Page 1 of 51
NURS 328 Exam 2 accurate and verified questions
covering a broad range of pediatric nursing topics, with
a focus on neurological, respiratory, gastrointestinal,
genitourinary, and musculoskeletal disorders in infants
and children
A 10 month old is admitted after receiving a
ventriculoperitoneal shunt. Which assessment would indicate
malfunction in this shunt? The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has a fontanel that is full and soft ......ANSWER........b. is
irritable and vomiting
A newborn is being delivered with a known myelomeningocele.
The nurse attending the delivery will perform the following
activities. Select all that apply.
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
f. Rectal temperature ......ANSWER........a. Sterile saline and
gauze dressings
b. Latex free environment
d. Lay the child prone
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e. Establish IV access
A 4 month old infant has a tonic clonic seizure. It is important
during this time for the nurse to do which of the following
interventions? Select all that apply.
a. Time and observe the infant's reactions
b. Place an oral airway during the infant's seizure
c. Administer anticonvulsants as ordered
d. Restrain the infant
e. Ensure a bag and mask is at bedside ......ANSWER. a.
Time
and observe the infant's reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
A 3 year child, admitted to the pediatric floor for seizure
control, has a generalized tonic-clonic seizure. The initial action
the nurse should perform is:
a. Place child on his side and assess the child.
b. Take off the child's clothes and administer oxygen.
c. Hold the child down and try to communicate with the
patient.
d. Call the MD ......ANSWER........a. Place child on his side and
assess the child.
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A nurse is expecting a delivery of a baby with
myelomeningocele. The nurse is aware that this defect in
comparison to a meningocele is that this infant will have:
a. An open sac over the lumbar area
b. Lower extremity paralysis
c. Infections of the spinal fluid
d. Meningitis ......ANSWER........b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in respiratory
distress. The baby has copious secretions, increased work of
breathing, cyanosis, and a respiratory rate of 78. What is the
most appropriate initial nursing intervention?
a. Attempt to calm the infant by placing him in his mother's lap
and offering him a bottle.
b. Alert the physician to the situation and ask for an order for
a stat chest x-ray.
c. Suction secretions, provide 100% oxygen via mask, and
anticipate respiratory failure.
d. Bring the emergency equipment to the room and begin
bag- valve-mask ventilation ......ANSWER........c. Suction
secretions, provide 100% oxygen via mask, and anticipate
respiratory failure.
no oral feeds rr over 60
When caring for a child following a tonsillectomy, what should
the nurse do?
, Page 4 of 51
a. Watch for continuous swallowing.
b. Encourage gargling to reduce discomfort.
c. Position the child on the back for sleeping.
d. Apply warm compresses to the throat. ......ANSWER. a.
Watch for continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike"
croaking sounds on inspiration, is agitated, and is drooling. She
insists on sitting upright. what should the nurse do?
a. Examine her oral pharynx and report to the physician
b. Make her lie down and rest quietly
c. Auscultate her lungs, and make preparations for placement
in a mist tent.
d. Notify the physician immediately and be prepared to assist
with a tracheostomy or intubation ......ANSWER........d. Notify the
physician immediately and be prepared to assist with a
tracheostomy or intubation
Apnea of infancy has been diagnosed in an infant who will soon
be discharged with home monitoring. Which information should
the nurse include when teaching the parents about the infant's
care?
a. Cardiopulmonary resuscitation
b. Importance of adequate fluids
c. Reassurance that the infant cannot be electrocuted during
monitoring
NURS 328 Exam 2 accurate and verified questions
covering a broad range of pediatric nursing topics, with
a focus on neurological, respiratory, gastrointestinal,
genitourinary, and musculoskeletal disorders in infants
and children
A 10 month old is admitted after receiving a
ventriculoperitoneal shunt. Which assessment would indicate
malfunction in this shunt? The infant...
a. cries but quiets when held
b. is irritable and vomiting
c. has an increased abdominal girth
d. has a fontanel that is full and soft ......ANSWER........b. is
irritable and vomiting
A newborn is being delivered with a known myelomeningocele.
The nurse attending the delivery will perform the following
activities. Select all that apply.
a. Sterile saline and gauze dressings
b. Latex free environment
c. NGT to straight drainage
d. Lay the child prone
e. Establish IV access
f. Rectal temperature ......ANSWER........a. Sterile saline and
gauze dressings
b. Latex free environment
d. Lay the child prone
,Page 2 of 51
e. Establish IV access
A 4 month old infant has a tonic clonic seizure. It is important
during this time for the nurse to do which of the following
interventions? Select all that apply.
a. Time and observe the infant's reactions
b. Place an oral airway during the infant's seizure
c. Administer anticonvulsants as ordered
d. Restrain the infant
e. Ensure a bag and mask is at bedside ......ANSWER. a.
Time
and observe the infant's reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
A 3 year child, admitted to the pediatric floor for seizure
control, has a generalized tonic-clonic seizure. The initial action
the nurse should perform is:
a. Place child on his side and assess the child.
b. Take off the child's clothes and administer oxygen.
c. Hold the child down and try to communicate with the
patient.
d. Call the MD ......ANSWER........a. Place child on his side and
assess the child.
,Page 3 of 51
A nurse is expecting a delivery of a baby with
myelomeningocele. The nurse is aware that this defect in
comparison to a meningocele is that this infant will have:
a. An open sac over the lumbar area
b. Lower extremity paralysis
c. Infections of the spinal fluid
d. Meningitis ......ANSWER........b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in respiratory
distress. The baby has copious secretions, increased work of
breathing, cyanosis, and a respiratory rate of 78. What is the
most appropriate initial nursing intervention?
a. Attempt to calm the infant by placing him in his mother's lap
and offering him a bottle.
b. Alert the physician to the situation and ask for an order for
a stat chest x-ray.
c. Suction secretions, provide 100% oxygen via mask, and
anticipate respiratory failure.
d. Bring the emergency equipment to the room and begin
bag- valve-mask ventilation ......ANSWER........c. Suction
secretions, provide 100% oxygen via mask, and anticipate
respiratory failure.
no oral feeds rr over 60
When caring for a child following a tonsillectomy, what should
the nurse do?
, Page 4 of 51
a. Watch for continuous swallowing.
b. Encourage gargling to reduce discomfort.
c. Position the child on the back for sleeping.
d. Apply warm compresses to the throat. ......ANSWER. a.
Watch for continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike"
croaking sounds on inspiration, is agitated, and is drooling. She
insists on sitting upright. what should the nurse do?
a. Examine her oral pharynx and report to the physician
b. Make her lie down and rest quietly
c. Auscultate her lungs, and make preparations for placement
in a mist tent.
d. Notify the physician immediately and be prepared to assist
with a tracheostomy or intubation ......ANSWER........d. Notify the
physician immediately and be prepared to assist with a
tracheostomy or intubation
Apnea of infancy has been diagnosed in an infant who will soon
be discharged with home monitoring. Which information should
the nurse include when teaching the parents about the infant's
care?
a. Cardiopulmonary resuscitation
b. Importance of adequate fluids
c. Reassurance that the infant cannot be electrocuted during
monitoring
