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NR 328 PEDIATRICS FINAL EXAM 2026
n n n n n n
(JULY-
SEPTEMBER SEMESTER) GRADED A+
n n n
CHAMBERLAIN n
1. nAnnursenisnteachingnanparentnofnanchildnwithnhemophilianhowntoncontrolnanminornbleedingn
episode.nWhichnofnthenfollowingnstatementsnbynthenparentnindicatesnanneednfornfurtherntea
ching?
• “Inwillnhavenmynchildnrest.”
• “Inwillncompressnthensite.”
• “Inwillnapplynheat.”
• “Inwillnelevatenthenaffectednpart.”
2. Annurseninnannemergencyndepartmentnisncaringnfornanninfantnwhonhasnan2-
daynhistorynofnvomitingnandnannelevatedntemperature.nWhichnofnthenfollowingnshouldnthennu
rsenrecognizenasnthenmostnreliablenindicatornofnfluidnloss?
• Bodynweight
• Skinnintegrity
• Bloodnpressure
• Respiratorynrate
3. Whichnofnthenfollowingnchildrennshouldnthennursenidentifynasnanpotentialnactionnofnabuse?
• Anchildnwhonhasnfrequentnvisitors
• Anchildnwhonusesnthencallnlightnfrequently
• AnchildnwhonhasnanBMInindicatingnobesity
• Anchildnwhosenparentsnanswernquestionsnfornthenchild
4. Annursenisnteachingnthenmothernofnanchildnwhonhasncysticnfibrosisnandnhasnanprescriptionnfo
rnpancreaticnenzymesnthreentimesnpernday.nWhichnofnthenfollowingnstatementsnindicatesntha
tnthenmothernunderstandsnthenteaching?
• “Mynchildnwillntakenthenenzymesntonimprovenhernmetabolism.”
• “Mynchildnwillntakenthenenzymesn2nhoursnbeforenmeals.”
• “Mynchildnwillntakenthenenzymesnfollowingnmeals.”
• “Mynchildnwillntakenthenenzymesntonhelpndigestnthenfatninnfoods.”
5. Annursenisnassessingnan3nmonthnold.nWhichnofnthenfollowingnfindingsnshouldnhenreportntont
henprovider?
• Unablentonpicknupnannobjectnwithnhisnfingers
• Unablentonsitnwithoutnsupport
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• Unablentonraisenheadnwhenninnpronenposition
• Unablentonbringnannobjectntonmouth
6. Annursenisnadmittingnan6nmonthnoldninfantnwhonhasndehydration.nWhichnofnthenfollowingna
mountsnofnurinarynoutputnshouldnindicatentonthennursenthatnthentreatmentnhasnconfirmednth
enfluidnimbalance?
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• 2nmL/kg/hr.
• 0.5nmL/kg/hr.
• 7.5nmL/kg/hr.
• 15nmL/kg/hr.
7. Annursenisnplanningncarenfornanninfantnwhonhasnspinanbifidanandnisntonundergonsurgicaln?n
Whichnofnthenfollowingninterventionsnshouldnthennursenincludeninnthenplannofncare?
• Maintainntheninfantninnthensupinenposition
• Providenanlatexnfreenenvironment
• Limitnvisitorsntonimmediatenfamilynmembers
• Initiatencontactnprecautions
8. Annursenisncaringnfornanchildnwhonhasnjustndied.nThenparentsnaskntonbenleftnalonensonthatnt
heyn?nThennursenshould:
• Discouragenthisnbecausenitnwillnonlynprolongntheirngrief
• Grantntheirnrequest
• Kindlynexplainnthatntheynneedntonsayngoodnbyentontheirnchildnnownandnleave
• Assessnwhyntheynfeelnthatnthisnisnnecessary
9. Annursenisneducatingnnewnparentsnonnrisknfactorsnfornsuddenninfantndeathnsyndromen(
SIDS).nWhichnofnthenfollowingnstatementsnbynanparentnwouldnindicatenanneednfornad
ditionalnteaching?
• “Inwillngivenmynbabynanpacifiernduringnnapsnandnatnbedtime.”
• “OurnbabynwillnsleepninnmynbednbecausenInamnbreastfeeding.”
• “Mynbabynwillnbenplacednonnhernbacknwhennsleeping.”
• “Wenwillnremovenblanketsnandntoysnfromnthencrib.”
10. Annursenisncaringnfornannadolescentnwhonhasnspinanbifidanandnisnparalyzednfromnthenwaistnd
own.nWhichnofnthenfollowingnstatementsnbynthenclientnwouldnindicatentonthennursenanneednfo
rnfurthernteaching?
• “Inonlynneedntoncatheterizenmyselfntwiceneverynday.”
• “Inonlynusenansuppositoryneverynnightntonhavenanbowelnmovement.”
• “IndonwheelchairnexercisesnwhilenwatchingnTV.”
• “IncarrynanwaternbottlenwithnmenbecausenIndrinknanlotnofnwater.”
11. Anparentntellsnannursenthatnherntoddlerndrinknanquartnofnmilknandaynandnhasnanpoornappetitenf
ornsolidnfoods.nThennursenshouldnexplainnthatnthentoddlernisnatnrisknfornwhichnofnthenfollow
ingndisorders?
• Rickets
• Ironndeficiencynanemia
• Obesity