NURS 232 FINAL EXAM | STUDY GUIDE |
QUESTIONS AND ANSWERS | NURSING
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,How do you calculate the maintenance fluid for pts <70kg? First 10kg x 100ml
**Per day! Second 10kg x 50 ml
ex: child that's 29 kg Remaining x 20 ml
Ex: 29 kg
10 x 100
10 x 50
9 x 20 = 1680 ml/day
How do you calculate the ideal of fluid intake/maintenance Body surface area (m2) x 1.5 l/m2/day
fluids for pt >70 kg?
**per day! Ex: BSA 1.3
1.3 x 1.5 = 1.95 L/day or 1950 ml/day
How do you calculate urine output? Weight x 1-2 ml/kg/HOUR; If need per DAY multiply by 24
ex: child that's 12.5 kg
Ex: Child is 12.5kg
Min 1 x 12.5 =12.5 ml/hr
Max 2 x 12.5 = 25 ml/hr
DAY= 300-600 ml/DAY
How do you calculate potassium requirements? Weight x 2-3 mEq/kg/DAY
ex: child that's 32 kg
*ex: child 32 kg
Min 2 x 32 = 64 mEq/DAY
Max 3 x 32 = 96 mEq/DAY
The mom of an 18 mos old says that she is "frustrated" with c) independence
child's behavior stating, :she drives me crazy saying no to
everything." The nurse explains that his negativism is normal &
helps the child meet the need for what?
a) industry
b) initiative
c) independence
d) identity
,Identify the single most important factor to consider when c) developmental age of the child
communicating with the hospitalized child
a) chronological age of the child
b) presence or absence of parent
c) developmental age of the child
d) diagnosis of the child
When examining a 2 yr old for a well child check up, how d) establish rapport with the parents before addressing the child
would you proceed?
a) ask the parent to leave the room so the child will behave
better
b) start by looking in the ears to get intrusive portion of the
exam over with
c) address all of your questions to the child
d) establish rapport with the parents before addressing the
child
A child with multiple fractures/trauma sustained in a MVA is b) plan a preventative schedule of pain meds around the clock
experiencing severe pain. Which is the most appropriate for
the nurse to do?
a) give opioid whenever pain is reported
b) plan a preventative schedule of pain meds around the clock
c) increase the dose of opioid until the child is sufficiently
sedated
d) refer to the clock in the child's room to explain when the
next dose of pain med can be given
Which of the following teaching points is NOT associated with d) keep w athletic children for breakthrough therapy
steroid use in daily treatment of asthma? *slow acting, not a rescue med. Would have athletes carry albuterol (SABA) instead
a) slow acting
b) rinse inhaler after use
c) PO administration lead to decline in linear growth
d) keep w athletic children for breakthrough therapy
A newborn w PDA is at risk for developing what complication? c) pulmonary HTN
a) heart murmur *is a type of increased pulmonary blood flow; decreased pulmonary blood flow like PS &
b) polycythemia TOF will have polycythemia (increase RBC) in response to decreased blood flow
c) pulmonary HTN
d) urticaria
, Which of the following will the nurse most likely NOT do for a b) call 911 or call a code
child with a hx of seizures that is currently experiencing *this is not a new event; pt has hx of seizures
another seizure
a) protect the child
b) call 911 or call a code
c) provide comfort to the child
d) observe the event
A 2 yr old's parent just left the hospital to check on the other a) give favorite blanket
childrent. Which of the following would best help the child
who is now crying inconsolably?
a) give favorite blanket
b) take a nap
c) play w a peer
d) give new toy like large cuddly dog
During a well baby visit, the nurse notices that the 6 mos old d) inquire about what the baby typically eats during the day
tripled her weight from birth. Mom asks if the baby is gaining *double @ 6 mos, triple @ 12 mos
enough weigh. The RNs beset response is:
a) weight is below normal percentile
b) gaining weight right on schedule
c) ask the mother what the baby's weight was at the last visit
d) inquire about what the baby typically eats during the day
When assessing an infant w severe diarrhea, the nurse should a) kussmaul respirations
obseve for which potential change in breathing pattern? *rapid fast breathing r/t acidosis to try to blow of CO2
a) kussmaul respirations
b) cheyne-stokes respirations
c) audible rhonci
d) expiratory wheezing
QUESTIONS AND ANSWERS | NURSING
EXAM PREP| 100% VERIFIED | A+
GUARANTEE
Updated Questions and Answers | 100% Verified Exam Prep
,How do you calculate the maintenance fluid for pts <70kg? First 10kg x 100ml
**Per day! Second 10kg x 50 ml
ex: child that's 29 kg Remaining x 20 ml
Ex: 29 kg
10 x 100
10 x 50
9 x 20 = 1680 ml/day
How do you calculate the ideal of fluid intake/maintenance Body surface area (m2) x 1.5 l/m2/day
fluids for pt >70 kg?
