Nurs 232 Final Exam
A 2 yr old's parent just left the hospital to check on the other 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 - ✔️✔️a) give favorite blanket
How do you calculate the ideal of fluid intake/maintenance fluids for pt >70 kg?
**per day! - ✔️✔️Body surface area (m2) x 1.5 l/m2/day
Ex: BSA 1.3
1.3 x 1.5 = 1.95 L/day or 1950 ml/day
How do you calculate urine output?
ex: child that's 12.5 kg - ✔️✔️Weight x 1-2 ml/kg/HOUR; If need per DAY multiply by
24
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?
ex: child that's 32 kg - ✔️✔️Weight x 2-3 mEq/kg/DAY
*ex: child 32 kg
Min 2 x 32 = 64 mEq/DAY
Max 3 x 32 = 96 mEq/DAY
Identify the single most important factor to consider when 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 - ✔️✔️c) developmental age of the child
When examining a 2 yr old for a well child check up, how 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 - ✔️✔️d) establish
rapport with the parents before addressing the child
A child with multiple fractures/trauma sustained in a MVA is 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 - ✔️✔️b) plan a preventative schedule of pain meds around the clock
Which of the following teaching points is NOT associated with steroid use in daily
treatment of asthma?
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 - ✔️✔️d) keep w athletic children
for breakthrough therapy
*slow acting, not a rescue med. Would have athletes carry albuterol (SABA) instead
A newborn w PDA is at risk for developing what complication?
a) heart murmur
b) polycythemia
c) pulmonary HTN
d) urticaria - ✔️✔️c) pulmonary HTN
*is a type of increased pulmonary blood flow; decreased pulmonary blood flow like PS &
TOF will have polycythemia (increase RBC) in response to decreased blood flow
How do you calculate the maintenance fluid for pts <70kg?
**Per day!
ex: child that's 29 kg - ✔️✔️First 10kg x 100ml
Second 10kg x 50 ml
Remaining x 20 ml
Ex: 29 kg
10 x 100
10 x 50
9 x 20 = 1680 ml/day
Which of the following will the nurse most likely NOT do for a child with a hx of seizures
that is currently experiencing another seizure
a) protect the child
b) call 911 or call a code
c) provide comfort to the child
,d) observe the event - ✔️✔️b) call 911 or call a code
*this is not a new event; pt has hx of seizures
During a well baby visit, the nurse notices that the 6 mos old tripled her weight from
birth. Mom asks if the baby is gaining 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 - ✔️✔️d) inquire about
what the baby typically eats during the day
*double @ 6 mos, triple @ 12 mos
When assessing an infant w severe diarrhea, the nurse should obseve for which
potential change in breathing pattern?
a) kussmaul respirations
b) cheyne-stokes respirations
c) audible rhonci
d) expiratory wheezing - ✔️✔️a) kussmaul respirations
*rapid fast breathing r/t acidosis to try to blow of CO2
The RN is teaching the parents of a 3 yr old how to administer meds to their child. The
RN knows that more teaching is required when the parents:
a) allow their child to play w some of the equipment before administering meds
b) ask the child to please take her meds when they are ready to give it to her
c) praise the child for taking the med, even if she is not fully cooperative
d) ask the child if she would like to take the med w juice or water - ✔️✔️b) ask the child
to please take her meds when they are ready to give it to her
Which of the following is an example of Piaget's concrete operations?
a) 4 yr old insists that a ball of clay "has more" once is is shaped into a snake
b) 5 yr old demonstrates the ability to read a paragraph
c) 7 yr old maintains that a ball of clay weighs the same amount after shaped into a
snake
d) 8 yr old must recalculate basic math facts each time he attempts to solve a math
story problem - ✔️✔️c) 7 yr old maintains that a ball of clay weighs the same amount
after shaped into a snake
*from ages 7-11
An adolescent w cystic fibrosis confides that he is embarrassed by his frequent
episodes of coughing when he is in class. In order to help him address this concern, the
RN should:
a) speak w each of his teachers so he can leave class when he feels like he might begin
to cough
, b) arrange for private school based of tutorial sessions so he will not feel embarrassed
in the classroom
c) ask him if he would like help in speaking with his classmates about the disease
d) arrange for educational classes for students about the signs, symptomjs, and
treatment of CF - ✔️✔️c) ask him if he would like help in speaking with his classmates
about the disease
A 6 mos old has been vomiting for 2 days and has poor skin turgor & prolonged cap
refill. The infant's urine output is 0.5 ml/kg/hr. Which of the following most likely explains
the urine output?
