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N328 EXAM 2 PRACTICE QUESTIONS WITH COMPLETE ANSWERS
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N328 EXAM 2 PRACTICE QUESTIONS WITH COMPLETE ANSWERS
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N328 EXAM 2 PRACTICE QUESTIONSWITH COMPLETE ANSWERS
A bbnurse bbis bbobtaining bban bbinfant's bbvital bbsigns. bbThe bbHR bbis bb180 bbbpm, bband
bbthe bbtemperature bbis bb40C bb(104F). bbThe bbfather bbasks bbthe bbnurse, bb"Why bbis
bbmy bbbaby's bbheart bbbeating bbso bbfast?" bbWhich bbof bbthe bbfollowing bbis bban
bbappropriate bbresponse bbby bbthe bbnurse?
A. bb"This bbis bbwithin bbthe bbexpected bbrange bbfor bbyour bbbaby."
B. bb"The bbfever bbis bbcausing bban bbincrease bbin bbyour bbbaby's bbheart bbrate."
C. bb"As bbyour bbbaby bbbegins bbto bbfall bbasleep, bbthe bbheart bbrate bbwill bbdecrease."
D. bb"Your bbbaby's bbheart bbis bbbeating bbfast bbin bban bbattempt bbto bbcool bbdown bbthe
bbbody." bb- bbAnswer bbB. bb"The bbfever bbis bbcausing bban bbincrease bbin bbyour bbbaby's
bbheart bbrate."
Rationale: bbThe bbexpected bbrange bbfor bbthe bbtemperature bbof bban bbinfant bbfrom
bbbirth bbto bb1 bbyear bbis bb36.5° bbC bb(97.7° bbF) bbto bb37.2° bbC bb(98.9° bbF). bbThis
bbinfant bbhas bba bbfever. bbThe bbinfant's bbheart bbrate bbwill bbincrease bbas bba bbresult bbof
bbthe bbfever. bbThe bbexpected bbrange bbfor bbheart bbrate bbin bban bbinfant bb3 bbmonths
bbto bb2 bbyears bbold bbis bb80-150/min bbwhile bbawake bband bb70-120/min bbwhile
bbasleep. bbIf bbthe bbinfant bbis bbactive bbor bbhas bba bbfever, bbthe bbheart bbrate bbmay bbbe
bbas bbhigh bbas bb220/min.
A bbnurse bbis bbcaring bbfor bba bbchild bbwho bbis bbdiagnosed bbwith bbotitis bbmedia.
bbWhich bbof bbthe bbfollowing bbassessment bbfindings bbshould bbthe bbnurse bbexpect?
A. bbTugging bbon bbthe bbaffected bbear bblobe
B. bbClear bbdrainage bbfrom bbthe bbaffected bbear
C. bbPain bbwhen bbmanipulating bbthe bbaffected bbear bblobe
D. bbErythema bband bbedema bbof bbthe bbaffected bbear bb- bbAnswer bbA. bbTugging bbon
bbthe bbaffected bbear bblobe
Rationale: bbOtitis bbmedia bbis bba bbmiddle bbear bbinfection. bbExpected bbfindings
bbinclude bbfever, bbpurulent bbdrainage bb(only bbif bbthe bbtympanic bbmembrane bbis
bbruptured), bband bbpain, bbdemonstrated bbby bbthe bbchild bbtugging bbat bbthe bbear.
bbPain bbwhen bbmanipulating bbthe bbear bblobe bbis bbthe bbclassic bbsign bbof bbotitis
bbexterna, bbswimmer's bbear. bbSwimmer's bbear bbis bbalso bbassociated bbwith bberythema
bband bbedema bbof bbthe bbaffected bbear. bbClear bbdrainage bbfrom bbthe bbear bbis bbmore
bbcommonly bbassociated bbwith bbCSF bbdrainage.
,A bbnurse bbis bbpreparing bbto bbbegin bbchest bbcompressions bbfor bban bbinfant. bbThe
bbnurse bbshould bbperform bbcompressions bbusing bbwhich bbof bbthe bbfollowing
bbtechniques?
A. bbDeliver bbcompressions bbat bb1/3 bbto bb1/2 bbthe bbdepth bbof bbthe bbchest.
B. bbDeliver bbcompressions bbwith bbthe bbheel bbof bbone bbhand bbonly.
C. bbDeliver bbcompressions bbjust bbabove bbthe bbnipple bbline.
D. bbDeliver bbcompressions bbat bba bbdepth bbof bb1 bb1/2 bbto bb2 bbinches. bb- bbAnswer
bbA. bbDeliver bbcompressions bbat bb1/3 bbto bb1/2 bbthe bbdepth bbof bbthe bbchest.
A bbnurse bbis bbmonitoring bba bbchild bbwho bbhas bbjust bbhad bba bbtonsillectomy bbfor
bbsigns bbof bbhemorrhage. bbWhich bbof bbthe bbfollowing bbfindings bbis bba bbsign bbof bbthis
bbpostoperative bbcomplication?
