NU260 Exam 3 Chapt.'s 40, 42 & 43 Questions | 2026/2027 |
Answers Correct | With Complete Solutions
Chapter 40 Respiratory Dysfunction
Chapter 42 Cardiovascular Dysfunction
Chapter 43 Hematologic and Immunologic Dysfunction
A 1-year-old infant with a diagnosis of heart failure is prescribed
digoxin, Lanoxin. The nurse takes the apical pulse for 1 minute
before administering the medication and obtains a result of 102
beats/min. Which action should the nurse take? Correct
Answers Administer the medication. The apical pulse rate for a
1-year-old infant is 90 to 130 beats a minute.
A 2-year-old boy with a diagnosis of hemophilia is admitted to
the hospital with bleeding into the joint of the right knee. Which
intervention should the nurse plan to implement with this child?
Correct Answers Measure the injured knee joint every shift.
A 4-year-old girl is brought to the emergency room. She has a
"froglike" croaking sound on inspiration, is agitated, and is
drooling. She insists on sitting upright. The nurse should:
Correct Answers Notify the physician immediately and be
prepared to assist with a tracheostomy or intubation.
A 5 year old boy previously diagnosed with hemophilia A is
being admitted with hemarthrosis. The nurse knows that which
of the following would most likely be included in the plan of
care? Correct Answers Ice packs to the affected area,
,application of a splint of sling to immobilize the area,
administration of factor VIII, and active range of motion
exercises.
A 5 year old with sickle cell anemia is admitted because of
diminished RBC production triggered by a viral infection. The
episode is characterized by distal ischemia and pain. The crisis
the child is most likely to be experiencing is: Correct Answers
Vasoocclusive Crisis.
A 5-year-old child is brought to the Emergency Department with
abrupt onset of sore throat, pain with swallowing, fever, and
sitting upright and forward. Acute epiglottitis is suspected. What
are the most appropriate nursing interventions? Correct
Answers Get vital signs, medical history, Assessment of breath
sounds, and have Emergency airway equipment readily
available.
A 7 year old with leukemia is receiving an intravenous dose of a
chemotherapeutic drug when he tells his mother that the I.V. site
is burning and stinging. The nurse's priority intervention is to
what? Correct Answers Immediately stop the infusion.
A 10-year-old child with asthma is treated for acute
exacerbation in the emergency department. The nurse caring for
the child should monitor for which sign, knowing that it
indicates a worsening of the condition? Correct Answers
Decreased wheezing. It may actually signal an inability to move
air. A "silent chest" is an ominous sign during an asthma
episode.
,A 12 month old infant in heart failure is taking enalapril, ace
inhibitor, and spironolactone. The nurse should be especially
alert for what? Correct Answers Potassium 5.0 mEq/L
A 12 month old would be classified as significantly hypertensive
with a blood pressure that what? Correct Answers Persistently
falls between the 95th and 99th percentiles
A 12-year-old is admitted to the hospital with a low-grade fever
and joint pain. Which diagnostic test finding will assist to
determine a diagnosis of rheumatic fever? Correct Answers
Presence of Aschoff's bodies.
A 16 year old is receiving radiation for Hodgkin Lymphoma.
When providing information about the radiation treatments, the
nurse informs the adolescent and his mother that the most
common effect of radiation is what? Correct Answers Fatigue.
A child diagnosed with lymphoma is receiving extensive
radiation therapy. The MOST common side effect of this
treatment is: Correct Answers fatigue.
A child in whom sickle cell anemia is suspected is seen in a
clinic, and laboratory studies are performed. The nurse checks
the laboratory results, knowing that which value would be
increased in this disease? Correct Answers Reticulocyte count.
Reticulocyte, which are immature red blood cells without a
nucleus, counts are increased in children with sickle cell disease
because the life span of their sickled red blood cells is shortened.
, A child is admitted to the pediatric unit with a diagnosis of acute
stage Kawasaki disease. In performing an assessment on the
child, which findings are characteristic of this disorder? Correct
Answers Red throat, Conjunctival hyperemia, and Enlargement
of the cervical lymph nodes.
A child is scheduled for a tonsillectomy in a day surgical unit.
On the day after surgery, the mother calls the surgical unit and
expresses concern because the child has a bad mouth odor.
Which response is most appropriate? Correct Answers "Bad
mouth odor is normal and may be relieved by drinking more
liquids."
A child is scheduled for a tonsillectomy. A nurse plans care,
knowing that which condition would be a priority because it
presents the highest risk of aspiration during surgery? Correct
Answers Presence of loose teeth.
A child is status post-hematopoietic stem cell transplantation
(HSCT) and is preparing for discharge home. Based on the
nurse's knowledge of HSCT, which concepts are important to
include in the discharge teaching plan of care? Correct Answers
Keeping the child on a high-calcium diet, avoiding live plants
and fresh vegetables, and Practicing good hygiene.
A child with asthma is having pulmonary function tests. The
purpose of the peak expiratory flow rate or P.EF.R. is to:
Correct Answers assess the severity of asthma.
