NR 328 EXAM 2 2025 | ALL QUESTIONS AND CORRECT ANSWERS |
NR328 Exam 2
GRADED A+ | VERIFIED ANSWERS | LATEST EXAM 2025
Study online at https://quizlet.com/_h2yg0y
1. A 10-month-old is admitted for persistent vomit- Feed infant in upright position
ing and suspected GERD. The nurse notes weight Add rice cereal to formula as or-
loss and irritability during feeds. dered
Which of the following nursing interventions are Offer small, frequent feedings
appropriate? (Select all that apply)
a. Feed infant in upright position
b. Add rice cereal to formula as ordered
c. Lay infant flat after feeds to reduce reflux
d. Offer small, frequent feedings
e. Encourage the parent to thicken formula with
juice
2. A child receiving chemotherapy develops bruising, Place child on protective isola-
fatigue, and fever. The WBC is 2,000/mm³, hemo- tion
globin is 7.5 g/dL, and platelets are 48,000.
What is the priority nursing action?
3. A 6-year-old with a history of head trauma is now Prepare for head CT
drowsy and vomiting. Pupils are unequal and slug- Notify the provider
gish.
What two things should the nurse do? (Select 2)
Notify the provider
Reassess in 30 minutes
Prepare for head CT
Start oral fluids
Dim the lights and cluster care
4. Order: Ibuprofen 10 mg/kg/dose PO every 6 hours 9 mL
PRN for painChild's weight: 18 kg Available: 100
, NR328 Exam 2
Study online at https://quizlet.com/_h2yg0y
mg/5 mLHow many mL per dose will the nurse
administer?
5. A 13-year-old with juvenile idiopathic arthritis (JIA) "Take warm showers in the
complains of morning stiffness and joint pain. morning to loosen joints."
What is the nurse's priority teaching?
6. A 6-week-old infant presents with projectile vom- Pyloric stenosis
iting after feeds and signs of dehydration. The
nurse palpates a small, firm olive shaped mass in
the RUQ.
What is the most likely diagnosis?
7. A child undergoing chemotherapy is at risk for a. Anemia
which complications? (Select all that apply) b. Thrombocytopenia
d. Neutropenia
a. Anemia e. Alopecia
b. Thrombocytopenia
c. Hypercalcemia
d. Neutropenia
e. Alopecia
8. A 2-month-old is admitted for seizures. The parent Prepare suction and monitor
states the baby stares off, stiffens, and jerks the oxygenation
arms. The nurse observes a brief apnea episode.
What is the priority intervention?
9. A 14-year-old with scoliosis is in a thoracolum- Encourage wearing a cotton
bosacral orthosis (TLSO) brace. She reports skin shirt under the brace
irritation and doesn't want to wear it to school. Encourage journaling or peer
What two things should the nurse do? (Select 2) support
, NR328 Exam 2
Study online at https://quizlet.com/_h2yg0y
Encourage wearing a cotton shirt under the brace
Suggest only wearing it at home
Explain long-term consequences of noncompli-
ance
Report noncompliance to school counselor
Encourage journaling or peer support
10. Order: Ondansetron 0.15 mg/kg IV before 1.5 mL
chemoWeight: 20 kgAvailable: 2 mg/mL vialHow
many mL should the nurse administer?
11. A 3-year-old with Hirschsprung disease is post-op Notify the provider
from bowel resection. The child has abdominal
distention and no stool output in 24 hours.
What should the nurse do first?
12. A child receiving chemotherapy suddenly be- Hyperkalemia
comes weak and has muscle cramps. Which lab re- Hyperphosphatemia
sults would support tumor lysis syndrome? (Select Hypocalcemia
all that apply)
a. Hyperkalemia
b. Hypouricemia
c. Hyperphosphatemia
d. Hypocalcemia
e. Hyponatremia
13. A child with a VP shunt for hydrocephalus is Shunt malfunction
drowsy, has nausea, and a bulging fontanel.
What is the priority nursing concern?
14. A child in a long-leg cast reports new onset of pain, Check pulses and cap refill
tingling, and foot appears pale. Notify the provider immediately
, NR328 Exam 2
Study online at https://quizlet.com/_h2yg0y
What two things should the nurse do? (Select 2)
Elevate the leg and reassess in 30 minutes
Check pulses and cap refill
Loosen the cast
Notify the provider immediately
Give PRN morphine
15. Order: Ondansetron 0.1 mg/kg IV q6h PRNWeight: 0.75 mL
15 kgAvailable: 2 mg/mL How many mL will the
nurse administer?
16. A 2-month-old with suspected Hirschsprung dis- Rectal biopsy
ease has chronic constipation, poor feeding, and
a distended abdomen. What test confirms the di-
agnosis?
