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Exam (elaborations)

NUR 370 Exam 2 Review Questions and 100% Correct Answers

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  • NUR 370
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  • NUR 370

The nurse enters a client's room to find the new mom crying softly. The nurse asks what is wrong. The mother says, "I had my heart set on breastfeeding, and now my baby has a cleft lip. My dreams of breastfeeding him are destroyed." Which response by the nurse would be most appropriate? "You can s...

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  • August 27, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 370
  • NUR 370
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NUR 370 Exam 2 Review Questions and
100% Correct Answers
The nurse enters a client's room to find the new mom crying softly. The nurse asks what
is wrong. The mother says, "I had my heart set on breastfeeding, and now my baby has
a cleft lip. My dreams of breastfeeding him are destroyed." Which response by the
nurse would be most appropriate?

"You can still attempt breastfeeding; let me call a lactation consultant for you."
"I am so sorry your infant has that problem; maybe next time."
"Sometimes, dreams do not come true."
"I am so sorry, looks like bottle-feeding for you." ✅"You can still attempt breastfeeding;
let me call a lactation consultant for you."

A 5-year-old arrives at the emergency department appearing pale and diaphoretic, with
slow and shallow respirations and a weak and thready pulse. The mother states that the
child has had nausea and vomiting for the last 3 days. Which diagnosis would be the
most applicable for this client?

fluid volume deficit
infection
anxiety
fluid volume excess ✅fluid volume deficit

The nurse is caring for a pediatric client with idiopathic celiac disease. Which meal will
the nurse select for this client?

Whole wheat pasta, meatballs, carrot sticks, apple, and water
Meatloaf, green beans, peanut butter cookie, and fat-free milk
Baked salmon, potato slices, vanilla ice cream, and apple juice
Ham and cheese sandwich, orange slices, chips, and whole milk ✅Baked salmon,
potato slices, vanilla ice cream, and apple juice

The nurse is caring for a child admitted with congenital aganglionic megacolon. Which
clinical manifestation would likely have been noted in the child with this diagnosis?

Irregular breathing
Chronic cough
Prolonged bleeding
Persistent constipation ✅Persistent constipation

A nurse caring for Paulo, an infant born with a cleft palate, notices that the parents
rarely interact with their child. The nurse overhears the mother telling her husband that

,she "feels like crying" every time she looks at their son. Which response by the nurse
would be most appropriate?

"I sense you could use more information on caring for a cleft palate. Would you be
interested in meeting with other parents who have dealt with this?"
"Many infants are born with this condition. Your son's palate is not nearly as bad as
some cases."
"Keep in mind that your son's condition is not life-threatening and can be corrected
eventually."
"Your son needs you right now. You should put your negative feelings about his
condition aside for his sake." ✅"I sense you could use more information on caring for a
cleft palate. Would you be interested in meeting with other parents who have dealt with
this?"

The nurse has admitted a child with a diagnosis of severe gastroenteritis. To help
prevent the risk of transmitting infection to other clients, the nurse should:

discourage anyone from visiting.
sterilize thermometers between clients.
wear a mask when handling articles contaminated with feces.
follow standard precautions. ✅follow standard precautions.

The nurse is caring for a child admitted with pyloric stenosis. Which clinical
manifestation would likely have been noted in the child with this diagnosis?

Frequent urination
Projectile vomiting
Severe abdominal pain
Explosive diarrhea ✅Projectile vomiting

Which assessment finding would suggest that a child's postoperative feeding schedule
following pyloric stenosis surgery should be slowed?

Vomiting
Flatulence
Falling asleep at each feeding
Semiformed bowel movements ✅Vomiting

A 2-month-old infant experiencing severe diarrhea is prescribed intravenous fluid
replacement. Before adding potassium to this solution, which assessment should the
nurse make?

Ensure that the child is sleeping.
Ensure that the child is crying with tears.
Ensure that the child is voiding.
Ensure that the child's hands are restrained. ✅Ensure that the child is voiding.

, A child is experiencing an acute exacerbation of Crohn disease for which she is
prescribed prednisone. The nurse teaches the parents and child about this medication.
Which statement by the parents indicates that the teaching was successful?

"We should not stop this medication abruptly."
"We might notice some of the medication in her stool."
"This drug helps to control the abdominal cramping."
"She might lose some weight initially." ✅"We should not stop this medication abruptly."

The nurse has developed a plan of care for a 12-month-old hospitalized with
dehydration as a result of rotavirus. Which intervention would the nurse include in the
plan of care?

Offering Kool-Aid or popsicles as tolerated
Encouraging consumption of fruit juice
Encouraging milk products to boost caloric intake
Maintaining the intravenous (IV) fluid rate as ordered ✅Maintaining the intravenous
(IV) fluid rate as ordered

The nurse is caring for a child admitted with gastroesophageal reflux (GER). Which
clinical manifestation would likely be seen in this child?

Severe constipation with occasional ribbon-like stools
Forceful vomiting followed by the child being eager to eat again
Effortless vomiting just after the child has eaten
Bouts of diarrhea with failure to gain weight ✅Effortless vomiting just after the child has
eaten

The nurse is caring for a 3-year-old girl with short bowel syndrome as a result of trauma
to the small intestine. The girl's mother is extremely anxious and tells the nurse she is
afraid she will never learn how to care for her daughter at home. How should the nurse
respond?

"I will help you become an expert on your daughter's care."
"There is a lot to learn and you need a positive attitude."
"You really need the support of your husband."
"You must learn how to care for your daughter at home." ✅"I will help you become an
expert on your daughter's care."

Which type of nutrition would the nurse expect to administer to a preterm infant who
was born at 34 weeks' gestation and has developed necrotizing enterocolitis (NEC)?

trophic feeding technique
oral breastfeeding
gavage feeding method

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