NURS 332 Exam 3 Study Guide
Questions With 100% Accurate
Answers (2026-2027) Update.
The nurse teaches parents that absolute contraindications for pediatric immunizations include:
Respiratory illness with low-grade fever.
Anaphylactic reaction to previous immunization.
Soreness, redness, and swelling at the previous injection site.
Febrile seizure one month after the previous injection of the vaccine. - Answer Anaphylactic
reaction to previous immunization.
A mother refuses to have her child receive any immunizations, based on her religious beliefs.
The priority nursing diagnosis when planning health teaching for this family is:
Knowledge, Deficient on the part of the parent related to potential side effects of vaccines.
Injury, Risk for related to vaccine reaction.
Pain, Acute related to injection and associated anxiety.
Infection, Risk for related to incomplete immunization series. - Answer Infection, Risk for
related to incomplete immunization series.
A 10-year-old child has just received his first immunization of influenza vaccine. His lips begin to
swell, and he states, "It feels like my throat is closing shut and my chest is tight when I breathe."
The nurse recognizes these signs as:
A local allergic reaction to the influenza vaccine injection.
An anxiety reaction due to receiving an injection.
A common systemic allergic reaction to immunization.
A life-threatening reaction to the influenza vaccine. - Answer A life-threatening reaction to
the influenza vaccine.
The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTAP) and
second inactivated polio vaccine (IPV) immunization injections for an infant who is 4-months-
old. Provided a separate injection site is used for all injections, the nurse also may give which of
the following immunizations during the same well child care appointment?
Varicella (Var).
,Influenza (TIV).
Measles, mumps, rubella (MMR).
Haemophilus influenzae type B (HIB). - Answer Haemophilus influenzae type B (HIB).
A toddler has been diagnosed with an acyanotic cardiac defect. Which assessment data would
most likely indicate congestive heart failure?
Heart murmur.
Cardiac volume overload.
Anuria.
Excitability. - Answer Cardiac volume overload.
An infant who has a congenital heart defect comes into the clinic with parental complaints of
irritability, pallor, and increased cyanosis that began quickly over the last 30 minutes. As the
nurse assesses the infant, the parent asks why the child's color is bluish. The best response by
the nurse is, "Skin color is:
Related to the time of day."
Related to brain function."
Related to hemoglobin level and oxygen saturation."
Unrelated to your child's condition." - Answer Related to hemoglobin level and oxygen
saturation.
A client is admitted with a diagnosis of "rule out rheumatic fever." Based on Jones criteria, the
nurse assesses for:
Polyarthritis and dental caries.
Fever, headache, and low red blood cell count.
Chorea, muscle weakness, and decreased erythrocyte sedimentation rate.
Erythema, polyarthritis, and elevated antistreptolysin-O (ASO) titer. - Answer Erythema,
polyarthritis, and elevated antistreptolysin-O (ASO) titer.
A toddler with Kawasaki's disease is ordered to receive aspirin therapy. Typical administration of
aspirin for Kawasaki's disease would include which of the following principles?
High doses of aspirin should be given while fever is high.
Length of aspirin therapy is related to child's response.
,Aspirin dose increases after fever is gone.
Aspirin dosage is unrelated to platelet count. - Answer Length of aspirin therapy is related to
child's response.
A newborn with possible hypoplastic left heart disease is to be admitted to the nursing unit.
Which drug should be available for use?
Digitoxin (Crystodigin).
Prostaglandin E1 (Prostin VR).
Morphine.
Testosterone (Andro). - Answer Prostaglandin E1 (Prostin VR).
A 2-year-old child is being discharged home and will have palliative surgery for tetralogy of
Fallot at a later date. The mother wants to know about how much physical activity she can allow
for the child. The nurse's best answer is:
"Allow the child to regulate her activity."
"Keep her on complete bedrest."
"Limit her activities to a few hours."
"Keep the child from crying." - Answer "Allow the child to regulate her activity."
After a pediatric client has a cardiac catheterization, which intervention would have the highest
priority in the immediate postoperative period?
