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Jeopardy
GU Respiratory Cardiac Musculoskeletal Integumentary
Q $100
Q $200
Q $300
Q $400
Q $500
Q $100 Q $100 Q $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
What clinical finding warrants further intervention for the 10
year old child with acute poststreptococcal
glomerulonephritis?
a. Weight loss to within 1 lb of the preillness weight
b. Urine output of 1 mL/kg/hr
c. A positive ASO titer
d. Inspiratory crackles

$100 Answer from H1
d. Inspiratory crackles
D Children with excess fluid
volume may have pulmonary
edema. Inspiratory crackles
indicate fluid in the lungs.
Pulmonary edema can be a life-threatening
complication

Which diagnostic finding is present
when a child has primary nephrotic
syndrome?
a. Hyperalbuminemia
b. Leukocytosis
c. Positive ASO titer
d. Proteinuria

$200 Answer from H1
d. Proteinuria

Which finding indicates that a child receiving
prednisone for primary nephrotic syndrome is
in remission?
a. Urine is negative for casts for 5 days.
b. Urine is 0 to trace for protein for 5 to 7 days.
c. Urine is positive for glucose for 1 week.
d. Urine is 0 to trace for blood for 1 week.

$300 Answer from H1
B The child receiving steroids for the treatment of primary
nephrotic syndrome is considered in remission when the urine is
0 to trace for protein for 5 to 7 days

Which intervention is appropriate when
examining a male infant for cryptorchidism?
a. Cooling the examiner's hands
b. Eliciting the cremasteric reflex
c. Taking a rectal temperature
d. Warming the room

$400 Answer from H1
D For the infant's comfort, the infant should be
examined in a warm room with the examiner's
hands warmed. Testes can retract into the
inguinal canal if the infant is upset or cold.

Which condition is characterized by a history of bloody diarrhea,
fever, abdominal pain, and low hemoglobin and platelet counts?
a. Acute viral gastroenteritis
b. Hemolytic-uremic syndrome
c. Acute glomerulonephritis
d.Acute nephrotic syndrome

$500 Answer from H1
b. Hemolytic-uremic syndrome
C Hemolytic-uremic syndrome is an acute disorder
characterized by anemia, thrombocytopenia, and acute renal
failure. Most affected children have a history of
gastrointestinal symptoms, including bloody diarrhea.

A child has had cold symptoms for more than
2 weeks, a headache, nasal congestion with
purulent nasal drainage, facial tenderness,
and a cough that increases during sleep. The
nurse recognizes that these symptoms are
characteristic of which respiratory condition?
a. Allergic rhinitis
b. Asthma
c. Bronchitis
d. Sinusitis

$100 Answer from H2
d. Sinusitis

The father of an infant calls the nurse to his
son’s room because he is “making a strange
noise.” The child has been diagnosed with
laryngomalacia. What does the nurse expect to
find on assessment?
a. Stridor
b. Nasal congestion
c. High-pitched cry
d. Spasmodic cough

$200 Answer from H2
a. Stridor

Which intervention for treating croup at home
should be taught to parents?
a. Have a decongestant available to give the child
when an attack occurs.
b. Have the child sleep in a dry room.
c. Sit with the child in the bathroom with the
shower on when an attack occurs.
d. Give the child an antibiotic at bedtime.

$300 Answer from H2
c. Sit with the child in the bathroom
with the shower on when an attack
occurs.

The nurse is caring for a child hospitalized for status
asthmaticus. Which assessment finding suggests that the
child’s condition is worsening?
a. Hypoventilation
b. Bradycardia
C. Thirst
d. Clubbing

$400 Answer from H2
A) The nurse would assess the child for signs of
hypoxia, including restlessness, fatigue,
irritability, and increased heart and respiratory
rate. As the child tires from increased work of
breathing hypoventilation occurs, leading to
increased carbon dioxide levels.

Which classification of drugs is used to relieve
an acute asthma episode?
a.Short-acting beta2-adrenergic agonist
b. Leukotriene blockers
c. Inhaled corticosteroids
d. Long-acting bronchodilators

$500 Answer from H2
A Short-acting beta2-adrenergic agonist is the first
medication administered. Later, systemic corticosteroids
decrease airway inflammation in an acute asthma attack.
They are given for short burst courses of 5 to 7 days.

