NURS 232 EXAM REVIEW QUESTIONS AND
ANSWERS
The cnurse cis cassessing ca c7-year-old cchild cwith ctrisomy c21 c(Down csyndrome). cWhich cwould cth
cassess?
1. cInspection cfinds cthe cnasal cpassages cclear cand copen.
2. cAuscultation creveals ca cdefinite cheart cmurmur.
3. cPalpation cindicates cthat cthe cchild cmay cbe cconstipated.
4. cThe cchild cis csignificantly cunderweight. c- cCORRECT cANS✔✔1
cRationale: cIt cis cLEAST cLIKELY cthat cthe cnurse cwould cfind cthe cchild's cnasal cpassages cclear ca
ctrisomy c21 c(Down csyndrome) chave cchronically cstuffy cnoses cdue cto cunderdeveloped cnasal cbo
cDown csyndrome care coverweight. cChildren cwith cDown csyndrome coften cexperience cdigestive cp
cChildren cwith cDown csyndrome coften cexperience ccardiac cproblems, csuch cas ca cheart cmurmur.
Parents chave cjust cgiven cbirth cto ca cchild cdiagnosed cwith ctrisomy c21 c(Down csyndrome). cThe cc
cother cchildren cunder cthe cage cof c8 cyears cold cwith cno cgenetic cdisorders. cWhat cwould cbe ca cpr
ctime?
1. cDecisional cconflict
2. cInterrupted cfamily cprocesses
3. cDeficient cknowledge cregarding ctrisomy c21
4. cRisk cfor cdelayed cgrowth cand cdevelopment c- cCORRECT cANS✔✔3
Rationale: cBased con cthe cchild cjust cbeing cborn cand cthe cparents cdealing cwith cthree cother cchild
cDeficient cknowledge cregarding ctrisomy c21, cfollowed cby cinterrupted cfamily cprocesses.
A cnurse cis cdescribing cthe cunderlying ccause cof ctrisomy c21 c(Down csyndrome) cto ca cgroup cof cpa
,csentences cat c24 cmonths crather cthan c21 cmonths. cBladder ctraining cwould coccur cby c48 cmonths
cchild cwith cDown csyndrome cwill ccrawl cat c11 cmonths crather cthan c9 cmonths.
The cnurse cis ccaring cfor ca c1-year-old cinfant cwith ctrisomy c21 c(Down csyndrome). cWhich cwould ct
cinclude cin cthe cchild's cplan cof ccare?
1. cEducating cparents cabout chow cto cdeal cwith cseizures
2. cPromoting cannual cvision cand chearing ctests
3. cDescribing cthe cimportance cof ca chigh-fiber cdiet
4. cExplaining cdevelopmental cmilestones cto cparents c- cCORRECT cANS✔✔1
Rationale: cIt cis cunlikely cthat cthe cparents cwill cneed cto cknow chow cto cdeal cwith cseizures. cIt cwill
cwith cgrowth cand cdevelopmental cmilestones cthat care cunique cto cchildren cwith ctrisomy c21 c(Dow
cof cchildren cwith cDown csyndrome chave chearing closs, cso cpromoting cannual cvision cand chearing
cintervention. cSpecial cdiets care cusually cnot cnecessary; chowever, ca cbalanced, chigh-fiber cdiet can
cbecause cconstipation cis cfrequently ca cproblem.
The cnurse cis cassessing ca cnewly cadmitted c14-year-old cadolescent cand cnotes cthat cthe cadolesc
ccontact, cbecomes cvery cfrustrated cwith cquestions cand cconversation, cand cdoes cnot csmile cor cla
cwill cthe cnurse cadd cto cthe ccare cplan cbased con cthese cassessment cfindings? c(Select call cthat ca
1. cIneffective cindividual ccoping
2. cDisturbed cthought cprocess
3. cDelayed cgrowth cand cdevelopment
4. cImbalanced cnutrition, cless cthan cbody crequirements
5. cImpaired csocial cinteraction c- cCORRECT cANS✔✔1
5
Rationale: cLimited ceye ccontact, clack cof csmiling csupport cthe cnursing cdiagnosis cof cimpaired csoc
cfrustrated ceasily cwith cconversation csupports cboth cimpaired csocial cinteraction cand cineffective cin
The cnurse cis cperforming cthe cphysical cexamination cof ca cchild cwith cbulimia. cWhat cfindings cwou
csupporting cthis cdisorder? c(Select call cthat capply.)
