Chapter 16: NURS 340 Preparation For The Nclex Questions and Answers Test Bank ,100% CORRECT
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Chapter 16: NURS 340
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Chapter 16: NURS 340
Chapter 16: NURS 340 Preparation For The Nclex Questions and Answers Test Bank
Origin: Chapter 16, 1
1. When providing care to a newborn infant who was born at 29 weeks' gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of what condition?
A...
chapter 16 nurs 340 preparation for the nclex questions and answers test bank
1 when providing care to a newborn infant who was born at 29 weeks gestation
the nurse integrates knowledge of pote
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Chapter 16: NURS 340 Preparation For The Nclex Questions and
Answers Test Bank
Origin: Chapter 16, 1
1. When providing care to a newborn infant who was born at 29 weeks'
gestation, the nurse integrates knowledge of potential complications,
being alert for signs and symptoms of what condition?
A) Neonatal conjunctivitis
B) Facial deformities
C) Intracranial hemorrhage
D) Incomplete myelinization
Ans: C
Feedback:
Premature infants have more fragile capillaries in the periventricular area
than term infants, which puts them at greater risk for intracranial
hemorrhage. Neonatal conjunctivitis can occur in any newborn during birth
and is caused by viruses, bacteria, or chemicals. Facial deformities are
typical of babies of alcoholic mothers. Incomplete myelinization is present
in all newborns.
Origin: Chapter 16, 2
2. The nurse knows that children have larger heads in relation to the
body and a higher center of gravity. When developing a teaching plan
for parents, the nurse includes information about an increased risk for
which problem?
A) Febrile seizures
B) Head trauma
C) Caput succedaneum
D) Posterior plagiocephaly
Ans: B
Feedback:
The larger head size in relation to the body, coupled with a higher center
of gravity, causes children to hit their head more readily when involved in
motor vehicle accidents, bicycle accidents, and falls. Febrile seizures are
not related to anatomy or physiology.
Caput succedaneum is an edematous area on the scalp caused by pressure
of the uterus or vagina during head-first delivery. Posterior plagiocephaly is
caused by early closure of the lamboid suture.
Page 1
, Origin: Chapter 16, 3
3. The nurse is caring for a child hospitalized with Reye syndrome who is in
the acute stage of the illness. The nurse would assess the child most
carefully for what finding?
A) Indications of increased intracranial pressure
B) An increase in the blood glucose level
C) A decrease in the liver enzymes
D) A presence of protein in the urine
Ans: A
Feedback:
Reye syndrome is characterized by brain swelling, liver failure, and death in
hours if treatment is not initiated. Therefore, increased intracranial pressure
could occur. Liver
Page 2
, enzyme levels typically increase. Blood glucose levels and protein in the
urine are not characteristic of this illness.
Origin: Chapter 16, 4
4. The physician has ordered rectal diazepam for a 2-year-old boy with
status epilepticus. Which instruction is essential for the nurse to teach
the parents?
A) Monitor their child's level of sedation.
B) Watch for fever indicating infection.
C) Gradually reduce the dosage as seizures stop.
D) Monitor for an allergic reaction to the
medication. Ans: A
Feedback:
Diazepam is useful for home management of prolonged seizures and
requires that the parents be educated on its proper administration.
Monitoring the child's level of sedation is key when giving diazepam
because it slows the central nervous system. Parents need to monitor the
overall health of the child, including temperature when needed, but that
has nothing to do with the diazepam. When the use of an anticonvulsant is
stopped, gradual reduction of the dosage is necessary to prevent seizures
or status epilepticus. This is not done without a physician's order.
Monitoring for allergic reactions is necessary when any medications have
been prescribed, but is not specific to diazepam.
Origin: Chapter 16, 5
5. As a result of seizure activity, a computed tomography (CT) scan was
performed and showed that an 18-month-old child has intracranial
arteriovenous malformation. When developing the child's plan of care,
what would the nurse expect to implement actions to prevent?
A) Drug interactions
B) Developmental disabilities
C) Hemorrhagic stroke
D) Respiratory paralysis
Ans: C
Feedback:
Intracranial hemorrhage or hemorrhagic stroke is a risk for children with
intracranial arteriovenous malformation. Drug interactions are a risk for
Page 3
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