1
NR 328 Exam Pediatric Nursing EXAM
NR 328 Exam 5 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
The nurse observes a 4-year-old boy in a day care setting. Which behavior should the nurse
expect this child to exhibit?
A.Throws a temper tantrum when told he must share the toys
B.Plays by himself for most of the day
C.Boasts aggressively when telling a story
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NR 328 Exam Pediatric Nursing EXAM
D.Cries and is fearful when separated from his parents
ANS: C
Four-year-old children are aggressive in their behavior and enjoy telling tales (C). (A and D)
are typical toddler behaviors. A preschooler's play is usually cooperative, so playing alone
(B) is not typical.
Prophylactic antibiotics are prescribed for a child who has mitral valve damage. The nurse
should advise the parents to give the antibiotics prior to which occurrence?
A.Adjustment of orthodontic appliances or braces
B.Loss of deciduous teeth (baby teeth)
C.Urinary catheterization
D.Insect bites
ANS: C
Prophylactic antibiotics are usually prescribed prior to any invasive procedure for children
who have valvular damage. Of the choices listed, only urinary catheterization (C) is an
invasive procedure. (A, B, and D) are not invasive and do not require administration of
prophylactic antibiotics.
A child with a permanent tracheostomy is confined to a wheelchair and is going to school for
the first time tomorrow. During the school day, which intervention should be implemented
for this child?
A.Cover the tracheostomy site with clothing so that other children will not notice.
B.Apply suction for 30 seconds when inserting a catheter into the stoma.
C.Discourage the child from coughing deeply to remove mucous secretions.
D.Place suctioning supplies on the back of the wheelchair when transporting.
ANS: D
Suctioning supplies (D) should always be readily available for use with any client who has a
tracheostomy. (A, B, and C) do not describe safe practices for this child with a tracheostomy.
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NR 328 Exam Pediatric Nursing EXAM
A 3-month-old infant weighing 10 lb 15 oz has an axillary temperature of 98.9° F. What caloric
amount does this child need?
A.400 calories/day
B.500 calories/day
C.600 calories/day
D.700 calories/day
ANS: C
An infant requires 108 calories/kg/day. The first step is to change 10 lb 15 oz to 10.9 lb. Then
convert pounds to kilograms by dividing pounds by 2.2, which is 10.9/2.2 = 4.954 kg, rounded
to 5 kg. The second step is to multiply 108 calories/kg/day (108 × 5 = 540 calories/day).
However, this infant requires 10% more calories because of the 1° F temperature elevation.
Ten percent of 540 (calories/day) is 54 and 540 + 54 = 594. This infant will require
approximately 600 calories/day (C). (A, B, and D) are incorrect.
Which assessment finding(s) should the nurse expect when caring for a child with cystic
fibrosis? (Select all that apply.)
A.Steatorrhea
B.Obesity
C.Foul-smelling stools
D.Delayed growth
E.Pulmonary congestion
ANS: A,C,D,E
(A, C, D, and E) are all common assessment findings in the client with cystic fibrosis. Weight
loss, not weight gain, is associated with cystic fibrosis (B).
Following the reduction of an incarcerated inguinal hernia, a 4-month-old boy is scheduled
for surgical repair of the inguinal hernia. Under which circumstance should the parents
notify the health care provider prior to surgery?
A.Crying that is unrelieved by comforting measures
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NR 328 Exam Pediatric Nursing EXAM
B.Presence of an inguinal bulge after gentle palpation
C.Refusal to take oral feedings
D.Straining during defecation
ANS: B
The parents should notify the health care provider if the hernia remains irreducible (B) after
implementing simple measures, such as gentle palpation, warm bath, and comforting to
reduce crying. If a loop of intestines is forced into the inguinal ring or scrotum and
incarcerates, swelling can follow and possible strangulation of the bowel, intestinal
obstruction, or gangrene of the bowel loop can occur, necessitating emergency surgical
release. (A and D) may cause the hernia to protrude but do not necessitate notification of
the health care provider. (C) may not be specific to the hernia.
A 3-week-old infant is referred to an orthopedic clinic because the pediatrician heard a click
when flexing the child's right hip during a routine physical examination. The orthopedic
physician suspects that the child might have developmental dysplasia of the hip (DDH). The
parents ask the nurse to identify risk factors commonly associated with DDH. Which
response is accurate?
A.Vertex delivery
B.Male gender
C.Breech presentation
D.Second-born child
ANS: C
infants who present in the breech position (C), not the vertex (head-first) position (A). Twice
as many females as males present in breech position; thus, 80% of children with DDH are
females, not males (B). Of breech presentations, 60% occur with first-born children, not
subsequent siblings (D), possibly because of the unstretched uterus and compaction of the
surrounding abdominal contents, which tend to increase compression on the uterus in the
nulliparous woman.
A nurse is preparing to end the shift and receives a lab report stating that a child with
asthma has a theophylline level of 15 mcg/dL. Which action should the nurse take?