A. bbMouth bbbreathing
B. bbFrequent bbswallowing
C. bbReports bbof bbthirst
D. bbReports bbof bbpain bb- bbAnswer bbB. bbFrequent bbswallowing
A bbnurse bbis bbcaring bbfor bba bbchild bbwho bbis bbexperiencing bban bbacute bbasthma
bbattack. bbWhich bbof bbthe bbfollowing bbmedications bbshould bbthe bbnurse bbadminister
bbfirst?
A. bbFluticasone bb(Flovent)
B. bbBudesonide bb(Pulmicort)
C. bbMontelukast bb(Singulair)
D. bbAlbuterol bb(Proventil) bb- bbAnswer bbD. bbAlbuterol bb(Proventil)
A bbnurse bbin bba bbclinic bbsees bba bbclient bbwho bbhas bban bbacute bbasthma
bbexacerbation. bbWhich bbof bbthe bbfollowing bbmedications bbshould bbreduce bbthe
bbsymptoms?
A. bbCromolyn bb(Intal) bbvia bbmetered-dose bbinhaler
B. bbOral bbmontelukast bb(Singular)
C. bbBudesonide bb(Pulmicort) bbvia bbdry-powder bbinhaler
D. bbAlbuterol bb(Proventil) bbvia bbjet bbnebulizer bb- bbAnswer bbD. bbAlbuterol bb(Proventil)
bbvia bbjet bbnebulizer
A bbnurse bbis bbassessing bba bbclient bbwho bbhas bbasthma bband bbsigns bbof bbcentral
bbcyanosis. bbWhich bbof bbthe bbfollowing bbis bba bbreliable bbindicator bbof bbcyanosis?
A. bbOral bbmucosa
B. bbFinger bbtips
C. bbEar bblobes
D. bbEye bblids bb- bbAnswer bbA. bbOral bbmucosa
,Rationale: bbThe bbnurse bbshould bbassess bbthe bboral bbmucosa bbas bban bbindicator bbof
bbcyanosis bbbecause bbchanges bbcan bbbe bbseen bbeasily bbin bbareas bbwith bbless
bbpigmentation.
A bbnurse bbis bbcaring bbfor bba bbchild bbwith bba bbsuspected bbdiagnosis bbof bbcystic
bbfibrosis. bbWhich bbof bbthe bbfollowing bbdiagnostic bbtests bbwill bbthe bbnurse bbprepare
bbthe bbchild bbfor bbto bbconfirm bbthe bbdiagnosis?
A. bbSweat bbchloride bbtest
B. bbA bbsputum bbculture
C. bbA bbstool bbfat bbcontent bbanalysis
D. bbPulmonary bbfunction bbtest bb- bbAnswer bbA. bbSweat bbchloride bbtest
Rationale: bbClients bbwith bbcystic bbfibrosis bbhave bban bbincrease bbof bbsodium bband
bbchloride bbin bbboth bbsaliva bband bbsweat. bbTherefore, bba bbsweat bbchloride bbtest bbis
bba bbdefinitive bbdiagnostic bbtest bbto bbdetermine bbthe bbdiagnosis bbof bbcystic bbfibrosis.
A bbnurse bbis bbcaring bbfor bba bbchild bbwho bbhas bbcystic bbfibrosis bb(CF) bband bbis
bbbeing bbdischarged bbafter bbinitial bbdiagnosis bband bbtreatment. bbThe bbnurse bbshould
bbrecognize bbthat bbthe bbparent bbunderstands bbthe bbchild's bbnutritional bbneeds bbwhen
bbshe bbstates bbwhich bbof bbthe bbfollowing?
A. bb"I bbwill bbmake bbcertain bbthat bbpancreatic bbenzymes bbare bbtaken bbwith bball bbof
bbmy bbchild's bbsnacks bband bbmeals."
B. bb"I bbwill bbrestrict bbthe bbamount bbof bbsalt bbin bbmy bbchild's bbfood."
C. bb"I bbwill bblimit bbmy bbchild's bbfluid bbintake."
D. bb"I bbwill bbprepare bblow-fat bbmeals bbfor bbmy bbchild." bb- bbAnswer bbA. bb"I bbwill
bbmake bbcertain bbthat bbpancreatic bbenzymes bbare bbtaken bbwith bball bbof bbmy bbchild's
bbsnacks bband bbmeals."
Rationale: bbCF bbinterferes bbwith bbthe bbavailability bbof bbpancreatic bbenzymes
bbnecessary bbfor bbnormal bbdigestion bband bbabsorption bbof bbnutrients. bbTherefore,
bbpancreatic bbenzymes bbmust bbbe bbtaken bbwith bball bbmeals bband bbsnacks.
