N328 Final Exam UPDATED ACTUAL Questions and CORRECT
Answers
The nurse is teaching the parents of a preschooler C. "Soaking in a bubble bath will reduce the meatal irritation."
information about urinary tract infection and means of
reducing their recurrence. Which statement by the
parents indicates the need for additional teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a little large."
C. "Soaking in a bubble bath will reduce the meatal
irritation."
D. "If I notice her starting to wet the bed again, I will need
to have her checked for another urinary tract infection."
A urinalysis is ordered for a child with a throat culture D. Group A beta hemolytic streptococcus infections can be followed by the
positive for group A beta-hemolytic streptococcus. The complication of acute glomerulonephritis.
mother asks why this test is being ordered. The nurse
explains:
A. The urinalysis will indicate whether an HIV infection is
also present.
B. Urinary tract infections are common with streptococcal
infections and need to receive prompt treatment.
C. Pyelonephritis is a potential complication of antibiotic
therapy.
D. Group A beta hemolytic streptococcus infections can
be followed by the complication of acute
glomerulonephritis.
The nurse is caring for a toddler who is not toilet trained. C. Subtract the weight of the dry diaper from a wet diaper and record this amount
The doctor has ordered intake and output measurement.
The nurse will most accurately measure the urine by:
A. Estimating output as small, moderate, or large and
recording on the child's chart
B. Weighing each diaper and recording the amount of
urine output as the weight of the diaper
C. Subtract the weight of the dry diaper from a wet diaper
and record this amount
D. Determine urine output by the number of diapers
changes in each 24-hour period
Define the following congenital heart defect: Truncus Arteriosus
Failure of normal separation and division of the
embryonic trunk into the pulmonary artery and aorta
,Define the following congenital heart defect: Hypoplastic Left Heart Syndrome
Under development of the left side of the heart,
consisting of small left ventricle, mitral atresia, and atretic
aortic arch; the infant presents with symptoms of shock
and will require heart transplantation or the Norwood
surgery
Define the following congenital heart defect: Tetrology of Fallot
Defect with 4 abnormalities: ventricular septal defect,
pulmonic stenosis, overriding aorta, and right ventricular
hypertrophy
Define the following congenital heart defect: Atrioventricular Canal
Incomplete fusion of the endocardial cushions, creating a
large central AV valve, ASD, VSD, and allows blood to
flow between all four chambers
Define the following congenital heart defect: Patent Ductus Arteriosus
Has a characteristic machinery-like murmur and is a
continuation of a fetal shunt between pulmonary artery
and aorta
Define the following congenital heart defect: Atrial Septal Defect
Abnormal opening of the atria, allowing blood from the
higher pressure left atrium to the lower pressure right
atrium
Define the following congenital heart defect: Ventricular Septal Defect
Defect in the ventricles repaired with a suture or a
Dacron patch requiring open heart surgery
Define the following congenital heart defect: Coarctation of the Aorta
Narrowing of the aortic arch; when the fetal shunt closes,
the defect will cause decreased flow to the descending
aorta; clinical manifestations include higher BP in the
upper extremities than the lower extremities, weak/absent
femoral and pedal pulses, and pale/cooler lower
extremities due to decreased systemic blood flow in the
lower extremities
, Define the following congenital heart defect: Tricuspid Atresia
Atretic or absent tricuspid valve and small right ventricle,
which causes cyanosis and decreased pulmonary blood
flow; requires patency of the ductus arteriosus for
pulmonary blood flow
Define the following congenital heart defect: Aortic Stenosis
thickened aortic valve; can be repaired by cardiac
catheterization with a balloon to open the valve and
often diagnosed by exercise intolerance
Define the following congenital heart defect: Transposition of the Great Arteries
Reversal of the aorta and pulmonary artery; the Aorta
arises from the right ventricle and the Pulmonary artery
arises from the left ventricle, causing parallel circulation;
requires emergency palliative surgery in the
catheterization lab called Rashkind Miller procedure, this
will enlarge the foramen ovale and allow further mixing
of blood till a Switch procedure can be done
The nurse is caring for an adolescent whose femur was C. Pulmonary embolism
fractured yesterday, The client suddenly develops chest
pain and dyspnea. The nurse should suspect which of the
following complications?
A. Sepsis
B. Osteomyelitis
C. Pulmonary embolism
D. Acute respiratory infection
A 5-year-old child is admitted to the pediatric unit from B. Check circulation
the recovery room, following application of a hip spica
cast. Which of the following nursing actions would be
priority?
