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NR 328 Exam #2 Practice Questions

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NR 328 Exam #2 Practice Questions

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Course
RN - Registered Nurse

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NR 328 Exam #2 Practice Questions



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NR 328 Exam #2 Practice Questions




A nurse is teaching a group of caregivers about E. coli. Which of the following
information should the nurse include in the teaching? SATA
a. Severe abdominal cramping occurs
b. Watery diarrhea is present for more than 5 days
c. It can lead to hemolytic uremic syndrome
d. It is a foodborne pathogen
e. Antibiotics are given for treatment
Answers: A, C, D
*Antibiotics can worsen an E. coli infection and are therefore not recommended
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which
of the following manifestations should the nurse expect? SATA
a. Projectile vomiting
b. Dry mucous membranes
c. Currant jelly stools
d. Sausage-shaped abdominal mass
e. Constant hunger
Answers: A, B, E
*A child with intussusception has currant jelly stools and a telescoping intestine
A nurse is caring for a child who has Hirschsprung's disease. Which of the
following actions should the nurse take?
a. Encourage a high-fiber, low protein, low-calorie diet
b. Prepare the family for surgery
c. Place an NG tube for decompression
d. Initiate bed rest
Answer: B - a client with Hirschsprung's requires surgery to remove the affected
segment of the intestine.

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*These patients require a low-fiber, high-calorie-high protein diet. This disease is
managed nutritionally, placing an NG tube is an inappropriate action. Bed rest is
initiated to prevent further bleeding in a patient with Meckel's diverticulum
A nurse is caring for an infant who has just returned from PACU following cleft
lip and palate repair. Which of the following actions should the nurse take?
a. Remove the packing in the mouth
b. Place the infant in an upright position
c. Offer a pacifier with sucrose
d. Assess the mouth with a tongue blade
Answer: B - to facilitate drainage and prevent aspiration
*Packing in the mouth should remain for 2-3 days. Objects in the mouth like a
pacifier or tongue blade can injure the surgical site and should be avoided
A nurse is teaching a parent of an infant about GI reflux disease. Which of the
following should the nurse include in the teaching? SATA
a. Offer frequent feedings
b. Thicken formula with rice cereal
c. Use a bottle with a one-way valve
d. Position baby upright after feedings
e. Use a wide-based nipple for feedings
Answers: A, B, D - all will help decrease vomiting episodes
*Wide-based nipple and bottle with a one-way valve is for cleft lip and palate.
A nurse is caring for a child who has Meckel's diverticulum. Which of the
following manifestations should the nurse expect? SATA
a. Abdominal pain
b. Fever
c. Mucus and blood in stools
d. Vomiting
e. Rapid, shallow breathing
Answers: A, C
*B, D, and E are all manifestations of appendicitis
Nurse is caring for a 3-yo who is the victim of a house fire. Child has burns to
the face & head. What is priority?
a. Nutritional
b. Cardiac

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c. Respiratory
d. Neurologic
Answer: C
Rationale: The primary emphasis during the emergent phase is the treatment of
burn shock and the management of pulmonary status since respiratory obstruction
poses the biggest threat to the patient’s life. Monitoring vital signs, output, fluid
infusion, and respiratory parameters are ongoing activities in the hours immediately
after injury. Following assessment of the patient’s airway, the nurse can assess the
patient’s nutritional, cardiac, and neurologic statuses.
Baby sustained minor oral burns from drinking hot milk that had been warmed
in a microwave for 3 mins. Teaching needs?
a. Warm the milk in the microwave only for 1 minute.
b. Never use a microwave for warming milk.
c. Provide only chilled milk to the baby to avoid oral burns.
d. Warm the milk in the microwave for 30 seconds only.
Answer: B
Rationale: Parents should be advised that they should never thaw or rewarm
expressed milk in a microwave because it can cause uneven warming of milk and
result in oral burns. They should be advised to thaw the frozen milk by either placing
it in lukewarm water.
A school-age child with acute diarrhea and mild dehydration is being given
oral rehydration solution (ORS). The child's mother calls the clinic nurse
because the child is also occasionally vomiting. What should the nurse
recommend?
a. Continuing to give ORS frequently in small amounts.
b. Alternating ORS and carbonated drinks.
c. Bringing the child to the hospital for intravenous fluids.
d. Institute NPO status for the child for 8 hrs & resume ORS if no vomiting.
Answer: A
Rationale: Vomiting is not a contraindication to the use of oral rehydration solution
(ORS) unless it is severe. The mother should continue to give the ORS in small
amounts and at frequent intervals. For a school-age child with mild dehydration,
rehydration can be safely done at home with the use of oral solutions. Carbonated
drinks should not be used; they may have a high carbohydrate content and contain

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