RNPedia PNLE NP2 Test 2 Exam
Questions With Correct Answers
1. |The |student |nurse |is |assigned |to |take |the |vital |signs |of |the |clients |in |the |pediatric |ward. |The
|student |nurse |reports |to |the |staff |nurse |that |the |parent |of |a |toddler |who |is |2 |days |
postoperative |after |a |cleft |palate |repair |has |given |the |toddler |a |pacifier. |What |would |be |the |
best |immediate |action |of |the |nurse?
A. |Notify |the |pediatrician |of |this |finding
B. |Reassure |the |student |that |this |is |an |acceptable |action |on |the |parent's |part
C. |Discuss |this |action |with |the |parents
D. |Ask |the |student |nurse |to |remove |the |pacifier |from |the |toddler's |mouth |- |CORRECT |
ANSWER✔✔-C. |
Nothing |must |be |placed |in |the |mouth |of |a |toddler |who |just |undergone |a |cleft |palate |repair |
until |the |suture |line |has |completely |healed. |It |is |the |nurse's |responsibility |to |inform |the |parent
|of |the |client. |Spoon, |forks, |straws, |and |tongue |blades |are |other |unacceptable |items |to |place |
in |the |mouth |of |a |toddler |who |just |undergone |cleft |palate |repair. |The |general |principle |of |care
|is |that |nothing |should |enter |the |mouth |until |the |suture |line |has |completely |healed.
2. |The |nurse |is |providing |a |health |teaching |to |the |mother |of |an |8-year-old |child |with |cystic |
fibrosis. |Which |of |the |following |statement |if |made |by |the |mother |would |indicate |to |the |nurse |
the |need |for |further |teaching |about |the |medication |regimen |of |the |child?
A. |"My |child |might |need |an |extra |capsule |if |the |meal |is |high |in |fat"
B. |"I'll |give |the |enzyme |capsule |before |every |snack"
C. |"I'll |give |the |enzyme |capsule |before |every |meal"
,D. |"My |child |hates |to |take |pills, |so |I'll |mix |the |capsule |into |a |cup |of |hot |chocolate |- |CORRECT |
ANSWER✔✔-D. |
The |pancreatic |capsules |contain |pancreatic |enzyme |that |should |be |administered |in |a |cold, |not |
a |hot, |medium |(example: |chilled |applesauce |versus |hot |chocolate) |to |maintain |the |
medication's |integrity.
3. |The |mother |brought |her |child |to |the |clinic |for |follow-up |check |up. |The |mother |tells |the |
nurse |that |14 |days |after |starting |an |oral |iron |supplement, |her |child's |stools |are |black. |Which |
of |the |following |is |the |best |nursing |response |to |the |mother?
A. |"I |will |notify |the |physician, |who |will |probably |decrease |the |dosage |slightly"
B. |"This |is |a |normal |side |effect |and |means |the |medication |is |working"
C. |"You |sound |quite |concerned. |Would |you |like |to |talk |about |this |further?"
D. |"I |will |need |a |specimen |to |check |the |stool |for |possible |bleeding" |- |CORRECT |ANSWER✔✔-B.
|
When |oral |iron |preparations |are |given |correctly, |the |stools |normally |turn |dark |green |or |black. |
Parents |of |children |receiving |this |medication |should |be |advised |that |this |side |effect |indicates |
the |medication |is |being |absorbed |and |is |working |well.
4. |An |8-year-old |boy |with |asthma |is |brought |to |the |clinic |for |check |up. |The |mother |asks |the |
nurse |if |the |treatment |given |to |her |son |is |effective. |What |would |be |the |appropriate |response |
of |the |nurse?
