NR 328 EXAM 2
A 3-month-old infant is diagnosed with
cleft palate. Which nursing teaching is
most appropriate regarding feeding tech-
niques?
A. Encourage breastfeeding without any
special adaptations B. Use a soft bottle with a wide base
B. Use a soft bottle with a wide base nipple
nipple
C. Place the baby in a prone position
during feeding
D. Delay feedings until surgical repair is
completed
The nurse is caring for a child post-op fol-
lowing a cleft lip repair. What is a priority
nursing intervention?
A. Apply petroleum jelly to the suture line A. Apply petroleum jelly to the suture line
B. Place the infant in a supine position
C. Provide the child with a pacifier
D. Perform frequent oral suctioning
A 4-year-old is brought to the ED with
suspected appendicitis. Which finding
supports this diagnosis?
A. Generalized abdominal pain C. Pain that begins at the umbilicus and
B. Pain in the left lower quadrant moves to the right lower quadrant
C. Pain that begins at the umbilicus and
moves to the right lower quadrant
D. Pain that is relieved by movement
Which of the following are appropriate
nursing interventions for a child with py-
loric stenosis? (Select all that apply.)
A. Monitor for projectile vomiting
A. Monitor for projectile vomiting
B. Administer oral fluids immediately af-
C. Assess for dehydration
ter surgery
D. Prepare for surgical intervention
C. Assess for dehydration
D. Prepare for surgical intervention
E. Place the child in a prone position after
feeding
, NR 328 EXAM 2
A 2-year-old is brought to the clinic with
severe dehydration. Which clinical find-
ing would indicate severe dehydration?
A. Bradycardia C. Tachycardia and decreased skin tur-
B. Capillary refill less than 2 seconds gor
C. Tachycardia and decreased skin tur-
gor
D. Polyuria
A 6-week-old infant is diagnosed
with gastroesophageal reflux disease
(GERD). What is the goal of treatment?
A. Prevent diarrhea
B. Prevent vomiting and promote weight
B. Prevent vomiting and promote weight
gain
gain
C. Reduce fever
D. Improve nutritional intake by increas-
ing feedings
The nurse is preparing a care plan for a
child with Hirschsprung's disease. What
stool pattern is commonly associated
with this condition?
A. Ribbon-like stools
A. Ribbon-like stools
B. Watery stools
C. Bloody stools
D. Frequent, loose stools
A nurse is assessing a 6-month-old in-
fant with intussusception. Which of the
following stool characteristics would the
nurse expect?
B. Currant jelly-like stools
A. Hard, pellet-like stools
B. Currant jelly-like stools
C. Greasy, frothy stools
D. Pale, clay-colored stools
A nurse is caring for a child with Meckel's
diverticulum. What clinical manifestation
is most likely? A. Intermittent rectal bleeding
A. Intermittent rectal bleeding
B. Projectile vomiting
, NR 328 EXAM 2
C. Ribbon-like stools
D. Abdominal distension
The nurse is reviewing discharge teach-
ing for a child who has undergone
surgery for pyloric stenosis. Which in-
struction is most appropriate?
C. Monitor the incision for signs of infec-
A. Feed the child large meals
tion
B. Offer feedings in a prone position
C. Monitor the incision for signs of infec-
tion
D. Avoid burping the baby after feedings
Which of the following are signs and
symptoms of appendicitis in a pediatric
patient? (Select all that apply.)
A. Periumbilical pain
A. Periumbilical pain
B. Rebound tenderness
B. Rebound tenderness
D. Right lower quadrant pain
C. Diarrhea
D. Right lower quadrant pain
E. Hematuria
A child with a history of GERD is pre-
scribed a proton pump inhibitor (PPI).
The nurse explains that this medication
works by:
C. Reducing the production of stomach
A. Increasing gastric motility
acid
B. Neutralizing stomach acid
C. Reducing the production of stomach
acid
D. Coating the stomach lining
A 3-year-old with dehydration is admit-
ted. Which clinical signs should the nurse
expect with moderate dehydration?
A. Sunken anterior fontanel and de-
creased urinary output A. Sunken anterior fontanel and de-
B. Pale skin and tachycardia creased urinary output
C. Bulging anterior fontanel and brady-
cardia
D. Increased blood pressure and moist
mucous membranes
A 3-month-old infant is diagnosed with
cleft palate. Which nursing teaching is
most appropriate regarding feeding tech-
niques?
