NURS 328 FINAL EXAM QUESTIONS AND ANSWERS | COMPREHENSIVE
NURSING STUDY GUIDE & PRACTICE QUESTIONS 2026/2027
Which of the following manifestations can the nurse expect to assess in an infant that may be
experiencing digoxin toxicity?
a. Bradycardia and nausea
b. Anorexia and tachycardia
c. Vomiting and arrhythmias
d. Dizziness and hypertension - ANS ✔✔c. Vomiting and arrhythmias
Which strategy is appropriate when feeding the infant with heart failure?
a. Continue the feeding until a sufficient amount of formula is taken
b. Limit feeding time to no more than 30 minutes
c. Always bottle feed every 4 hours
d. Feed larger volumes of concentrated formula less frequently - ANS ✔✔b. Limit feeding time to no
more than 30 minutes
Which medication should be avoided by children with Idiopathic thrombocytopenia?
a. Acetaminophen
b. Codeine
c. Morphine
d. ASA - ANS ✔✔d. ASA
The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is the most serious
complication that the nurse should assess for?
a. Cardiac valvular disease
b. Cardiomyopathy
c. Coronary aneurysm
d. Rheumatic fever - ANS ✔✔c. Coronary aneurysm
When planning a client education program for sickle cell disease, the nurse should include such topics as:
a. Proper hand washing and infection avoidance
b. High iron, high protein diet
c. Fluid restriction to one quart/day
d. Aerobic exercise to increase oxygenation - ANS ✔✔a. Proper hand washing and infection avoidance
What is an expected assessment finding in a child with coarctation of the aorta?
a. Orthostatic hypotension
, b. Systolic hypertension in the lower extremities
c. Blood pressure high on the left side of the body
d. Disparity in blood pressure between the upper and lower extremities - ANS ✔✔d. Disparity in blood
pressure between the upper and lower extremities
Which of the following tests is most helpful in diagnosis hemophilia?
a. Bleeding time
b. PTT
c. Platelet count
d. CBC - ANS ✔✔b. PTT
Which statements below suggest a possible cardiac concern and warrants further investigation by the
pediatric nurse? Select all that apply
a. The mother of a 6 month old states that her son falls asleep half-way through his bottle
b. A 10 year old reports that he cannot keep up with his friends when running a race
c. A 15 year old states she starts to wheeze when she goes near the cat
d. A 2 year old who is not walking, using 3 word sentences, and is 5% on the growth chart for height and
weight - ANS ✔✔a. The mother of a 6 month old states that her son falls asleep half-way through his
bottle
b. A 10 year old reports that he cannot keep up with his friends when running a race
d. A 2 year old who is not walking, using 3 word sentences, and is 5% on the growth chart for height and
weight
Iron deficiency anemia is prevalent in all of the following groups except:
a. Toddlers
b. Adolescents
c. Pregnant women
d. School children - ANS ✔✔d. School children
A nurse is caring for a patient with a cyanotic heart defect and can expect which finding?
a. Elevated hematocrit
b. Edema
c. Crackles
d. Orthopnea - ANS ✔✔a. Elevated hematocrit
What advice should the RN give a family regarding air travel with a sickle cell patient?
a. Air travel causes no risk
b. Air travel will promote an infection
c. Flying at high altitudes can cause decreased oxygen levels
d. Air travel is not recommended because of restricted fluids on board - ANS ✔✔c. Flying at high
altitudes can cause decreased oxygen levels
NURSING STUDY GUIDE & PRACTICE QUESTIONS 2026/2027
Which of the following manifestations can the nurse expect to assess in an infant that may be
experiencing digoxin toxicity?
a. Bradycardia and nausea
b. Anorexia and tachycardia
c. Vomiting and arrhythmias
d. Dizziness and hypertension - ANS ✔✔c. Vomiting and arrhythmias
Which strategy is appropriate when feeding the infant with heart failure?
a. Continue the feeding until a sufficient amount of formula is taken
b. Limit feeding time to no more than 30 minutes
c. Always bottle feed every 4 hours
d. Feed larger volumes of concentrated formula less frequently - ANS ✔✔b. Limit feeding time to no
more than 30 minutes
Which medication should be avoided by children with Idiopathic thrombocytopenia?
a. Acetaminophen
b. Codeine
c. Morphine
d. ASA - ANS ✔✔d. ASA
The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is the most serious
complication that the nurse should assess for?
a. Cardiac valvular disease
b. Cardiomyopathy
c. Coronary aneurysm
d. Rheumatic fever - ANS ✔✔c. Coronary aneurysm
When planning a client education program for sickle cell disease, the nurse should include such topics as:
a. Proper hand washing and infection avoidance
b. High iron, high protein diet
c. Fluid restriction to one quart/day
d. Aerobic exercise to increase oxygenation - ANS ✔✔a. Proper hand washing and infection avoidance
What is an expected assessment finding in a child with coarctation of the aorta?
a. Orthostatic hypotension
, b. Systolic hypertension in the lower extremities
c. Blood pressure high on the left side of the body
d. Disparity in blood pressure between the upper and lower extremities - ANS ✔✔d. Disparity in blood
pressure between the upper and lower extremities
Which of the following tests is most helpful in diagnosis hemophilia?
a. Bleeding time
b. PTT
c. Platelet count
d. CBC - ANS ✔✔b. PTT
Which statements below suggest a possible cardiac concern and warrants further investigation by the
pediatric nurse? Select all that apply
a. The mother of a 6 month old states that her son falls asleep half-way through his bottle
b. A 10 year old reports that he cannot keep up with his friends when running a race
c. A 15 year old states she starts to wheeze when she goes near the cat
d. A 2 year old who is not walking, using 3 word sentences, and is 5% on the growth chart for height and
weight - ANS ✔✔a. The mother of a 6 month old states that her son falls asleep half-way through his
bottle
b. A 10 year old reports that he cannot keep up with his friends when running a race
d. A 2 year old who is not walking, using 3 word sentences, and is 5% on the growth chart for height and
weight
Iron deficiency anemia is prevalent in all of the following groups except:
a. Toddlers
b. Adolescents
c. Pregnant women
d. School children - ANS ✔✔d. School children
A nurse is caring for a patient with a cyanotic heart defect and can expect which finding?
a. Elevated hematocrit
b. Edema
c. Crackles
d. Orthopnea - ANS ✔✔a. Elevated hematocrit
What advice should the RN give a family regarding air travel with a sickle cell patient?
a. Air travel causes no risk
b. Air travel will promote an infection
c. Flying at high altitudes can cause decreased oxygen levels
d. Air travel is not recommended because of restricted fluids on board - ANS ✔✔c. Flying at high
altitudes can cause decreased oxygen levels