1. cPink cmoist cgums
2. cSplit cfingernails
3. cBradycardia
4. cEroded cdental cenamel
5. cDry csallow cskin c- cCORRECT cANS✔✔2
4
Rationale: cThe cadolescent cwith cbulimia cwill cbe cof cnormal cweight cor cslightly coverweight. cThe ch
cthe cbacks cof cthe cknuckles cand csplit cfingernails. cThe cmouth cand coropharynx cwill cexhibit cerode
cand can cinflamed cthroat cfrom cself-induced cvomiting. cBradycardia cand cdry csallow cskin csuggest
The cnurse cis cpreparing ca cpresentation cfor ca clocal chealth cfair con cautism cspectrum cdisorders. cW
cnurse cinclude cas cpart cof cthe cpresentation?
1. cCommunication ctherapies care cof clittle cvalue cin ctreating cautism cspectrum cdisorders.
2. cScientific cevidence csupports cthe cuse cof ccomplementary ctherapies.
3. cAutism cspectrum cdisorders ccannot cbe ccured.
4. cChildren crespond cbest cwhen cthe cenvironment cis cless cstructured. c- cCORRECT cANS✔✔3
Rationale: cThere care cno cmedications cor ctreatment cavailable cto ccure cautism cspectrum cdisorder
ccommunication ctherapies care cvery cimportant cin ccaring cfor ca cchild cwith can cautism cspectrum cd
cautism cspectrum cdisorder crespond cvery cwell cto chighly cstructured ceducational cenvironments. cT
calternative cmedical ctherapies chave cnot cbeen cscientifically cproven cto cimprove cautism cspectrum
The cnurse cis cspeaking cwith cthe cparent cof ca c2-year-old cchild crecently cdiagnosed cwith can cautis
cparent casks cabout ceducational cprograms cfor cher cchild. cWhat cis cthe cbest cresponse cby cthe cnu
, Rationale: cMild ccognitive cimpairment cinvolves can cIQ cfrom c50 cto c70. cModerate ccognitive cimpai
cto c50. cSevere ccognitive cimpairment cinvolves can cIQ cfrom c20 cto c35. cA cprofound ccognitive cimp
cthan c20.
The cnurse cis ccaring cfor ca c10-year-old cchild crecently cdiagnosed cwith cattention cdeficit chyperacti
cnurse cwould cexpect cto cprovide cteaching cregarding cwhich cmedication?
1. cFluoxetine
2. cBuspirone
3. cTrazodone
4. cMethylphenidate c- cCORRECT cANS✔✔4
Rationale: cMethylphenidate cis ca cpsychostimulant ccommonly cprescribed cfor cADHD. cTrazodone c
cBuspirone cis cused cfor canxiety. cFluoxetine cis cused cfor cdepression.
The cnurse cis ccaring cfor ca cchild cwith cattention cdeficit chyperactivity cdisorder c(ADHD) cwho cis cex
cthe cprescribed cpsychostimulant. cThe cparents care cconsidering cstopping cthe cmedication cand cw
coptions. cWhich cresponse cby cthe cnurse cwould cbe cmost cappropriate?
1. c"Perhaps cthe chealth ccare cprovider cwill cprescribe clong-acting cdextroamphetamine."
2. c"Talk cto cthe chealth ccare cprovider cabout cdextroamphetamine."
3. c"Speak cto cthe chealthcare cprovider cabout catomoxetine."