A child with b-thalassemia is receiving long-term blood
transfusion therapy for the treatment of the disorder. Chelation
Answers Correct | With Complete Solutions
Chapter 40 Respiratory Dysfunction
Chapter 42 Cardiovascular Dysfunction
Chapter 43 Hematologic and Immunologic Dysfunction
A 1-year-old infant with a diagnosis of heart failure is prescribed
digoxin, Lanoxin. The nurse takes the apical pulse for 1 minute
before administering the medication and obtains a result of 102
beats/min. Which action should the nurse take? Correct
Answers Administer the medication. The apical pulse rate for a
1-year-old infant is 90 to 130 beats a minute.
A 2-year-old boy with a diagnosis of hemophilia is admitted to
the hospital with bleeding into the joint of the right knee. Which
intervention should the nurse plan to implement with this child?
Correct Answers Measure the injured knee joint every shift.
A 4-year-old girl is brought to the emergency room. She has a
"froglike" croaking sound on inspiration, is agitated, and is
drooling. She insists on sitting upright. The nurse should:
Correct Answers Notify the physician immediately and be
prepared to assist with a tracheostomy or intubation.
A 5 year old boy previously diagnosed with hemophilia A is
being admitted with hemarthrosis. The nurse knows that which
of the following would most likely be included in the plan of
care? Correct Answers Ice packs to the affected area,
,application of a splint of sling to immobilize the area,
administration of factor VIII, and active range of motion
exercises.
A 5 year old with sickle cell anemia is admitted because of
diminished RBC production triggered by a viral infection. The
episode is characterized by distal ischemia and pain. The crisis
the child is most likely to be experiencing is: Correct Answers
Vasoocclusive Crisis.
A 5-year-old child is brought to the Emergency Department with
abrupt onset of sore throat, pain with swallowing, fever, and
sitting upright and forward. Acute epiglottitis is suspected. What
are the most appropriate nursing interventions? Correct
Answers Get vital signs, medical history, Assessment of breath
sounds, and have Emergency airway equipment readily
available.
A 7 year old with leukemia is receiving an intravenous dose of a
chemotherapeutic drug when he tells his mother that the I.V. site
is burning and stinging. The nurse's priority intervention is to
what? Correct Answers Immediately stop the infusion.
A 10-year-old child with asthma is treated for acute
exacerbation in the emergency department. The nurse caring for
the child should monitor for which sign, knowing that it
indicates a worsening of the condition? Correct Answers
Decreased wheezing. It may actually signal an inability to move
air. A "silent chest" is an ominous sign during an asthma
episode.
,A 12 month old infant in heart failure is taking enalapril, ace
inhibitor, and spironolactone. The nurse should be especially
alert for what? Correct Answers Potassium 5.0 mEq/L
A 12 month old would be classified as significantly hypertensive
with a blood pressure that what? Correct Answers Persistently
falls between the 95th and 99th percentiles
A 12-year-old is admitted to the hospital with a low-grade fever
and joint pain. Which diagnostic test finding will assist to
determine a diagnosis of rheumatic fever? Correct Answers
Presence of Aschoff's bodies.
A 16 year old is receiving radiation for Hodgkin Lymphoma.
When providing information about the radiation treatments, the
nurse informs the adolescent and his mother that the most
common effect of radiation is what? Correct Answers Fatigue.
A child diagnosed with lymphoma is receiving extensive
radiation therapy. The MOST common side effect of this
treatment is: Correct Answers fatigue.
A child in whom sickle cell anemia is suspected is seen in a
clinic, and laboratory studies are performed. The nurse checks
the laboratory results, knowing that which value would be
increased in this disease? Correct Answers Reticulocyte count.
Reticulocyte, which are immature red blood cells without a
nucleus, counts are increased in children with sickle cell disease
because the life span of their sickled red blood cells is shortened.
, A child is admitted to the pediatric unit with a diagnosis of acute
stage Kawasaki disease. In performing an assessment on the
child, which findings are characteristic of this disorder? Correct
Answers Red throat, Conjunctival hyperemia, and Enlargement
of the cervical lymph nodes.
A child is scheduled for a tonsillectomy in a day surgical unit.
On the day after surgery, the mother calls the surgical unit and
expresses concern because the child has a bad mouth odor.
Which response is most appropriate? Correct Answers "Bad
mouth odor is normal and may be relieved by drinking more
liquids."
A child is scheduled for a tonsillectomy. A nurse plans care,
knowing that which condition would be a priority because it
presents the highest risk of aspiration during surgery? Correct
Answers Presence of loose teeth.
A child is status post-hematopoietic stem cell transplantation
(HSCT) and is preparing for discharge home. Based on the
nurse's knowledge of HSCT, which concepts are important to
include in the discharge teaching plan of care? Correct Answers
Keeping the child on a high-calcium diet, avoiding live plants
and fresh vegetables, and Practicing good hygiene.
A child with asthma is having pulmonary function tests. The
purpose of the peak expiratory flow rate or P.EF.R. is to:
Correct Answers assess the severity of asthma.
A child with b-thalassemia is receiving long-term blood
transfusion therapy for the treatment of the disorder. Chelation
