jeopardy nclex 3

JeopardyPain Infectious

Immunologic/Hematologic

Fluids/electrolytes GI

Q $100

Q $200

Q $300

Q $400

Q $500

Q $100 Q $100Q $100 Q $100

Q $200 Q $200 Q $200 Q $200

Q $300 Q $300 Q $300 Q $300

Q $400 Q $400 Q $400 Q $400

Q $500 Q $500 Q $500 Q $500

Final Jeopardy

$100 Question from H1

In which developmental stage is the child first able to localize pain and describe both the amount and the intensity of the pain felt?a. Toddler stageb. School-age stagec. Preschool staged. Adolescent stage

$100 Answer from H1

c) The preschool stage is the period when the child is first able to describe the location and intensity of pain, stating, for example, “Ear hurts bad,” when feeling pain

$200 Question from H1What medications are the most effective choices for treating pain associated with inflammation in children? Choose all that apply.a. Morphineb. Acetaminophen (Tylenol)c. Ibuprofen (Advil)d. Ketorolac (Toradol)e. Aspirin

$200 Answer from H1

Correct C, D. Ibuprofen, naproxen/naproxen sodium, and ketorolac (Toradol) are all types of NSAIDs, which are used primarily for pain associated with inflammation.

$300 Question from H1Which statement indicates the nurse’s lack of understanding about the use of patient-controlled analgesia (PCA) therapy?a. Children as young as 3 years old can effectively and successfully use a PCA pump.b. Two registered nurses (RNs) are required to double check the dosage and programmed administration of opioids.c. The child should be carefully monitored for signs and symptoms of overmedication with opioids.d.Naloxone (Narcan) should be readily available.

$300 Answer from H1

A )Children as young as 5 years old have effectively used PCA therapy. Further data are needed to evaluate the use of PCA therapy in children younger than 5 years of age.

$400 Question from H1The nurse is aware that physiologic changes associated with pain in the neonate include:a. increased blood pressure and decreased arterial saturation.b. decreased blood pressure and increased arterial saturation.c. increased urine output and increased heart rate.d. decreased urine output and increased blood pressure.

$400 Answer from H1

A )Increased blood pressure and heart rate and decreased arterial saturation are physiologic responses to pain in the neonate.

$500 Question from H1

When pain is assessed in an infant, it would be inappropriate to assess for:a. facial expressions of pain.b. crying.c. localization of pain.d. thrashing of extremities.

$500 Answer from H1

C)Infants cannot localize pain to any great extent.

$100 Question from H2

The school nurse is conducting a class for school-age children on Lyme disease. Which is characteristic of Lyme disease?

A. Difficult to prevent B. Treated with oral antibiotics in stages 1, 2, and 3 C. Caused by a spirochete that enters the skin through a tick bite D. Common in geographic areas where the soil contains the mycotic spores that cause the disease

$100 Answer from H2

C)Caused by a spirochete that enters the skin through a tick bite

$200 Question from H2

The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely caused by:

A. impetigo. B. Candida albicans. C. urine and feces. D. infrequent diapering

$200 Answer from H2

$300 Question from H2

The nurse is conducting a staff in-service on childhood-acquired heart diseases. Which is a major clinical manifestation of rheumatic fever?

A. Polyarthritis B. Osler nodes C. Janeway spots D. Splinter hemorrhages of distal third of nails

$300 Answer from H2

A. Polyarthritis

$400 Question from H2

Clinical manifestations of toxic shock syndrome include:

A. severe hypertension. B. subnormal temperature. C. erythematous macular rash. D. papular rash over extremities.

$400 Answer from H2

C. erythematous macular rash

$500 Question from H2A child is diagnosed with influenza, probably type A disease. Management includes which recommendation?

A. Clear liquid diet for hydration B. Aspirin to control fever C. Amantadine hydrochloride (Symmetrel) to reduce symptoms D. Antibiotics to prevent bacterial infection

$500 Answer from H2

C. Amantadine hydrochloride (Symmetrel) to reduce symptoms

$100 Question from H3

$100 Answer from H3

B. delay disease progression.

$200 Question from H3Which should the nurse teach about prevention of sickle cell crises to parents of a preschool child with sickle cell disease? (Select all that apply.)

A. Limit fluids at bedtime.

B. Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs.

C. Give penicillin as prescribed.

D. Use ice packs to decrease the discomfort of vasoocclusive pain in the legs.

E.Notify the health care provider if your child begins to develop symptoms of a cold

$200 Answer from H3

Your Text Here

B. Notify the health care provider if a fever of 38.5° C (101.3° F) or greater occurs.

C. Give penicillin as prescribed

E. Notify the health care provider if your child begins to develop symptoms of a cold

$300 Question from H3The nurse is conducting a staff in-service on inherited childhood blood disorders. Which statement describes severe combined immunodeficiency syndrome (SCIDS)?

