NURS 328
EXAM 2
Tested Questions with Rationales
Pediatric Health Concepts
Drexel University
This Document Description:
This document contains a collection of tested
and verified questions with accurate answers
from Exam 2 of NURS 328 at the Drexel
University. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,A 6-month old infant is experiencing acute respiratory distress secondary to RSV
bronchiolitis. The infant is NPO. What is the rationale for the infant's NPO
status?
a.Hypoxia reduces gastrointestinal peristalsis
b.Milk and formula increase mucous production
c.Bronchial irritation will cause vomiting
d.Tachypnea predisposes an infant to aspiration
d.Tachypnea predisposes an infant to aspiration
Expert Rationale: Remember that RR > 60 should be NPO
Pancreatic enzymes are administered to a child with cystic fibrosis. Nursing
considerations should include which of the following?
a. Hold all pancreatic enzymes if child is concurrently receiving antibiotic
therapy
b. Decrease the dose of pancreatic enzymes if child is experiencing frequent,
large stools
c. Pancreatic enzyme capsules can be swallowed whole or sprinkled on food
with meals
d. Administer pancreatic enzyme capsules between meals if possible
c. Pancreatic enzyme capsules can be swallowed whole or sprinkled on food with
meals
An 8-year old child with an asthma exacerbation is receiving theophylline to
relieve bronchospasm. The nurse observes the child for which of the following
side-effects?
a. Tachycardia, agitation, vomiting.
b. Bradycardia, fatigue, increased BP
c. Tachypnea, drowsiness, increased pulse
d. Fluid retention, ataxia, decreased blood pressure
,a. Tachycardia, agitation, vomiting.
A 2-year-old child is hospitalized with acute laryngotracheobronchitis (viral
croup syndrome). What is the most important nursing consideration in caring for
this child?
a. Administer antibiotics as ordered
b. Prevent cross contamination to other patients
c. Prevent respiratory obstruction
d. Provide psychological support
c. Prevent respiratory obstruction
A premature infant with apnea of prematurity is being discharged from the
hospital on an apnea monitor. Which statement by the parents demonstrates
that they understand the discharge instructions?
a. If the baby stops breathing I will call 911 and wait for them to arrive.
b. Rubbing the baby's back or feet may stimulate him to breathe.
c. If the baby stops breathing for 10 seconds I'll start CPR.
d. The apnea monitor will stimulate the baby to breath.
b. Rubbing the baby's back or feet may stimulate him to breathe.
The nurse is caring for a 6 year old after surgery to remove tonsils and adenoids.
Which of the following assessment findings would alert the nurse to a possible
post-operative complication?
A. Child refuses to wear an ice collar.
B. Child's pharyngeal secretions are brown-tinged.
C. Child requires analgesia every 4 hours for pain.
D. Child is swallowing while sleeping.
D. Child is swallowing while sleeping.
Which of the following assessment findings in a nine month old infant diagnosed
with spasmodic croup is an indication of a potential complication?
, A. Current respiratory rate of 69, pulse rate is 167.
B. Respiratory distress is worse at night than during the day.
C. Occasional crowing-type inspirations can be heard.
D. Barking cough alternates with brassy nonproductive cough
A. Current respiratory rate of 69, pulse rate is 167.
Expert Rationale: These vitals indicate respiratory distress. Remember the vital
sign ranges for each age group. For a 9 month old infant, HR should be 80-150 and
RR 30.
The nurse is caring for a 4 year old in the emergency room. The child is sitting
quietly in bed, leaning forward, and has a frightened look on his face. Epiglottitis
is suspected and the following medical orders are written. Which order should
be questioned by the nurse?
A. Give misted oxygen 6 LPM by face tent.
B. Obtain and send throat culture and sensitivity.
C. Insert IV and begin 35 ml/hour of D5 0.25NS.
D. Portable x-ray of lateral neck.
B. Obtain and send throat culture and sensitivity.
Expert Rationale: The nurse should not exam the throat or obtain cultures in a
patient with Epiglottitis as it could worsen obstruction.
When caring for a child following a tonsillectomy, what should the nurse do?
A.Watch for continuous swallowing.
B.Encourage gargling to reduce discomfort.
C.Position the child on the back for sleeping.
D.Apply warm compresses to the throat.
A.Watch for continuous swallowing.
