1
NR 328 Exam 1 Pediatric Nursing EXAM
NR 328 Exam 2 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic Hormone
(SIADH). This child should be carefully assessed for which complication?
Poor skin turgor resulting from dehydration.
Changes in level of consciousness.
Premature aging as the disease progresses.
Severe edema from an excess of water and sodium.
, 2
NR 328 Exam 1 Pediatric Nursing EXAM
Changes in level of consciousness.
The child must be monitored for signs and symptoms of hyponatremia, which creates
secondary central nervous system alterations such as changes in level of consciousness,
seizure, and coma (B). Fluid overload occurs with SIADH, not (A) (which occurs with
diabetes insipidus). (C) is caused by hypersecretion of growth hormone, not SIADH. (D) is
not found in children with SIADH because edema is caused by an excess of both water and
sodium.
The nurse is assigning care for a 4-year-old child with otitis media and is concerned about the
child's increasing temperature over the past 24 hours. When planning care for this child, it is
important for the nurse to consider that
A. Only an RN should be assigned to monitor this child's temperature. Incorrect
B. A tympanic measurement of temperature will provide the most accurate reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures on this
child.
D. The healthcare provider should be asked to prescribe the method for measurement of the
child's temperatures.
B. A tympanic measurement of temperature will provide the most accurate reading.
(B) A tympanic membrane sensor is an excellent site because both the eardrum and
hypothalamus (temperature-regulating center) are perfused by the same circulation. The
sensor is unaffected by cerumen and the presence of suppurative or unsuppurative otitis
media does not effect measurement. RULE OF THUMB: for management--sterile procedures
should be assigned to licensed personnel. Management skills will be tested on the NCLEX!
An RN is not required (A). Rectal temperature measurement (C) is less accurate because of
the possibility of stool in the rectum. (D) is unnecessary.
A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle
of children's vitamin pills. Which intervention should the nurse implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
, 3
NR 328 Exam 1 Pediatric Nursing EXAM
Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed.
Determine the child's pulse and respirations.
The most important principle in dealing with a poisoning is to treat the child first, not the
poison. Initiate immediate life support measures with assessment of vital signs (B), in
particular, respirations. Inserting an airway or initiating mechanical ventilation may be
necessary. Assessment and identification of the poison should occur prior to (A). (C and D)
should occur after assessing the airway.
To take the vital signs of a 4-month-old child, which order provides the most accurate
results?
Respiratory rate, heart rate, then rectal temperature.
Heart rate, rectal temperature, then respiratory rate.
Rectal temperature, heart rate, then respiratory rate.
Rectal temperature, respiratory rate, then heart rate.
Respiratory rate, heart rate, then rectal temperature.
The respiratory rate should be taken first (A) in infants, since touching them or performing
unpleasant procedures usually makes them cry, elevating the heart rate and making
respirations difficult to count (B). Rectal temperature is the most invasive procedure, and is
most likely to precipitate crying, so should be done last (C and D).
The parents of a 3-week-old infant report that the child eats well but vomits after each
feeding. What information is most important for the nurse to obtain?
Description of vomiting episodes in past 24 hours.
Number of wet diapers in last 24 hours.
, 4
NR 328 Exam 1 Pediatric Nursing EXAM
Feeding and sleep schedule.
Amount of formula consumed during the past 24 hours.
Description of vomiting episodes in past 24 hours.
A description of the vomiting episodes (A) will assist the nurse in determining the reason for
the symptoms, which may be helpful in developing a plan of care for this infant. (B and C)
provide related information but are not as helpful as (A). (D) may be related to the vomiting,
but the nurse should first obtain a better description of the vomiting episodes.
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician
prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25
ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding?
Frequency of emesis in the last 8 hours.
Serum BUN and creatinine levels.
Current blood sugar level.
Appearance of the stool.
Serum BUN and creatinine levels.
Regardless of a client's age, adequate renal function must be present before adding
potassium to IV fluids (B). (A) is important in determining the need for fluid replacement. (C)
is not indicated. (D) is useful information, but will not impact administration of the
prescribed IV solution.
Which finding in a 19-year-old female client should trigger further assessment by the nurse?
Menstruation has not occurred.
Reports no tetanus immunization since childhood.
Denies having any wisdom teeth.
History of painful, inward growth on bottom of foot.
