NR328 quiz 3 UPDATED ACTUAL Questions and
CORRECT Answers
A caregiver brings their 4-year-old son in for a check-up. Resting pulse rate of 130
Which assessment finding should the nurse be
concerned about?
The nurse is teaching the student nurse how to perform a Include the child in all parts of the examination; speak to the caregiver before and
physical assessment based on the child's developmental after the examination.
stage. Which statement accurately describes a
recommended guideline for setting the tone of the
examination for a school-age child?
he nursing professor is observing the student nurse The student auscultates a 7-year-old's apical pulse for 60 seconds.
measure the vital signs of several children. Which actions The student assesses the child's femoral pulses bilaterally at the same time.
by the student demonstrate knowledge of the The student listens to the 12-month-old's heart for 10-20 seconds before
procedure? Select all that apply beginning to count the rate for a minute.
After birth, which structures in the newborn heart need Foramen ovale
to close to allow for normal blood circulation and make Ductus arteriosus
the lungs become fully operational? Select all that apply.
The nurse is caring for a pediatric client with cardiac FTT, tachy, poor wt gain, poor feeding, prenatal RF, fam Hx of cardiac diseases,
dysfunction. For each assessment finding, drag to activity intolerance, developmental delays, tachypnea
indicate whether the data is expected
The nurse is caring for a pediatric client with cardiac brady, increased appetite, hyperthermia, bradypnea
dysfunction. For each assessment finding, drag to
indicate whether the data is unexpected
The nurse is performing an assessment on a sleeping Auscultate the heart, lungs, and abdomen
newborn. Which of the following should the nurse do
first?
, During a routine annual visit of a 2-year-old client, what is Introduce yourself, ask about problems or concerns, take a history, and perform
the correct order the nurse should perform the tasks in a the exam.
health assessment?
The nurse is assessing a pediatric client's heart sounds for The second intercostal space
the characteristic S1 and S2. If the nurse is having
difficulty hearing the S2, the nurse should move the
stethoscope to which anatomic location?
A nurse is teaching a new unlicensed assistive personnel "Count respirations first, count apical heart rate second, measure blood pressure
(UAP) how to obtain vital signs on an infant. Which third, and measure temperature last."
statement by the UAP demonstrates to the nurse that no
further teaching is required?
A nurse is assessing the apical pulse of a toddler. View 4th intercostal space at the left midclavicular line
the four labeled areas on the image below. Which spot
should the nurse auscultate the apical pulse?
A nurse is performing a physical assessment on a Unequal pulses in the upper and lower extremities
pediatric client. Which assessment finding requires
follow-up by the nurse?
A nurse is preparing to perform a physical assessment on Introduce the stethoscope slowly to the toddler and allow the child to touch it
a toddler. Which techniques should the nurse include in before placing it against the body.
the assessment? Select all that apply. Use play as a technique for inspection of the body.
Minimize physical contact when beginning the assessment
Which comment made by the caregiver of a 1-month-old "She tires out during feedings."
infant would alert the nurse about the presence of a
congenital heart defect?
Using knowledge of child development, which approach Demonstrate the procedure on a doll
is best when preparing a toddler for a physical
assessment?
An 8-year-old child asks the nurse how the blood Explain in simple terms how it works
pressure apparatus works. Which response by the nurse is
most appropriate?
The nurse is preparing to perform a physical assessment Appropriate because of the child's age
on a 15-year-old client. The nurse gives the adolescent
the option of her caregiver either staying in the room or
leaving. Which statement best describes the
appropriateness of the nurse's action?
The nurse is reviewing the health history and physical Shortness of breath when playing
examination of a child diagnosed with heart failure. What Crackles on lung auscultation
assessment findings should the nurse expect to find? Tachycardia
Select all that apply. Tiring easily when eating
CORRECT Answers
A caregiver brings their 4-year-old son in for a check-up. Resting pulse rate of 130
Which assessment finding should the nurse be
concerned about?
The nurse is teaching the student nurse how to perform a Include the child in all parts of the examination; speak to the caregiver before and
physical assessment based on the child's developmental after the examination.
stage. Which statement accurately describes a
recommended guideline for setting the tone of the
examination for a school-age child?
he nursing professor is observing the student nurse The student auscultates a 7-year-old's apical pulse for 60 seconds.
measure the vital signs of several children. Which actions The student assesses the child's femoral pulses bilaterally at the same time.
by the student demonstrate knowledge of the The student listens to the 12-month-old's heart for 10-20 seconds before
procedure? Select all that apply beginning to count the rate for a minute.
After birth, which structures in the newborn heart need Foramen ovale
to close to allow for normal blood circulation and make Ductus arteriosus
the lungs become fully operational? Select all that apply.
The nurse is caring for a pediatric client with cardiac FTT, tachy, poor wt gain, poor feeding, prenatal RF, fam Hx of cardiac diseases,
dysfunction. For each assessment finding, drag to activity intolerance, developmental delays, tachypnea
indicate whether the data is expected
The nurse is caring for a pediatric client with cardiac brady, increased appetite, hyperthermia, bradypnea
dysfunction. For each assessment finding, drag to
indicate whether the data is unexpected
The nurse is performing an assessment on a sleeping Auscultate the heart, lungs, and abdomen
newborn. Which of the following should the nurse do
first?
, During a routine annual visit of a 2-year-old client, what is Introduce yourself, ask about problems or concerns, take a history, and perform
the correct order the nurse should perform the tasks in a the exam.
health assessment?
The nurse is assessing a pediatric client's heart sounds for The second intercostal space
the characteristic S1 and S2. If the nurse is having
difficulty hearing the S2, the nurse should move the
stethoscope to which anatomic location?
A nurse is teaching a new unlicensed assistive personnel "Count respirations first, count apical heart rate second, measure blood pressure
(UAP) how to obtain vital signs on an infant. Which third, and measure temperature last."
statement by the UAP demonstrates to the nurse that no
further teaching is required?
A nurse is assessing the apical pulse of a toddler. View 4th intercostal space at the left midclavicular line
the four labeled areas on the image below. Which spot
should the nurse auscultate the apical pulse?
A nurse is performing a physical assessment on a Unequal pulses in the upper and lower extremities
pediatric client. Which assessment finding requires
follow-up by the nurse?
A nurse is preparing to perform a physical assessment on Introduce the stethoscope slowly to the toddler and allow the child to touch it
a toddler. Which techniques should the nurse include in before placing it against the body.
the assessment? Select all that apply. Use play as a technique for inspection of the body.
Minimize physical contact when beginning the assessment
Which comment made by the caregiver of a 1-month-old "She tires out during feedings."
infant would alert the nurse about the presence of a
congenital heart defect?
Using knowledge of child development, which approach Demonstrate the procedure on a doll
is best when preparing a toddler for a physical
assessment?
An 8-year-old child asks the nurse how the blood Explain in simple terms how it works
pressure apparatus works. Which response by the nurse is
most appropriate?
The nurse is preparing to perform a physical assessment Appropriate because of the child's age
on a 15-year-old client. The nurse gives the adolescent
the option of her caregiver either staying in the room or
leaving. Which statement best describes the
appropriateness of the nurse's action?
The nurse is reviewing the health history and physical Shortness of breath when playing
examination of a child diagnosed with heart failure. What Crackles on lung auscultation
assessment findings should the nurse expect to find? Tachycardia
Select all that apply. Tiring easily when eating
