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NUR436 Midterm and Final Questions and Answers
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NUR436 Midterm and Final Questions and Answers
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NUR436 Midterm and Final Questionsand Answers 2024-2025
An infant is being treated for bronchiolitis related to respiratory syncytial virus (RSV),
which of the following interventions would typically NOT be included in their plan of
care?
a. Humidified oxygen
b. Intravenous fluids
c. Suctioning as needed
d. Antibiotics - Answer-D. Antibiotics
When assessing a child's vital signs, the pediatric nurse knows that the radial pulse is
not fully developed and reliable until the age of...?
a. 2 months old
b. 6 years old
c. 6 months old
d. 2 years old - Answer-D. 2 years old
Sinus tachycardia in adults is best described as:
a. a regular rhythm at a rate of less than 60 bpm.
b. a regular rhythm with a rate between 150 and 220 bpm, and an abnormal p wave
(sometimes hidden in the previous complex).
c. a regular rhythm at a rate between 150 and 220 bpm with a wide and distorted QRS
complex.
d. a regular rhythm with a rate that falls between 101 and 200 bpm. - Answer-D
Common causes of dysrhythmias include all of the following except:
a. Caffeine
b. Electrolyte imbalance
c. Pregnancy
d. Myocardial ischemia/infarction - Answer-C
An electrocardiogram (EKG) recording can have up to 12 different recording leads. To
continuously monitor a patient the most common leads used are:
a. leads I and III
b. leads II and V1
c. leads II and aV2
d. leads aVr and aVf - Answer-B
,In determining the correct cuff size to check a child's blood pressure, the cuff bladder
width should cover approximately ___ % of the child's arm when measured between the
acromion and the olecranon?
a. 60%
b. 80%
c. 40%
d. 100% - Answer-C
In pediatrics, specific strategies for reducing medication errors include all of the
following EXCEPT:
a. Standardize and identify medications effectively as well as the processes for drug
administration
b. Use the same standard syringe (luer-lock) for all medication administration including
both oral and intravenous routes
c. Patients should be weighed in kilograms immediately upon admission or within 4
hours of admission for an emergent patient
d. Provide a dosage calculation sheet for pediatric critical care patients that includes
emergency and commonly used medications - Answer-B
On a standard EKG paper, each larger box has 5 smaller boxes inside of it. Each small
box represents how much time?
a. 0.4 seconds
b. 0.04 seconds
c. 0.2 seconds
d. 5 seconds - Answer-B
The T-wave on a electrocardiogram represents ___
a. Atrial depolarization
b. Ventricular depolarization
c. Ventricular repolarization
d. Atrial repolarization - Answer-C
In an EKG, the QRS complex represents ventricular depolarization. A common range
for this value is
a. < .44 seconds
b. > 0.12 seconds
c. 0.6 - 0.10 seconds
d. 0.20 seconds - Answer-C
You are the lone rescuer of an infant outside of the hospital, for chest compressions you
will:
, a. use a compression to ventilation ratio of 15:2
b. compress at least on half the depth of the chest
c. use encircling thumbs to compress the best
d. use 2 fingers to compress the sternum - Answer-D
(Answers A and C are used in a 2 person rescue)
T/F Pediatric emergencies requiring resuscitation are generally cardiac in origin -
Answer-False; respiratory
To determine whether there is a delay in the impulse conduction through the ventricles,
the nurse will measure the duration of the patient's
a. QRS complex
b. P wave
c. Q wave
d. PR interval - Answer-A
You are actively resuscitating a 10 year old boy. Spending less than 10 seconds you
check for a pulse, the best location to do this would be
a. Apical
b. Brachial
c. Carotid
d. Radial - Answer-C
(brachial pulse is used in infants less than 12 months, carotid is used in children and
adults 1 year and older)
Following the neonatal resuscitation algorithm, if the neonates heart rate is below 100
bpm, what will the action be?
a. Positive pressure ventilation
b. Compressions
c. Warm and dry the infant
d. Continue to monitor - Answer-A
CPR starts if the HR is below 60. HR between 60 and 100 needs PPV
Sam Sanders has an allergy to: - Answer-Penicillin
Anastasiya Tarasova has an allergy to: - Answer-Peanuts
A patient whose heart monitor shows sinus tachycardia, rate 132, is apneic and has no
palpable pulses. What is the first action that the nurse should take?
a. Perform synchronized cardioversion.
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