NR328 / NR 328 Pediatric Nursing Final Exam
Questions and Verified Answers (Latest 2026 /
2027) 100% Correct | Chamberlain
The nurse is teaching the parents of a preschooler information about urinary tract infection and
means of reducing their recurrence. Which statement by the parents indicates the need for
additional teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a little large."
C. "Soaking in a bubble bath will reduce the meatal irritation."
D. "If I notice her starting to wet the bed again, I will need to have her checked for another
urinary tract infection."
C. "Soaking in a bubble bath will reduce the meatal irritation."
The nurse is caring for an adolescent whose femur was fractured yesterday, The client suddenly
develops chest pain and dyspnea. The nurse should suspect which of the following
complications?
A. Sepsis
B. Osteomyelitis
C. Pulmonary embolism
D. Acute respiratory infection
C. Pulmonary embolism
,A urinalysis is ordered for a child with a throat culture positive for group A beta-hemolytic
streptococcus. The mother asks why this test is being ordered. The nurse explains:
A. The urinalysis will indicate whether an HIV infection is also present.
B. Urinary tract infections are common with streptococcal infections and need to receive prompt
treatment.
C. Pyelonephritis is a potential complication of antibiotic therapy.
D. Group A beta hemolytic streptococcus infections can be followed by the complication of acute
glomerulonephritis.
D. Group A beta hemolytic streptococcus infections can be followed by the complication of acute
glomerulonephritis.
Define the following congenital heart defect:
Failure of normal separation and division of the embryonic trunk into the pulmonary artery and
aorta
Truncus Arteriosus
The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake and
output measurement. The nurse will most accurately measure the urine by:
,A. Estimating output as small, moderate, or large and recording on the child's chart
B. Weighing each diaper and recording the amount of urine output as the weight of the diaper
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
D. Determine urine output by the number of diapers changes in each 24-hour period
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
Define the following congenital heart defect:
Under development of the left side of the heart, consisting of small left ventricle, mitral atresia,
and atretic aortic arch; the infant presents with symptoms of shock and will require heart
transplantation or the Norwood surgery
Hypoplastic Left Heart Syndrome
Define the following congenital heart defect:
Defect with 4 abnormalities: ventricular septal defect, pulmonic stenosis, overriding aorta, and
right ventricular hypertrophy
Tetrology of Fallot
Define the following congenital heart defect:
Incomplete fusion of the endocardial cushions, creating a large central AV valve, ASD, VSD, and
allows blood to flow between all four chambers
Atrioventricular Canal
, Define the following congenital heart defect:
Has a characteristic machinery-like murmur and is a continuation of a fetal shunt between
pulmonary artery and aorta
Patent Ductus Arteriosus
Define the following congenital heart defect:
Defect in the ventricles repaired with a suture or a Dacron patch requiring open heart surgery
Ventricular Septal Defect
Define the following congenital heart defect:
Narrowing of the aortic arch; when the fetal shunt closes, the defect will cause decreased flow to
the descending aorta; clinical manifestations include higher BP in the upper extremities than the
lower extremities, weak/absent femoral and pedal pulses, and pale/cooler lower extremities due
to decreased systemic blood flow in the lower extremities
Coarctation of the Aorta
Questions and Verified Answers (Latest 2026 /
2027) 100% Correct | Chamberlain
The nurse is teaching the parents of a preschooler information about urinary tract infection and
means of reducing their recurrence. Which statement by the parents indicates the need for
additional teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a little large."
C. "Soaking in a bubble bath will reduce the meatal irritation."
D. "If I notice her starting to wet the bed again, I will need to have her checked for another
urinary tract infection."
C. "Soaking in a bubble bath will reduce the meatal irritation."
The nurse is caring for an adolescent whose femur was fractured yesterday, The client suddenly
develops chest pain and dyspnea. The nurse should suspect which of the following
complications?
A. Sepsis
B. Osteomyelitis
C. Pulmonary embolism
D. Acute respiratory infection
C. Pulmonary embolism
,A urinalysis is ordered for a child with a throat culture positive for group A beta-hemolytic
streptococcus. The mother asks why this test is being ordered. The nurse explains:
A. The urinalysis will indicate whether an HIV infection is also present.
B. Urinary tract infections are common with streptococcal infections and need to receive prompt
treatment.
C. Pyelonephritis is a potential complication of antibiotic therapy.
D. Group A beta hemolytic streptococcus infections can be followed by the complication of acute
glomerulonephritis.
D. Group A beta hemolytic streptococcus infections can be followed by the complication of acute
glomerulonephritis.
Define the following congenital heart defect:
Failure of normal separation and division of the embryonic trunk into the pulmonary artery and
aorta
Truncus Arteriosus
The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake and
output measurement. The nurse will most accurately measure the urine by:
,A. Estimating output as small, moderate, or large and recording on the child's chart
B. Weighing each diaper and recording the amount of urine output as the weight of the diaper
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
D. Determine urine output by the number of diapers changes in each 24-hour period
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
Define the following congenital heart defect:
Under development of the left side of the heart, consisting of small left ventricle, mitral atresia,
and atretic aortic arch; the infant presents with symptoms of shock and will require heart
transplantation or the Norwood surgery
Hypoplastic Left Heart Syndrome
Define the following congenital heart defect:
Defect with 4 abnormalities: ventricular septal defect, pulmonic stenosis, overriding aorta, and
right ventricular hypertrophy
Tetrology of Fallot
Define the following congenital heart defect:
Incomplete fusion of the endocardial cushions, creating a large central AV valve, ASD, VSD, and
allows blood to flow between all four chambers
Atrioventricular Canal
, Define the following congenital heart defect:
Has a characteristic machinery-like murmur and is a continuation of a fetal shunt between
pulmonary artery and aorta
Patent Ductus Arteriosus
Define the following congenital heart defect:
Defect in the ventricles repaired with a suture or a Dacron patch requiring open heart surgery
Ventricular Septal Defect
Define the following congenital heart defect:
Narrowing of the aortic arch; when the fetal shunt closes, the defect will cause decreased flow to
the descending aorta; clinical manifestations include higher BP in the upper extremities than the
lower extremities, weak/absent femoral and pedal pulses, and pale/cooler lower extremities due
to decreased systemic blood flow in the lower extremities
Coarctation of the Aorta
