NURS 328 Exam #2
A 10 month old is admitted after receiving a b. is irritable and vomiting
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
A newborn is being delivered with a known a. Sterile saline and gauze dressings
myelomeningocele. The nurse attending the delivery b. Latex free environment
will perform the following activities. Select all that d. Lay the child prone
apply. e. Establish IV access
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
,NURS 328 Exam #2
A 4 month old infant has a tonic clonic seizure. It is a. Time and observe the infant's reactions
important during this time for the nurse to do which of c. Administer anticonvulsants as ordered
the following interventions? Select all that apply. e. Ensure a bag and mask is at bedside
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
,NURS 328 Exam #2
A 3 year child, admitted to the pediatric floor for a. Place child on his side and assess the child.
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 nurse is expecting a delivery of a baby with b. Lower extremity paralysis
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
, NURS 328 Exam #2
A 5 month old infant with RSV bronchiolitis is in c. Suction secretions, provide 100% oxygen via mask, and anticipate
respiratory distress. The baby has copious secretions, respiratory failure.
increased work of breathing, cyanosis, and a
respiratory rate of 78. What is the most appropriate no oral feeds rr over 60
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
When caring for a child following a tonsillectomy, a. Watch for continuous swallowing.
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 10 month old is admitted after receiving a b. is irritable and vomiting
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
A newborn is being delivered with a known a. Sterile saline and gauze dressings
myelomeningocele. The nurse attending the delivery b. Latex free environment
will perform the following activities. Select all that d. Lay the child prone
apply. e. Establish IV access
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
,NURS 328 Exam #2
A 4 month old infant has a tonic clonic seizure. It is a. Time and observe the infant's reactions
important during this time for the nurse to do which of c. Administer anticonvulsants as ordered
the following interventions? Select all that apply. e. Ensure a bag and mask is at bedside
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
,NURS 328 Exam #2
A 3 year child, admitted to the pediatric floor for a. Place child on his side and assess the child.
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 nurse is expecting a delivery of a baby with b. Lower extremity paralysis
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
, NURS 328 Exam #2
A 5 month old infant with RSV bronchiolitis is in c. Suction secretions, provide 100% oxygen via mask, and anticipate
respiratory distress. The baby has copious secretions, respiratory failure.
increased work of breathing, cyanosis, and a
respiratory rate of 78. What is the most appropriate no oral feeds rr over 60
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
When caring for a child following a tonsillectomy, a. Watch for continuous swallowing.
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.
