NURS 328 EXAM #2 LATEST 2026 PRACTICE QUESTIONS AND
ANSWERS WITH FULL RATIONALES | INSTANT DOWNLOAD PDF
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 - 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 - a, b, d, and e
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 - a, c, and e
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. - 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 - 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 - 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. - 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
- d. Notify the physician immediately and be prepared to assist with a tracheostomy or
intubation
Apnea of infancy has been diagnosed in an 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 - a.
Cardiopulmonary resuscitation
The mother of a 20-month old boy tells the 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 - b. Try a cool-mist vaporizor at
night and watch for signs of difficulty breathing
A 4-year-old boy needs to use a metered-dose 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 - a. spacer
A 7 month old infant is brought into the ER for injuries stemming from a bookcase falling on her
immediately prior to arrival to the hospital. The parents reported the child was pulling herself
up using the bookcase when it toppled over. Which clinical findings would lead the nurse to
suspect child maltreatment? Select all that apply?
a. Crying
b. Hugging the mother tightly.
ANSWERS WITH FULL RATIONALES | INSTANT DOWNLOAD PDF
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 - 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 - a, b, d, and e
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 - a, c, and e
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. - 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 - 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 - 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. - 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
- d. Notify the physician immediately and be prepared to assist with a tracheostomy or
intubation
Apnea of infancy has been diagnosed in an 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 - a.
Cardiopulmonary resuscitation
The mother of a 20-month old boy tells the 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 - b. Try a cool-mist vaporizor at
night and watch for signs of difficulty breathing
A 4-year-old boy needs to use a metered-dose 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 - a. spacer
A 7 month old infant is brought into the ER for injuries stemming from a bookcase falling on her
immediately prior to arrival to the hospital. The parents reported the child was pulling herself
up using the bookcase when it toppled over. Which clinical findings would lead the nurse to
suspect child maltreatment? Select all that apply?
a. Crying
b. Hugging the mother tightly.