$100 Answer from H3
Your Text Here

The nurse is admitting a child who has been
diagnosed with Kawaski disease. What is the
most serious complication of Kawasaki disease
for which the nurse should assess?
a. Cardiac valvular disease
b. Coronary aneurysm
c. Cardiomyopathy
d. Rheumatic fever

$200 Answer from H3
b. Coronary aneurysm
Coronary artery aneurysms are
seen in 20% of children with
untreated Kawaski disease.

What is an expected assessment finding in a
child with coarctation of the aorta?
a. Orthostatic hypotension
b. Systolic hypertension in the lower extremities
c. Blood pressure higher on the left side of the
body
d. Disparity in blood pressure between the upper
and lower extremities

$300 Answer from H3
d. Disparity in blood pressure between the upper
and lower extremities
The classic finding in children with
coarctation of the aorta is a disparity in pulses
and blood pressures between the upper and
lower extremities

An infant with an unrepaired tetralogy of Fallot defect is
becoming extremely cyanotic during a routine blood draw.
Which interventions should the nurse implement? Place in
order from the highest-priority intervention to the lowest-priority
intervention. Provide answer using lowercase
letters separated by commas (e.g., a, b, c, d).
a. Administer 100% oxygen by blow-by.
b. Place infant in knee-chest position.
c. Remain calm.
d. Give morphine subcutaneously or by an existing
intravenous line

$400 Answer from H3
This is the correct response:
b, a, d, c
Hypercyanotic spells, also referred to as blue spells or tet spells because they are often seen
in infants with tetralogy of Fallot, may occur in any child whose heart defect includes
obstruction to pulmonary blood flow and communication between the ventricles. The infant
becomes acutely cyanotic and hyperpneic because sudden infundibular spasm decreases
pulmonary blood flow and increases right-to-left shunting. Because profound hypoxemia
causes cerebral hypoxia, hypercyanotic spells require prompt assessment and treatment to
prevent brain damage or possibly death. The infant should first be placed in the knee-chest
position to reduce blood returning to the heart. Next 100% oxygen is given to alleviate the
hypoxemia. Morphine is next administered to reduce infundibular spasms. Last, the nurse
should remain calm.

The nurse is conducting a staff in-service on congenital heart
defects. Which structural defect constitutes tetralogy of Fallot?
A. Pulmonic stenosis, ventricular septal defect, overriding aorta,
right ventricular hypertrophy
B. Aortic stenosis, ventricular septal defect, overriding aorta, right
ventricular hypertrophy
C. Aortic stenosis, atrial septal defect, overriding aorta, left
ventricular hypertrophy
D. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy,
left ventricular hypertrophy

$500 Answer from H3
A. Pulmonic stenosis, ventricular septal defect,
overriding aorta, right ventricular hypertrophy

The nurse is taking care of an adolescent diagnosed with
kyphosis. Which describes this condition?
A. Lateral curvature of the spine
B. Immobility of the shoulder joint
C. Exaggerated concave lumbar curvature of the spine
D. Increased convex angulation in the curve of the thoracic spine

$100 Answer from H4
D. Increased convex angulation in
the curve of the thoracic spine

Which medication is usually tried first when a
child is diagnosed with juvenile idiopathic
arthritis (JIA)?
A. Aspirin
B. Corticosteroids
C. Cytotoxic drugs such as methotrexate
D. Nonsteroidal anti-inflammatory drugs
(NSAIDs)

$200 Answer from H4
D. Nonsteroidal anti-inflammatory
drugs (NSAIDs)

The nurse is caring for a preschool child with a
cast applied recently for a fractured tibia.
Which assessment findings indicate possible
compartment syndrome? (Select all that apply.)
A. Palpable distal pulse
B. Capillary refill to extremity less than 3
seconds
C. Severe pain not relieved by analgesics
D. Tingling of extremity
E. Inability to move extremity

$300 Answer from H4
C. Correct Severe pain not relieved by analgesics
D. Correct Tingling of extremity
E. Correct Inability to move extremity

A nurse is conducting discharge teaching for parents
of an infant with osteogenesis imperfecta (OI).
Further teaching is indicated if the parents make
which statement?
A. “We will be very careful handling the baby.”
B. “We will lift the baby by the buttocks when
diapering.”
C. “We’re glad there is a cure for this disorder.”
D. “We will schedule follow-up appointments as
instructed

$400 Answer from H4
C. “We’re glad there is a cure for this disorder.”