NR 328 Exam 1 Pediatric Nursing EXAM
NR 328 Exam 2 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic Hormone
(SIADH). This child should be carefully assessed for which complication?
Poor skin turgor resulting from dehydration.
Changes in level of consciousness.
Premature aging as the disease progresses.
Severe edema from an excess of water and sodium.
, 2
NR 328 Exam 1 Pediatric Nursing EXAM
Changes in level of consciousness.
The child must be monitored for signs and symptoms of hyponatremia, which creates
secondary central nervous system alterations such as changes in level of consciousness,
seizure, and coma (B). Fluid overload occurs with SIADH, not (A) (which occurs with
diabetes insipidus). (C) is caused by hypersecretion of growth hormone, not SIADH. (D) is
not found in children with SIADH because edema is caused by an excess of both water and
sodium.
The nurse is assigning care for a 4-year-old child with otitis media and is concerned about the
child's increasing temperature over the past 24 hours. When planning care for this child, it is
important for the nurse to consider that
A. Only an RN should be assigned to monitor this child's temperature. Incorrect
B. A tympanic measurement of temperature will provide the most accurate reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures on this
child.
D. The healthcare provider should be asked to prescribe the method for measurement of the
child's temperatures.
B. A tympanic measurement of temperature will provide the most accurate reading.
(B) A tympanic membrane sensor is an excellent site because both the eardrum and
hypothalamus (temperature-regulating center) are perfused by the same circulation. The
sensor is unaffected by cerumen and the presence of suppurative or unsuppurative otitis
media does not effect measurement. RULE OF THUMB: for management--sterile procedures
should be assigned to licensed personnel. Management skills will be tested on the NCLEX!
An RN is not required (A). Rectal temperature measurement (C) is less accurate because of
the possibility of stool in the rectum. (D) is unnecessary.
A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle
of children's vitamin pills. Which intervention should the nurse implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
, 3
NR 328 Exam 1 Pediatric Nursing EXAM
Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed.
Determine the child's pulse and respirations.
The most important principle in dealing with a poisoning is to treat the child first, not the
poison. Initiate immediate life support measures with assessment of vital signs (B), in
particular, respirations. Inserting an airway or initiating mechanical ventilation may be
necessary. Assessment and identification of the poison should occur prior to (A). (C and D)
should occur after assessing the airway.
To take the vital signs of a 4-month-old child, which order provides the most accurate
results?
Respiratory rate, heart rate, then rectal temperature.
Heart rate, rectal temperature, then respiratory rate.
Rectal temperature, heart rate, then respiratory rate.
Rectal temperature, respiratory rate, then heart rate.
Respiratory rate, heart rate, then rectal temperature.
The respiratory rate should be taken first (A) in infants, since touching them or performing
unpleasant procedures usually makes them cry, elevating the heart rate and making
respirations difficult to count (B). Rectal temperature is the most invasive procedure, and is
most likely to precipitate crying, so should be done last (C and D).
The parents of a 3-week-old infant report that the child eats well but vomits after each
feeding. What information is most important for the nurse to obtain?
Description of vomiting episodes in past 24 hours.
Number of wet diapers in last 24 hours.
, 4
NR 328 Exam 1 Pediatric Nursing EXAM
Feeding and sleep schedule.
Amount of formula consumed during the past 24 hours.
Description of vomiting episodes in past 24 hours.
A description of the vomiting episodes (A) will assist the nurse in determining the reason for
the symptoms, which may be helpful in developing a plan of care for this infant. (B and C)
provide related information but are not as helpful as (A). (D) may be related to the vomiting,
but the nurse should first obtain a better description of the vomiting episodes.
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician
prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25
ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding?
Frequency of emesis in the last 8 hours.
Serum BUN and creatinine levels.
Current blood sugar level.
Appearance of the stool.
Serum BUN and creatinine levels.
Regardless of a client's age, adequate renal function must be present before adding
potassium to IV fluids (B). (A) is important in determining the need for fluid replacement. (C)
is not indicated. (D) is useful information, but will not impact administration of the
prescribed IV solution.
Which finding in a 19-year-old female client should trigger further assessment by the nurse?
Menstruation has not occurred.
Reports no tetanus immunization since childhood.
Denies having any wisdom teeth.
History of painful, inward growth on bottom of foot.
