around the outside of the house.

b.Ensure your child eats frequent meals.

c.Use hot water from the tap when boiling vegetables.

d.Food can be stored in ceramic in the refrigerator.

e.Ensure that your child’s diet contains sufficient iron and calcium.

ESSAY

1. Place in order the correct sequence for emergency treatment of poisoning in a child. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).

a.   Locate the poison.

b.   Assess the child.

c.   Prevent absorption of poison.

d.   Terminate exposure to the toxic substance.