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NSG311 Exam 4 324 multiple choice questions with correct answers
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NSG311 Exam 4 324 multiple choice questions with correct answers
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NSG311 Exam 4 324 multiple choice questionswith correct answers
The nurse notices Henry, a 2-month-old with a VSD, is using his
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accessory muscles while breathing. His mother states he is always
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breathing like that and sometimes it gets worse when he eats, but she
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is not concerned because he is not turning blue. What reasons for
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concern might the nurse identify? (select all that apply)
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A.Accessory muscle use while breathing |!| |!| |!| |!|
B.Accessory muscle use while feeding |!| |!| |!| |!|
C.Presence of cyanosis |!| |!|
D.Poor weight gain |!| |!|
E.Bradycardia - correct answer ✔x |!| |!| |!| |!|
A nurse is providing teaching to the caregiver of an infant who has a
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prescription for digoxin. Which of the following instructions should the
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nurse include? |!|
A. "Do not offer your baby fluids after giving the medication."
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B. "Digoxin increases your baby's heart rate."
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C. "Give the correct dose of medication at regularly scheduled times."
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D. "If your baby vomits a dose, you should repeat the dose to ensure
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that the correct amount is received." - correct answer ✔C. "Give the
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correct dose of medication at regularly scheduled times."
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,A nurse is assessing an infant who has coarctation of the aorta. Which
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of the following findings should the nurse expect? Select all that apply.
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A. Weak femoral pulses
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B. Warm skin of lower extremities
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C. Severe cyanosis
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D. Clubbing of the fingers
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E. High blood pressure in right upper extremity - correct answer ✔A.
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Weak femoral pulses |!| |!|
E. High blood pressure in right upper extremity
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When planning the care for a child with Kawasaki disease, which of the
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following would be most important?
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A.Making sure he performs postural drainage daily
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B.Observing him for symptoms of bowel obstruction |!| |!| |!| |!| |!| |!|
C.Encouraging him to breathe deeply and cough |!| |!| |!| |!| |!| |!|
D.Teaching him to live with a chronic illness - correct answer ✔x
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The nurse is caring for James, a 2-year-old boy who has been admitted
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to the pediatric floor after his parents noted a fever of 103°F (39.4°C)
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for 2 days. He had an ASD repaired approximately 4 weeks earlier and
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has since developed a pericardial effusion. The effusion was drained, and
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the fluid was purulent. He is now being treated with IV antibiotics.
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The nurse enters the room and notes that James is only breathing
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,about 5 breaths/min and his heart rate on the monitor is 40 beats/min.
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What is the nurse's first action?
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A.Call for help and wait for direction when the arrest team arrives.
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B.Run from the room and get the defibrillator, calling for help as you
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go.
C.Call the pediatric cardiologist to perform an echocardiogram and
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evaluate for reaccumulating of the pericardial fluid.
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D.Call for help and begin providing compressions per basic life support
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(BLS) protocol (CPR). - correct answer ✔
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A newborn was resuscitated at birth due to poor respiratory effort.
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Which assessment data would concern the nurse the most at 6 hours
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after birth? |!|
A.Lethargy at first feeding attempt |!| |!| |!| |!|
B.Cyanotic hands and feet |!| |!| |!|
C.Body temperature of 95.0°F |!| |!| |!|
D.Respirations of 40 breaths/min - correct answer ✔C.Body temperature
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of 95.0°F
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this could be wrong
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A nurse has been assigned to the care of two newborn infants who are
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38 weeks' gestation. One is small-for-gestational-age and one is large-
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for gestational-age. The nurse knows that they both are most likely at
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risk for all the following complications except
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, A.Polycythemia
B.Intraventricular hemorrhage |!|
C.Hypoglycemia
D.Hyperbilirubinemia - correct answer ✔B.Intraventricular hemorrhage |!| |!| |!| |!| |!|
In the delivery of an infant with meconium-stained fluid, the nurse
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should anticipate which measure being taken first?
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A.Bag and mask ventilations
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B.Immediate intubation after delivery |!| |!| |!|
C.Oxygen applied by mask |!| |!| |!|
D.Bulb syringe used to suction mouth and nose before delivery of
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shoulders - correct answer ✔D.Bulb syringe used to suction mouth and
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nose before delivery of shoulders
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Suppose Maia's baby develops torticollis, and she is distraught by her
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baby's appearance. What care measure would best relieve the infant's
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physical anomaly and Maia's distress?
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A.Teach Maia how to perform her baby's neck stretching exercises.
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B.Wrap the infant's neck in a warm towel for 15 minutes twice daily.
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C.Assure Maia that the anomaly will resolve spontaneously.
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D.Administer 80 mg of aspirin with each of his bottle feedings. - correct
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answer ✔A.Teach Maia how to perform her baby's neck stretching
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exercises.
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