NURS 328 Final Exam 43 Questions with Complete
Solutions.
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 - Correct Answer 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 - Correct Answer 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 - Correct Answer 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 - Correct Answer 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 - Correct Answer 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 - Correct Answer
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 - Correct Answer 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
Solutions.
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 - Correct Answer 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 - Correct Answer 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 - Correct Answer 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 - Correct Answer 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 - Correct Answer 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 - Correct Answer
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 - Correct Answer 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
