NR-327 Exam 5 Practice Questions and Answers Chamberlain College
1. A nurse is assessing a 6-month-old infant. Which of the following findings
should the nurse expect regarding the infant’s weight?
A. The infant’s weight has doubled since birth.
B. The infant’s weight has tripled since birth.
C. The infant has lost 10% of their birth weight.
D. The infant’s weight has quadrupled since birth.
Answer: A
Rationale: By age 6 months, an infant’s birth weight should double. By 12 months, it
should triple.
2. A child is admitted with suspected pyloric stenosis. Which clinical
manifestation is most characteristic of this condition?
A. Currant jelly-like stools
B. Projectile vomiting after feeding
C. Ribbon-like, foul-smelling stools
D. Severe abdominal distension and bile-stained emesis
Answer: B
Rationale: Projectile vomiting is a classic sign of hypertrophic pyloric stenosis due to the
obstruction at the gastric outlet.
,3. An infant with Tetralogy of Fallot experiences a ‘tet spell.’ Which action
should the nurse take first?
A. Administer oxygen via a non-rebreather mask.
B. Prepare for immediate surgical intervention.
C. Place the infant in a knee-chest position.
D. Administer morphine sulfate intravenously.
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation.
4. Which teaching point is essential for a child newly diagnosed with Cystic
Fibrosis?
A. Administer pancreatic enzymes with every meal and snack.
B. Restrict sodium intake to prevent fluid retention.
C. Avoid physical activity to conserve energy.
D. Limit high-calorie foods to prevent weight gain.
Answer: A
Rationale: Pancreatic enzymes are necessary to facilitate the absorption of fats and
proteins due to pancreatic insufficiency in CF.
5. A child presents with a high fever, drooling, and sitting in a ‘tripod’ position.
What should the nurse avoid?
A. Administering humidified oxygen.
B. Allowing the parent to hold the child.
C. Initiating intravenous access immediately.
D. Inspecting the throat with a tongue blade.
Answer: D
Rationale: These are classic signs of epiglottitis. Attempting to visualize the throat can
trigger a laryngospasm and complete airway obstruction.
, 6. Which stool description is most associated with Hirschsprung disease in an
older child?
A. Ribbon-like, foul-smelling stools
B. Steatorrhea
C. Bloody, mucoid stools
D. Clay-colored stools
Answer: A
Rationale: Hirschsprung disease involves a lack of ganglion cells in the colon, leading to
constipation and ribbon-like stools as feces pass through narrow segments.
7. During a school screening for scoliosis, the nurse should instruct the student
to:
A. Stand up straight with hands at the sides.
B. Bend forward at the waist with arms hanging freely.
C. Walk across the room while checking for a limp.
D. Lie prone on the exam table for spinal palpation.
Answer: B
Rationale: The Adams Forward Bend test is the standard screening method to check for
spinal curvature and rib asymmetry.
8. What is the primary goal of treatment during a Sickle Cell Vaso-occlusive
crisis?
A. Decreasing the heart rate.
B. Managing pain and maintaining hydration.
C. Promoting skin integrity.
D. Restricting fluid intake to prevent edema.
Answer: B
Rationale: Hydration helps dilute the blood and reduce sickling, while pain management is
crucial due to ischemia in the microvasculature.
1. A nurse is assessing a 6-month-old infant. Which of the following findings
should the nurse expect regarding the infant’s weight?
A. The infant’s weight has doubled since birth.
B. The infant’s weight has tripled since birth.
C. The infant has lost 10% of their birth weight.
D. The infant’s weight has quadrupled since birth.
Answer: A
Rationale: By age 6 months, an infant’s birth weight should double. By 12 months, it
should triple.
2. A child is admitted with suspected pyloric stenosis. Which clinical
manifestation is most characteristic of this condition?
A. Currant jelly-like stools
B. Projectile vomiting after feeding
C. Ribbon-like, foul-smelling stools
D. Severe abdominal distension and bile-stained emesis
Answer: B
Rationale: Projectile vomiting is a classic sign of hypertrophic pyloric stenosis due to the
obstruction at the gastric outlet.
,3. An infant with Tetralogy of Fallot experiences a ‘tet spell.’ Which action
should the nurse take first?
A. Administer oxygen via a non-rebreather mask.
B. Prepare for immediate surgical intervention.
C. Place the infant in a knee-chest position.
D. Administer morphine sulfate intravenously.
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation.
4. Which teaching point is essential for a child newly diagnosed with Cystic
Fibrosis?
A. Administer pancreatic enzymes with every meal and snack.
B. Restrict sodium intake to prevent fluid retention.
C. Avoid physical activity to conserve energy.
D. Limit high-calorie foods to prevent weight gain.
Answer: A
Rationale: Pancreatic enzymes are necessary to facilitate the absorption of fats and
proteins due to pancreatic insufficiency in CF.
5. A child presents with a high fever, drooling, and sitting in a ‘tripod’ position.
What should the nurse avoid?
A. Administering humidified oxygen.
B. Allowing the parent to hold the child.
C. Initiating intravenous access immediately.
D. Inspecting the throat with a tongue blade.
Answer: D
Rationale: These are classic signs of epiglottitis. Attempting to visualize the throat can
trigger a laryngospasm and complete airway obstruction.
, 6. Which stool description is most associated with Hirschsprung disease in an
older child?
A. Ribbon-like, foul-smelling stools
B. Steatorrhea
C. Bloody, mucoid stools
D. Clay-colored stools
Answer: A
Rationale: Hirschsprung disease involves a lack of ganglion cells in the colon, leading to
constipation and ribbon-like stools as feces pass through narrow segments.
7. During a school screening for scoliosis, the nurse should instruct the student
to:
A. Stand up straight with hands at the sides.
B. Bend forward at the waist with arms hanging freely.
C. Walk across the room while checking for a limp.
D. Lie prone on the exam table for spinal palpation.
Answer: B
Rationale: The Adams Forward Bend test is the standard screening method to check for
spinal curvature and rib asymmetry.
8. What is the primary goal of treatment during a Sickle Cell Vaso-occlusive
crisis?
A. Decreasing the heart rate.
B. Managing pain and maintaining hydration.
C. Promoting skin integrity.
D. Restricting fluid intake to prevent edema.
Answer: B
Rationale: Hydration helps dilute the blood and reduce sickling, while pain management is
crucial due to ischemia in the microvasculature.
