N328 Final Exam Prac ce Ques ons and answers |
Comprehensive Review Ques ons and Answers |
2025/2026 100% Verified Correct Revised Edi on
The nurse is teaching the parents of a preschooler informa on about urinary tract infec on and
means of reducing their recurrence. Which statement by the parents indicates the need for
addi onal teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a li!le large."
C. "Soaking in a bubble bath will reduce the meatal irrita on."
D. "If I no ce her star ng to wet the bed again, I will need to have her checked for another
urinary tract infec on." - C. "Soaking in a bubble bath will reduce the meatal irrita on."
A urinalysis is ordered for a child with a throat culture posi ve for group A beta-hemoly c
streptococcus. The mother asks why this test is being ordered. The nurse explains:
A. The urinalysis will indicate whether an HIV infec on is also present.
B. Urinary tract infec ons are common with streptococcal infec ons and need to receive
prompt treatment.
C. Pyelonephri s is a poten al complica on of an bio c therapy.
D. Group A beta hemoly c streptococcus infec ons can be followed by the complica on of
acute glomerulonephri s. - D. Group A beta hemoly c streptococcus infec ons can be followed
by the complica on of acute glomerulonephri s.
The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake and
output measurement. The nurse will most accurately measure the urine by:
A. Es ma ng output as small, moderate, or large and recording on the child's chart
,B. Weighing each diaper and recording the amount of urine output as the weight of the diaper
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
D. Determine urine output by the number of diapers changes in each 24-hour period - C.
Subtract the weight of the dry diaper from a wet diaper and record this amount
Define the following congenital heart defect:
Failure of normal separa on and division of the embryonic trunk into the pulmonary artery and
aorta - Truncus Arteriosus
Define the following congenital heart defect:
Under development of the le5 side of the heart, consis ng of small le5 ventricle, mitral atresia,
and atre c aor c arch; the infant presents with symptoms of shock and will require heart
transplanta on or the Norwood surgery - Hypoplas c Le5 Heart Syndrome
Define the following congenital heart defect:
Defect with 4 abnormali es: ventricular septal defect, pulmonic stenosis, overriding aorta, and
right ventricular hypertrophy - Tetrology of Fallot
Define the following congenital heart defect:
Incomplete fusion of the endocardial cushions, crea ng a large central AV valve, ASD, VSD, and
allows blood to flow between all four chambers - Atrioventricular Canal
Define the following congenital heart defect:
,Has a characteris c machinery-like murmur and is a con nua on of a fetal shunt between
pulmonary artery and aorta - Patent Ductus Arteriosus
Define the following congenital heart defect:
Abnormal opening of the atria, allowing blood from the higher pressure le5 atrium to the lower
pressure right atrium - Atrial Septal Defect
Define the following congenital heart defect:
Defect in the ventricles repaired with a suture or a Dacron patch requiring open heart surgery -
Ventricular Septal Defect
Define the following congenital heart defect:
Narrowing of the aor c arch; when the fetal shunt closes, the defect will cause decreased flow
to the descending aorta; clinical manifesta ons include higher BP in the upper extremi es than
the lower extremi es, weak/absent femoral and pedal pulses, and pale/cooler lower extremi es
due to decreased systemic blood flow in the lower extremi es - Coarcta on of the Aorta
Define the following congenital heart defect:
Atre c or absent tricuspid valve and small right ventricle, which causes cyanosis and decreased
pulmonary blood flow; requires patency of the ductus arteriosus for pulmonary blood flow -
Tricuspid Atresia
Define the following congenital heart defect:
, thickened aor c valve; can be repaired by cardiac catheteriza on with a balloon to open the
valve and o5en diagnosed by exercise intolerance - Aor c Stenosis
Define the following congenital heart defect:
Reversal of the aorta and pulmonary artery; the Aorta arises from the right ventricle and the
Pulmonary artery arises from the le5 ventricle, causing parallel circula on; requires emergency
pallia ve surgery in the catheteriza on lab called Rashkind Miller procedure, this will enlarge
the foramen ovale and allow further mixing of blood ll a Switch procedure can be done -
Transposi on of the Great Arteries
The nurse is caring for an adolescent whose femur was fractured yesterday, The client suddenly
develops chest pain and dyspnea. The nurse should suspect which of the following
complica ons?
A. Sepsis
B. Osteomyeli s
C. Pulmonary embolism
D. Acute respiratory infec on - C. Pulmonary embolism
A 5-year-old child is admi!ed to the pediatric unit from the recovery room, following
applica on of a hip spica cast. Which of the following nursing ac ons would be priority?