Encourage intake of small amounts of fluid.
Teach the parents signs of congestive heart failure.
Monitor the site for signs of infection.
Apply direct pressure to entry site for 15 minutes. - Answer Apply direct pressure to entry
site for 15 minutes.
A child is being seen in the ambulatory clinic for a sore throat diagnosed as caused by group A
beta hemolytic streptococcus. The nurse provides care with the understanding that the risk of
developing rheumatic fever is greatest
Two weeks later.
Prior to the administration of an antibiotic.
Once the child has begun antibiotic therapy.
, With the onset of the strep infection. - Answer Two weeks later.
Which evaluation would indicate a toxic dose of digoxin?
Tachycardia and dysrhythmia.
Headache and diarrhea.
Bradycardia and nausea and vomiting.
Tinnitus and nuchal rigidity. - Answer Bradycardia and nausea and vomiting.
The nurse is developing a discharge teaching plan for the family of a child with Kawasaki's
disease. Which of the following is the first priority?
Teaching parents to administer aspirin and watch for side effects.
Recommending the child avoid contact sports.
Monitoring the child's temperature and notifying the doctor if it is over 98.6 degrees F.
Establishing home schooling for 6 months. - Answer Teaching parents to administer aspirin
and watch for side effects.
Which assessment data will be most indicative of a potential complication of Kawasaki's
disease?
Dermatitis of extremities.
Strawberry tongue, erythema of mouth.
Change in blood pressure, pulse, skin color.
Fever over 5 days, bilateral conjunctivitis. - Answer Change in blood pressure, pulse, skin
color.
A school-age child is admitted with a suspected acyanotic heart disease. After learning that the
heart defect is a congenital disorder, the parents ask the nurse how they could have missed the
problem all these years. The nurse's response should include the information that:
Acyanotic heart disease may be asymptomatic.
The child would only be cyanotic with great exertion.
The parents should have recognized the symptoms associated with an acyanotic heart defect.
The parents were probably ignoring the symptoms and hoping they would go away. - Answer
Acyanotic heart disease may be asymptomatic.
Questions With 100% Accurate
Answers (2026-2027) Update.
The nurse teaches parents that absolute contraindications for pediatric immunizations include:
Respiratory illness with low-grade fever.
Anaphylactic reaction to previous immunization.
Soreness, redness, and swelling at the previous injection site.
Febrile seizure one month after the previous injection of the vaccine. - Answer Anaphylactic
reaction to previous immunization.
A mother refuses to have her child receive any immunizations, based on her religious beliefs.
The priority nursing diagnosis when planning health teaching for this family is:
Knowledge, Deficient on the part of the parent related to potential side effects of vaccines.
Injury, Risk for related to vaccine reaction.
Pain, Acute related to injection and associated anxiety.
Infection, Risk for related to incomplete immunization series. - Answer Infection, Risk for
related to incomplete immunization series.
A 10-year-old child has just received his first immunization of influenza vaccine. His lips begin to
swell, and he states, "It feels like my throat is closing shut and my chest is tight when I breathe."
The nurse recognizes these signs as:
A local allergic reaction to the influenza vaccine injection.
An anxiety reaction due to receiving an injection.
A common systemic allergic reaction to immunization.
A life-threatening reaction to the influenza vaccine. - Answer A life-threatening reaction to
the influenza vaccine.
The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTAP) and
second inactivated polio vaccine (IPV) immunization injections for an infant who is 4-months-
old. Provided a separate injection site is used for all injections, the nurse also may give which of
the following immunizations during the same well child care appointment?
Varicella (Var).
,Influenza (TIV).
Measles, mumps, rubella (MMR).
Haemophilus influenzae type B (HIB). - Answer Haemophilus influenzae type B (HIB).
A toddler has been diagnosed with an acyanotic cardiac defect. Which assessment data would
most likely indicate congestive heart failure?
Heart murmur.
Cardiac volume overload.
Anuria.
Excitability. - Answer Cardiac volume overload.
