NR 328 Quiz 3 Quiz 4 UPDATED ACTUAL Questions and
CORRECT Answers
Which children are at most risk for fluid and electrolyte a. Infants
imbalances?
Child is admitted with a dehydration diagnosis. What is a c. Weight (compare weight to previous or normal weight)
nurse's first priority?
a. Orient family to unit
b. Get vital signs
c. Weight (compare weight to previous or normal weight)
d. Start IV
Tetralogy of Fallot Ventricular septal defect
Pulmonary stenosis
Right ventricular hypertrophy
Overriding aorta
A child with sickle cell is cyanotic, has difficulty breathing, Stop the transfusion immediately
has rales upon inspiration throughout the lung fields.
Priority?
Infant with unrepaired tetralogy of fallot defect has Administer 100% O2 by blow-by
become extremely cyanotic during a routine blood draw. Give morphine via the peripheral intravenous IC ;ine
Which priority interventions with the nurse implement? Place infant in the knee chest position
SATA Educate parents how to manage hypercuanotic episodes once the infant is
stabilized
Do not suction secretions
3 year old's eyes are reddened with no discharge and his Kawasaki Disease
palmss and soles of feet are red, swollen, and peeling.
Upon examination the nurse's assessment includes dry
cracked lips and a strawberry tongue. What does the
nurse most likely suspect?
Nurse is teaching the family of a child diagnosed with iron Administer in two divided doses between meals
deficiency anemia about the proper administration of iron Use a straw to administer the iron if it is in liquid form
supplements. Which points should the nurse include in Administer with citrus fruits or juices to increase absorption
education? Dont call PCP fro tarry stools (tarry stools is a normal finding when taking iron)
Dont take iron with mild (calcium decreases iron absorption)
Child with sickle cellcrisis? Identificaation what as a Perform good hand hygiene and avoid others who are ill
factor? Ensure consistake and daily intake of adequate fluids to prevent dehydration
Provide emotional support as emotional crisis can trigger a crisis
Provide rest and adequate nutrition
Sickle cell crisis highest priority? Increase fluid intake
Then give oxygen, then analgesics
CORRECT Answers
Which children are at most risk for fluid and electrolyte a. Infants
imbalances?
Child is admitted with a dehydration diagnosis. What is a c. Weight (compare weight to previous or normal weight)
nurse's first priority?
a. Orient family to unit
b. Get vital signs
c. Weight (compare weight to previous or normal weight)
d. Start IV
Tetralogy of Fallot Ventricular septal defect
Pulmonary stenosis
Right ventricular hypertrophy
Overriding aorta
A child with sickle cell is cyanotic, has difficulty breathing, Stop the transfusion immediately
has rales upon inspiration throughout the lung fields.
Priority?
Infant with unrepaired tetralogy of fallot defect has Administer 100% O2 by blow-by
become extremely cyanotic during a routine blood draw. Give morphine via the peripheral intravenous IC ;ine
Which priority interventions with the nurse implement? Place infant in the knee chest position
SATA Educate parents how to manage hypercuanotic episodes once the infant is
stabilized
Do not suction secretions
3 year old's eyes are reddened with no discharge and his Kawasaki Disease
palmss and soles of feet are red, swollen, and peeling.
Upon examination the nurse's assessment includes dry
cracked lips and a strawberry tongue. What does the
nurse most likely suspect?
Nurse is teaching the family of a child diagnosed with iron Administer in two divided doses between meals
deficiency anemia about the proper administration of iron Use a straw to administer the iron if it is in liquid form
supplements. Which points should the nurse include in Administer with citrus fruits or juices to increase absorption
education? Dont call PCP fro tarry stools (tarry stools is a normal finding when taking iron)
Dont take iron with mild (calcium decreases iron absorption)
Child with sickle cellcrisis? Identificaation what as a Perform good hand hygiene and avoid others who are ill
factor? Ensure consistake and daily intake of adequate fluids to prevent dehydration
Provide emotional support as emotional crisis can trigger a crisis
Provide rest and adequate nutrition
Sickle cell crisis highest priority? Increase fluid intake
Then give oxygen, then analgesics
