NURS 328 EXAM #2 PREP QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS 100%
CORRECT
}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. nasogastric tube to straight drainage
D. lay the child supine or side lying position
E. establish IV access and administer antibiotics
F. rectal temperature - correct answer- A, B, and E
}While performing an exam on a 7 month old infant, the nurse
would suspect cerebral palsy in the following finding(s) (select all
that apply)
A. tongue extrusion
,B. positive tonic neck reflex
C. absence moro reflex
D. no head lag- pull to sitting
E. scissoring of legs in ventral suspension - correct answer-
A, B, and E
12-year-old Caroline has recurring nephrotic syndrome. Which
of the following areas of potential disturbances should be a
prime consideration when planning ongoing nursing care?
A. Body image
B. Sexual maturation
C. Muscle coordination
D. Intellectual development - correct answer- A. Body image
Rationale: Related to the edema seen w/ nephrotic syndrome
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 - correct answer- b. is
irritable and vomiting
A 12-year-old child is in the urgent care clinic with a complaint of
fever, headache, and sore throat. A diagnosis of group A β-
hemolytic streptococcus (GABHS) pharyngitis is established with
a rapid-strep test, and oral penicillin is prescribed. The nurse
knows that which of the following statements about GABHS is
correct?
A. Children with a GABHS infection are less likely to contract the
illness again after the antibiotic regimen is completed.
B. A follow-up throat culture is recommended after the
completion of antibiotic therapy.
C. Children with a GABHS infection are at increased risk for the
development of rheumatic fever and glomerulonephritis.
D. Children with a GABHS infection are at increased risk for the
development of rheumatoid arthritis in adulthood. - correct
answer- C. Children with a GABHS infection are at increased
risk for the development of rheumatic fever and
glomerulonephritis.
, A 16-month-old has a history of diarrhea for 3 days with poor
oral intake. He received intravenous fluids, has tolerated some
oral fluids in the emergency department, and is being discharged
home. Instructions for diet for this child should include:
A. BRAT diet (bananas, rice, applesauce, and toast) for 24 hours,
then a soft diet as tolerated
B. Chicken or beef broth for 24 hours, then resume a soft diet
C. Offer a regular diet as child's appetite warrants
D. Keep on clear liquids and toast for 24 hours - correct answer-
C. Offer a regular diet as child's appetite warrants
A 2-month-old formerly healthy infant born at term is seen in
the urgent care clinic with intercostal retractions, respiratory
rate of 62, heart rate of 128, refusal to breastfeed, abundant
nasal secretions, and a pulse oximeter reading of 88% in room
air. The diagnosis of respiratory syncytial virus is made. The
infant's oxygen saturation remains 95% in room air, and the
respiratory rate is 54, with intercostal retractions; heart rate is
120 beats per minute. After 2 hours of observation and an
intravenous bolus of fluids, the infant is being discharged home.
The nurse provides which of the following home care
instructions for this infant? Select all that apply.
ANSWERS WITH VERIFIED SOLUTIONS 100%
CORRECT
}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. nasogastric tube to straight drainage
D. lay the child supine or side lying position
E. establish IV access and administer antibiotics
F. rectal temperature - correct answer- A, B, and E
}While performing an exam on a 7 month old infant, the nurse
would suspect cerebral palsy in the following finding(s) (select all
that apply)
A. tongue extrusion
,B. positive tonic neck reflex
C. absence moro reflex
D. no head lag- pull to sitting
E. scissoring of legs in ventral suspension - correct answer-
A, B, and E
12-year-old Caroline has recurring nephrotic syndrome. Which
of the following areas of potential disturbances should be a
prime consideration when planning ongoing nursing care?
A. Body image
B. Sexual maturation
C. Muscle coordination
D. Intellectual development - correct answer- A. Body image
Rationale: Related to the edema seen w/ nephrotic syndrome
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 - correct answer- b. is
irritable and vomiting
A 12-year-old child is in the urgent care clinic with a complaint of
fever, headache, and sore throat. A diagnosis of group A β-
hemolytic streptococcus (GABHS) pharyngitis is established with
a rapid-strep test, and oral penicillin is prescribed. The nurse
knows that which of the following statements about GABHS is
correct?
A. Children with a GABHS infection are less likely to contract the
illness again after the antibiotic regimen is completed.
B. A follow-up throat culture is recommended after the
completion of antibiotic therapy.
C. Children with a GABHS infection are at increased risk for the
development of rheumatic fever and glomerulonephritis.
D. Children with a GABHS infection are at increased risk for the
development of rheumatoid arthritis in adulthood. - correct
answer- C. Children with a GABHS infection are at increased
risk for the development of rheumatic fever and
glomerulonephritis.
, A 16-month-old has a history of diarrhea for 3 days with poor
oral intake. He received intravenous fluids, has tolerated some
oral fluids in the emergency department, and is being discharged
home. Instructions for diet for this child should include:
A. BRAT diet (bananas, rice, applesauce, and toast) for 24 hours,
then a soft diet as tolerated
B. Chicken or beef broth for 24 hours, then resume a soft diet
C. Offer a regular diet as child's appetite warrants
D. Keep on clear liquids and toast for 24 hours - correct answer-
C. Offer a regular diet as child's appetite warrants
A 2-month-old formerly healthy infant born at term is seen in
the urgent care clinic with intercostal retractions, respiratory
rate of 62, heart rate of 128, refusal to breastfeed, abundant
nasal secretions, and a pulse oximeter reading of 88% in room
air. The diagnosis of respiratory syncytial virus is made. The
infant's oxygen saturation remains 95% in room air, and the
respiratory rate is 54, with intercostal retractions; heart rate is
120 beats per minute. After 2 hours of observation and an
intravenous bolus of fluids, the infant is being discharged home.
The nurse provides which of the following home care
instructions for this infant? Select all that apply.