A. Elevate the head of the bed
B. Check circulation
C. Turn the client to right side-lying position
D. Offer ice chips
Answers
The nurse is teaching the parents of a preschooler C. "Soaking in a bubble bath will reduce the meatal irritation."
information about urinary tract infection and means of
reducing their recurrence. Which statement by the
parents indicates the need for additional teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a little large."
C. "Soaking in a bubble bath will reduce the meatal
irritation."
D. "If I notice her starting to wet the bed again, I will need
to have her checked for another urinary tract infection."
A urinalysis is ordered for a child with a throat culture D. Group A beta hemolytic streptococcus infections can be followed by the
positive for group A beta-hemolytic streptococcus. The complication of acute glomerulonephritis.
mother asks why this test is being ordered. The nurse
explains:
A. The urinalysis will indicate whether an HIV infection is
also present.
B. Urinary tract infections are common with streptococcal
infections and need to receive prompt treatment.
C. Pyelonephritis is a potential complication of antibiotic
therapy.
D. Group A beta hemolytic streptococcus infections can
be followed by the complication of acute
glomerulonephritis.
The nurse is caring for a toddler who is not toilet trained. C. Subtract the weight of the dry diaper from a wet diaper and record this amount
The doctor has ordered intake and output measurement.
The nurse will most accurately measure the urine by:
A. Estimating output as small, moderate, or large and
recording on the child's chart
B. Weighing each diaper and recording the amount of
urine output as the weight of the diaper
C. Subtract the weight of the dry diaper from a wet diaper
and record this amount
D. Determine urine output by the number of diapers
changes in each 24-hour period
Define the following congenital heart defect: Truncus Arteriosus
Failure of normal separation and division of the
embryonic trunk into the pulmonary artery and aorta
,Define the following congenital heart defect: Hypoplastic Left Heart Syndrome
Under development of the left side of the heart,
consisting of small left ventricle, mitral atresia, and atretic
aortic arch; the infant presents with symptoms of shock
and will require heart transplantation or the Norwood
surgery
Define the following congenital heart defect: Tetrology of Fallot
Defect with 4 abnormalities: ventricular septal defect,
pulmonic stenosis, overriding aorta, and right ventricular
hypertrophy
Define the following congenital heart defect: Atrioventricular Canal
Incomplete fusion of the endocardial cushions, creating a
large central AV valve, ASD, VSD, and allows blood to
flow between all four chambers
Define the following congenital heart defect: Patent Ductus Arteriosus
Has a characteristic machinery-like murmur and is a
continuation of a fetal shunt between pulmonary artery
and aorta
Define the following congenital heart defect: Atrial Septal Defect
Abnormal opening of the atria, allowing blood from the
higher pressure left atrium to the lower pressure right
atrium
Define the following congenital heart defect: Ventricular Septal Defect
Defect in the ventricles repaired with a suture or a
Dacron patch requiring open heart surgery
Define the following congenital heart defect: Coarctation of the Aorta
Narrowing of the aortic arch; when the fetal shunt closes,
the defect will cause decreased flow to the descending
aorta; clinical manifestations include higher BP in the
upper extremities than the lower extremities, weak/absent
femoral and pedal pulses, and pale/cooler lower
extremities due to decreased systemic blood flow in the
lower extremities
, Define the following congenital heart defect: Tricuspid Atresia
Atretic or absent tricuspid valve and small right ventricle,
which causes cyanosis and decreased pulmonary blood
flow; requires patency of the ductus arteriosus for
pulmonary blood flow
Define the following congenital heart defect: Aortic Stenosis
thickened aortic valve; can be repaired by cardiac
catheterization with a balloon to open the valve and
often diagnosed by exercise intolerance
Define the following congenital heart defect: Transposition of the Great Arteries
Reversal of the aorta and pulmonary artery; the Aorta
arises from the right ventricle and the Pulmonary artery
arises from the left ventricle, causing parallel circulation;
requires emergency palliative surgery in the
catheterization lab called Rashkind Miller procedure, this
will enlarge the foramen ovale and allow further mixing
of blood till a Switch procedure can be done
The nurse is caring for an adolescent whose femur was C. Pulmonary embolism
fractured yesterday, The client suddenly develops chest
pain and dyspnea. The nurse should suspect which of the
following complications?
A. Sepsis
B. Osteomyelitis
C. Pulmonary embolism
D. Acute respiratory infection
A 5-year-old child is admitted to the pediatric unit from B. Check circulation
the recovery room, following application of a hip spica
cast. Which of the following nursing actions would be
priority?
A. Elevate the head of the bed
B. Check circulation
C. Turn the client to right side-lying position
D. Offer ice chips
