NSG 3600 Exam 2 Questions and Answers

NSG 3600 Exam 2 Questions and Answers A nurse is teaching a prenatal class on fetal growth and development. In which gestational week does the nurse inform the parents that the heart begins to beat? a. second b. third c. fourth d. sixth A A nurse is teaching a prenatal class about placental development and functions. Which information about the placenta is best? a. cushions the fetus and protects it against mechanical injury b. is the site of hematopoiesis during the first two gestational weeks c. produces Wharton's jelly that surrounds the umbilical blood vessels d. provides oxygenation, nutrition, hormones, and waste removal D A faculty member is teaching a nursing class about fetal circulation. The faculty member explains that most blood bypasses the liver and enters the inferior vena cave through the a. ductus arteriosus b. doctor venosus c. foramen ovale d. pulmonary artery B Which heart valve prevents regurgitation of blood from he pulmonary artery into the right ventricle? a. aortic b. mitral c. pulmonary d. tricuspid C A nurse suspects an infant of having advanced heart failure. Which clinical manifestation of heart failure did the nurse assess to reach this conclusion? a. enlarged liver b. feeding problems c. poor growth c. sweating excessively A Which hormone is partly responsible for ensuring that the ductus artists closes normally? a. estrogen b. human growth hormone c. progestin d. prostaglandin D A child has aortic stenosis. What manifestation does the nurse assess for? a. aortic aneurysm b. left ventricular failure c. right ventricular atrophy d. tricuspid regurgitation B A child has restrictive cardiomyopathy. What information given to parents by the nurse is correct? a. caused by toxic agents b. least common form c. most common form d. often a familial disorder B The pediatric nurse is aware that the child with cystic fibrosis has discharge planning needs. Which is important to communicate to the family during discharge teaching? a. importance of a well-balanced, low-protein, high calorie diet b. when and how to administer pancreatic enzymes c. use of vitamin supplements is not needed with pancreatic enzymes d. nature and course of the disease including self-limiting nature B A 2 y/o child is discharges from the outpatient surgical unity after having a tonsillectomy. What statement by the parent indicates to the nurse that discharge teaching has been effective? a. "I will administer cherry-flavored acetaminophen (Tylenol) for pain" b. "it is important to have my child gargle to prevent infection" c. "I will bring my child to the ED if I see excessive swallowing" d. "I will offer my child ice cream to help soothe the pain in the throat" C What information about pediatric respiratory anatomy and physiology is important for nursing care? a. newborns are obligatory nose breathers b. sinuses are not developed until around age 10 c. neonates are able to breathe from the diaphragm d babies and children are not prone to aspiration A The nurse is teaching home care to the parents of a child with chronic sinus infections. What information does the nurse provide? a. have the child blow his nose vigorously before using decongestant spray b. steroids are usually required in children who have sinus infections c. ice packs over the inflames sinuses will help with comfort and swelling d. using decongestant sprays for more than 3 days can cause rebound swelling D An emergency department physician is preparing to directly visualize the larynx of a child suspected of having epiglottis. What action by the nurse is most important? a. allow the child to assume position of comfort b. have a n incubation tray at the bedside c. put on a face mask in addition to gloves d. have the parent sign an informed consent B The nurse is caring for a 16 y/o admitted with suspected bacterial pneumonia. Which action by the nurse takes priority? a. administer antibiotics as ordered b. obtain a sputum sample for culture c. start an IV for maintenance fluids d. give acetaminophen for fever B A child is brought to the ED, and the parents report frequent episodes of harsh coughing that causes the child's face to turn red. The parents also report the child eyes are red, and she frequently coughs so hard she volts. What question by the nurse is most important? a. is anyone else in the family sick? b. is she allergic to anything known? c. has she had a high fever lately? d. are her immunizations up to date? D