A bbnurse bbis bbpreparing bba bb4 bbyear bbold bbclient bbfor bbdischarge bbfollowing bba
bbbilateral bbmyringotomy bbwith bbtympanostomy bbtube bbplacement. bbThe bbmother
bbasks bbwhat bbto bbdo bbif bbthe bbtubes bbfall bbout. bbThe bbnurse bbshould bbgive bbthe
bbparent bbwhich bbof bbthe bbfollowing bbinstructions?
A. bbGently bbreinsert bbthe bbtubes.
B. bbTake bbthe bbchild bbto bbthe bbemergency bbdepartment.
C. bbCall bbthe bbhealth bbcare bbclinic bbto bbreport bbthat bbthe bbtubes bbhave bbfallen bbout.
D. bbReassure bbthe bbmother bbthat bbthe bbtubes bbwill bbnot bbfall bbout. bb- bbAnswer bbC.
bbCall bbthe bbhealth bbcare bbclinic bbto bbreport bbthat bbthe bbtubes bbhave bbfallen bbout.
, A bbnurse bbis bbteaching bbthe bbmother bbof bba bb5 bbyear bbold bbchild bbwith bbCF bbabout
bbpancreatic bbenzymes. bbThe bbnurse bbunderstands bbthat bbfurther bbteaching bbis
bbneeded bbwhen bbthe bbmother bbstates bbwhich bbof bbthe bbfollowing?
A. bb"I bbwill bbgive bbmy bbson bbthe bbenzymes bbbetween bbmeals."
B. bb"The bbenzymes bbprobably bbwon't bbcause bba bblot bbof bbside bbeffects."
C. bb"The bbenzymes bbhelp bbhim bbdigest bbfat."
D. bb"I bbwill bbput bbthe bbenzyme bbcrystals bbin bbhis bbapplesauce." bb- bbAnswer bbA. bb"I
bbwill bbgive bbmy bbson bbthe bbenzymes bbbetween bbmeals."
A bbnurse bbis bbreinforcing bbdischarge bbteaching bbwith bbthe bbparents bbof bba bbpreterm
bbinfant bbwho bbhas bba bbprescription bbfor bbhome bboxygen bband bbpulse bboximetry
bbmonitoring. bbWhich bbof bbthe bbfollowing bbstatements bbby bbthe bbparents bbindicates
bba bbneed bbfor bbfurther bbteaching?
A. bb"We bbwill bbrotate bbthe bbprobe bbof bbthe bbpulse bboximeter bbevery bb24 bbhours."
B. bb"The bbprobe bbof bbthe bbpulse bboximeter bbcan bbbe bbapplied bbto bba bbfinger bbor bba
bbtoe."
C. bb"The bbpulse bboximeter bbmay bbnot bbbe bbaccurate bbduring bbtimes bbof bbexcessive
bbmovement."
D. bb"We bbwill bbnotify bbthe bbdoctor bbif bbthe bbpulse bboximeter bbconsistently bbreads
bb100%." bb- bbAnswer bbA. bb"We bbwill bbrotate bbthe bbprobe bbof bbthe bbpulse bboximeter
bbevery bb24 bbhours."
Rationale: bbPulse bboximeters bbare bba bbnoninvasive bbmethod bbof bbmonitoring
bboxygen bbsaturation bb(SaO2) bbof bbthe bbblood. bbIt bbis bbobtained bbby bbthe
bbapplication bbof bba bbprobe bbaround bbthe bbhand, bbfoot, bbfinger, bbtoes, bbor bbearlobe,
bbwhich bbis bbthen bbconnected bbto bba bbmachine bbthat bbprovides bbcontinuous bboxygen
bbsaturation bblevels. bbThe bbprobe bbshould bbbe bbrotated bbevery bb3 bbto bb4 bbhr bbto
bbprevent bbpressure bbnecrosis bbfrom bboccurring. bbExcessive bbmovement, bbas bbwell
bbas bbheat bband bblight, bbcan bbinterfere bbwith bbthe bbresults. bbDue bbto bbthe bbrisk bbof
bboxygen bbtoxicity, bbwhich bbis bba bbparticular bbconcern bbwith bbpreterm bbinfants, bbthe
bbparents bbshould bbbe bbinstructed bbto bbnotify bbthe bbprovider bbfor bbconsistent bbSaO2
bbreadings bbover bb95%. bbThis bbmay bbbe bban bbindication bbthe bbinfant bbis bbreceiving
bbtoo bbmuch bboxygen bband bbthe bbamount bbshould bbbe bbdecreased.
A bbnurse bbis bbcaring bbfor bba bbtoddler bbadmitted bbwith bblaryngotracheobronchitis
bbwho bbis bbplaced bbin bba bbcool bbmist bbtent. bbAs bba bbresult bbof bbthis bbtreatment, bbthe
bbnurse bbexpects bbto bbobserve...
A. bbbarking bbcough.
B. bbimproved bbhydration.
C. bbdecreased bbstridor.
D. bbdecrease bbin bbfever. bb- bbAnswer bbC. bbdecreased bbstridor.
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