NUR 327
NUR 327 EXAM 5 QUETSIONS AND
ANSWERS UPDATED 2025
What are common assessment findings for down syndrome? -Correct Answer
✔smaller head, eyes slant up and out, small ears, small nose with flat bridge,
protruding tongue, short neck, hypotonia
What is an adult with down syndrome at risk for? -Correct Answer ✔older adult:
risk for health issues, early onset of dementia, abstract thinking dif, advocacy
What is an adolsecent with down syndrome at risk for? -Correct Answer
✔communicating emotions as aligned with their development, self care issues,
independency, increased M/S issues, interpersonal relationships
What is a child with down syndrome at risk for? -Correct Answer ✔speech and
school issues, refer to hearing doctor than to a speech pathologist, trouble with
eating, adaptive equipment, development delays, difficulty with play and
interactions
What is a newborn with down syndrome at risk for? -Correct Answer ✔hygiene,
aspiration, congenital heart defects, HD, trouble with latching and feeding (narrow
palate and difficulty swallowing), positioning for breastfeeding would also
contribute to the challenge, delayed development milestones, might take longer to
start babbling, bonding is impacted due to the flexible nature of a down syndrome
baby and not being able to hold them
A nurse is assessing a newborn diagnosed with Down syndrome. Which findings
are commonly associated with this condition? (Select all that apply.)
A. Hypotonia
B. Prominent nasal bridge
C. Feeding difficulties
D. Increased risk of infections
E. Hypertonia -Correct Answer ✔A, C, D
NUR 327
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Which intervention should the nurse include in the care plan of a school-age child
with Down syndrome to promote functional ability?
A. Encourage independent learning without accommodations.
B. Provide structured activities with visual aids and repetition.
C. Limit social interactions to avoid overstimulation.
D. Discourage the use of adaptive equipment to promote independence. -Correct
Answer ✔B
A nurse is providing discharge teaching to the parents of a child newly diagnosed
with epilepsy. The parents ask about early warning signs of a focal seizure. The
nurse correctly identifies which symptom?
A. High fever
B. Deja vu sensation
C. Hypertension
D. Circumoral cyanosis -Correct Answer ✔B
A nurse is monitoring a client receiving phenytoin for seizure control. Which
finding should the nurse report to the provider?
A. Mild nausea after taking medication
B. Gingival hyperplasia
C. Serum phenytoin level of 25 mcg/mL
D. Mild drowsiness -Correct Answer ✔Serum phenytoin level of 25 mcg/mL
Rationale: The therapeutic range for phenytoin is 10-20 mcg/mL. A level of 25
mcg/mL indicates toxicity, which requires intervention such as holding the dose or
adjusting the medication schedule.
A client with epilepsy reports experiencing an unusual smell and a feeling of fear
before a seizure. How should the nurse document this symptom?
A. Postictal phase
B. Generalized seizure
C. Aura
D. Absence seizure -Correct Answer ✔C
NUR 327
NUR 327 EXAM 5 QUETSIONS AND
ANSWERS UPDATED 2025
What are common assessment findings for down syndrome? -Correct Answer
✔smaller head, eyes slant up and out, small ears, small nose with flat bridge,
protruding tongue, short neck, hypotonia
What is an adult with down syndrome at risk for? -Correct Answer ✔older adult:
risk for health issues, early onset of dementia, abstract thinking dif, advocacy
What is an adolsecent with down syndrome at risk for? -Correct Answer
✔communicating emotions as aligned with their development, self care issues,
independency, increased M/S issues, interpersonal relationships
What is a child with down syndrome at risk for? -Correct Answer ✔speech and
school issues, refer to hearing doctor than to a speech pathologist, trouble with
eating, adaptive equipment, development delays, difficulty with play and
interactions
What is a newborn with down syndrome at risk for? -Correct Answer ✔hygiene,
aspiration, congenital heart defects, HD, trouble with latching and feeding (narrow
palate and difficulty swallowing), positioning for breastfeeding would also
contribute to the challenge, delayed development milestones, might take longer to
start babbling, bonding is impacted due to the flexible nature of a down syndrome
baby and not being able to hold them
A nurse is assessing a newborn diagnosed with Down syndrome. Which findings
are commonly associated with this condition? (Select all that apply.)
A. Hypotonia
B. Prominent nasal bridge
C. Feeding difficulties
D. Increased risk of infections
E. Hypertonia -Correct Answer ✔A, C, D
NUR 327
, NUR 327
Which intervention should the nurse include in the care plan of a school-age child
with Down syndrome to promote functional ability?
A. Encourage independent learning without accommodations.
B. Provide structured activities with visual aids and repetition.
C. Limit social interactions to avoid overstimulation.
D. Discourage the use of adaptive equipment to promote independence. -Correct
Answer ✔B
A nurse is providing discharge teaching to the parents of a child newly diagnosed
with epilepsy. The parents ask about early warning signs of a focal seizure. The
nurse correctly identifies which symptom?
A. High fever
B. Deja vu sensation
C. Hypertension
D. Circumoral cyanosis -Correct Answer ✔B
A nurse is monitoring a client receiving phenytoin for seizure control. Which
finding should the nurse report to the provider?
A. Mild nausea after taking medication
B. Gingival hyperplasia
C. Serum phenytoin level of 25 mcg/mL
D. Mild drowsiness -Correct Answer ✔Serum phenytoin level of 25 mcg/mL
Rationale: The therapeutic range for phenytoin is 10-20 mcg/mL. A level of 25
mcg/mL indicates toxicity, which requires intervention such as holding the dose or
adjusting the medication schedule.
A client with epilepsy reports experiencing an unusual smell and a feeling of fear
before a seizure. How should the nurse document this symptom?
A. Postictal phase
B. Generalized seizure
C. Aura
D. Absence seizure -Correct Answer ✔C
NUR 327