NR 328 Exam Pediatric Nursing EXAM
NR 328 Exam 5 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
The nurse observes a 4-year-old boy in a day care setting. Which behavior should the nurse
expect this child to exhibit?
A.Throws a temper tantrum when told he must share the toys
B.Plays by himself for most of the day
C.Boasts aggressively when telling a story
, 2
NR 328 Exam Pediatric Nursing EXAM
D.Cries and is fearful when separated from his parents
ANS: C
Four-year-old children are aggressive in their behavior and enjoy telling tales (C). (A and D)
are typical toddler behaviors. A preschooler's play is usually cooperative, so playing alone
(B) is not typical.
Prophylactic antibiotics are prescribed for a child who has mitral valve damage. The nurse
should advise the parents to give the antibiotics prior to which occurrence?
A.Adjustment of orthodontic appliances or braces
B.Loss of deciduous teeth (baby teeth)
C.Urinary catheterization
D.Insect bites
ANS: C
Prophylactic antibiotics are usually prescribed prior to any invasive procedure for children
who have valvular damage. Of the choices listed, only urinary catheterization (C) is an
invasive procedure. (A, B, and D) are not invasive and do not require administration of
prophylactic antibiotics.
A child with a permanent tracheostomy is confined to a wheelchair and is going to school for
the first time tomorrow. During the school day, which intervention should be implemented
for this child?
A.Cover the tracheostomy site with clothing so that other children will not notice.
B.Apply suction for 30 seconds when inserting a catheter into the stoma.
C.Discourage the child from coughing deeply to remove mucous secretions.
D.Place suctioning supplies on the back of the wheelchair when transporting.
ANS: D
Suctioning supplies (D) should always be readily available for use with any client who has a
tracheostomy. (A, B, and C) do not describe safe practices for this child with a tracheostomy.
, 3
NR 328 Exam Pediatric Nursing EXAM
A 3-month-old infant weighing 10 lb 15 oz has an axillary temperature of 98.9° F. What caloric
amount does this child need?
A.400 calories/day
B.500 calories/day
C.600 calories/day
D.700 calories/day
ANS: C
An infant requires 108 calories/kg/day. The first step is to change 10 lb 15 oz to 10.9 lb. Then
convert pounds to kilograms by dividing pounds by 2.2, which is 10.9/2.2 = 4.954 kg, rounded
to 5 kg. The second step is to multiply 108 calories/kg/day (108 × 5 = 540 calories/day).
However, this infant requires 10% more calories because of the 1° F temperature elevation.
Ten percent of 540 (calories/day) is 54 and 540 + 54 = 594. This infant will require
approximately 600 calories/day (C). (A, B, and D) are incorrect.
Which assessment finding(s) should the nurse expect when caring for a child with cystic
fibrosis? (Select all that apply.)
A.Steatorrhea
B.Obesity
C.Foul-smelling stools
D.Delayed growth
E.Pulmonary congestion
ANS: A,C,D,E
(A, C, D, and E) are all common assessment findings in the client with cystic fibrosis. Weight
loss, not weight gain, is associated with cystic fibrosis (B).
Following the reduction of an incarcerated inguinal hernia, a 4-month-old boy is scheduled
for surgical repair of the inguinal hernia. Under which circumstance should the parents
notify the health care provider prior to surgery?
A.Crying that is unrelieved by comforting measures
, 4
NR 328 Exam Pediatric Nursing EXAM
B.Presence of an inguinal bulge after gentle palpation
C.Refusal to take oral feedings
D.Straining during defecation
ANS: B
The parents should notify the health care provider if the hernia remains irreducible (B) after
implementing simple measures, such as gentle palpation, warm bath, and comforting to
reduce crying. If a loop of intestines is forced into the inguinal ring or scrotum and
incarcerates, swelling can follow and possible strangulation of the bowel, intestinal
obstruction, or gangrene of the bowel loop can occur, necessitating emergency surgical
release. (A and D) may cause the hernia to protrude but do not necessitate notification of
the health care provider. (C) may not be specific to the hernia.
A 3-week-old infant is referred to an orthopedic clinic because the pediatrician heard a click
when flexing the child's right hip during a routine physical examination. The orthopedic
physician suspects that the child might have developmental dysplasia of the hip (DDH). The
parents ask the nurse to identify risk factors commonly associated with DDH. Which
response is accurate?
A.Vertex delivery
B.Male gender
C.Breech presentation
D.Second-born child
ANS: C
infants who present in the breech position (C), not the vertex (head-first) position (A). Twice
as many females as males present in breech position; thus, 80% of children with DDH are
females, not males (B). Of breech presentations, 60% occur with first-born children, not
subsequent siblings (D), possibly because of the unstretched uterus and compaction of the
surrounding abdominal contents, which tend to increase compression on the uterus in the
nulliparous woman.
A nurse is preparing to end the shift and receives a lab report stating that a child with
asthma has a theophylline level of 15 mcg/dL. Which action should the nurse take?
