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NURS 232 PEDS EXAM 2 LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 1.A child's asthma would be considered intermittent and controlled if:

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NURS 232 PEDS EXAM 2 LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 1.A child's asthma would be considered intermittent and controlled if: NURS 232 PEDS EXAM 2 LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED AN...

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NURS 232 PEDS EXAM 2 LATEST 2023-2024 ACTUAL
EXAM 300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
1.A child's asthma would be considered intermittent and controlled if:

a) their normal activity is somewhat limited by their asthma

b) they have daily nighttime awakening w/ asthma symptoms

c) they have daily symptoms of their asthma

d) they have 0-1 exacerbation per year - ANSWER-d) they have 0-1 exacerbation per year

.*refer to Table 20-5 Classification of Asthma

*a) moderate persistent; b) severe persistent; c) moderate persistent

2.A child's asthma would be considered in the yellow zone when:

a) PEFR is <50% of their personal best and they have symptoms

b) PEFR is 50-80% of their personal best and they have symptoms

c) PEFR is 50-80% of their personal best and they do not have symptoms

d) PEFR is 80-100% of their personal best and they do not have symptoms - ANSWER-b) PEFR is 50-80%
of their personal best and they have symptoms

*developing breathing problems

*refer to "Families Want to Know- Using Expiratory Peak Flow Meter"

*a) is red zone; d) is green zone

3.Apnea in an infant is defined as a pause in or absence of respiration's for more than:

a) 10 secs

b) 20 secs

c) 45 sec

d) 1 min - ANSWER-b) 20 secs

**normal if <20 sec

,4.Which of the following is an effective anti-inflammatory meds for asthma control?

a) Beta2 adrenergic agonists

b) Inhaled corticosteroids

c) Leukotriene receptor antagonists

d) Mast cell stabilizer - ANSWER-b) Inhaled corticosteroids (ex: fluticasone)

*a) quick relief bronchodilator; c)both bronchodilator and anti-inflammatory d) anti-inflammatory for
allergen exposure

*refer to "Medications Used to Treat: Asthma"

5.The school nurse goes to the soccer field when a 7 yr old student w/ asthma is coughing, wheezing,
and having trouble catching her breath. The nurse should give which med?

a) albuterol

b) fluticasone [flovent]

c) prednisone

d) montelukast [singular] - ANSWER-a) albuterol

*short acting beta2 agonist; quick relief med

*b=inhaled corticosteroid, c= corticosteroid, d=leukotriene receptor agonist

6.Respiratory failure occurs when:

a) retractions and an increased RR

b)body can no longer maintain effective gas exchange

c) periodic pause in respiration up to 20 secs - ANSWER-b) body can no longer maintain effective gas
exchange

7.Which nursing interventions are important for an 18 mos old w/ moderate respiratory distress?

a) elevate HOB

b) keep NPO

c) maintain calm environment

d) all of the above - ANSWER-d) all of the above

**keep NPO b/c risk for aspiration

,8.Which is a sign of impending (late signs) respiratory failure?

a) bradycardia

b) clubbing

c) nasal flaring

d) wheezing, increasing over time - ANSWER-a) bradycardia

*nasal flaring and wheezing are early signs

*refer to Table 20-2 "Clinical Manifestations of Respiratory Failure'"

9.The family of a child w/ frequent seizures asks the nurse about the Ketogenic diet. The nurse should
explain that the Ketogenic diet:

a) is unproven and should be avoided

b) can eliminate need for all meds

c) may be unpalatable for older children

d) has few side effects - ANSWER-c) may be unpalatable for older children

*high intake of fats, adequate protein, low/no carbs

*decreased adherence as child gets older; esp. adolescence

*adverse effects include constipation, kidney stones, or slowed growth

10.A nurse is teaching a class of pregnant women about diet. Which nutrient decreases incidence of
neural tube defects?

a) Vitamin A

b) Vitamin C

c) Vitamin D

d) Folic Acid - ANSWER-d) Folic Acid

*ex: intake grains or folic acid suppliment

11.What signs best indicate increased intracranial pressure (ICP) in an infant? (select all that apply)

a) sunken anterior fontanel

, b) complains of blurred vision

c) high-pitched cry

d) increased appetite

e) sleeping more than usual - ANSWER-c) high-pitched cry

e) sleeping more than usual

*irritability, bulging fontanelle, wide sutures, increased head circumference, dilated scalp veins, high-
pitched catlike cry, significant decrease in LOC, seizures

*refer to Table 27-4 "Signs of ICP" for other signs

12.The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile
seizure. The nurse knows clarification is needed when the mother says:

a) "my child will likely have another seizure"

b) "my child's 7 yr old brother also is at high risk for a febrile seizure"

c) "I'll give my child acetaminophen when ill to prevent the fever from rising too high too rapidly"

d) "most children with febrile seizures do not require seizure medication" - ANSWER-b) "my child's 7 yr
old brother also is at high risk for a febrile seizure"

*generally seen 9 mos to 5 yrs; rise in temp >=102.2 (39C) during 1st 24 hrs of acute illness; treat fever
cause w/ antipyretics, not AED's

13.The nurse is caring for a 3 yr old w/ altered LOC. The nurse determines the the child is oriented by
asking child to:

a) name president of US

b) identify parents and state own name

c) state full name and phone number

d) identify current month but not the date - ANSWER-b) identify parents and state own name

*use Table 27-5 "GCS for infants and children" or Table 27-2 "AVPU"

*Alert, Verbal, Pain response, Unresponsive

14.The parent of a 4 month old w/ cystic fibrosis asks the nurse what time to begin the child's 1st chest
physiotherapy (CPT) each day. Which is the nurse's best response?

a) "30 mins before breakfast"

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Exam (elaborations)

NURS 232 PEDS EXAM 2 LATEST ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 1.A child's asthma would be considered intermittent and controlled if:

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