An infant who has a congenital heart defect comes into the clinic with parental complaints of
irritability, pallor, and increased cyanosis that began quickly over the last 30 minutes. As the
nurse assesses the infant, the parent asks why the child's color is bluish. The best response by
the nurse is, "Skin color is:
Related to the time of day."
Related to brain function."
Related to hemoglobin level and oxygen saturation."
Unrelated to your child's condition." - Answer Related to hemoglobin level and oxygen
saturation.
A client is admitted with a diagnosis of "rule out rheumatic fever." Based on Jones criteria, the
nurse assesses for:
Polyarthritis and dental caries.
Fever, headache, and low red blood cell count.
Chorea, muscle weakness, and decreased erythrocyte sedimentation rate.
Erythema, polyarthritis, and elevated antistreptolysin-O (ASO) titer. - Answer Erythema,
polyarthritis, and elevated antistreptolysin-O (ASO) titer.
A toddler with Kawasaki's disease is ordered to receive aspirin therapy. Typical administration of
aspirin for Kawasaki's disease would include which of the following principles?
High doses of aspirin should be given while fever is high.
Length of aspirin therapy is related to child's response.
,Aspirin dose increases after fever is gone.
Aspirin dosage is unrelated to platelet count. - Answer Length of aspirin therapy is related to
child's response.
A newborn with possible hypoplastic left heart disease is to be admitted to the nursing unit.
Which drug should be available for use?
Digitoxin (Crystodigin).
Prostaglandin E1 (Prostin VR).
Morphine.
Testosterone (Andro). - Answer Prostaglandin E1 (Prostin VR).
A 2-year-old child is being discharged home and will have palliative surgery for tetralogy of
Fallot at a later date. The mother wants to know about how much physical activity she can allow
for the child. The nurse's best answer is:
"Allow the child to regulate her activity."
"Keep her on complete bedrest."
"Limit her activities to a few hours."
"Keep the child from crying." - Answer "Allow the child to regulate her activity."
After a pediatric client has a cardiac catheterization, which intervention would have the highest
priority in the immediate postoperative period?
Encourage intake of small amounts of fluid.
Teach the parents signs of congestive heart failure.
Monitor the site for signs of infection.
Apply direct pressure to entry site for 15 minutes. - Answer Apply direct pressure to entry
site for 15 minutes.
A child is being seen in the ambulatory clinic for a sore throat diagnosed as caused by group A
beta hemolytic streptococcus. The nurse provides care with the understanding that the risk of
developing rheumatic fever is greatest
Two weeks later.
Prior to the administration of an antibiotic.
Once the child has begun antibiotic therapy.
, With the onset of the strep infection. - Answer Two weeks later.
Which evaluation would indicate a toxic dose of digoxin?
Tachycardia and dysrhythmia.
Headache and diarrhea.
Bradycardia and nausea and vomiting.
Tinnitus and nuchal rigidity. - Answer Bradycardia and nausea and vomiting.
The nurse is developing a discharge teaching plan for the family of a child with Kawasaki's
disease. Which of the following is the first priority?
Teaching parents to administer aspirin and watch for side effects.
Recommending the child avoid contact sports.
Monitoring the child's temperature and notifying the doctor if it is over 98.6 degrees F.
Establishing home schooling for 6 months. - Answer Teaching parents to administer aspirin
and watch for side effects.
Which assessment data will be most indicative of a potential complication of Kawasaki's
disease?
Dermatitis of extremities.
Strawberry tongue, erythema of mouth.
Change in blood pressure, pulse, skin color.
Fever over 5 days, bilateral conjunctivitis. - Answer Change in blood pressure, pulse, skin
color.
A school-age child is admitted with a suspected acyanotic heart disease. After learning that the
heart defect is a congenital disorder, the parents ask the nurse how they could have missed the
problem all these years. The nurse's response should include the information that:
Acyanotic heart disease may be asymptomatic.
The child would only be cyanotic with great exertion.
The parents should have recognized the symptoms associated with an acyanotic heart defect.
The parents were probably ignoring the symptoms and hoping they would go away. - Answer
Acyanotic heart disease may be asymptomatic.
