NURS 330: Exam 3 UPDATED ACTUAL Questions and
CORRECT Answers
1. When obtaining a history from the mother of an infant a. "What do the stools look like?"
with intussusception, which question would be most
helpful?
a. "What do the stools look like?"
b. "When was the last time your child urinated?"
c. "Is your child eating normally?"
d. "Has your child had any episodes of vomiting?"
1. Which would the nurse identify as the priority diagnosis b. Fluid Volume Deficient related to excessive losses from severe diarrhea.
for a child admitted with gastroenteritis?
a. Pain related to repeated episodes of vomiting.
b. Fluid Volume Deficient related to excessive losses from
severe diarrhea.
c. Impaired Parenting related to infant's loss of fluid.
d. Impaired Urinary Elimination related to increased fluid
intake feeding pattern.
1. Which of the following signs and symptoms suggest a. Dry mucous membranes.
that an infant is dehydrated? Select all that apply. b. Sunken fontanel.
a. Dry mucous membranes. d. Restlessness.
b. Sunken fontanel.
c. Salty saliva.
d. Restlessness.
e. Increased urine output.
1. An experienced nurse is observing a new nurse a. Using a suction catheter to remove oral secretions.
providing care to an 11-month-old child who is 12 hours
postoperative from a cleft palate repair. Which nursing
action requires the experienced nurse to intervene?
a. Using a suction catheter to remove oral secretions.
b. Feeding soft, blended foods.
c. Removing an arm restraint to check the skin.
d. Administering an analgesic.
1. After surgery to correct pyloric stenosis, the nurse a. 6 hours.
instructs the parents about the postoperative feeding
schedule for their infant. The parents exhibit
understanding of these instructions when they state that
they can start feeding the child within which time frame?
a. 6 hours.
b. 8 hours.
c. 10 hours.
d. 12 hours.
, 1. A 10-year-old is being evaluated for possible d. Immediately notify the physician of the child's status.
appendicitis and complains of nausea and sharp
abdominal pain in the right lower quadrant. An abdominal - ruptured appendix
ultrasound is scheduled, and a blood count has been
obtained. The child vomits, finds the pain relieved, and
calls the nurse. Which should be the nurse's next action?
a. Cancel the ultrasound and obtain an order for oral
Zofran (ondansetron).
b. Cancel the ultrasound and prepare to administer an
intravenous bolus.
c. Prepare for the probable discharge of the patient.
d. Immediately notify the physician of the child's status.
1. A 12-year-old diagnosed with scoliosis is to wear a c. Self-consciousness about appearance.
brace for 23 hours a day. What is the most likely reason
the child will not wear it for a long time?
a. Pain from the brace.
b. Difficulty in putting the brace on.
c. Self-consciousness about appearance.
d. Not understanding what the brace is for.
1. A 7 year old has hip pain for several months. Because it d. The desired outcome is a pain-free joint with full range of motion.
was mild pain, the parent did not pay a great deal of
attention. The child was ultimately given a diagnosis of
Legg Calve Perthes disease. In preparing the child and
family for treatment, the nurse should instruct the parents
that:
a. Most of the child's treatment will be done while the
child is hospitalized.
b. Activities that promote hip adduction are encouraged.
c. Treatment is likely to continue for about 6 months.
d. The desired outcome is a pain-free joint with full range
of motion.
1. A 14 year old has just had a plaster cast applied to on c. Use only the palms of the hands when handling the cast.
his lower leg. To provide safe cast care while cast is
drying, the nurse should:
a. Petal the cast as soon as it is put on.
b. Keep the child in the same position for 24 hours until
the cast is dry.
c. Use only the palms of the hands when handling the
cast.
d. Notify the physician if the client feels heat.
CORRECT Answers
1. When obtaining a history from the mother of an infant a. "What do the stools look like?"
with intussusception, which question would be most
helpful?
a. "What do the stools look like?"
b. "When was the last time your child urinated?"
c. "Is your child eating normally?"
d. "Has your child had any episodes of vomiting?"
1. Which would the nurse identify as the priority diagnosis b. Fluid Volume Deficient related to excessive losses from severe diarrhea.
for a child admitted with gastroenteritis?
a. Pain related to repeated episodes of vomiting.
b. Fluid Volume Deficient related to excessive losses from
severe diarrhea.
c. Impaired Parenting related to infant's loss of fluid.
d. Impaired Urinary Elimination related to increased fluid
intake feeding pattern.
1. Which of the following signs and symptoms suggest a. Dry mucous membranes.
that an infant is dehydrated? Select all that apply. b. Sunken fontanel.
a. Dry mucous membranes. d. Restlessness.
b. Sunken fontanel.
c. Salty saliva.
d. Restlessness.
e. Increased urine output.
1. An experienced nurse is observing a new nurse a. Using a suction catheter to remove oral secretions.
providing care to an 11-month-old child who is 12 hours
postoperative from a cleft palate repair. Which nursing
action requires the experienced nurse to intervene?
a. Using a suction catheter to remove oral secretions.
b. Feeding soft, blended foods.
c. Removing an arm restraint to check the skin.
d. Administering an analgesic.
1. After surgery to correct pyloric stenosis, the nurse a. 6 hours.
instructs the parents about the postoperative feeding
schedule for their infant. The parents exhibit
understanding of these instructions when they state that
they can start feeding the child within which time frame?
a. 6 hours.
b. 8 hours.
c. 10 hours.
d. 12 hours.
, 1. A 10-year-old is being evaluated for possible d. Immediately notify the physician of the child's status.
appendicitis and complains of nausea and sharp
abdominal pain in the right lower quadrant. An abdominal - ruptured appendix
ultrasound is scheduled, and a blood count has been
obtained. The child vomits, finds the pain relieved, and
calls the nurse. Which should be the nurse's next action?
a. Cancel the ultrasound and obtain an order for oral
Zofran (ondansetron).
b. Cancel the ultrasound and prepare to administer an
intravenous bolus.
c. Prepare for the probable discharge of the patient.
d. Immediately notify the physician of the child's status.
1. A 12-year-old diagnosed with scoliosis is to wear a c. Self-consciousness about appearance.
brace for 23 hours a day. What is the most likely reason
the child will not wear it for a long time?
a. Pain from the brace.
b. Difficulty in putting the brace on.
c. Self-consciousness about appearance.
d. Not understanding what the brace is for.
1. A 7 year old has hip pain for several months. Because it d. The desired outcome is a pain-free joint with full range of motion.
was mild pain, the parent did not pay a great deal of
attention. The child was ultimately given a diagnosis of
Legg Calve Perthes disease. In preparing the child and
family for treatment, the nurse should instruct the parents
that:
a. Most of the child's treatment will be done while the
child is hospitalized.
b. Activities that promote hip adduction are encouraged.
c. Treatment is likely to continue for about 6 months.
d. The desired outcome is a pain-free joint with full range
of motion.
1. A 14 year old has just had a plaster cast applied to on c. Use only the palms of the hands when handling the cast.
his lower leg. To provide safe cast care while cast is
drying, the nurse should:
a. Petal the cast as soon as it is put on.
b. Keep the child in the same position for 24 hours until
the cast is dry.
c. Use only the palms of the hands when handling the
cast.
d. Notify the physician if the client feels heat.
