NR 328 – PEDIATRIC NURSING EXAM 2 (CHAMBERLAIN UNIVERSITY, 2025–2026) – VERIFIED QUESTIONS AND ANSWERS WITH DETAILED
RATIONALES
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with thready pulses, and urinary output is diminished. This
is most suggestive of which of the following? ✔️- Decreased contractility
Which of the following procedures uses high-frequency sound waves obtained by a transducer to produce an image of cardiac structures? ✔️-
Echocardiography
Nursing interventions for the child after a cardiac catheterization would include which of the following? ✔️- Assess the affected extremity for
temperature and color.
Which of the following is an early sign of heart failure that the nurse should recognize? ✔️- Tachypnea
Nursing care of the infant and child with heart failure would include which of the following? ✔️- Organize activities to allow for uninterrupted
sleep.
Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation? ✔️-
Tetralogy of Fallot
Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective surgery should stress which of the
following? ✔️- Administer analgesics before procedure.
Therapeutic management of the child with rheumatic fever includes ✔️- administration of penicillin.
The primary therapy for secondary hypertension in children is ✔️- treatment of underlying cause
Which of the following is an important nursing responsibility when a dysrhythmia is suspected? ✔️- Count the apical rate for 1 full minute and
compare with radial rate.
Assessment findings of heart failure ✔️- Sweating
- Weak, thready pulses
- Dependent edema
- Fatigue
- Tachycardia
The nurse is explaining blood components to an 8-year-old child. The nurse's best description of platelets is that they do which of the following?
✔️Help your body stop bleeding by forming a clot (scab) over the hurt area
When hemoglobin falls sufficiently to produce clinical manifestations, the signs and symptoms are caused by ✔️- tissue hypoxia
The nurse suspects a child is having an adverse reaction to a blood transfusion. The first action by the nurse should be which of the following?
✔️- Stop transfusion and maintain a patent intravenous line with normal saline and new tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's stools are a tarry green color. The nurse should explain that
this is a(n) ✔️- normally expected change resulting from the iron preparation.
An important nursing consideration when caring for a child with sickle cell anemia is which of the following? ✔️Teach the parents and child how
to recognize the signs and symptoms of crisis.
The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction.
The nurse should explain which of the following concerning narcotic analgesics? ✔️- When they are medically indicated, children rarely become
addicted.
Chelation therapy is begun on a child with α-thalassemia major. The purpose of this therapy is to do which of the following? ✔️- Eliminate
excess iron.
The school nurse is caring for a child with hemophilia who fell on his arm during recess.
RATIONALES
The nurse is assessing a child with a cardiac problem. The child's extremities are cool with thready pulses, and urinary output is diminished. This
is most suggestive of which of the following? ✔️- Decreased contractility
Which of the following procedures uses high-frequency sound waves obtained by a transducer to produce an image of cardiac structures? ✔️-
Echocardiography
Nursing interventions for the child after a cardiac catheterization would include which of the following? ✔️- Assess the affected extremity for
temperature and color.
Which of the following is an early sign of heart failure that the nurse should recognize? ✔️- Tachypnea
Nursing care of the infant and child with heart failure would include which of the following? ✔️- Organize activities to allow for uninterrupted
sleep.
Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation? ✔️-
Tetralogy of Fallot
Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective surgery should stress which of the
following? ✔️- Administer analgesics before procedure.
Therapeutic management of the child with rheumatic fever includes ✔️- administration of penicillin.
The primary therapy for secondary hypertension in children is ✔️- treatment of underlying cause
Which of the following is an important nursing responsibility when a dysrhythmia is suspected? ✔️- Count the apical rate for 1 full minute and
compare with radial rate.
Assessment findings of heart failure ✔️- Sweating
- Weak, thready pulses
- Dependent edema
- Fatigue
- Tachycardia
The nurse is explaining blood components to an 8-year-old child. The nurse's best description of platelets is that they do which of the following?
✔️Help your body stop bleeding by forming a clot (scab) over the hurt area
When hemoglobin falls sufficiently to produce clinical manifestations, the signs and symptoms are caused by ✔️- tissue hypoxia
The nurse suspects a child is having an adverse reaction to a blood transfusion. The first action by the nurse should be which of the following?
✔️- Stop transfusion and maintain a patent intravenous line with normal saline and new tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's stools are a tarry green color. The nurse should explain that
this is a(n) ✔️- normally expected change resulting from the iron preparation.
An important nursing consideration when caring for a child with sickle cell anemia is which of the following? ✔️Teach the parents and child how
to recognize the signs and symptoms of crisis.
The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction.
The nurse should explain which of the following concerning narcotic analgesics? ✔️- When they are medically indicated, children rarely become
addicted.
Chelation therapy is begun on a child with α-thalassemia major. The purpose of this therapy is to do which of the following? ✔️- Eliminate
excess iron.
The school nurse is caring for a child with hemophilia who fell on his arm during recess.
