Exam (elaborations)
NR 328 EXAM #2 PRACTICE QUESTIONS WITH CORRECT ANSWERS
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NR 328 EXAM #2 PRACTICE QUESTIONS WITH CORRECT ANSWERS
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A c10 cmonth cold cis cadmitted cafter creceiving ca cventriculoperitoneal cshunt. cWhichcassessment cwould cindicate cmalfunction cin cthis cshunt? cThe cinfant...
a. cries cbut cquiets cwhen cheld
b. is cirritable cand cvomiting
c. has can cincreased cabdominal cgirth
d. has ca cfontanel cthat cis cfull cand csoft
b. cis cirritable cand cvomiting
A cnewborn cis cbeing cdelivered cwith ca cknown cmyelomeningocele. cThe cnurse
cattending cthecdelivery cwill cperform cthe cfollowing cactivities. cSelect call cthat capply.
a. Sterile csaline cand cgauze cdressings
b. Latex cfree cenvironment
c. NGT cto cstraight cdrainage
d. Lay cthe cchild cprone
e. Establish cIV caccess
f. Rectal ctemperature
a, cb, cd, cand ce
A c4 cmonth cold cinfant chas ca ctonic cclonic cseizure. cIt cis cimportant cduring cthis ctime
cfor cthecnurse cto cdo cwhich cof cthe cfollowing cinterventions. cSelect call cthat capply.
a. Time cand cobserve cthe cinfant's creactions
b. Place can coral cairway cduring cthe cinfant's cseizure
c. Administer canticonvulsants cas cordered
d. Restrain cthe cinfant
e. Ensure ca cbag cand cmask cis cat cbedside
a, cc, cand ce
,A c3 cyear cchild c,admitted cto cthe cpediatric cfloor cfor cseizure ccontrol, chas ca
cgeneralized ctonic-cclonic cseizure. cThe cinitial caction cthe cnurse cshould cperform cis:
a. Place cchild con chis cside cand cassess cthe cchild.
b. Take coff cthe cchild's cclothes cand cadminister coxygen.
c. Hold cthe cchild cdown cand ctry cto ccommunicate cwith cthe cpatient.
d. Call cthe cMD.
Place cchild con chis cside cand cassess cthe cchild.
A cnurse cis cexpecting ca cdelivery cof ca cbaby cwith cmyelomeningocele. cThe cnurse cis
cawarecthat cthis cdefect cin ccomparison cto ca cmeningocele cis cthat cthis cinfant cwill chave:
a. An copen csac cover cthe clumbar carea
b. Lower cextremity cparalysis
c. Infections cof cthe cspinal cfluid
d. Meningitis
b. cLower cextremity cparalysis
A c5 cmonth cold cinfant cwith cRSV cbronchiolitis cis cin crespiratory cdistress. cThe cbaby
chas ccopious csecretions, cincreased cwork cof cbreathing, ccyanosis, cand ca crespiratory
crate cof c78.cW hat cis cthe cmost cappropriate cinitial cnursing cintervention?
a. Attempt cto ccalm cthe cinfant cby cplacing chim cin chis cmother's clap cand coffering chim ca
cbottle.
b. Alert cthe cphysician cto cthe csituation cand cask cfor can corder cfor ca cstat cchest cx-ray.
c. Suction csecretions, cprovide c100% coxygen cvia cmask, cand canticipate crespiratory
cfailure.
d. Bring cthe cemergency cequipment cto cthe croom cand cbegin cbag-valve-mask
cventilation
c. cSuction csecretions, cprovide c100% coxygen cvia cmask, cand canticipate
crespiratorycfailure.
no coral cfeeds crr cover c60
When ccaring cfor ca cchild cfollowing ca ctonsillectomy, cwhat cshould cthe cnurse cdo?
a. Watch cfor ccontinuous cswallowing.
b. Encourage cgargling cto creduce cdiscomfort.
c. Position cthe cchild con cthe cback cfor csleeping.
d. Apply cwarm ccompresses cto cthe cthroat.
