Rules

1
Health Promotion
Neurology
Abdomen
Respiratory
Cardiac
25
25
25
25
25
Teams
J E O P A R D Y
50
50
50
50
50
Rules
75
75
75
75
75
.
100
100
100
100
100
Tie Breaker
150
150
150
150
150
Daily Double
200
200
200
200
200
Final
2
25 pts

• The nurse asks a 16-year-old young man to think
  of an explanation for a simple puzzle. When he
  is unable to come up with any answer at all, the
  nurse recognizes that he may not yet have
  successfully mastered which of Piagets levels of
  cognitive development?
• A. What is sensorimotor?
• B. What is preoperational?
• C. What is formal operations?
• D. What is concrete operations?
• Answer C

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3
50 pts

• A parent brings a 1-month-old infant to the
  clinic for a checkup. Which of the following
  developmental achievements would the nurse
  assess?
• A. Smiling and laughing out loud?
• B. Rolling from back to side?
• C. Holding a rattle briefly?
• D. Turning the head from side to side?
• Answer D

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4
75 pts

• A mother of a 3-year-old with CHF asks how
  preschoolers perceive illness. Then nurse should
  explain that they generally regard it as?
• A. What is a necessary part of life?
• B. What is a test of self-worth?
• C. What is a punishment for wrong doing?
• D. What is the will of God?
• Answer 3

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5
100 pts

• When the childs height and weight are compared
  with standard growth charts, she is found to be
  in the 85th percentile for height and in the 45th
  percentile for weight. These findings indicate
  that the child is?
• A. What is average height and weight?
• B. What is overweight for height?
• C. What is underweight for height?
• D. What is of abnormal height?
• Answer A

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6
150 pts

• An 18-year-old senior tells the nurse, Everyone
  does it, so its all right, to justify
  rule-breaking behavior. The nurse realizes this
  is an example of which level of moral reasoning
  as described by Kohlberg?
• A. What is Preconventional?
• B. What is Conventional?
• C. What is Postconventional?
• D. What is Premoralistic?
• Answer B

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7
200 pts

• The father expresses a concern about his
  3-year-old sons fear of the dark. The nurse
  would explain to the father which concept of
  Piagets cognitive development as the basis for
  the childs fear of darkness?
• A. What is reversibility?
• B. What is animism?
• C. What is conservation of matter?
• D. What is object permanence?
• Answer B

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8
25 pts

• The nurse weighs the infant and measures his
  length, weight, and head circumference. The
  infants weight, and length are in the 50th
  percentile for his age his head circumference is
  at the 105the percentile. The nurse should first
• A. assess motor and sensory function of the
  legs.
• B. examine the fontanel and sutures.
• C. advise the mother to bring him back in 1
  month for follow-up.
• D. obtain a permit for transillumination.
• Answer 2

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9
50 pts

• While planning for the infants discharge, the
  nurse teaches the parents the signs of an
  obstructed shunt. The nurse evaluates the
  teaching as successful when the parents identify
  which of the following as signaling a blocked
  shunt?
• A. Decreased urine output with stable intake.
• B. Cold, clammy skin with pale lips.
• C. Elevated temperature reddened areas around
  the incision site
• D. Irritability and feeding difficulty.
• Answer D

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10
75 pts

• The nurse knows that it is important to assess
  the 4-year-old child with meningitis for signs of
  increasing intracranial pressure. Along with
  decreased level of consciousness, the nurse would
  be concerned by?
• A. blood pressure of 142/74 mm Hg.
• B. Pulse of 86 beats/ minute.
• C. Respiratory rate of 24 breaths/minute.
• D. Temperature of 100.2 F.
• Answer A

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11
100 pts

• While discussing a plan of care for the neonate
  with Myelomeningocele, the mother asks if her
  baby will be at risk for any other defects. The
  nurse answer would be based on the fact the
  Myelomeningocele is frequently associated with?
• A. What is an abnormal increase in cerebrospinal
  fluid within the cranial cavity?
• B. What is an abnormally small head?
• C. What is a congenital absence of the
  cranial vault?
• D. What is an overriding of the cranial sutures?
• Answer A

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12
150 pts

• A school-aged child was hit by a car while riding
  a bicycle. Unconscious at the scene of the
  accident, he was brought to the hospital
  emergency department. On the childs arrival at
  the hospital, the nurses first priority would be
  to
• A. assess his neurologic status.
• B. assess for extremity injuries.
• C. establish ventilation.
• D. establish intravenous access.
• Answer C

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13
200 pts

• The parents ask the nurse why the physciian
  ordered mannitol for a closed head injury. The
  nurse should reply, Mannitol will
• A. help hold fluid in the vascular bed, to
  prevent shock.
• B. help decrease fluid, to decrease swelling in
  the brain.
• C. increase caloric intake, to aid wound
  healing.
• D. fight off bacteria, to prevent infections.
• Answer B

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14
25 pts

• An 11-month-old infant is admitted to the
  hospital with sever diarrhea. The nurse explains
  to the infants mother that diarrhea is best
  defined on the basis of the stool
• A. odor.
• B. amount.
• C. frequency.
• D. consistency.
• Answer D

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15
50 pts

• On admission the nurse should assess the infant
  with diarrhea for
• absent bowel sounds.
• pale yellow urine.
• normal skin elasticity.
• depressed fontanel
• D

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16
75 pts

• Which of the following signs would the nurse
  recognize as an indication of moderate
  dehydration?
• A. Vomiting.
• B. Diaphoresis.
• C. Absence of tear formation
• D. Decreased urine specific gravity.
• Answer C

