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NURS202 Final Exam/ All 180 Updated Practice Questions withCorrect Answers/ Latest 2024-2025.
A child is admitted to the emergency department with an acute asthma attack. Which early assessment
finding does the nurse expect?
A. decreased respiratory rate
B. expiratory wheezing
C. inspiratory stridor
D. cyanosis - ANSWER - B. expiratory wheezing
The nurse is assessing breath sounds of a child admitted to the unit. Based on the following progress
notes, which respiratory illness would the nurse suspect?Progress notes10/152030Seven-year-old child
admitted from ER. Oxygen via mask at 4 L/min. Frequent, tight cough. A/Ox3. Shortness of breath noted
while talking to mom. HEENT normal. Lungs with wheezing in bases. Heart RRR, no murmur. Abdomen
soft, flat. Active bowel sounds. Moving all extremities well.
A. pneumonia
B. croup
C. pulmonary edema
D. asthma - ANSWER - D. asthma
A 4-year-old child who has been ill for 4 hours is admitted to the hospital with difficulty swallowing, a
sore throat, and severe substernal retractions. The child's temperature is 104° F (40° C), and the apical
pulse is 140 bpm. The white blood cell count is 16,000/mm3 (16,000 X 109/L). What is priority for
nursing intervention? A. infection
B. airway obstruction
C. difficulty breathing
D. potential for aspiration - ANSWER - B. airway obstruction
pg. 1
,The triage nurse in the emergency department must prioritize the care of children waiting to be seen.
Which child is in the greatest need of emergency medical treatment?
A. a 6-year-old with a fever of 104° F (40° C), a muffled voice, no spontaneous cough, and drooling
B. a 3-year-old with a fever of 100° F (37.8° C), a barky cough, and mild intercostal retractions
C. a 4-year-old with a fever of 101° F (38.3° C), a hoarse cough, inspiratory stridor, and restlessness
D. a 13-year-old with a fever of 104° F (40° C), chills, and a cough with thick yellow secretions -
ANSWER - A. a 6-year-old with a fever of 104° F (40° C), a muffled voice, no spontaneous cough, and
drooling
A toddler with croup is given a racemic epinephrine treatment because of increasing respiratory distress.
Which finding indicates that the treatment has been effective? A. Color is normal.
B. Retractions are less severe.
C. Heart rate is 100 bpm.
D. Pulse oximeter reads 90. - ANSWER - B. Retractions are less severe.
When assessing a child with bronchiolitis, which finding does the nurse expect?
A. clubbed fingers
B. barrel chest
C. barking cough and stridor
D. productive cough - ANSWER - D. productive cough
An emergency department nurse is caring for a child diagnosed with moderately severe croup. The
nebulizer treatment of choice for a child with moderate to severe croup is:
A. albuterol.
B. budesonide.
C. epinephrine.
D. ipratropium bromide. - ANSWER - C. epinephrine.
A 2-year-old child is brought to the emergency department with a history of upper airway infection that
has worsened over the last 2 days. The nurse assesses the child and finds a hoarse voice, inspiratory
stridor, fever, and a barking cough. What would the nurse anticipate for admission orders?
pg. 2
, A. cool mist humidification
B. expectorant cough syrup
C. antibiotics
D. inhaled bronchodilator - ANSWER - A. cool mist humidification
A mother asks the nurse how to handle her 4-year-old child, who recently has had episodes of urinary
incontinence after being completely toilet-trained. What is the best response by the nurse?
A. "What have you done to prevent this from happening?"
B. "Have your other children experienced this same thing?"
C. "Has your child experienced any recent changes in routine?"
D. "Is your child angry with you about something?" - ANSWER - C. "Has your child experienced any
recent changes in routine?"
The nurse is providing teaching to the parents of a young child with a urinary tract infection. The nurse's
goal is to help the parents understand their role in the treatment of the infection. Which statement by
the parents lets the nurse know that the teaching has been successful?
A. "We can treat the infection by increasing oral fluid intake."
B. "We need to encourage cranberry juice to treat the infection."
C. "We need to administer the oral antibiotics as prescribed."
D. "We need to come to the emergency department for IV fluids." - ANSWER - C. "We need to
administer the oral antibiotics as prescribed."
A parent brings her 6-year-old daughter to the pediatrician's office for evaluation. The child recently
started wetting the bed and running a low-grade fever. A urinalysis is positive for bacteria and protein. A
urinary tract infection (UTI) is diagnosed, and the child is prescribed antibiotics. Which nursing
interventions are appropriate? Select all that apply.
-Limit fluids for the next few days to decrease the frequency of urination.
-Assess the parent's understanding of UTI and its causes.
-Instruct the parent to administer the antibiotic as prescribed, even if the symptoms diminish.
-Provide instructions only to the parent, not the child.
-Tell the parent to have the child wipe the back to the front after voiding and defecation. - ANSWER -
Assess the parent's understanding of UTI and its causes.
pg. 3
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