NURS328 Exam#2Questions and Correct
Answers.
A 10 month old is admitted after receiving a ventriculoperitoneal shunt. Which
assessment would indicate malfunction inthis shunt? The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has ...
NURS 328 Exam #2 Questions and Correct
Answers.
A 10 month old is admitted after receiving a ventriculoperitoneal shunt. Which
assessment would indicate malfunction in this shunt? The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has a fontanel that is full and soft - Correct Answer b. is irritable and vomiting
A newborn is being delivered with a known myelomeningocele. The nurse attending the
delivery will perform the following activities. Select all that apply.
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
f. Rectal temperature - Correct Answer a. Sterile saline and gauze dressings
b. Latex free environment
d. Lay the child prone
e. Establish IV access
A 4 month old infant has a tonic clonic seizure. It is important during this time for the nurse
to do which of the following interventions? Select all that apply.
a. Time and observe the infant's reactions
b. Place an oral airway during the infant's seizure
c. Administer anticonvulsants as ordered
d. Restrain the infant
,e. Ensure a bag and mask is at bedside - Correct Answer a. Time and observe the infant's
reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
A 3 year child, admitted to the pediatric floor for seizure control, has a generalized tonic-
clonic seizure. The initial action the nurse should perform is:
a. Place child on his side and assess the child.
b. Take off the child's clothes and administer oxygen.
c. Hold the child down and try to communicate with the patient.
d. Call the MD - Correct Answer a. Place child on his side and assess the child.
A nurse is expecting a delivery of a baby with myelomeningocele. The nurse is aware that
this defect in comparison to a meningocele is that this infant will have:
a. An open sac over the lumbar area
b. Lower extremity paralysis
c. Infections of the spinal fluid
d. Meningitis - Correct Answer b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in respiratory distress. The baby has copious
secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the
most appropriate initial nursing intervention?
a. Attempt to calm the infant by placing him in his mother's lap and offering him a bottle.
b. Alert the physician to the situation and ask for an order for a stat chest x-ray.
c. Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
d. Bring the emergency equipment to the room and begin bag-valve-mask ventilation -
Correct Answer c. Suction secretions, provide 100% oxygen via mask, and anticipate
respiratory failure.
no oral feeds rr over 60
,When caring for a child following a tonsillectomy, what should the nurse do?
a. Watch for continuous swallowing.
b. Encourage gargling to reduce discomfort.
c. Position the child on the back for sleeping.
d. Apply warm compresses to the throat. - Correct Answer a. Watch for continuous
swallowing.
A 4-year old girl is brought to the ED. She has "froglike" croaking sounds on inspiration, is
agitated, and is drooling. She insists on sitting upright. what should the nurse do?
a. Examine her oral pharynx and report to the physician
b. Make her lie down and rest quietly
c. Auscultate her lungs, and make preparations for placement in a mist tent.
d. Notify the physician immediately and be prepared to assist with a tracheostomy or
intubation - Correct Answer d. Notify the physician immediately and be prepared to assist
with a tracheostomy or intubation
Apnea of infancy has been diagnosed in an infant who will soon be discharged with home
monitoring. Which information should the nurse include when teaching the parents about
the infant's care?
a. Cardiopulmonary resuscitation
b. Importance of adequate fluids
c. Reassurance that the infant cannot be electrocuted during monitoring
d. Advice that the infant not be left with other caretakers, such as babysitters - Correct
Answer a. Cardiopulmonary resuscitation
The mother of a 20-month old boy tells the nurse that he has a barking cough at night. His
temperature is 37 degrees C (98.6 F). The nurse suspects croup. What should she
recommend?
a. Control fever with acetaminophen and call if cough gets worse tonight
b. Try a cool-mist vaporizor at night and watch for signs of difficulty breathing
, c. Try over-the-counter medicine and come to the clinic tomorrow if no improvement
d. Admit to the hospital and observe for impending epiglottitis - Correct Answer b. Try a
cool-mist vaporizor at night and watch for signs of difficulty breathing
A 4-year-old boy needs to use a metered-dose inhaler to treat asthma. He cannot
coordinate the breathing to use it effectively. The nurse should suggest that he use a :
a. spacer
b. nebulizer
c. peak expiratory flowmeter
d. trial of chest physiotherapy - Correct Answer b. nebulizer
A 7 month old infant is brought into the ER for injuries stemming from a bookcase falling
on her immediately prior to arrival to the hospital. The parents reported the child was
pulling herself up using the bookcase when it toppled over. Which clinical findings would
lead the nurse to suspect child maltreatment? Select all that apply.
a. Crying
b. Hugging the mother tightly.
c. Spiral fracture of the leg
d. A yellow color bruise on the buttock - Correct Answer c. Spiral fracture of the leg
d. A yellow color bruise on the buttock
A 5-year-old girl has been sent to the school nurse for urinary incontinence three times in
the past 2 days. The nurse should recommend to her parent that the first action is to have
her daughter evaluated for is:
a. school phobia.
b. emotional causes.
c. possible urinary tract infection.
d. possible structural defects of urinary tract. - Correct Answer c. possible urinary tract
infection.
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