a) low and is consistent w other symptoms of dehydration
b) normal, suggesting that infant's condition is stable or improving
c) high, suggesting infant's condition has renal origin
d) kidneys are immature and cannot concentrate urine - ✔️✔️a) low and is consistent w
other symptoms of dehydration
*normal is 1-2 ml/kg/hour
Which clinical findings are often associate with a hypercyanotic spell (tet spell) in infant
with TOF?
a) tachycardia, normal spo2
b) severe cyanosis, pallor, tachypnea
c) normal respirations w cyanosis
d) apnea and tachycardia - ✔️✔️b) severe cyanosis, pallor, tachypnea
When planning the education for the parents of a child w type 1 DM, which of the
following should nurse include?
a) restrict the activity of the child
b) rotate the insulin injection site
c) avoid letting the child perform the home testing of blood sugar
d) encourage a high cab diet - ✔️✔️b) rotate the insulin injection site
The nurse identifies which of the following adolescents w type 1 DM as being at
greatest risk for complications?
a) adolescent w frequent Candida Albicans urinary infections
b) adolescent who has an eating disorder
c) adolescent who has a fever and a sore throat
d) adolescent who is sexually active and taking birth control - ✔️✔️b) adolescent who
has an eating disorder
When teaching a mother about head live treatment, which product should the nurse
recommend as a 1st line option for children?
a) petroleum jelly
b) permethrin
c) lindane
d) trimethoprim/sulfamethoxazole - ✔️✔️b) permethrin
A 2 yr old's parent just left the hospital to check on the other 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 - ✔️✔️a) give favorite blanket
How do you calculate the ideal of fluid intake/maintenance fluids for pt >70 kg?
**per day! - ✔️✔️Body surface area (m2) x 1.5 l/m2/day
Ex: BSA 1.3
1.3 x 1.5 = 1.95 L/day or 1950 ml/day
How do you calculate urine output?
ex: child that's 12.5 kg - ✔️✔️Weight x 1-2 ml/kg/HOUR; If need per DAY multiply by
24
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?
ex: child that's 32 kg - ✔️✔️Weight x 2-3 mEq/kg/DAY
*ex: child 32 kg
Min 2 x 32 = 64 mEq/DAY
Max 3 x 32 = 96 mEq/DAY
Identify the single most important factor to consider when 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 - ✔️✔️c) developmental age of the child
When examining a 2 yr old for a well child check up, how 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 - ✔️✔️d) establish
rapport with the parents before addressing the child
A child with multiple fractures/trauma sustained in a MVA is 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 - ✔️✔️b) plan a preventative schedule of pain meds around the clock
Which of the following teaching points is NOT associated with steroid use in daily
treatment of asthma?
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 - ✔️✔️d) keep w athletic children
for breakthrough therapy
*slow acting, not a rescue med. Would have athletes carry albuterol (SABA) instead
A newborn w PDA is at risk for developing what complication?
a) heart murmur
b) polycythemia
c) pulmonary HTN
d) urticaria - ✔️✔️c) pulmonary HTN
*is a type of increased pulmonary blood flow; decreased pulmonary blood flow like PS &
TOF will have polycythemia (increase RBC) in response to decreased blood flow
How do you calculate the maintenance fluid for pts <70kg?
