NURS 328 EXAM #2 2026 UPDATED EXAM QUESTIONS &
ANSWERS WITH DETAILED RATIONALES | INSTANT PDF
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A 10 month old is admitted after receiving a 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 - correct answer -b. is irritable and vomiting
A newborn is being delivered with a known myelomeningocele. The nurse attending the
delivery will perform the following activities. Select all that apply.
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
f. Rectal temperature - correct answer -a. Sterile saline and gauze dressings
b. Latex free environment
d. Lay the child prone
e. Establish IV access
A 4 month old infant has a tonic clonic seizure. It is important during this time for the nurse to
do which of the following interventions? Select all 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 - correct answer -a. Time and observe the infant's
reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
A 3 year child, admitted to the pediatric floor for 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 - correct answer -a. Place child on his side and assess the child.
A nurse is expecting a delivery of a baby with 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 - correct answer -b. Lower extremity paralysis
,A 5 month old infant with RSV bronchiolitis is in respiratory distress. The baby has copious
secretions, increased work of breathing, 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 - correct
answer -c. Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
no oral feeds rr over 60
When caring for a child following a 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. - correct answer -a. Watch for continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike" croaking sounds on inspiration, is
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
- correct answer -d. Notify the physician immediately and be prepared to assist with a
tracheostomy or intubation
, Apnea sof sinfancy shas sbeen sdiagnosed sin san sinfant swho swill ssoon sbe sdischarged swith shome
smonitoring. sWhich sinformation sshould sthe snurse sinclude swhen steaching sthe sparents sabout sthe
sinfant's scare?
a. sCardiopulmonary sresuscitation
b. sImportance sof sadequate sfluids
c. sReassurance sthat sthe sinfant scannot sbe selectrocuted sduring smonitoring
d. sAdvice sthat sthe sinfant snot sbe sleft swith sother scaretakers, ssuch sas sbabysitters s- scorrect s sanswer
s-a. sCardiopulmonary sresuscitation
The smother sof sa s20-month sold sboy stells sthe snurse sthat she shas sa sbarking scough sat snight. sHis
stemperature sis s37 sdegrees sC s(98.6 sF). sThe snurse ssuspects scroup. sWhat sshould sshe srecommend?
a. sControl sfever swith sacetaminophen sand scall sif scough sgets sworse stonight
b. sTry sa scool-mist svaporizor sat snight sand swatch sfor ssigns sof sdifficulty sbreathing
c. sTry sover-the-counter smedicine sand scome sto sthe sclinic stomorrow sif sno simprovement
d. sAdmit sto sthe shospital sand sobserve sfor simpending sepiglottitis s- scorrect s sanswer s-b. sTry sa scool-
mist svaporizor sat snight sand swatch sfor ssigns sof sdifficulty sbreathing
A s4-year-old sboy sneeds sto suse sa smetered-dose sinhaler sto streat sasthma. sHe scannot scoordinate
sthe sbreathing sto suse sit seffectively. sThe snurse sshould ssuggest sthat she suse sa s:
a. sspacer
b. snebulizer
c. speak sexpiratory sflowmeter
d. strial sof schest sphysiotherapy s- scorrect s sanswer s-b. snebulizer
ANSWERS WITH DETAILED RATIONALES | INSTANT PDF
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A 10 month old is admitted after receiving a 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 - correct answer -b. is irritable and vomiting
A newborn is being delivered with a known myelomeningocele. The nurse attending the
delivery will perform the following activities. Select all that apply.
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
f. Rectal temperature - correct answer -a. Sterile saline and gauze dressings
b. Latex free environment
d. Lay the child prone
e. Establish IV access
A 4 month old infant has a tonic clonic seizure. It is important during this time for the nurse to
do which of the following interventions? Select all 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 - correct answer -a. Time and observe the infant's
reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
A 3 year child, admitted to the pediatric floor for 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 - correct answer -a. Place child on his side and assess the child.
A nurse is expecting a delivery of a baby with 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 - correct answer -b. Lower extremity paralysis
,A 5 month old infant with RSV bronchiolitis is in respiratory distress. The baby has copious
secretions, increased work of breathing, 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 - correct
answer -c. Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure.
no oral feeds rr over 60
When caring for a child following a 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. - correct answer -a. Watch for continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike" croaking sounds on inspiration, is
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
- correct answer -d. Notify the physician immediately and be prepared to assist with a
tracheostomy or intubation
, Apnea sof sinfancy shas sbeen sdiagnosed sin san sinfant swho swill ssoon sbe sdischarged swith shome
smonitoring. sWhich sinformation sshould sthe snurse sinclude swhen steaching sthe sparents sabout sthe
sinfant's scare?
a. sCardiopulmonary sresuscitation
b. sImportance sof sadequate sfluids
c. sReassurance sthat sthe sinfant scannot sbe selectrocuted sduring smonitoring
d. sAdvice sthat sthe sinfant snot sbe sleft swith sother scaretakers, ssuch sas sbabysitters s- scorrect s sanswer
s-a. sCardiopulmonary sresuscitation
The smother sof sa s20-month sold sboy stells sthe snurse sthat she shas sa sbarking scough sat snight. sHis
stemperature sis s37 sdegrees sC s(98.6 sF). sThe snurse ssuspects scroup. sWhat sshould sshe srecommend?
a. sControl sfever swith sacetaminophen sand scall sif scough sgets sworse stonight
b. sTry sa scool-mist svaporizor sat snight sand swatch sfor ssigns sof sdifficulty sbreathing
c. sTry sover-the-counter smedicine sand scome sto sthe sclinic stomorrow sif sno simprovement
d. sAdmit sto sthe shospital sand sobserve sfor simpending sepiglottitis s- scorrect s sanswer s-b. sTry sa scool-
mist svaporizor sat snight sand swatch sfor ssigns sof sdifficulty sbreathing
A s4-year-old sboy sneeds sto suse sa smetered-dose sinhaler sto streat sasthma. sHe scannot scoordinate
sthe sbreathing sto suse sit seffectively. sThe snurse sshould ssuggest sthat she suse sa s:
a. sspacer
b. snebulizer
c. speak sexpiratory sflowmeter
d. strial sof schest sphysiotherapy s- scorrect s sanswer s-b. snebulizer
