NURS 328 Exam 2 – Questions With Proper
Solutions
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Terms in this set (122)
A 10 month old is admitted b. is irritable and vomiting
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
A newborn is being a. Sterile saline and gauze dressings
delivered with a known b. Latex free environment
myelomeningocele. The d. Lay the child prone
nurse attending the e. Establish IV access
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
,A 4 month old infant has a a. Time and observe the infant's reactions
tonic clonic seizure. It is c. Administer anticonvulsants as ordered
important during this time e. Ensure a bag and mask is at bedside
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
A 3 year child, admitted to a. Place child on his side and assess the child.
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
,A nurse is expecting a b. Lower extremity paralysis
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
A 5 month old infant with c. Suction secretions, provide 100% oxygen via mask,
RSV bronchiolitis is in and anticipate respiratory failure.
respiratory distress. The
baby has copious no oral feeds rr over 60
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
, When caring for a child a. Watch for continuous swallowing.
following a tonsillectomy,
what should the nurse do?
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.
A 4-year old girl is brought d. Notify the physician immediately and be prepared to
to the ED. She has "froglike" assist with a tracheostomy or intubation
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
Solutions
Save
Terms in this set (122)
A 10 month old is admitted b. is irritable and vomiting
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
A newborn is being a. Sterile saline and gauze dressings
delivered with a known b. Latex free environment
myelomeningocele. The d. Lay the child prone
nurse attending the e. Establish IV access
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
,A 4 month old infant has a a. Time and observe the infant's reactions
tonic clonic seizure. It is c. Administer anticonvulsants as ordered
important during this time e. Ensure a bag and mask is at bedside
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
A 3 year child, admitted to a. Place child on his side and assess the child.
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
,A nurse is expecting a b. Lower extremity paralysis
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
A 5 month old infant with c. Suction secretions, provide 100% oxygen via mask,
RSV bronchiolitis is in and anticipate respiratory failure.
respiratory distress. The
baby has copious no oral feeds rr over 60
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
, When caring for a child a. Watch for continuous swallowing.
following a tonsillectomy,
what should the nurse do?
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.
A 4-year old girl is brought d. Notify the physician immediately and be prepared to
to the ED. She has "froglike" assist with a tracheostomy or intubation
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
