NURS 328 Exam #2 With Questions And 100% ALL DETAILED CORRECT ANSWERS
Terms in this set (122)
A 10 month old is admitted after receiving a b. is irritable and vomiting
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
A newborn is being delivered with a known a. Sterile saline and gauze dressings
myelomeningocele. The nurse attending the b. Latex free environment
delivery will perform the following activities. d. Lay the child prone
Select all that apply. e. Establish IV access
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
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A 4 month old infant has a tonic clonic seizure. It a. Time and observe the infant's reactions
is important during this time for the nurse to do c. Administer anticonvulsants as ordered
which of the following interventions? Select all e. Ensure a bag and mask is at bedside
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
A 3 year child, admitted to the pediatric floor for a. Place child on his side and assess the child.
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
A nurse is expecting a delivery of a baby with b. Lower extremity paralysis
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
NURS 328 Exam #2
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A 5 month old infant with RSV bronchiolitis is in c. Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
respiratory distress. The baby has copious
secretions, increased work of breathing, no oral feeds rr over 60
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
When caring for a child following a a. Watch for continuous swallowing.
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.
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A 4-year old girl is brought to the ED. She has d. Notify the physician immediately and be prepared to assist with a tracheostomy or
"froglike" croaking sounds on inspiration, is intubation
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
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Apnea of infancy has been diagnosed in an a. Cardiopulmonary resuscitation
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
The mother of a 20-month old boy tells the b. Try a cool-mist vaporizor at night and watch for signs of difficulty breathing
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
A 4-year-old boy needs to use a metered-dose b. nebulizer
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
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NURS 328 Exam #2
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