NR 328 CMS Exam Practice Questions/ with Correct
Answers, A+ score Solutions.
Terms in this set (44)
Which interventions are Answer: B, D, E
included in the Rationale: During a nosebleed, the child should be
management of instructed to breathe through the mouth, cotton or wadded
tissue can be inserted into the nostrils to stop bleeding, and
nosebleeds in children?
continuous pressure using the thumb and forefinger should
Select all that apply. a. Apply be applied for at least 10 minutes. The child should be
warm compresses to the instructed to sit up and lean forward, not tilt the head
bridge of the nose if backward. Ice or cold cloths, not warm compresses, can be
used on the bridge of the nose if bleeding persists.
bleeding is persistent.
b. Apply
continuouspressure to the
nose with thumb and
forefinger for at least 10
minutes.
c. Have the child sit
downand tilt the head
backward.
d. Insert cotton
orwadded tissue into each
nostril if bleeding persists. e.
Instruct the child to breathe
through the mouth.
,The nurse is developing a Answer: D
teaching plan for the family Rationale: The major cause of death for children with sickle
of a toddler recently cell disease under the age of 5 is overwhelming infections;
thus the family needs to monitor the child closely for
diagnosed with sickle cell
presence of fever. Signs and symptoms of stroke, presence
disease. Of which does the of respiratory problems, and localized swelling over joints
nurse include as important are also symptoms of issues related to sickle cell disease,
for the family to be aware but are not directly related to the leading cause of death for
children under the age of 5.
and to report in order to
recognize signs of the major
cause of death for children
under age 5 with sickle cell
disease?
a. Presence of
respiratoryproblems
b. Signs and symptoms
ofstroke
c. Localized swelling
overjoints
d. Presence of fever
Answer: B
Which symptom would the Rationale: Cytomegalovirus is a defining condition for AIDS in
an HIV-infected American child. Parotitis, oral candidiasis, and
nurse recognize as an
hepatosplenomegaly are common clinical manifestations of
acquired immunodeficiency HIV infection in children but not AIDS-defining conditions.
syndrome (AIDS)defining
condition in an American
child with human
immunodeficiency virus
(HIV)? a. Parotitis
b. Cytomegalovirus
c. Oral candidiasis
d. Hepatosplenomegaly
, The nurse is administering a Answer: A
blood transfusion to a child Rationale: Cyanosis, rales, and difficulty breathing are all
for treatment of hemophilia. potential signs of circulatory overload. If signs of circulatory
overload occur, the transfusion should be stopped
Upon assessment, the nurse
immediately. Reassessing the patient in five minutes would
notes that the child is not provide an immediate response to the situation.
cyanotic, has difficulty Epinephrine is administered for allergic reactions. Insertion of
breathing, and has rales a urinary catheter may be done to treat an incompatibility
reaction.
upon inspiration throughout
the lung fields. What is the
nurse’s best response to
these findings?
a. Stop the
transfusionimmediately.
b. Administer
epinephrineimmediately.
c. Insert a urinary
catheterand monitor hourly
outputs.
d. Reassess the
patientagain in five minutes.
Answers, A+ score Solutions.
Terms in this set (44)
Which interventions are Answer: B, D, E
included in the Rationale: During a nosebleed, the child should be
management of instructed to breathe through the mouth, cotton or wadded
tissue can be inserted into the nostrils to stop bleeding, and
nosebleeds in children?
continuous pressure using the thumb and forefinger should
Select all that apply. a. Apply be applied for at least 10 minutes. The child should be
warm compresses to the instructed to sit up and lean forward, not tilt the head
bridge of the nose if backward. Ice or cold cloths, not warm compresses, can be
used on the bridge of the nose if bleeding persists.
bleeding is persistent.
b. Apply
continuouspressure to the
nose with thumb and
forefinger for at least 10
minutes.
c. Have the child sit
downand tilt the head
backward.
d. Insert cotton
orwadded tissue into each
nostril if bleeding persists. e.
Instruct the child to breathe
through the mouth.
,The nurse is developing a Answer: D
teaching plan for the family Rationale: The major cause of death for children with sickle
of a toddler recently cell disease under the age of 5 is overwhelming infections;
thus the family needs to monitor the child closely for
diagnosed with sickle cell
presence of fever. Signs and symptoms of stroke, presence
disease. Of which does the of respiratory problems, and localized swelling over joints
nurse include as important are also symptoms of issues related to sickle cell disease,
for the family to be aware but are not directly related to the leading cause of death for
children under the age of 5.
and to report in order to
recognize signs of the major
cause of death for children
under age 5 with sickle cell
disease?
a. Presence of
respiratoryproblems
b. Signs and symptoms
ofstroke
c. Localized swelling
overjoints
d. Presence of fever
Answer: B
Which symptom would the Rationale: Cytomegalovirus is a defining condition for AIDS in
an HIV-infected American child. Parotitis, oral candidiasis, and
nurse recognize as an
hepatosplenomegaly are common clinical manifestations of
acquired immunodeficiency HIV infection in children but not AIDS-defining conditions.
syndrome (AIDS)defining
condition in an American
child with human
immunodeficiency virus
(HIV)? a. Parotitis
b. Cytomegalovirus
c. Oral candidiasis
d. Hepatosplenomegaly
, The nurse is administering a Answer: A
blood transfusion to a child Rationale: Cyanosis, rales, and difficulty breathing are all
for treatment of hemophilia. potential signs of circulatory overload. If signs of circulatory
overload occur, the transfusion should be stopped
Upon assessment, the nurse
immediately. Reassessing the patient in five minutes would
notes that the child is not provide an immediate response to the situation.
cyanotic, has difficulty Epinephrine is administered for allergic reactions. Insertion of
breathing, and has rales a urinary catheter may be done to treat an incompatibility
reaction.
upon inspiration throughout
the lung fields. What is the
nurse’s best response to
these findings?
a. Stop the
transfusionimmediately.
b. Administer
epinephrineimmediately.
c. Insert a urinary
catheterand monitor hourly
outputs.
d. Reassess the
patientagain in five minutes.