A 4-year-old child is newly diagnosed with Legg-Calvé-
Perthes disease. Nursing considerations should include which
action?
A. Encouraging normal activity for as long as is possible
B. Explaining the cause of the disease to the child and family
C. Preparing the child and family for long-term, permanent
disabilities
D. Teaching the family the care and management of the
corrective appliance

$500 Answer from H4
D. Teaching the family the care and
management of the corrective appliance

What should be included in teaching a parent
about the management of small red macules and
vesicles that become pustules around the child's
mouth and cheek?
a. Keep the child home from school for 24 hours
after initiation of antibiotic treatment.
b. Clean the rash vigorously with Betadine three
times a day.
c. Notify the physician for any itching.
d. Keep the child home from school until the
lesions are healed.

$100 Answer from H5
a. Keep the child home from school for 24
hours after initiation of antibiotic
treatment.
To prevent the spread of impetigo to others,
the child should be kept home from
school for 24 hours after treatment is
initiated. Good handwashing is
imperative in preventing the spread of
impetigo

What nursing assessment and care holds the highest
priority in the initial care of a child with a major
burn injury?
a. Establishing and maintaining the child’s airway
b. Establishing and maintaining intravenous access
c. Insertion of a catheter to monitor hourly urine
output
d.Insertion of a nasogastric tube into the stomach to
supply adequate nutrition

$200 Answer from H5
a. Establishing and maintaining the child’s airway

The nurse is planning an educational in-service on burn
injuries in children. In teaching nursing care for burned children, the
nurse will stress that children with more severe injuries will require a
higher level of care. Prioritize the following types of burns and level
of nursing care required. Use the numbers 1, 2, 3, and 4. Prioritize
from highest level of nursing care required (number 1) to lowest level
of nursing care required (number 4).
___ Destruction of epidermis and some dermis. Thin-walled, fluid
filled blisters present.
___ Epidermis effected. Redness. No blisters.
___ Flat, dehydrated, tissue-paper–like appearance. Mottled, waxy
white, dry surface
___ Cherry red or black colored skin, flat dehydrated skin.

$300 Answer from H5
___3
___4
___2
___1
The question asks you to prioritize in order of importance
the nursing management plan. Remember that when
prioritizing, the ABCs (airway, breathing, and circulation)
come first. The level of care will be highest with a full
thickness burn. In caring for a child with a full thickness
burn, the airway may be affected. With this type of burn the
child may not be experiencing pain (due to destruction of
nerve endings), but will be at risk for infection, fluid loss,
and shock. The next highest level of care will be for a child
with a deep partial thickness burn, next with a superficial
partial thickness burn, and last with a superficial burn.

The process of burn shock
continues until what physiologic
mechanism occurs?
a. Heart rate returns to normal.
b. Airway swelling decreases.
c. Body temperature regulation
returns to normal.
d. Capillaries regain their seal.

$400 Answer from H5
d. Capillaries regain their seal.
D Within minutes of the burn injury, the capillary seals are lost
with a massive fluid leakage into the surrounding tissue, resulting
in burn shock. The process of burn shock continues for
approximately 24 to 48 hours, when capillary seals are restored.

A 4-year-old child is admitted to the burn unit with injuries sustained in
a house fire. She has partial thickness burns on 10% of her body and full
thickness burns on 10% of her body. Areas involved include her hands,
arms, and head. Which nursing assessments and care hold the highest
priority in the initial care for this child’s burn injury? Prioritize the
following nursing concerns in the management for this child. Use the
numbers 1, 2, 3, 4, and 5. Prioritize from highest priority (number 1) to
lowest priority (number 5).
___ Insertion of a nasogastric tube into the stomach to supply adequate
nutrition
___ Comforting the parents, who are emotionally distraught
___ Establishing and maintaining the child’s airway
___ Establishing and maintaining intravenous access
___ Insertion of a catheter to monitor hourly urine output

$500 Answer from H5
5 Insertion of a nasogastric tube into the stomach to supply adequate
nutrition
4 Comforting the parents, who are emotionally distraught
1 Establishing and maintaining the child’s airway
2 Establishing and maintaining intravenous access
3 Insertion of a catheter to monitor hourly urine output
1 C. Establishing and maintaining the child’s airway is always the
priority focus for assessment and care.
2 D. Establishing intravenous access is the second priority in this
situation, after the airway has been established.
3 E. Inserting a catheter and monitoring hourly urine output is the third
most important nursing intervention.

Final Jeopardy
What Congenital heart defect is this?

Final Jeopardy Answer
Transposition of the Great Arteries
5% to 7% of cardiac defects
Abnormal separation and rotation of the fetal
common truncal vessel causes the aorta to arise
from the right ventricle and the pulmonary
artery to arise from the left ventricle
Associated VSD

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