NURS 303 Final Review – Questions With Proper
Solutions
Save
Terms in this set (145)
True or False False
The American Heart Association's 1 multiple choice option
pediatric chain of survival uses all the
same steps as the adult chain of
survival, only in a different order.
True or False True
Barotrauma is a complication that may 1 multiple choice option
be caused by using too much tidal
volume with bag-valve-mask
ventilation to resuscitate a child.
True or False True
In a near-drowning event, pulmonary 1 multiple choice option
edema occurs as the result of alveolar
surfactant depletion.
Nasopharyngeal or _______________ Oropharyngeal
intubation may be necessary to
maintain an airway for an acutely ill
child.
______________ shock is characterized by Compensated
inadequate perfusion and adequate
blood pressure.
,An unresponsive toddler is brought to B
the emergency department.
3 multiple choice options
Assessment reveals mottled skin
color, respiratory rate of 10 breaths
per minute, and a brachial pulse of 52
bpm. What is the priority nursing
action?
A. Prepare the defibrillator and draw
up code medications.
B. Provide 100% oxygen with a bag-
valve mask and start chest
compressions.
C. Start chest compressions and
provide 100% oxygen via
nonrebreather mask.
D. Begin an IV fluid infusion and
administer epinephrine IV.
A preschooler presents to the D
emergency department with a history 3 multiple choice options
of vomiting, diarrhea, and fever over
the past few days. She is receiving
100% oxygen via nonrebreather mask.
Vital signs are temperature 104.5°F,
pulse 144 bpm, respiratory rate 22
breaths per minute, and BP 70/50 mm
Hg. She is listless and difficult to
arouse and has weak peripheral
pulses and prolonged capillary refill.
What nursing intervention takes
priority?
A. administering acetaminophen
rectally for the high fever
B. administering IV antibiotics for the
infection
C. preparing the child for tracheal
intubation
D. giving an IV bolus of normal saline
20 mL/kg
,Assessment of a 12-year-old who A
crashed his bicycle without a helmet 3 multiple choice options
reveals the following: temperature
99.2°F, pulse 100 bpm, respiratory rate
24 breaths per minute with easy work
of breathing, and BP 102/70 mm Hg.
What is the priority action by the
nurse?
A. Assess neurologic status while
observing for obvious injuries.
B. Administer IV fluid bolus of normal
saline at 20 mL/kg.
C. Remove the cervical collar if he
complains that it bothers him.
D. Listen for bowel sounds while
assessing for pain.
An 18-month-old child is brought to A
the emergency department via 3 multiple choice options
ambulance after an accidental
ingestion. What is the priority nursing
action?
A. Take the child's vital signs.
B. Give oral syrup of ipecac.
C. Insert a nasogastric tube.
D. Start an IV line.
True or False False
All primitive reflexes disappear over 1 multiple choice option
the first few months of life.
True or False False
An infant in deep sleep may startle to 1 multiple choice option
a noise and begin screaming.
Children's play is so important to their work
development that it is considered the
______________ of children.
, The newborn's respiratory irregularity
characteristics include a rate of 30 to
60, _____________, and periodic pauses.
The father of a 2-month-old girl is B
expressing concern that his infant may
be getting spoiled. The nurse's best
response is:
A. "She just needs love and attention.
Don't worry; she's too young to spoil."
B. "Consistently meeting the infant's
needs helps promote a sense of trust."
C. "Infants need to be fed and
cleaned; if you're sure those needs
are met, just
let her cry."
D. "Consistency in meeting needs is
important, but you're right, holding
her too much will spoil her."
Parents of an 8-month-old girl express C
concern that she cries when left with
the babysitter. How does the nurse
best explain this behavior?
A. Crying when left with the sitter may
indicate difficulty with building trust.
B. Stranger anxiety should not occur
until toddlerhood; this concern should
be
investigated.
C. Separation anxiety is normal at this
age; the infant recognizes parents as
separate beings.
D. Perhaps the sitter doesn't meet the
infant's needs; choose a different
sitter.
