MN 580/MN 580 PEDIATRICS MATERNAL
Midterm/FINAL EXAM ACTUAL EXAM NEWEST
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A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the
following findings should the nurse expect?
A. Increase urine output
B. Hypertension
C. Increase respiratory rate
D. Capillary refill of 2 seconds
C. Increase respiratory rate
A nurse is planning care for a child who has cystic fibrosis. Which of the following
interventions should the nurse plan to include?
A. Restrict the child's physical activity to promote rest
B. Administer pancreatic enzymes by mouth 1 hr. prior to each meal (Pancreatic enzymes
should be taken within 30 minutes of eating)
C. Provide the child with low sodium diet
D. Use a vest to perform high-frequency chest compressions
D. Use a vest to perform high-frequency chest compressions
A nurse is teaching the parent of a school age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
A+ TEST BANK 1
, MN 580 final EXAM ACTUAL EXAM
A. Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle
B. Your child should walk the bicycle through intersections
C. Your child should keep the bicycle at least 3 feet from the curb while riding in the street
D. Your child should ride the bicycle against the flow of traffic
B. Your child should walk the bicycle through intersections
.!
A nurse is preparing a child for a lumbar puncture. In which of the following positions should
the child be placed for the procedure?
A. Lateral
B. Prone
C. Semi-fowler
D. Supine
A. Lateral
A nurse is reviewing the complete blood count results for a child who is receiving treatment
for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse
that the treatment is having a therapeutic effect?
A. WBC count 15.000/mm
B. Hemoglobin 6.8 g/dL
C. Platelet count 98.0000/mm
D. RBC count 5/mm
D. RBC count 5/mm
A nurse is caring for a school age child who has pertussis. Which of the following actions
should the nurse take?
A. Report the diagnosis to the public health department
B. Place the child in a protected environment for 48hr
C. Administer the pertussis vaccine
D. Restrict oral fluids to 500mL per day
A. Report the diagnosis to the public health department
A+ TEST BANK 2
, MN 580 final EXAM ACTUAL EXAM
A nurse is assessing a week-old infant. The nurse should identify which of the following
manifestations can indicate neonatal abstinence syndrome?
A. Frequent coughing
B. Constipation
C. Excessive sucking
D. Lethargy
C. Excessive sucking (Gastrointestinal: poor feeding, regurgitation (projectile vomiting),
diarrhea, and excessive, uncoordinated, and constant sucking)
A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant.
Which of the following actions should the nurse plan to take?
A. Use a 22-gauge catheter to the start the IV
B. Start the IV in the infant's foot
C. Cover the insertion site with an opaque dressing
D. Change the IV site every 3 days
A. Use a 22-gauge catheter to the start the IV
A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization
procedure. Which of the following findings should the nurse report to the provider?
A. Weak pedal pulse distal to the site
B. Blood pressure 102/58mm Hg
C. Bilateral cool extremities
D. Serum glucose 90mg/dL
C. bilateral cool extremities
.! Which statement best describes Hirschsprung disease?
A. The colon has an aganglionic segment
B. It results in frequent evacuation of solids, liquid, and gas
C. There is a passage of excessive amounts of meconium in the neonate
D. It results in excessive peristaltic movements within the gastrointestinal tract - Answer
✓✓Answer: A
A+ TEST BANK 3
, MN 580 final EXAM ACTUAL EXAM
Rationale:
A. Hirschsprung disease is a mechanical obstruction caused by a lack of motility of a segment
of the intestine resulting from the lack of innervation by ganglion cells.
B. There is a lack of peristalsis in the affected segment, which interferes with the evacuation
of solid waste.
C. It is associated with an inability to pass meconium, or feces if the child is older.
D. There is a lack of peristalsis in the affected segment, which interferes with the evacuation
of solid waste.
A child has a nasogastric tube (NG) after surgery for acute appendicitis. What is the purpose
of the tube?
A. To maintain electrolyte balance
B. To prevent spread of infection
C. To prevent abdominal distention
D. To maintain an accurate record of output - Answer ✓✓Answer: C
Rationale:
A. The nasogastric tube may adversely affect electrolyte balance by removing stomach
secretions.
B. There is no relationship to the spread of infection.
C. The nasogastric tube is used to maintain gastric decompression until the return of intestinal
activity.
D. Nasogastric drainage is one part of the child's output. The nurse would need to incorporate
the drainage with other output.
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