4. c"Ask cthe chealth ccare cprovider cabout clong-acting cmethylphenidate." c- cCORRECT cANS✔✔4
Rationale: cThe cnurse ccould csuggest cthat cthe cparents cspeak cto cthe chealthcare cprovider cabout
cnorepinephrine creuptake cinhibitor cthat cdoes cnot ccontribute cto cinsomnia. cDextroamphetamine, c
cdextroamphetamine, cand clong-acting cmethylphenidate care cpsychostimulants; cthe cchild cis calrea
cand chaving cdifficulty cwith cinsomnia, cso cthese cwould cnot cbe cgood coptions.
The cnurse cis cobtaining cthe chistory cof can cadolescent cwho cis csuspected cof chaving canorexia cne
cthe cnurse cexpect? c(Select call cthat capply.)
1. cSecondary camenorrhea
2. cWarm chands cand cfeet
3. cDiarrhea
4. cSyncope
5. cDesire cfor cperfectionism c- cCORRECT cANS✔✔1
4
5
Rationale: cThe cadolescent cwith canorexia cmay chave ca chistory cof cconstipation, csyncope, csecon
cpain, cand cperiodic cepisodes cof ccold chands cand cfeet. cIn caddition, cthe cchild's cself-concept creve
cfor cacceptance, cdisordered cbody cimage, cand cperfectionism.
The cnurse cis ccaring cfor ca cchild cwho chas cbeen chospitalized crepeatedly cat cmultiple chospitals. cT
cdiagnosis cand cthe cparent cis cthreatening cto cleave cthe chospital cagainst cmedical cadvice. cThe cn
1. cSexual cabuse
2. cAnxiety cdisorder
3. cBipolar cdisorder
4. cMedical cchild cabuse c- cCORRECT cANS✔✔4
Rationale: cRepeated chospitalizations cthat cfail cto cproduce ca cmedical cdiagnosis, ctransfers cto coth
cagainst cmedical cadvice care cwarning csigns cof cMedical cchild cabuse c(Münchhausen csyndrome cb
The cnurse cis ccaring cfor ca c10-year-old cchild cwith ca chistory cof cinappropriate cbehavior. cWhich cs
clead cthe cnurse cto csuspect cpossible cconduct cdisorder?
ANSWERS
The cnurse cis cassessing ca c7-year-old cchild cwith ctrisomy c21 c(Down csyndrome). cWhich cwould cth
cassess?
1. cInspection cfinds cthe cnasal cpassages cclear cand copen.
2. cAuscultation creveals ca cdefinite cheart cmurmur.
3. cPalpation cindicates cthat cthe cchild cmay cbe cconstipated.
4. cThe cchild cis csignificantly cunderweight. c- cCORRECT cANS✔✔1
cRationale: cIt cis cLEAST cLIKELY cthat cthe cnurse cwould cfind cthe cchild's cnasal cpassages cclear ca
ctrisomy c21 c(Down csyndrome) chave cchronically cstuffy cnoses cdue cto cunderdeveloped cnasal cbo
cDown csyndrome care coverweight. cChildren cwith cDown csyndrome coften cexperience cdigestive cp
cChildren cwith cDown csyndrome coften cexperience ccardiac cproblems, csuch cas ca cheart cmurmur.
Parents chave cjust cgiven cbirth cto ca cchild cdiagnosed cwith ctrisomy c21 c(Down csyndrome). cThe cc
cother cchildren cunder cthe cage cof c8 cyears cold cwith cno cgenetic cdisorders. cWhat cwould cbe ca cpr
ctime?
1. cDecisional cconflict
2. cInterrupted cfamily cprocesses
3. cDeficient cknowledge cregarding ctrisomy c21
4. cRisk cfor cdelayed cgrowth cand cdevelopment c- cCORRECT cANS✔✔3
Rationale: cBased con cthe cchild cjust cbeing cborn cand cthe cparents cdealing cwith cthree cother cchild
cDeficient cknowledge cregarding ctrisomy c21, cfollowed cby cinterrupted cfamily cprocesses.