**per day! Ex: BSA 1.3
1.3 x 1.5 = 1.95 L/day or 1950 ml/day
How do you calculate urine output? Weight x 1-2 ml/kg/HOUR; If need per DAY multiply by 24
ex: child that's 12.5 kg
Ex: Child is 12.5kg
Min 1 x 12.5 =12.5 ml/hr
Max 2 x 12.5 = 25 ml/hr
DAY= 300-600 ml/DAY
How do you calculate potassium requirements? Weight x 2-3 mEq/kg/DAY
ex: child that's 32 kg
*ex: child 32 kg
Min 2 x 32 = 64 mEq/DAY
Max 3 x 32 = 96 mEq/DAY
The mom of an 18 mos old says that she is "frustrated" with c) independence
child's behavior stating, :she drives me crazy saying no to
everything." The nurse explains that his negativism is normal &
helps the child meet the need for what?
a) industry
b) initiative
c) independence
d) identity
,Identify the single most important factor to consider when c) developmental age of the child
communicating with the hospitalized child
a) chronological age of the child
b) presence or absence of parent
c) developmental age of the child
d) diagnosis of the child
When examining a 2 yr old for a well child check up, how d) establish rapport with the parents before addressing the child
would you proceed?
a) ask the parent to leave the room so the child will behave
better
b) start by looking in the ears to get intrusive portion of the
exam over with
c) address all of your questions to the child
d) establish rapport with the parents before addressing the
child
A child with multiple fractures/trauma sustained in a MVA is b) plan a preventative schedule of pain meds around the clock
experiencing severe pain. Which is the most appropriate for
the nurse to do?
a) give opioid whenever pain is reported
b) plan a preventative schedule of pain meds around the clock
c) increase the dose of opioid until the child is sufficiently
sedated
d) refer to the clock in the child's room to explain when the
next dose of pain med can be given
Which of the following teaching points is NOT associated with d) keep w athletic children for breakthrough therapy
steroid use in daily treatment of asthma? *slow acting, not a rescue med. Would have athletes carry albuterol (SABA) instead
a) slow acting
b) rinse inhaler after use
c) PO administration lead to decline in linear growth
d) keep w athletic children for breakthrough therapy
A newborn w PDA is at risk for developing what complication? c) pulmonary HTN
a) heart murmur *is a type of increased pulmonary blood flow; decreased pulmonary blood flow like PS &
b) polycythemia TOF will have polycythemia (increase RBC) in response to decreased blood flow
c) pulmonary HTN
d) urticaria
, Which of the following will the nurse most likely NOT do for a b) call 911 or call a code
child with a hx of seizures that is currently experiencing *this is not a new event; pt has hx of seizures
another seizure
a) protect the child
b) call 911 or call a code
c) provide comfort to the child
d) observe the event
A 2 yr old's parent just left the hospital to check on the other a) give favorite blanket
childrent. Which of the following would best help the child
who is now crying inconsolably?
a) give favorite blanket
b) take a nap
c) play w a peer
d) give new toy like large cuddly dog
During a well baby visit, the nurse notices that the 6 mos old d) inquire about what the baby typically eats during the day
tripled her weight from birth. Mom asks if the baby is gaining *double @ 6 mos, triple @ 12 mos
enough weigh. The RNs beset response is:
a) weight is below normal percentile
b) gaining weight right on schedule
c) ask the mother what the baby's weight was at the last visit
d) inquire about what the baby typically eats during the day
When assessing an infant w severe diarrhea, the nurse should a) kussmaul respirations
obseve for which potential change in breathing pattern? *rapid fast breathing r/t acidosis to try to blow of CO2
a) kussmaul respirations
b) cheyne-stokes respirations
c) audible rhonci
d) expiratory wheezing
