Page 1 of 92
NUR 353 PEDS Exam 1 NEWEST 300
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
NUR 353 Exam 1
An infant with congenital hypothyroidism receives levothyroxine for three months. During
the return appointment, which statement by the mother indicates to the nurse that the drug
is effective?
1
The infant is alert and interactive.
2
The skin is cool to the touch.
3
The baby's fine tremor has ceased.
4
The baby's thyroid stimulating hormone level has increased
1
An infant with hydrocephalus has a ventriculoperitoneal shunt surgically inserted. What
nursing care is essential during the first 24 hours after this procedure?
1
Medicating the infant for pain
2
Placing the infant in a high Fowler position
3
Positioning the infant on the side that has the shunt
1
, Page 2 of 92
4
Monitoring the infant for increasing intracranial pressure
4
What is the priority of preoperative nursing care for an infant with a cleft lip?
1
Preventing crying
2
Modifying feeding
3
Preventing infection
4
Minimizing handling
2
key word = "prep"
The mother of an infant who just underwent cleft lip repair tells the nurse, "He seems
restless. May I hold him?" What information influences the nurse's response?
1
Holding may meet needs and reduce tension on the suture line.
2
Sedation limits activity and decreases tension on the suture line.
3
Handling may increase irritability, causing tension on the suture line.
4
Arm movements cannot be controlled, placing tension on the suture line
1
2
, Page 3 of 92
A 1-month-old infant is admitted to the pediatric unit with a tentative diagnosis of
Hirschsprung disease (congenital aganglionic megacolon). What procedure does the nurse
expect to be used to confirm the diagnosis?
1
Colonoscopy
2
Rectal biopsy
3
Multiple saline enemas
4
Fiberoptic nasoenteric tube
2
A child with hip dysplasia has undergone a closed reduction surgery. The nurse assesses the
child 2 days after the surgery and feels that the treatment and care provided for the child
were not effective. The nurse made this conclusion based on what findings?
1
The child has a staggering gait.
2
The child is unable to walk independently.
3
The child has impaired muscle tone and flexibility.
4
The child's femoral head did not return to the hip socket
4
Which nursing action should be included in the plan of care for a child with acute
poststreptococcal glomerulonephritis?
1
3
, Page 4 of 92
Encouraging fluids
2
Monitoring for seizures
3
Measuring abdominal girth
4
Checking for pupillary reactions
2
Cerebral edema from hypertension or cerebral ischemia may occur, which may result in
seizures. Increasing fluid intake may lead to an increase in blood pressure and edema.
Measuring abdominal girth is appropriate for children with nephrotic syndrome, in which the
child has hypoalbuminemia that causes fluid to shift from plasma to the abdominal cavity.
Glomerulonephritis will not alter pupillary reactions.
What should the plan of care for a newborn with hypospadias include?
1
Preparing the infant for insertion of a cystostomy tube
2
Explaining to the parents the genetic basis for the defect
3
Keeping the infant's penis wrapped with petrolatum gauze
4
Giving the parents reasons why circumcision should not be performed
Correct4
Giving the parents reasons why circumcision should not be performed
The day after undergoing abdominal appendectomy a school-aged child is prepared for
ambulation. Which nursing action would be most effective before the start of ambulation?
1
4
NUR 353 PEDS Exam 1 NEWEST 300
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
NUR 353 Exam 1
An infant with congenital hypothyroidism receives levothyroxine for three months. During
the return appointment, which statement by the mother indicates to the nurse that the drug
is effective?
1
The infant is alert and interactive.
2
The skin is cool to the touch.
3
The baby's fine tremor has ceased.
4
The baby's thyroid stimulating hormone level has increased
1
An infant with hydrocephalus has a ventriculoperitoneal shunt surgically inserted. What
nursing care is essential during the first 24 hours after this procedure?
1
Medicating the infant for pain
2
Placing the infant in a high Fowler position
3
Positioning the infant on the side that has the shunt
1
, Page 2 of 92
4
Monitoring the infant for increasing intracranial pressure
4
What is the priority of preoperative nursing care for an infant with a cleft lip?
1
Preventing crying
2
Modifying feeding
3
Preventing infection
4
Minimizing handling
2
key word = "prep"
The mother of an infant who just underwent cleft lip repair tells the nurse, "He seems
restless. May I hold him?" What information influences the nurse's response?
1
Holding may meet needs and reduce tension on the suture line.
2
Sedation limits activity and decreases tension on the suture line.
3
Handling may increase irritability, causing tension on the suture line.
4
Arm movements cannot be controlled, placing tension on the suture line
1
2
, Page 3 of 92
A 1-month-old infant is admitted to the pediatric unit with a tentative diagnosis of
Hirschsprung disease (congenital aganglionic megacolon). What procedure does the nurse
expect to be used to confirm the diagnosis?
1
Colonoscopy
2
Rectal biopsy
3
Multiple saline enemas
4
Fiberoptic nasoenteric tube
2
A child with hip dysplasia has undergone a closed reduction surgery. The nurse assesses the
child 2 days after the surgery and feels that the treatment and care provided for the child
were not effective. The nurse made this conclusion based on what findings?
1
The child has a staggering gait.
2
The child is unable to walk independently.
3
The child has impaired muscle tone and flexibility.
4
The child's femoral head did not return to the hip socket
4
Which nursing action should be included in the plan of care for a child with acute
poststreptococcal glomerulonephritis?
1
3
, Page 4 of 92
Encouraging fluids
2
Monitoring for seizures
3
Measuring abdominal girth
4
Checking for pupillary reactions
2
Cerebral edema from hypertension or cerebral ischemia may occur, which may result in
seizures. Increasing fluid intake may lead to an increase in blood pressure and edema.
Measuring abdominal girth is appropriate for children with nephrotic syndrome, in which the
child has hypoalbuminemia that causes fluid to shift from plasma to the abdominal cavity.
Glomerulonephritis will not alter pupillary reactions.
What should the plan of care for a newborn with hypospadias include?
1
Preparing the infant for insertion of a cystostomy tube
2
Explaining to the parents the genetic basis for the defect
3
Keeping the infant's penis wrapped with petrolatum gauze
4
Giving the parents reasons why circumcision should not be performed
Correct4
Giving the parents reasons why circumcision should not be performed
The day after undergoing abdominal appendectomy a school-aged child is prepared for
ambulation. Which nursing action would be most effective before the start of ambulation?
1
4