Solutions
Save
Terms in this set (145)
True or False False
The American Heart Association's 1 multiple choice option
pediatric chain of survival uses all the
same steps as the adult chain of
survival, only in a different order.
True or False True
Barotrauma is a complication that may 1 multiple choice option
be caused by using too much tidal
volume with bag-valve-mask
ventilation to resuscitate a child.
True or False True
In a near-drowning event, pulmonary 1 multiple choice option
edema occurs as the result of alveolar
surfactant depletion.
Nasopharyngeal or _______________ Oropharyngeal
intubation may be necessary to
maintain an airway for an acutely ill
child.
______________ shock is characterized by Compensated
inadequate perfusion and adequate
blood pressure.
,An unresponsive toddler is brought to B
the emergency department.
3 multiple choice options
Assessment reveals mottled skin
color, respiratory rate of 10 breaths
per minute, and a brachial pulse of 52
bpm. What is the priority nursing
action?
A. Prepare the defibrillator and draw
up code medications.
B. Provide 100% oxygen with a bag-
valve mask and start chest
compressions.
C. Start chest compressions and
provide 100% oxygen via
nonrebreather mask.
D. Begin an IV fluid infusion and
administer epinephrine IV.
A preschooler presents to the D
emergency department with a history 3 multiple choice options
of vomiting, diarrhea, and fever over
the past few days. She is receiving
100% oxygen via nonrebreather mask.
Vital signs are temperature 104.5°F,
pulse 144 bpm, respiratory rate 22
breaths per minute, and BP 70/50 mm
Hg. She is listless and difficult to
arouse and has weak peripheral
pulses and prolonged capillary refill.
What nursing intervention takes
priority?
A. administering acetaminophen
rectally for the high fever
B. administering IV antibiotics for the
infection
C. preparing the child for tracheal
intubation
D. giving an IV bolus of normal saline
20 mL/kg
,Assessment of a 12-year-old who A
crashed his bicycle without a helmet 3 multiple choice options
reveals the following: temperature
99.2°F, pulse 100 bpm, respiratory rate
24 breaths per minute with easy work
of breathing, and BP 102/70 mm Hg.
What is the priority action by the
nurse?
A. Assess neurologic status while
observing for obvious injuries.
B. Administer IV fluid bolus of normal
saline at 20 mL/kg.
C. Remove the cervical collar if he
complains that it bothers him.
D. Listen for bowel sounds while
assessing for pain.
An 18-month-old child is brought to A
the emergency department via 3 multiple choice options
ambulance after an accidental
ingestion. What is the priority nursing
action?
A. Take the child's vital signs.
B. Give oral syrup of ipecac.
C. Insert a nasogastric tube.
D. Start an IV line.
True or False False
All primitive reflexes disappear over 1 multiple choice option
the first few months of life.
True or False False
An infant in deep sleep may startle to 1 multiple choice option
a noise and begin screaming.
Children's play is so important to their work
development that it is considered the
______________ of children.
, The newborn's respiratory irregularity
characteristics include a rate of 30 to
60, _____________, and periodic pauses.
The father of a 2-month-old girl is B
expressing concern that his infant may
be getting spoiled. The nurse's best
response is:
A. "She just needs love and attention.
Don't worry; she's too young to spoil."
B. "Consistently meeting the infant's
needs helps promote a sense of trust."
C. "Infants need to be fed and
cleaned; if you're sure those needs
are met, just
let her cry."
D. "Consistency in meeting needs is
important, but you're right, holding
her too much will spoil her."
Parents of an 8-month-old girl express C
concern that she cries when left with
the babysitter. How does the nurse
best explain this behavior?
A. Crying when left with the sitter may
indicate difficulty with building trust.
B. Stranger anxiety should not occur
until toddlerhood; this concern should
be
investigated.
C. Separation anxiety is normal at this
age; the infant recognizes parents as
separate beings.
D. Perhaps the sitter doesn't meet the
infant's needs; choose a different
sitter.