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17
100 pts

• Before adding the potassium chloride to the
  intravenous fluid, the nurse would determine that
  the child had
• A. voided.
• B. a stool.
• C. a baseline electrocardiogram.
• D. a serum calcium level drawn.
• Answer A

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18
150 pts

• A 14-year-old boy has a tentative diagnosis of
  acute appendicitis. The nurse asks the client
  several questions would be most helpful in
  eliciting pertinent diagnostic data?
• A. Where did the pain start?
• B. What did you do for the pain?
• C. How often do you have a bowel movement?
• D. What grade are you in?
• Answer A

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19
200 pts

• After assessing the clients abdomen, the nurse
  documents the findings. Which of the following
  notations would represent a deviation from normal
  that could indicate appendicitis?
• A. The abdomen appears slightly rounded.
• B. Bowel sounds are heard twice in 2 minutes.
• C. Tympany is heard in all four quadrants.
• D. The patient demonstrates a cremasteric reflex.
• Answer B

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20
25 pts

• Which of the following clients respiratory rates
  are within normal limits?
• A. Who is a 6-year-old girl whose rate is 15
  BPM?
• B. Who is a 16-month-old whose rate is 35 BPM?
• C. Who is a 70-year-old woman whose rate is 28
  BPM?
• D. Who is a 21-year-old woman whose rate is 11
  BPM?
• Answer B

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21
50 pts

• The nurse plans to discuss with the parents other
  foods that are easily aspirated. Which of the
  following foods are most likely to be aspirated?
• A. Popcorn.
• B. Raw vegetables.
• C. Round Candy.
• D. Crackers.
• Answer C

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22
75 pts

• After bronchoscopy, which of the following
  parameters would be most important for the nurse
  to assess when the child returns to the room?
• A. Cardiac rate.
• B. Respiratory quality.
• C. Sputum color.
• D. Pulse deficit.
• Answer B

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23
100 pts

• Identify the sound most associated with croup?
• A.
• B.
• C.
• D.
• Answer C

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24
150 pts

• The nurse monitors the child 4-year -old after
  tonsillectomy frequently for signs and symptoms
  of hemorrhage. Which of the following would be
  an early indication of hemorrhage?
• A. Drooling of bright red secretions.
• B. A pulse rate of 95 beats/minute.
• C. Vomiting of 25mL of dark brown emesis.
• D. A blood pressure of 90/55 mm Hg.
• Answer A

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25
200 pts

• The nurse judges that the parents understand the
  nature of cystic fibrosis when they state that
  the disease is characterized by?
• A. an abnormality in the bodys mucus-secreting
  glands.
• B. The formation of bibrous cysts in various
  body organs
• C. The failure of the pancreatic ducts to
  develop properly.
• D. A reaction to the formation of antibodies
  against streptococcus
• Answer A

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26
25 pts

• A normal heart rate for a 2 year old is
• A. what is 100
• B. what is 60
• C. What is 70
• D. What is 90
• Answer D

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27
50 pts

• The nurse judges that the parents understand
  Tetralogy of Fallot when they explain that one of
  the underlying causes of their childs cyanosis
  is?
• A. constriction of the aorta
• B. Stenosis of the mitral valve.
• C. Stenosis of the pulmonary artery.
• D. The aorta receiving blood directly from the
  vena cava.
• Answer 3

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28
75 pts

• The mother asks the nurse why he child has
  clubbed fingers. The nurse should explain that
  the clubbing is due to?
• A. anemia
• B. Peripheral hypoxia
• C. Delayed physical growth
• D. Destruction of bone marrow
• Answer B

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29
100 pts

• The childs daily digoxin dose is 0.15mg PO. The
  digoxin is available in liquid form at a
  concentration of 0.05mg/mL. How much of the
  medication should the nurse administer at each
  dose?
• A. 0.2 mL
• B. 0.5 mL
• C. 3.0 mL
• D. 5.0 mL
• Answer C

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30
150 pts

• Which of the following signs of symtoms should
  lead the nurse to suspect that the child is
  experiencing early salicylate toxicity?
• A. chest pain
• B. Pink-colored urine
• C. Slow pulse
• D. dizziness
• Answer D

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31
200 pts

• The parents express concern that atheir other
  children will develop rheumatic fever. What
  would be the nurses best response?
• A. this disease is usually not contagious.
• B. Your other children are just as likely to
  develop rheumatic fever.
• C. There is medicine available to prevent
  this
• D. Your other children are all girls, so there
  is no need to worry
• Answer A

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32
Teams

• Team 1 Team 2 Team 3
• Alpha Bravo Charlie
• Alpha Bravo Charlie
• Alpha Bravo Charlie

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33
GAME RULES

• Examples
• If you are wrong, you LOSE points!!
• Where questions come from
• You have one minute to answer each question.

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34
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35
TIE BREAKER

• The nurse would suspect that the adolescent has
  scoliosis after observing a skeletal defect that
  results in a slight limp and
• A. a shorter-than-average trunk.
• B. a rib hump.
• C. a forward body thrust while walking.
• D. a waddling gait.
• Answer B

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36
DAILY DOUBLE

• A neonate is diagnosed as having a congenital
  clubfoot. The infants parents ask the nurse how
  his foot will be treated. The nurse would
  respond that treatment usually includes
• Answer
• serial leg casting-starts as soon as possible
  after birth

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37
FINAL JEOPARDY

• Enter Question here
• Enter Answer here

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