NR-327 Exam 4 Practice Questions with Answers |Chamberlain
College
1. A nurse is caring for a child with epiglottitis. Which of the following actions
should the nurse avoid?
A. Visualizing the throat with a tongue blade
B. Administering humidified oxygen
C. Keeping the child in an upright position
D. Monitoring pulse oximetry
Answer: A
Rationale: Visualizing the throat with a tongue blade or swab can cause laryngospasm and
immediate airway obstruction in a child with epiglottitis.
2. Which clinical manifestation is a hallmark sign of Intussusception?
A. Steatorrhea
B. Currant jelly-like stools
C. Projectile vomiting
D. Ribbon-like stools
Answer: B
Rationale: Intussusception typically presents with ‘currant jelly’ stools, which are a
mixture of blood and mucus.
,3. A nurse is assessing a child with Pyloric Stenosis. Which finding should the
nurse expect?
A. Bile-stained emesis
B. Olive-shaped mass in the right upper quadrant
C. Diarrhea
D. Absent bowel sounds
Answer: B
Rationale: A classic sign of hypertrophic pyloric stenosis is a palpable olive-shaped mass
in the epigastrium just to the right of the umbilicus.
4. What is the priority nursing intervention for a child experiencing a Sickle Cell
Crisis?
A. Administering antibiotics
B. Aggressive hydration and pain management
C. Applying cold compresses to joints
D. Encouraging vigorous exercise
Answer: B
Rationale: Hydration helps reduce blood viscosity and prevents further sickling, while
pain management is essential for comfort.
5. A newborn has an Apgar score of 9 at 1 minute. Which of the following
describes this score?
A. The infant is adjusting well to extrauterine life
B. The infant is showing moderate difficulty
C. The infant is in severe distress
D. The infant requires immediate resuscitation
Answer: A
Rationale: An Apgar score of 7 to 10 indicates that the newborn is in good condition and
adjusting well.
, 6. Which dietary instruction is appropriate for a child diagnosed with Celiac
Disease?
A. Increase intake of wheat crackers
B. Strict adherence to a gluten-free diet
C. High-fiber diet including rye bread
D. Low-fat, lactose-free diet only
Answer: B
Rationale: Celiac disease is managed by lifelong elimination of gluten (found in wheat,
barley, and rye) from the diet.
7. A nurse is monitoring a child post-tonsillectomy. Which of the following is a
sign of postoperative hemorrhage?
A. Increased crying
B. Complaint of a sore throat
C. Frequent swallowing or clearing of the throat
D. Decreased heart rate
Answer: C
Rationale: Frequent swallowing or clearing of the throat is a primary indicator of active
bleeding from the surgical site in the throat.
8. In Hirschsprung disease, the nurse would expect the child’s stools to be:
A. Loose and watery
B. Hard and marble-like
C. Ribbon-like and foul-smelling
D. Bloody with mucus
Answer: C
Rationale: Ribbon-like, foul-smelling stools are characteristic of Hirschsprung disease due
to the narrow passage through the aganglionic segment.
College
1. A nurse is caring for a child with epiglottitis. Which of the following actions
should the nurse avoid?
A. Visualizing the throat with a tongue blade
B. Administering humidified oxygen
C. Keeping the child in an upright position
D. Monitoring pulse oximetry
Answer: A
Rationale: Visualizing the throat with a tongue blade or swab can cause laryngospasm and
immediate airway obstruction in a child with epiglottitis.
2. Which clinical manifestation is a hallmark sign of Intussusception?
A. Steatorrhea
B. Currant jelly-like stools
C. Projectile vomiting
D. Ribbon-like stools
Answer: B
Rationale: Intussusception typically presents with ‘currant jelly’ stools, which are a
mixture of blood and mucus.
,3. A nurse is assessing a child with Pyloric Stenosis. Which finding should the
nurse expect?
A. Bile-stained emesis
B. Olive-shaped mass in the right upper quadrant
C. Diarrhea
D. Absent bowel sounds
Answer: B
Rationale: A classic sign of hypertrophic pyloric stenosis is a palpable olive-shaped mass
in the epigastrium just to the right of the umbilicus.
4. What is the priority nursing intervention for a child experiencing a Sickle Cell
Crisis?
A. Administering antibiotics
B. Aggressive hydration and pain management
C. Applying cold compresses to joints
D. Encouraging vigorous exercise
Answer: B
Rationale: Hydration helps reduce blood viscosity and prevents further sickling, while
pain management is essential for comfort.
5. A newborn has an Apgar score of 9 at 1 minute. Which of the following
describes this score?
A. The infant is adjusting well to extrauterine life
B. The infant is showing moderate difficulty
C. The infant is in severe distress
D. The infant requires immediate resuscitation
Answer: A
Rationale: An Apgar score of 7 to 10 indicates that the newborn is in good condition and
adjusting well.
, 6. Which dietary instruction is appropriate for a child diagnosed with Celiac
Disease?
A. Increase intake of wheat crackers
B. Strict adherence to a gluten-free diet
C. High-fiber diet including rye bread
D. Low-fat, lactose-free diet only
Answer: B
Rationale: Celiac disease is managed by lifelong elimination of gluten (found in wheat,
barley, and rye) from the diet.
7. A nurse is monitoring a child post-tonsillectomy. Which of the following is a
sign of postoperative hemorrhage?
A. Increased crying
B. Complaint of a sore throat
C. Frequent swallowing or clearing of the throat
D. Decreased heart rate
Answer: C
Rationale: Frequent swallowing or clearing of the throat is a primary indicator of active
bleeding from the surgical site in the throat.
8. In Hirschsprung disease, the nurse would expect the child’s stools to be:
A. Loose and watery
B. Hard and marble-like
C. Ribbon-like and foul-smelling
D. Bloody with mucus
Answer: C
Rationale: Ribbon-like, foul-smelling stools are characteristic of Hirschsprung disease due
to the narrow passage through the aganglionic segment.