17. Which nursing interventions are appropriate for a Use a soft toothbrush
child with thrombocytopenia? (Select all that ap- Avoid IM injections
ply) Apply pressure after venipunc-
ture
a. Use a soft toothbrush
b. Avoid IM injections
c. Apply pressure after venipuncture
d. Administer PRN ibuprofen for fever
e. Use rectal suppositories for constipation
18. A child is having a generalized tonic-clonic seizure. Time the seizure and keep child
What is the priority action? safe
19. A 5-year-old is in skeletal traction for a femur frac- a. Ensure weights hang freely
ture. Which nursing actions are appropriate? (Se- b. Inspect pin sites for
lect all that apply) drainage
NR328 Exam 2
GRADED A+ | VERIFIED ANSWERS | LATEST EXAM 2025
Study online at https://quizlet.com/_h2yg0y
1. A 10-month-old is admitted for persistent vomit- Feed infant in upright position
ing and suspected GERD. The nurse notes weight Add rice cereal to formula as or-
loss and irritability during feeds. dered
Which of the following nursing interventions are Offer small, frequent feedings
appropriate? (Select all that apply)
a. Feed infant in upright position
b. Add rice cereal to formula as ordered
c. Lay infant flat after feeds to reduce reflux
d. Offer small, frequent feedings
e. Encourage the parent to thicken formula with
juice
2. A child receiving chemotherapy develops bruising, Place child on protective isola-
fatigue, and fever. The WBC is 2,000/mm³, hemo- tion
globin is 7.5 g/dL, and platelets are 48,000.
What is the priority nursing action?
3. A 6-year-old with a history of head trauma is now Prepare for head CT
drowsy and vomiting. Pupils are unequal and slug- Notify the provider
gish.
What two things should the nurse do? (Select 2)
Notify the provider
Reassess in 30 minutes
Prepare for head CT
Start oral fluids
Dim the lights and cluster care
4. Order: Ibuprofen 10 mg/kg/dose PO every 6 hours 9 mL
PRN for painChild's weight: 18 kg Available: 100
, NR328 Exam 2
Study online at https://quizlet.com/_h2yg0y
mg/5 mLHow many mL per dose will the nurse
administer?
5. A 13-year-old with juvenile idiopathic arthritis (JIA) "Take warm showers in the
complains of morning stiffness and joint pain. morning to loosen joints."
What is the nurse's priority teaching?
6. A 6-week-old infant presents with projectile vom- Pyloric stenosis
iting after feeds and signs of dehydration. The
nurse palpates a small, firm olive shaped mass in
the RUQ.
What is the most likely diagnosis?
7. A child undergoing chemotherapy is at risk for a. Anemia
which complications? (Select all that apply) b. Thrombocytopenia
d. Neutropenia
a. Anemia e. Alopecia
b. Thrombocytopenia
c. Hypercalcemia
d. Neutropenia
e. Alopecia
8. A 2-month-old is admitted for seizures. The parent Prepare suction and monitor
states the baby stares off, stiffens, and jerks the oxygenation
arms. The nurse observes a brief apnea episode.
What is the priority intervention?
9. A 14-year-old with scoliosis is in a thoracolum- Encourage wearing a cotton
bosacral orthosis (TLSO) brace. She reports skin shirt under the brace
irritation and doesn't want to wear it to school. Encourage journaling or peer
What two things should the nurse do? (Select 2) support
, NR328 Exam 2
Study online at https://quizlet.com/_h2yg0y
Encourage wearing a cotton shirt under the brace
Suggest only wearing it at home
Explain long-term consequences of noncompli-
ance
Report noncompliance to school counselor
Encourage journaling or peer support
10. Order: Ondansetron 0.15 mg/kg IV before 1.5 mL
chemoWeight: 20 kgAvailable: 2 mg/mL vialHow
many mL should the nurse administer?
11. A 3-year-old with Hirschsprung disease is post-op Notify the provider
from bowel resection. The child has abdominal
distention and no stool output in 24 hours.
What should the nurse do first?
12. A child receiving chemotherapy suddenly be- Hyperkalemia
comes weak and has muscle cramps. Which lab re- Hyperphosphatemia
sults would support tumor lysis syndrome? (Select Hypocalcemia
all that apply)
a. Hyperkalemia
b. Hypouricemia
c. Hyperphosphatemia
d. Hypocalcemia
e. Hyponatremia
13. A child with a VP shunt for hydrocephalus is Shunt malfunction
drowsy, has nausea, and a bulging fontanel.
What is the priority nursing concern?
14. A child in a long-leg cast reports new onset of pain, Check pulses and cap refill
tingling, and foot appears pale. Notify the provider immediately
, NR328 Exam 2
Study online at https://quizlet.com/_h2yg0y
What two things should the nurse do? (Select 2)
Elevate the leg and reassess in 30 minutes
Check pulses and cap refill
Loosen the cast
Notify the provider immediately
Give PRN morphine
15. Order: Ondansetron 0.1 mg/kg IV q6h PRNWeight: 0.75 mL
15 kgAvailable: 2 mg/mL How many mL will the
nurse administer?
16. A 2-month-old with suspected Hirschsprung dis- Rectal biopsy
ease has chronic constipation, poor feeding, and
a distended abdomen. What test confirms the di-
agnosis?
17. Which nursing interventions are appropriate for a Use a soft toothbrush
child with thrombocytopenia? (Select all that ap- Avoid IM injections
ply) Apply pressure after venipunc-
ture
a. Use a soft toothbrush
b. Avoid IM injections
c. Apply pressure after venipuncture
d. Administer PRN ibuprofen for fever
e. Use rectal suppositories for constipation
18. A child is having a generalized tonic-clonic seizure. Time the seizure and keep child
What is the priority action? safe
19. A 5-year-old is in skeletal traction for a femur frac- a. Ensure weights hang freely
ture. Which nursing actions are appropriate? (Se- b. Inspect pin sites for
lect all that apply) drainage
