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NUR 327 Exam 1 Study Questions with Verified Solutions Graded A+ 2025

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Complications of IV therapy -Correct Answer Circulatory overload, infiltration or extravasation, phlebitis, local infection, bleeding Isotonic fluids -Correct Answer NS, LR, D5W Solutions that have the same osmol as body fluids. Fluids do not enter the cell because no osmotic force exists to shift the fluids, so it increases ECV Hypotonic fluids -Correct Answer 0.45% NS Solutions are more dilute or have a lower osmol than body fluids. Causes movement of water into cells via osmosis. Administered slowly to prevent cellular edema. Hypertonic fluids -Correct Answer D5/NS, D5/LR, D5/0.45%NS, D5/0.22%NS, TPN, 10 % Dextrose, D50W, 3%NS Solutions are more concentrated or have higher osmol than body fluids. Concentrates ECF and causes movement of water from cells into ECF via osmosis. Crystalloids -Correct Answer CLEAR solutions that contain electrolytes, may be used for fluid volume replacement Colloids -Correct Answer CLOUDY solutions known as "plasma expanders." they pull fluids from the interstitial compartments into the vascular compartment. they are used to increase the vascular volume rapidly, such as with hemorrhage or severe hypovolemia. Electrolytes to monitor during IV therapy -Correct Answer Sodium, Potassium, and Magnesium for sure!!! but also chloride and bicarb Which lines can be used to infuse blood products? -Correct Answer peripheral (20 gauge or larger for adults) or central line How long can you wait to start infusing the blood once it leaves the bank? -Correct Answer 30 min What do you start the infusion rate at? (mL/hr) -Correct Answer 50 mL/hr for first 15 min How long does the RN stay with the patient once the blood infusion has started? -Correct Answer 15 min. Take vitals at 15 minute mark What do we monitor when administering TPN/PPN? -Correct Answer fluid, electrolyte, and glucose levels What are 4 purposes of gastrointestinal intubation (NGT)? -Correct Answer -Decompression: relieves pressure in the bowel -Lavage: irrigates stomach -Gastric analysis -Tube feedings Types of NGT -Correct Answer Short: Levin, Salem sump

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NUR 327



NUR 327 Exam Peds Questions with
Detailed Answers 2025
The nurse is preparing staff in-service about atraumatic care for pediatric patients.
Which interventions should the nurse include?
Select one:
a. Help the child accept the loss of control associated with hospitalization
b. Prepare the child before any unfamiliar treatment or procedure by demonstrating
on a stuffed animal.
c. Help the child accept that pain is connected with a treatment or procedure
d. Prepare the child for separation from parents during hospitalization by reviewing
a video -Correct Answer ✔B

What represents the major stressor of hospitalization for children from middle
infancy throughout the preschool years?
Select one:
a. Fear of pain
b. Fear of bodily injury
c. Loss of control
d. Separation anxiety -Correct Answer ✔D

The mother of a 20-month-old boy tells the nurse that he has a barking cough at
night. His temperature is 37 degrees C. The nurse suspects croup and should
recommend:
Select one:
a. Trying a cool mist vaporizer at night and watching for signs of difficulty
breathing
b. Controlling the fever with acetaminophen and calling if the cough gets worse at
night
c. Admitting to the hospital and observing for impending epiglottitis
d. Trying over the counter cough medicine and coming to the clinic in the morning
if there is no improvement -Correct Answer ✔A



NUR 327

,NUR 327


A 4-year old girl is brought to the emergency department. She has a "froglike"
croaking sound on inspiration, is agitated, and is drooling. She insists on sitting
upright. The nurse should:

Select one:
a. Notify the physician immediately and be prepared to assist with a tracheostomy
or intubation
b. Examine her oral pharynx and report to the physician
c. Auscultate her lungs and make preparations for placement in a mist tent.
d. Make her lie down and rest quietly -Correct Answer ✔A

One of the goals for children with asthma is to prevent respiratory infection. This is
because respiratory infection:
Select one:
a. Encourages exercise-induced asthma
b. Lessens effectiveness of medications
c. Increases sensitivity to allergens
d. Can trigger an episode or aggravate an asthmatic state -Correct Answer ✔D

Asthma is classified into four categories: mild intermittent, mild persistent,
moderate persistent, and severe persistent. Clinical features used to determine these
categories include: (select all that apply)
A. Pulmonary lung function tests
B. Associated allergies
C. Frequency of symptoms
D. Frequency and severity of exacerbations -Correct Answer ✔ACD

Cystic Fibrosis may affect singular or multiple systems of the body. The primary
factor responsible for possible multiple clinical manifestations is:
Select one:
a. Hyperactivity of the sweat glands
b. Atrophic changes in the mucosal wall of the intestines
c. Hypoactivity of the autonomic nervous system



NUR 327

, NUR 327


d. Mechanical obstruction caused by increased viscosity of mucous gland
secretions -Correct Answer ✔D

A infant with congenital heart defect is receiving palivizumab (Synagis). The
purpose of this is to:
Select one:
a. Make isolation of the infant unnecessary
b. Decrease toxicity of antiviral agents
c. Prevent respiratory syncytial virus (RSV) infection
d. Prevent secondary bacterial infection -Correct Answer ✔C

Which of the following would the nurse expect to see if he/she was assessing a
child with Fifth's Disease?

A.Koplik Spots
B.Hoarseness
C.Facial Rash
D.Splenomegaly -Correct Answer ✔C

Cystic fibrosis may affect singular or multiple systems of the body. The primary
factor responsible for possible multiple clinical manifestations is:
A.Atrophic changes in the mucosal wall of the intestines
B. Hypoactivity of the autonomic nervous system
C.Hyperactivity of the sweat glands
D.Mechanical obstructions caused by increased viscosity of mucous gland
secretions. -Correct Answer ✔D

A 12-year old child is in the urgent care clinic with a complaint of fever, headache,
and sore throat. A diagnosis if strep throat is made with a rapid-strep test. Oral
penicillin is prescribed. The nurse knows which of the following statements about
strep throat:

A.Children with strep throat are less likely to contract the illness again.
B.A follow up throat culture is recommended following antibiotic therapy.


NUR 327

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