A cnurse cis cdescribing cthe cunderlying ccause cof ctrisomy c21 c(Down csyndrome) cto ca cgroup cof cpa
,csentences cat c24 cmonths crather cthan c21 cmonths. cBladder ctraining cwould coccur cby c48 cmonths
cchild cwith cDown csyndrome cwill ccrawl cat c11 cmonths crather cthan c9 cmonths.
The cnurse cis ccaring cfor ca c1-year-old cinfant cwith ctrisomy c21 c(Down csyndrome). cWhich cwould ct
cinclude cin cthe cchild's cplan cof ccare?
1. cEducating cparents cabout chow cto cdeal cwith cseizures
2. cPromoting cannual cvision cand chearing ctests
3. cDescribing cthe cimportance cof ca chigh-fiber cdiet
4. cExplaining cdevelopmental cmilestones cto cparents c- cCORRECT cANS✔✔1
Rationale: cIt cis cunlikely cthat cthe cparents cwill cneed cto cknow chow cto cdeal cwith cseizures. cIt cwill
cwith cgrowth cand cdevelopmental cmilestones cthat care cunique cto cchildren cwith ctrisomy c21 c(Dow
cof cchildren cwith cDown csyndrome chave chearing closs, cso cpromoting cannual cvision cand chearing
cintervention. cSpecial cdiets care cusually cnot cnecessary; chowever, ca cbalanced, chigh-fiber cdiet can
cbecause cconstipation cis cfrequently ca cproblem.
The cnurse cis cassessing ca cnewly cadmitted c14-year-old cadolescent cand cnotes cthat cthe cadolesc
ccontact, cbecomes cvery cfrustrated cwith cquestions cand cconversation, cand cdoes cnot csmile cor cla
cwill cthe cnurse cadd cto cthe ccare cplan cbased con cthese cassessment cfindings? c(Select call cthat ca
1. cIneffective cindividual ccoping
2. cDisturbed cthought cprocess
3. cDelayed cgrowth cand cdevelopment
4. cImbalanced cnutrition, cless cthan cbody crequirements
5. cImpaired csocial cinteraction c- cCORRECT cANS✔✔1
5
Rationale: cLimited ceye ccontact, clack cof csmiling csupport cthe cnursing cdiagnosis cof cimpaired csoc
cfrustrated ceasily cwith cconversation csupports cboth cimpaired csocial cinteraction cand cineffective cin
The cnurse cis cperforming cthe cphysical cexamination cof ca cchild cwith cbulimia. cWhat cfindings cwou
csupporting cthis cdisorder? c(Select call cthat capply.)
1. cPink cmoist cgums
2. cSplit cfingernails
3. cBradycardia
4. cEroded cdental cenamel
5. cDry csallow cskin c- cCORRECT cANS✔✔2
4
Rationale: cThe cadolescent cwith cbulimia cwill cbe cof cnormal cweight cor cslightly coverweight. cThe ch
cthe cbacks cof cthe cknuckles cand csplit cfingernails. cThe cmouth cand coropharynx cwill cexhibit cerode
cand can cinflamed cthroat cfrom cself-induced cvomiting. cBradycardia cand cdry csallow cskin csuggest
The cnurse cis cpreparing ca cpresentation cfor ca clocal chealth cfair con cautism cspectrum cdisorders. cW
cnurse cinclude cas cpart cof cthe cpresentation?
1. cCommunication ctherapies care cof clittle cvalue cin ctreating cautism cspectrum cdisorders.
2. cScientific cevidence csupports cthe cuse cof ccomplementary ctherapies.
3. cAutism cspectrum cdisorders ccannot cbe ccured.
4. cChildren crespond cbest cwhen cthe cenvironment cis cless cstructured. c- cCORRECT cANS✔✔3
Rationale: cThere care cno cmedications cor ctreatment cavailable cto ccure cautism cspectrum cdisorder
ccommunication ctherapies care cvery cimportant cin ccaring cfor ca cchild cwith can cautism cspectrum cd
cautism cspectrum cdisorder crespond cvery cwell cto chighly cstructured ceducational cenvironments. cT
calternative cmedical ctherapies chave cnot cbeen cscientifically cproven cto cimprove cautism cspectrum
The cnurse cis cspeaking cwith cthe cparent cof ca c2-year-old cchild crecently cdiagnosed cwith can cautis
cparent casks cabout ceducational cprograms cfor cher cchild. cWhat cis cthe cbest cresponse cby cthe cnu
, Rationale: cMild ccognitive cimpairment cinvolves can cIQ cfrom c50 cto c70. cModerate ccognitive cimpai
cto c50. cSevere ccognitive cimpairment cinvolves can cIQ cfrom c20 cto c35. cA cprofound ccognitive cimp
cthan c20.