**Per day!
ex: child that's 29 kg - ✔️✔️First 10kg x 100ml
Second 10kg x 50 ml
Remaining x 20 ml
Ex: 29 kg
10 x 100
10 x 50
9 x 20 = 1680 ml/day
Which of the following will the nurse most likely NOT do for a child with a hx of seizures
that is currently experiencing another seizure
a) protect the child
b) call 911 or call a code
c) provide comfort to the child
,d) observe the event - ✔️✔️b) call 911 or call a code
*this is not a new event; pt has hx of seizures
During a well baby visit, the nurse notices that the 6 mos old tripled her weight from
birth. Mom asks if the baby is gaining 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 - ✔️✔️d) inquire about
what the baby typically eats during the day
*double @ 6 mos, triple @ 12 mos
When assessing an infant w severe diarrhea, the nurse should obseve for which
potential change in breathing pattern?
a) kussmaul respirations
b) cheyne-stokes respirations
c) audible rhonci
d) expiratory wheezing - ✔️✔️a) kussmaul respirations
*rapid fast breathing r/t acidosis to try to blow of CO2
The RN is teaching the parents of a 3 yr old how to administer meds to their child. The
RN knows that more teaching is required when the parents:
a) allow their child to play w some of the equipment before administering meds
b) ask the child to please take her meds when they are ready to give it to her
c) praise the child for taking the med, even if she is not fully cooperative
d) ask the child if she would like to take the med w juice or water - ✔️✔️b) ask the child
to please take her meds when they are ready to give it to her
Which of the following is an example of Piaget's concrete operations?
a) 4 yr old insists that a ball of clay "has more" once is is shaped into a snake
b) 5 yr old demonstrates the ability to read a paragraph
c) 7 yr old maintains that a ball of clay weighs the same amount after shaped into a
snake
d) 8 yr old must recalculate basic math facts each time he attempts to solve a math
story problem - ✔️✔️c) 7 yr old maintains that a ball of clay weighs the same amount
after shaped into a snake
*from ages 7-11
An adolescent w cystic fibrosis confides that he is embarrassed by his frequent
episodes of coughing when he is in class. In order to help him address this concern, the
RN should:
a) speak w each of his teachers so he can leave class when he feels like he might begin
to cough
, b) arrange for private school based of tutorial sessions so he will not feel embarrassed
in the classroom
c) ask him if he would like help in speaking with his classmates about the disease
d) arrange for educational classes for students about the signs, symptomjs, and
treatment of CF - ✔️✔️c) ask him if he would like help in speaking with his classmates
about the disease
A 6 mos old has been vomiting for 2 days and has poor skin turgor & prolonged cap
refill. The infant's urine output is 0.5 ml/kg/hr. Which of the following most likely explains
the urine output?
a) low and is consistent w other symptoms of dehydration
b) normal, suggesting that infant's condition is stable or improving
c) high, suggesting infant's condition has renal origin
d) kidneys are immature and cannot concentrate urine - ✔️✔️a) low and is consistent w
other symptoms of dehydration
*normal is 1-2 ml/kg/hour
Which clinical findings are often associate with a hypercyanotic spell (tet spell) in infant
with TOF?
a) tachycardia, normal spo2
b) severe cyanosis, pallor, tachypnea
c) normal respirations w cyanosis
d) apnea and tachycardia - ✔️✔️b) severe cyanosis, pallor, tachypnea
When planning the education for the parents of a child w type 1 DM, which of the
following should nurse include?
a) restrict the activity of the child
b) rotate the insulin injection site
c) avoid letting the child perform the home testing of blood sugar
d) encourage a high cab diet - ✔️✔️b) rotate the insulin injection site
The nurse identifies which of the following adolescents w type 1 DM as being at
greatest risk for complications?
a) adolescent w frequent Candida Albicans urinary infections
b) adolescent who has an eating disorder
c) adolescent who has a fever and a sore throat
d) adolescent who is sexually active and taking birth control - ✔️✔️b) adolescent who
has an eating disorder
When teaching a mother about head live treatment, which product should the nurse
recommend as a 1st line option for children?
a) petroleum jelly
b) permethrin
c) lindane
d) trimethoprim/sulfamethoxazole - ✔️✔️b) permethrin