A. Elevate the head of the bed
B. Check circula on
C. Turn the client to right side-lying posi on
D. Offer ice chips - B. Check circula on
Comprehensive Review Ques ons and Answers |
2025/2026 100% Verified Correct Revised Edi on
The nurse is teaching the parents of a preschooler informa on about urinary tract infec on and
means of reducing their recurrence. Which statement by the parents indicates the need for
addi onal teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a li!le large."
C. "Soaking in a bubble bath will reduce the meatal irrita on."
D. "If I no ce her star ng to wet the bed again, I will need to have her checked for another
urinary tract infec on." - C. "Soaking in a bubble bath will reduce the meatal irrita on."
A urinalysis is ordered for a child with a throat culture posi ve for group A beta-hemoly c
streptococcus. The mother asks why this test is being ordered. The nurse explains:
A. The urinalysis will indicate whether an HIV infec on is also present.
B. Urinary tract infec ons are common with streptococcal infec ons and need to receive
prompt treatment.
C. Pyelonephri s is a poten al complica on of an bio c therapy.
D. Group A beta hemoly c streptococcus infec ons can be followed by the complica on of
acute glomerulonephri s. - D. Group A beta hemoly c streptococcus infec ons can be followed
by the complica on of acute glomerulonephri s.
The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake and
output measurement. The nurse will most accurately measure the urine by:
A. Es ma ng output as small, moderate, or large and recording on the child's chart
,B. Weighing each diaper and recording the amount of urine output as the weight of the diaper
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
D. Determine urine output by the number of diapers changes in each 24-hour period - C.
Subtract the weight of the dry diaper from a wet diaper and record this amount
Define the following congenital heart defect:
Failure of normal separa on and division of the embryonic trunk into the pulmonary artery and
aorta - Truncus Arteriosus
Define the following congenital heart defect:
Under development of the le5 side of the heart, consis ng of small le5 ventricle, mitral atresia,
and atre c aor c arch; the infant presents with symptoms of shock and will require heart
transplanta on or the Norwood surgery - Hypoplas c Le5 Heart Syndrome
Define the following congenital heart defect:
Defect with 4 abnormali es: ventricular septal defect, pulmonic stenosis, overriding aorta, and
right ventricular hypertrophy - Tetrology of Fallot
Define the following congenital heart defect:
Incomplete fusion of the endocardial cushions, crea ng a large central AV valve, ASD, VSD, and
allows blood to flow between all four chambers - Atrioventricular Canal
Define the following congenital heart defect:
,Has a characteris c machinery-like murmur and is a con nua on of a fetal shunt between
pulmonary artery and aorta - Patent Ductus Arteriosus
Define the following congenital heart defect:
Abnormal opening of the atria, allowing blood from the higher pressure le5 atrium to the lower
pressure right atrium - Atrial Septal Defect
Define the following congenital heart defect:
Defect in the ventricles repaired with a suture or a Dacron patch requiring open heart surgery -
Ventricular Septal Defect
Define the following congenital heart defect:
Narrowing of the aor c arch; when the fetal shunt closes, the defect will cause decreased flow
to the descending aorta; clinical manifesta ons include higher BP in the upper extremi es than
the lower extremi es, weak/absent femoral and pedal pulses, and pale/cooler lower extremi es
due to decreased systemic blood flow in the lower extremi es - Coarcta on of the Aorta
Define the following congenital heart defect:
Atre c or absent tricuspid valve and small right ventricle, which causes cyanosis and decreased
pulmonary blood flow; requires patency of the ductus arteriosus for pulmonary blood flow -
Tricuspid Atresia
Define the following congenital heart defect:
, thickened aor c valve; can be repaired by cardiac catheteriza on with a balloon to open the
valve and o5en diagnosed by exercise intolerance - Aor c Stenosis
Define the following congenital heart defect:
Reversal of the aorta and pulmonary artery; the Aorta arises from the right ventricle and the
Pulmonary artery arises from the le5 ventricle, causing parallel circula on; requires emergency
pallia ve surgery in the catheteriza on lab called Rashkind Miller procedure, this will enlarge
the foramen ovale and allow further mixing of blood ll a Switch procedure can be done -
Transposi on of the Great Arteries
The nurse is caring for an adolescent whose femur was fractured yesterday, The client suddenly
develops chest pain and dyspnea. The nurse should suspect which of the following
complica ons?
A. Sepsis
B. Osteomyeli s
C. Pulmonary embolism
D. Acute respiratory infec on - C. Pulmonary embolism
A 5-year-old child is admi!ed to the pediatric unit from the recovery room, following
applica on of a hip spica cast. Which of the following nursing ac ons would be priority?
A. Elevate the head of the bed
B. Check circula on
C. Turn the client to right side-lying posi on
D. Offer ice chips - B. Check circula on