Watch cfor ccontinuous cswallowing.
,A c4-year cold cgirl cis cbrought cto cthe cED. cShe chas c"froglike" ccroaking csounds con
cinspiration,cis cagitated, cand cis cdrooling. cShe cinsists con csitting cupright. cwhat cshould
cthe cnurse cdo?
a. Examine cher coral cpharynx cand creport cto cthe cphysician
b. Make cher clie cdown cand crest cquietly
c. Auscultate cher clungs, cand cmake cpreparations cfor cplacement cin ca cmist ctent.
d. Notify cthe cphysician cimmediately cand cbe cprepared cto cassist cwith ca
ctracheostomy corcintubation
d. cNotify cthe cphysician cimmediately cand cbe cprepared cto cassist
cwith cactracheostomy cor cintubation
Apnea cof cinfancy chas cbeen cdiagnosed cin can cinfant cwho cwill csoon cbe cdischarged
cwithchome cmonitoring. cWhich cinformation cshould cthe cnurse cinclude cwhen
cteaching cthe cparents cabout cthe cinfant's ccare?
a. Cardiopulmonary cresuscitation
b. Importance cof cadequate cfluids
c. Reassurance cthat cthe cinfant ccannot cbe celectrocuted cduring cmonitoring
d. Advice cthat cthe cinfant cnot cbe cleft cwith cother ccaretakers, csuch cas cbabysitters
Cardiopulmonary cresuscitation
The cmother cof ca c20-month cold cboy ctells cthe cnurse cthat che chas ca cbarking ccough
cat cnight. cHis ctemperature cis c37 cdegrees cC c(98.6 cF). cThe cnurse csuspects ccroup.
cWhat cshould cshecrecommend?
a. Control cfever cwith cacetaminophen cand ccall cif ccough cgets cworse ctonight
b. Try ca ccool-mist cvaporizor cat cnight cand cwatch cfor csigns cof cdifficulty cbreathing
c. Try cover-the-counter cmedicine cand ccome cto cthe cclinic ctomorrow cif cno cimprovement
d. Admit cto cthe chospital cand cobserve cfor cimpending cepiglottitis
b. cTry ca ccool-mist cvaporizor cat cnight cand cwatch cfor csigns cof cdifficulty
cbreathing
, A c4-year-old cboy cneeds cto cuse ca cmetered-dose cinhaler cto ctreat casthma. cHe
ccannot ccoordinate cthe cbreathing cto cuse cit ceffectively. cThe cnurse cshould csuggest
cthat che cuse ca c:
a. spacer
b. nebulizer
c. peak cexpiratory cflowmeter
d. trial cof cchest cphysiotherapy
spacer
A c7 cmonth cold cinfant cis cbrought cinto cthe cER cfor cinjuries cstemming cfrom ca
cbookcase cfallingcon cher cimmediately cprior cto carrival cto cthe chospital. cThe cparents
creported cthe cchild cwas cpulling cherself cup cusing cthe cbookcase cwhen cit ctoppled
cover. cWhich cclinical cfindings cwouldclead cthe cnurse cto csuspect cchild cmaltreatment?
cSelect call cthat capply?
a. Crying
b. Hugging cthe cmother ctightly.
c. Spiral cFracture cof cthe cleg
d. A cyellow ccolor cbruise con cthe cbuttock
c cand cd
Which corder cshould cthe cnurse cquestion cwhen ccaring cfor ca c5-year-old cchild cafter
csurgerycfor cHirschsprung's cdisease?
a. Monitor crectal ctemperature cevery c4 chours cand creport can celevation cgreater
cthan c38.5°cC.
b. Assess cstools cafter csurgery.
c. Keep cthe cchild cNPO cuntil cbowel csounds creturn.
d. Maintain cIV cfluids cat cordered crate.
Monitor crectal ctemperature cevery c4 chours cand creport can celevation cgreater
cthanc38.5° cC.
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