The cnurse cis ccaring cfor ca c10-year-old cchild crecently cdiagnosed cwith cattention cdeficit chyperacti
cnurse cwould cexpect cto cprovide cteaching cregarding cwhich cmedication?
1. cFluoxetine
2. cBuspirone
3. cTrazodone
4. cMethylphenidate c- cCORRECT cANS✔✔4
Rationale: cMethylphenidate cis ca cpsychostimulant ccommonly cprescribed cfor cADHD. cTrazodone c
cBuspirone cis cused cfor canxiety. cFluoxetine cis cused cfor cdepression.
The cnurse cis ccaring cfor ca cchild cwith cattention cdeficit chyperactivity cdisorder c(ADHD) cwho cis cex
cthe cprescribed cpsychostimulant. cThe cparents care cconsidering cstopping cthe cmedication cand cw
coptions. cWhich cresponse cby cthe cnurse cwould cbe cmost cappropriate?
1. c"Perhaps cthe chealth ccare cprovider cwill cprescribe clong-acting cdextroamphetamine."
2. c"Talk cto cthe chealth ccare cprovider cabout cdextroamphetamine."
3. c"Speak cto cthe chealthcare cprovider cabout catomoxetine."
4. c"Ask cthe chealth ccare cprovider cabout clong-acting cmethylphenidate." c- cCORRECT cANS✔✔4
Rationale: cThe cnurse ccould csuggest cthat cthe cparents cspeak cto cthe chealthcare cprovider cabout
cnorepinephrine creuptake cinhibitor cthat cdoes cnot ccontribute cto cinsomnia. cDextroamphetamine, c
cdextroamphetamine, cand clong-acting cmethylphenidate care cpsychostimulants; cthe cchild cis calrea
cand chaving cdifficulty cwith cinsomnia, cso cthese cwould cnot cbe cgood coptions.
The cnurse cis cobtaining cthe chistory cof can cadolescent cwho cis csuspected cof chaving canorexia cne
cthe cnurse cexpect? c(Select call cthat capply.)
1. cSecondary camenorrhea
2. cWarm chands cand cfeet
3. cDiarrhea
4. cSyncope
5. cDesire cfor cperfectionism c- cCORRECT cANS✔✔1
4
5
Rationale: cThe cadolescent cwith canorexia cmay chave ca chistory cof cconstipation, csyncope, csecon
cpain, cand cperiodic cepisodes cof ccold chands cand cfeet. cIn caddition, cthe cchild's cself-concept creve
cfor cacceptance, cdisordered cbody cimage, cand cperfectionism.
The cnurse cis ccaring cfor ca cchild cwho chas cbeen chospitalized crepeatedly cat cmultiple chospitals. cT
cdiagnosis cand cthe cparent cis cthreatening cto cleave cthe chospital cagainst cmedical cadvice. cThe cn
1. cSexual cabuse
2. cAnxiety cdisorder
3. cBipolar cdisorder
4. cMedical cchild cabuse c- cCORRECT cANS✔✔4
Rationale: cRepeated chospitalizations cthat cfail cto cproduce ca cmedical cdiagnosis, ctransfers cto coth
cagainst cmedical cadvice care cwarning csigns cof cMedical cchild cabuse c(Münchhausen csyndrome cb
The cnurse cis ccaring cfor ca c10-year-old cchild cwith ca chistory cof cinappropriate cbehavior. cWhich cs
clead cthe cnurse cto csuspect cpossible cconduct cdisorder?