A. Encourage breastfeeding without any
special adaptations B. Use a soft bottle with a wide base
B. Use a soft bottle with a wide base nipple
nipple
C. Place the baby in a prone position
during feeding
D. Delay feedings until surgical repair is
completed
The nurse is caring for a child post-op fol-
lowing a cleft lip repair. What is a priority
nursing intervention?
A. Apply petroleum jelly to the suture line A. Apply petroleum jelly to the suture line
B. Place the infant in a supine position
C. Provide the child with a pacifier
D. Perform frequent oral suctioning
A 4-year-old is brought to the ED with
suspected appendicitis. Which finding
supports this diagnosis?
A. Generalized abdominal pain C. Pain that begins at the umbilicus and
B. Pain in the left lower quadrant moves to the right lower quadrant
C. Pain that begins at the umbilicus and
moves to the right lower quadrant
D. Pain that is relieved by movement
Which of the following are appropriate
nursing interventions for a child with py-
loric stenosis? (Select all that apply.)
A. Monitor for projectile vomiting
A. Monitor for projectile vomiting
B. Administer oral fluids immediately af-
C. Assess for dehydration
ter surgery
D. Prepare for surgical intervention
C. Assess for dehydration
D. Prepare for surgical intervention
E. Place the child in a prone position after
feeding
, NR 328 EXAM 2
A 2-year-old is brought to the clinic with
severe dehydration. Which clinical find-
ing would indicate severe dehydration?
A. Bradycardia C. Tachycardia and decreased skin tur-
B. Capillary refill less than 2 seconds gor
C. Tachycardia and decreased skin tur-
gor
D. Polyuria
A 6-week-old infant is diagnosed
with gastroesophageal reflux disease
(GERD). What is the goal of treatment?
A. Prevent diarrhea
B. Prevent vomiting and promote weight
B. Prevent vomiting and promote weight
gain
gain
C. Reduce fever
D. Improve nutritional intake by increas-
ing feedings
The nurse is preparing a care plan for a
child with Hirschsprung's disease. What
stool pattern is commonly associated
with this condition?
A. Ribbon-like stools
A. Ribbon-like stools
B. Watery stools
C. Bloody stools
D. Frequent, loose stools
A nurse is assessing a 6-month-old in-
fant with intussusception. Which of the
following stool characteristics would the
nurse expect?
B. Currant jelly-like stools
A. Hard, pellet-like stools
B. Currant jelly-like stools
C. Greasy, frothy stools
D. Pale, clay-colored stools
A nurse is caring for a child with Meckel's
diverticulum. What clinical manifestation
is most likely? A. Intermittent rectal bleeding
A. Intermittent rectal bleeding
B. Projectile vomiting
, NR 328 EXAM 2
C. Ribbon-like stools
D. Abdominal distension
The nurse is reviewing discharge teach-
ing for a child who has undergone
surgery for pyloric stenosis. Which in-
struction is most appropriate?
C. Monitor the incision for signs of infec-
A. Feed the child large meals
tion
B. Offer feedings in a prone position
C. Monitor the incision for signs of infec-
tion
D. Avoid burping the baby after feedings
Which of the following are signs and
symptoms of appendicitis in a pediatric
patient? (Select all that apply.)
A. Periumbilical pain
A. Periumbilical pain
B. Rebound tenderness
B. Rebound tenderness
D. Right lower quadrant pain
C. Diarrhea
D. Right lower quadrant pain
E. Hematuria
A child with a history of GERD is pre-
scribed a proton pump inhibitor (PPI).
The nurse explains that this medication
works by:
C. Reducing the production of stomach
A. Increasing gastric motility
acid
B. Neutralizing stomach acid
C. Reducing the production of stomach
acid
D. Coating the stomach lining
A 3-year-old with dehydration is admit-
ted. Which clinical signs should the nurse
expect with moderate dehydration?
A. Sunken anterior fontanel and de-
creased urinary output A. Sunken anterior fontanel and de-
B. Pale skin and tachycardia creased urinary output
C. Bulging anterior fontanel and brady-
cardia
D. Increased blood pressure and moist
mucous membranes