A. There is a deficit in both the humoral and cellular immunity with this disease. B. Production of red blood cells is affected with this disease. C. Adult hemoglobin is replaced by abnormal hemoglobin in this disease. D. There is a deficiency of T and B lymphocyte production with this disease.

$300 Answer from H3

A. There is a deficit in both the humoral and cellular immunity with this disease.

$400 Question from H3

Meperidine (Demerol) is not recommended for children in sickle cell crisis because it:

A. may induce seizures. B. is easily addictive. C. is not adequate for pain relief. D. is given by intramuscular injection.

$400 Answer from H3

A. may induce seizures.

$500 Question from H3

D. Immune thrombocytopenic purpura (ITP)

$500 Answer from H3

A child who has been in good health has a platelet count of 45,000/mm3, petechiae, and excessive bruising that covers the body. The nurse is aware that these signs are clinical manifestations of

A. Erythroblastopenia B. von Willebrand disease C. Hemophilia D. Immune thrombocytopenic purpura (ITP)

$100 Question from H4Which assessment findings indicate to the nurse that a child has excess fluid volume? Select all that apply.

A. Weight gainB. Decreased blood pressureC. Moist breath soundsD. Poor skin turgorE. Rapid bounding pulse

$100 Answer from H4

C. Moist breath soundsA. Weight gainE. Rapid bounding pulse

$200 Question from H4

A child has a 2-day history of vomiting and diarrhea. He has hypoactive bowel sounds and an irregular pulse. Electrolyte values are sodium, 139 mEq/L; potassium, 3.3 mEq/L; and calcium, 9.5 mg/dL. This child is likely to have which of the following electrolyte imbalances?A. Hyponatremia B. Hypocalcemia C. Hyperkalemia D. Hypokalemia

$200 Answer from H4

D. Hypokalemia

$300 Question from H4During diuretic therapy, the nurse monitors the fluid and electrolyte status of the patient. Which assessment findings are symptoms of hyponatremia? (Select all that apply.)

A. Red, flushed skinB. LethargyC. Decreased urinationD. HypotensionE. Stomach crampsF. Elevated temperature

$300 Answer from H4

LethargyHypotension

Stomach cramps

$400 Question from H4

During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?

A. Hypernatremia B. Fluid volume deficit C. Fluid volume overload D. Transfusion reaction

$400 Answer from H4

C. Fluid volume overload

$500 Question from H4

When reviewing the health history of a patient, the nurse will note that a potential contraindication to potassium supplements exists if the patient has which problem?

A. Burns B. Diarrhea C. Renal disease D. Cardiac tachydysrhythmias

$500 Answer from H4

C. Renal disease

$100 Question from H5

D Abdominal pain is relieved when appendix rupture occurs.

$100 Answer from H5What factor indicates that a child has a recently ruptured appendix?a. Abdominal pain shifts from the left to the right side.b. Vomiting and diarrhea become more intense.c. Elevated temperature decreases to normal.d. Abdominal pain is relieved.

$200 Question from H5

What is an expected outcome for a 1-month-old infant with biliary atresia?a. Correction of the defect with the Kasai procedureb. Adequate nutrition and age-appropriate growth and developmentc. Adherence to a salt-free diet with vitamin B12 supplementationd. Adequate protein intake

$200 Answer from H5

B Adequate nutrition, preventing skin breakdown, adequate growth and development, and family education and support are expected outcomes in an infant with biliary atresia.

$300 Question from H5The nurse notes on assessment that a 1-year-old child is underweight, with abdominal distention, thin legs and arms, and foul-smelling stools. The nurse suspects failure to thrive associated with:a. celiac disease.b. irritable bowel syndrome.c. intussusception.d. imperforate anus.

$300 Answer from H5

a. celiac disease.

$400 Question from H5

Which order should the nurse question when caring for a 5-year-old child after surgery for Hirschsprung’s disease?a. Monitor rectal temperature every 4 hours and report an elevation greater than 38.5° C.b. Assess stools after surgery.c. Keep the child NPO until bowel sounds return.d. Maintain IV fluids at ordered rate.

$400 Answer from H5

A Rectal temperatures should not be taken after this surgery. Rectal temperatures are generally not the route of choice for children because of the route’s traumatic nature.

$500 Question from H5

An infant with hypertropic pyloric stenosis is most at risk for what metabolic alteration?a. Metabolic alkalosisb. Respiratory acidosisc. Metabolic acidosisd. Respiratory alkalosis

$500 Answer from H5

A )Frequent projectile vomiting, characteristic of pyloric stenosis, results in a loss of nonvolatile acids that decreases hydrogen ion concentration. This results in an excess of bicarbonate that increases arterial pH above 7.45 (metabolic alkalosis).

Final Jeopardy

Final Jeopardy Answer

B)A maternal history of polyhydramnios is associated with TEF.