NURS 328 Exam #2 Questions and
answers 100% Pass
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 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. NGT to straight drainage
,d. Lay the child prone
e. Establish IV access
f. Rectal temperature - CORRECT ANSWER-a, b, d, and e
A 4 month old infant has a tonic clonic seizure. It is important during this time 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 - CORRECT ANSWER-a, c, and e
A 3 year child ,admitted to 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.
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,d. Call the MD. - CORRECT ANSWER-a. Place child on his side and assess the
child.
A nurse is expecting a 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 - CORRECT ANSWER-b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in respiratory distress. The baby
has copious 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 - CORRECT ANSWER-c. Suction secretions, provide 100% oxygen
via mask, and anticipate respiratory failure.
no oral feeds rr over 60
When caring for a child 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. - CORRECT ANSWER-a. Watch for
continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike" 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.
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
answers 100% Pass
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 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. NGT to straight drainage
,d. Lay the child prone
e. Establish IV access
f. Rectal temperature - CORRECT ANSWER-a, b, d, and e
A 4 month old infant has a tonic clonic seizure. It is important during this time 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 - CORRECT ANSWER-a, c, and e
A 3 year child ,admitted to 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.
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
,d. Call the MD. - CORRECT ANSWER-a. Place child on his side and assess the
child.
A nurse is expecting a 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 - CORRECT ANSWER-b. Lower extremity paralysis
A 5 month old infant with RSV bronchiolitis is in respiratory distress. The baby
has copious 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 - CORRECT ANSWER-c. Suction secretions, provide 100% oxygen
via mask, and anticipate respiratory failure.
no oral feeds rr over 60
When caring for a child 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. - CORRECT ANSWER-a. Watch for
continuous swallowing.
A 4-year old girl is brought to the ED. She has "froglike" 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.
COPYRIGHT ©️ 2025, ALL RIGHTS RESERVED.