A. |I |will |review |first |the |child's |height |on |a |growth |chart |to |know |if |the |treatment |is |working
B. |I |will |review |first |the |child's |weight |on |a |growth |chart |to |know |if |the |treatment |is |working
C. |I |will |review |first |the |number |of |prescriptions |refills |the |child |has |required |over |the |last |6 |
months |to |give |you |an |accurate |answer
D. |I |will |review |first |the |number |of |times |the |child |has |seen |the |pediatrician |during |the |last |6 |
months |to |give |you |an |accurate |answer |- |CORRECT |ANSWER✔✔-C. |
Reviewing |the |number |of |prescription |refills |the |child |has |required |over |the |last |6 |months |
would |be |the |best |indicator |of |how |well |controlled |and |thus |how |effective |the |child's |asthma |
, treatment |is. |Breakthrough |wheezing, |shortness |of |breath, |and |upper |respiratory |infections |
would |require |that |the |child |take |additional |medication. |This |would |be |reflected |in |the |
number |of |prescription |refills.
5. |The |nurse |is |caring |to |a |child |client |who |is |receiving |tetracycline. |The |nurse |is |aware |that |in |
taking |this |medication, |it |is |very |important |to:
A. |Administer |the |drug |between |meals
B. |Monitor |the |child's |hearing
C. |Give |the |drug |through |a |straw
D. |Keep |the |child |out |of |the |sunlight |- |CORRECT |ANSWER✔✔-D. |
Tetracycline |may |cause |a |phototoxic |reaction.
6. |A |14 |day-old |infant |with |a |cyanotic |heart |defects |and |mild |congestive |heart |failure |is |
brought |to |the |emergency |department. |During |assessment, |the |nurse |checks |the |apical |pulse |
rate |of |the |infant. |The |apical |pulse |rate |is |130 |beats |per |minute. |Which |of |the |following |is |the |
appropriate |nursing |action?
A. |Retake |the |apical |pulse |in |15 |minutes
B. |Retake |the |apical |pulse |in |30 |minutes
C. |Notify |the |pediatrician |immediately
D. |Administer |the |medication |as |scheduled |- |CORRECT |ANSWER✔✔-D. |
The |normal |heart |rate |of |an |infant |is |120-160 |beats |per |minute.
7. |The |physician |prescribed |gentamicin |(Garamycin) |to |a |child |who |is |also |receiving |
chemotherapy. |Before |administering |the |drug, |the |nurse |should |check |the |results |of |the |
child's:
A. |CBC |and |platelet |count
Questions With Correct Answers
1. |The |student |nurse |is |assigned |to |take |the |vital |signs |of |the |clients |in |the |pediatric |ward. |The
|student |nurse |reports |to |the |staff |nurse |that |the |parent |of |a |toddler |who |is |2 |days |
postoperative |after |a |cleft |palate |repair |has |given |the |toddler |a |pacifier. |What |would |be |the |
best |immediate |action |of |the |nurse?
A. |Notify |the |pediatrician |of |this |finding
B. |Reassure |the |student |that |this |is |an |acceptable |action |on |the |parent's |part
C. |Discuss |this |action |with |the |parents
D. |Ask |the |student |nurse |to |remove |the |pacifier |from |the |toddler's |mouth |- |CORRECT |
ANSWER✔✔-C. |
Nothing |must |be |placed |in |the |mouth |of |a |toddler |who |just |undergone |a |cleft |palate |repair |
until |the |suture |line |has |completely |healed. |It |is |the |nurse's |responsibility |to |inform |the |parent
|of |the |client. |Spoon, |forks, |straws, |and |tongue |blades |are |other |unacceptable |items |to |place |
in |the |mouth |of |a |toddler |who |just |undergone |cleft |palate |repair. |The |general |principle |of |care
|is |that |nothing |should |enter |the |mouth |until |the |suture |line |has |completely |healed.
2. |The |nurse |is |providing |a |health |teaching |to |the |mother |of |an |8-year-old |child |with |cystic |
fibrosis. |Which |of |the |following |statement |if |made |by |the |mother |would |indicate |to |the |nurse |
the |need |for |further |teaching |about |the |medication |regimen |of |the |child?
A. |"My |child |might |need |an |extra |capsule |if |the |meal |is |high |in |fat"
B. |"I'll |give |the |enzyme |capsule |before |every |snack"
C. |"I'll |give |the |enzyme |capsule |before |every |meal"
,D. |"My |child |hates |to |take |pills, |so |I'll |mix |the |capsule |into |a |cup |of |hot |chocolate |- |CORRECT |
ANSWER✔✔-D. |
The |pancreatic |capsules |contain |pancreatic |enzyme |that |should |be |administered |in |a |cold, |not |
a |hot, |medium |(example: |chilled |applesauce |versus |hot |chocolate) |to |maintain |the |
medication's |integrity.
