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NURS 328 Exam #2 Questions and
Answers Latest 2026
A 10 month old is admitted after receiving a
ventriculoperitoneal shunt. Which assessment would
indicate malfunction in this shunt? The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has a fontanel that is full and soft Ans: b. is irritable
and vomiting
A newborn is being delivered with a known
myelomeningocele. The nurse attending the delivery will
perform the following activities. Select all that apply.
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
© 2025 All rights reserved
, 2 | Page
f. Rectal temperature Ans: a. Sterile saline and gauze
dressings
b. Latex free environment
d. Lay the child prone
e. Establish IV access
A 4 month old infant has a tonic clonic seizure. It is
important during this time for the nurse to do which of
the following interventions? Select all that apply.
a. Time and observe the infant's reactions
b. Place an oral airway during the infant's seizure
c. Administer anticonvulsants as ordered
d. Restrain the infant
e. Ensure a bag and mask is at bedside Ans: a. Time and
observe the infant's reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
A 3 year child, admitted to the pediatric floor for seizure
control, has a generalized tonic-clonic seizure. The initial
action the nurse should perform is:
a. Place child on his side and assess the child.
© 2025 All rights reserved
, 3 | Page
b. Take off the child's clothes and administer oxygen.
c. Hold the child down and try to communicate with the
patient.
d. Call the MD Ans: a. Place child on his side and assess
the child.
A nurse is expecting a delivery of a baby with
myelomeningocele. The nurse is aware that this defect in
comparison to a meningocele is that this infant will have:
a. An open sac over the lumbar area
b. Lower extremity paralysis
c. Infections of the spinal fluid
d. Meningitis Ans: b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in
respiratory distress. The baby has copious secretions,
increased work of breathing, cyanosis, and a respiratory
rate of 78. What is the most appropriate initial nursing
intervention?
a. Attempt to calm the infant by placing him in his
mother's lap and offering him a bottle.
b. Alert the physician to the situation and ask for an
order for a stat chest x-ray.
© 2025 All rights reserved
, 4 | Page
c. Suction secretions, provide 100% oxygen via mask, and
anticipate respiratory failure.
d. Bring the emergency equipment to the room and begin
bag-valve-mask ventilation Ans: c. Suction secretions,
provide 100% oxygen via mask, and anticipate respiratory
failure.
no oral feeds rr over 60
When caring for a child following a tonsillectomy, what
should the nurse do?
a. Watch for continuous swallowing.
b. Encourage gargling to reduce discomfort.
c. Position the child on the back for sleeping.
d. Apply warm compresses to the throat. Ans: a. Watch
for continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike"
croaking sounds on inspiration, is agitated, and is
drooling. She insists on sitting upright. what should the
nurse do?
a. Examine her oral pharynx and report to the physician
b. Make her lie down and rest quietly
c. Auscultate her lungs, and make preparations for
placement in a mist tent.
© 2025 All rights reserved
NURS 328 Exam #2 Questions and
Answers Latest 2026
A 10 month old is admitted after receiving a
ventriculoperitoneal shunt. Which assessment would
indicate malfunction in this shunt? The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has a fontanel that is full and soft Ans: b. is irritable
and vomiting
A newborn is being delivered with a known
myelomeningocele. The nurse attending the delivery will
perform the following activities. Select all that apply.
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
© 2025 All rights reserved
, 2 | Page
f. Rectal temperature Ans: a. Sterile saline and gauze
dressings
b. Latex free environment
d. Lay the child prone
e. Establish IV access
A 4 month old infant has a tonic clonic seizure. It is
important during this time for the nurse to do which of
the following interventions? Select all that apply.
a. Time and observe the infant's reactions
b. Place an oral airway during the infant's seizure
c. Administer anticonvulsants as ordered
d. Restrain the infant
e. Ensure a bag and mask is at bedside Ans: a. Time and
observe the infant's reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
A 3 year child, admitted to the pediatric floor for seizure
control, has a generalized tonic-clonic seizure. The initial
action the nurse should perform is:
a. Place child on his side and assess the child.
© 2025 All rights reserved
, 3 | Page
b. Take off the child's clothes and administer oxygen.
c. Hold the child down and try to communicate with the
patient.
d. Call the MD Ans: a. Place child on his side and assess
the child.
A nurse is expecting a delivery of a baby with
myelomeningocele. The nurse is aware that this defect in
comparison to a meningocele is that this infant will have:
a. An open sac over the lumbar area
b. Lower extremity paralysis
c. Infections of the spinal fluid
d. Meningitis Ans: b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in
respiratory distress. The baby has copious secretions,
increased work of breathing, cyanosis, and a respiratory
rate of 78. What is the most appropriate initial nursing
intervention?
a. Attempt to calm the infant by placing him in his
mother's lap and offering him a bottle.
b. Alert the physician to the situation and ask for an
order for a stat chest x-ray.
© 2025 All rights reserved
, 4 | Page
c. Suction secretions, provide 100% oxygen via mask, and
anticipate respiratory failure.
d. Bring the emergency equipment to the room and begin
bag-valve-mask ventilation Ans: c. Suction secretions,
provide 100% oxygen via mask, and anticipate respiratory
failure.
no oral feeds rr over 60
When caring for a child following a tonsillectomy, what
should the nurse do?
a. Watch for continuous swallowing.
b. Encourage gargling to reduce discomfort.
c. Position the child on the back for sleeping.
d. Apply warm compresses to the throat. Ans: a. Watch
for continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike"
croaking sounds on inspiration, is agitated, and is
drooling. She insists on sitting upright. what should the
nurse do?
a. Examine her oral pharynx and report to the physician
b. Make her lie down and rest quietly
c. Auscultate her lungs, and make preparations for
placement in a mist tent.
© 2025 All rights reserved