EXAM 2
Tested Questions with Rationales
Pediatric Health Concepts
Drexel University
This Document Description:
This document contains a collection of tested
and verified questions with accurate answers
from Exam 2 of NURS 328 at the Drexel
University. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,A 6-month old infant is experiencing acute respiratory distress secondary to RSV
bronchiolitis. The infant is NPO. What is the rationale for the infant's NPO
status?
a.Hypoxia reduces gastrointestinal peristalsis
b.Milk and formula increase mucous production
c.Bronchial irritation will cause vomiting
d.Tachypnea predisposes an infant to aspiration
d.Tachypnea predisposes an infant to aspiration
Expert Rationale: Remember that RR > 60 should be NPO
Pancreatic enzymes are administered to a child with cystic fibrosis. Nursing
considerations should include which of the following?
a. Hold all pancreatic enzymes if child is concurrently receiving antibiotic
therapy
b. Decrease the dose of pancreatic enzymes if child is experiencing frequent,
large stools
c. Pancreatic enzyme capsules can be swallowed whole or sprinkled on food
with meals
d. Administer pancreatic enzyme capsules between meals if possible
c. Pancreatic enzyme capsules can be swallowed whole or sprinkled on food with
meals
An 8-year old child with an asthma exacerbation is receiving theophylline to
relieve bronchospasm. The nurse observes the child for which of the following
side-effects?
a. Tachycardia, agitation, vomiting.
b. Bradycardia, fatigue, increased BP
c. Tachypnea, drowsiness, increased pulse
d. Fluid retention, ataxia, decreased blood pressure
,a. Tachycardia, agitation, vomiting.
A 2-year-old child is hospitalized with acute laryngotracheobronchitis (viral
croup syndrome). What is the most important nursing consideration in caring for
this child?
a. Administer antibiotics as ordered
b. Prevent cross contamination to other patients
c. Prevent respiratory obstruction
d. Provide psychological support
c. Prevent respiratory obstruction
A premature infant with apnea of prematurity is being discharged from the
hospital on an apnea monitor. Which statement by the parents demonstrates
that they understand the discharge instructions?
a. If the baby stops breathing I will call 911 and wait for them to arrive.
b. Rubbing the baby's back or feet may stimulate him to breathe.
c. If the baby stops breathing for 10 seconds I'll start CPR.
d. The apnea monitor will stimulate the baby to breath.
b. Rubbing the baby's back or feet may stimulate him to breathe.
The nurse is caring for a 6 year old after surgery to remove tonsils and adenoids.
Which of the following assessment findings would alert the nurse to a possible
post-operative complication?
A. Child refuses to wear an ice collar.
B. Child's pharyngeal secretions are brown-tinged.
C. Child requires analgesia every 4 hours for pain.
D. Child is swallowing while sleeping.
D. Child is swallowing while sleeping.
Which of the following assessment findings in a nine month old infant diagnosed
with spasmodic croup is an indication of a potential complication?
, A. Current respiratory rate of 69, pulse rate is 167.
B. Respiratory distress is worse at night than during the day.
C. Occasional crowing-type inspirations can be heard.
D. Barking cough alternates with brassy nonproductive cough
A. Current respiratory rate of 69, pulse rate is 167.
Expert Rationale: These vitals indicate respiratory distress. Remember the vital
sign ranges for each age group. For a 9 month old infant, HR should be 80-150 and
RR 30.
The nurse is caring for a 4 year old in the emergency room. The child is sitting
quietly in bed, leaning forward, and has a frightened look on his face. Epiglottitis
is suspected and the following medical orders are written. Which order should
be questioned by the nurse?
A. Give misted oxygen 6 LPM by face tent.
B. Obtain and send throat culture and sensitivity.
C. Insert IV and begin 35 ml/hour of D5 0.25NS.
D. Portable x-ray of lateral neck.
B. Obtain and send throat culture and sensitivity.
Expert Rationale: The nurse should not exam the throat or obtain cultures in a
patient with Epiglottitis as it could worsen obstruction.
When caring for a child following a tonsillectomy, what should the nurse do?
A.Watch for continuous swallowing.
B.Encourage gargling to reduce discomfort.
C.Position the child on the back for sleeping.
D.Apply warm compresses to the throat.
A.Watch for continuous swallowing.