3. |The |mother |brought |her |child |to |the |clinic |for |follow-up |check |up. |The |mother |tells |the |
nurse |that |14 |days |after |starting |an |oral |iron |supplement, |her |child's |stools |are |black. |Which |
of |the |following |is |the |best |nursing |response |to |the |mother?
A. |"I |will |notify |the |physician, |who |will |probably |decrease |the |dosage |slightly"
B. |"This |is |a |normal |side |effect |and |means |the |medication |is |working"
C. |"You |sound |quite |concerned. |Would |you |like |to |talk |about |this |further?"
D. |"I |will |need |a |specimen |to |check |the |stool |for |possible |bleeding" |- |CORRECT |ANSWER✔✔-B.
|
When |oral |iron |preparations |are |given |correctly, |the |stools |normally |turn |dark |green |or |black. |
Parents |of |children |receiving |this |medication |should |be |advised |that |this |side |effect |indicates |
the |medication |is |being |absorbed |and |is |working |well.
4. |An |8-year-old |boy |with |asthma |is |brought |to |the |clinic |for |check |up. |The |mother |asks |the |
nurse |if |the |treatment |given |to |her |son |is |effective. |What |would |be |the |appropriate |response |
of |the |nurse?
A. |I |will |review |first |the |child's |height |on |a |growth |chart |to |know |if |the |treatment |is |working
B. |I |will |review |first |the |child's |weight |on |a |growth |chart |to |know |if |the |treatment |is |working
C. |I |will |review |first |the |number |of |prescriptions |refills |the |child |has |required |over |the |last |6 |
months |to |give |you |an |accurate |answer
D. |I |will |review |first |the |number |of |times |the |child |has |seen |the |pediatrician |during |the |last |6 |
months |to |give |you |an |accurate |answer |- |CORRECT |ANSWER✔✔-C. |
Reviewing |the |number |of |prescription |refills |the |child |has |required |over |the |last |6 |months |
would |be |the |best |indicator |of |how |well |controlled |and |thus |how |effective |the |child's |asthma |
, treatment |is. |Breakthrough |wheezing, |shortness |of |breath, |and |upper |respiratory |infections |
would |require |that |the |child |take |additional |medication. |This |would |be |reflected |in |the |
number |of |prescription |refills.
5. |The |nurse |is |caring |to |a |child |client |who |is |receiving |tetracycline. |The |nurse |is |aware |that |in |
taking |this |medication, |it |is |very |important |to:
A. |Administer |the |drug |between |meals
B. |Monitor |the |child's |hearing
C. |Give |the |drug |through |a |straw
D. |Keep |the |child |out |of |the |sunlight |- |CORRECT |ANSWER✔✔-D. |
Tetracycline |may |cause |a |phototoxic |reaction.
6. |A |14 |day-old |infant |with |a |cyanotic |heart |defects |and |mild |congestive |heart |failure |is |
brought |to |the |emergency |department. |During |assessment, |the |nurse |checks |the |apical |pulse |
rate |of |the |infant. |The |apical |pulse |rate |is |130 |beats |per |minute. |Which |of |the |following |is |the |
appropriate |nursing |action?
A. |Retake |the |apical |pulse |in |15 |minutes
B. |Retake |the |apical |pulse |in |30 |minutes
C. |Notify |the |pediatrician |immediately
D. |Administer |the |medication |as |scheduled |- |CORRECT |ANSWER✔✔-D. |
The |normal |heart |rate |of |an |infant |is |120-160 |beats |per |minute.
7. |The |physician |prescribed |gentamicin |(Garamycin) |to |a |child |who |is |also |receiving |
chemotherapy. |Before |administering |the |drug, |the |nurse |should |check |the |results |of |the |
child's:
A. |CBC |and |platelet |count
