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NURS 328 Exam #2 Questions and
Correct Answers/ Latest Update /
Already Graded
A 10 month old is admitted after receiving a ventriculoperitoneal
shunt. Which assessment would indicate malfunction in this shunt?
The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has a fontanel that is full and soft
Ans: b. is irritable and vomiting
A newborn is being delivered with a known myelomeningocele. The
nurse attending the delivery will perform the following activities.
Select all that apply.
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a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
f. Rectal temperature
Ans: a, b, d, and e
A 4 month old infant has a tonic clonic seizure. It is important during
this time for the nurse to do which of the following interventions.
Select all that apply.
a. Time and observe the infant's reactions
b. Place an oral airway during the infant's seizure
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c. Administer anticonvulsants as ordered
d. Restrain the infant
e. Ensure a bag and mask is at bedside
Ans: a, c, and e
A 3 year child ,admitted to the pediatric floor for seizure control, has
a generalized tonic-clonic seizure. The initial action the nurse should
perform is:
a. Place child on his side and assess the child.
b. Take off the child's clothes and administer oxygen.
c. Hold the child down and try to communicate with the patient.
d. Call the MD.
Ans: a. Place child on his side and assess the child.
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A nurse is expecting a delivery of a baby with myelomeningocele.
The nurse is aware that this defect in comparison to a meningocele is
that this infant will have:
a. An open sac over the lumbar area
b. Lower extremity paralysis
c. Infections of the spinal fluid
d. Meningitis
Ans: b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in respiratory distress. The
baby has copious secretions, increased work of breathing, cyanosis,
and a respiratory rate of 78. What is the most appropriate initial
nursing intervention?
NURS 328 Exam #2 Questions and
Correct Answers/ Latest Update /
Already Graded
A 10 month old is admitted after receiving a ventriculoperitoneal
shunt. Which assessment would indicate malfunction in this shunt?
The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has a fontanel that is full and soft
Ans: b. is irritable and vomiting
A newborn is being delivered with a known myelomeningocele. The
nurse attending the delivery will perform the following activities.
Select all that apply.
,2 | Page
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
f. Rectal temperature
Ans: a, b, d, and e
A 4 month old infant has a tonic clonic seizure. It is important during
this time for the nurse to do which of the following interventions.
Select all that apply.
a. Time and observe the infant's reactions
b. Place an oral airway during the infant's seizure
,3 | Page
c. Administer anticonvulsants as ordered
d. Restrain the infant
e. Ensure a bag and mask is at bedside
Ans: a, c, and e
A 3 year child ,admitted to the pediatric floor for seizure control, has
a generalized tonic-clonic seizure. The initial action the nurse should
perform is:
a. Place child on his side and assess the child.
b. Take off the child's clothes and administer oxygen.
c. Hold the child down and try to communicate with the patient.
d. Call the MD.
Ans: a. Place child on his side and assess the child.
, 4 | Page
A nurse is expecting a delivery of a baby with myelomeningocele.
The nurse is aware that this defect in comparison to a meningocele is
that this infant will have:
a. An open sac over the lumbar area
b. Lower extremity paralysis
c. Infections of the spinal fluid
d. Meningitis
Ans: b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in respiratory distress. The
baby has copious secretions, increased work of breathing, cyanosis,
and a respiratory rate of 78. What is the most appropriate initial
nursing intervention?
