Chapter 29: NURS 340 Preparation For The Nclex Questions and Answers ,100% CORRECT
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Chapter 29: NURS 340
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Chapter 29: NURS 340
Chapter 29: NURS 340 Preparation For The Nclex Questions and Answers
Origin: Chapter 29, 1
1. The nurse is caring for a 6-year-old girl who was injured in a bicycle accident. Which question would be most important for the nurse to ask during the health history?
A) "Has she been diagnosed with a...
chapter 29 nurs 340 preparation for the nclex questions and answers
1 the nurse is caring for a 6 year old girl who was injured in a bicycle accident which question would be most important for the
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Chapter 29: NURS 340 Preparation For The Nclex Questions
and Answers
Origin: Chapter 29, 1
1. The nurse is caring for a 6-year-old girl who was injured in a bicycle
accident. Which question would be most important for the nurse to ask
during the health history?
A) "Has she been diagnosed with any chronic disorders?"
B) "Is your daughter currently taking any medications?"
C) "Is she allergic to any medications or drugs?"
D) "Tell me how the bicycle accident
happened." Ans: D
Feedback:
The priority inquiry is to determine the nature of the emergency so that
appropriate interventions may be initiated. This will also provide direction
for obtaining more in- depth information as time permits. Information
about allergic reactions to drugs, medications being taken, and chronic
disorders that may affect treatment will be gathered next.
Origin: Chapter 29, 2
2. The nurse is caring for a 7-year-old boy experiencing respiratory
distress who is scheduled to have a chest radiograph. What would be
most important for the nurse to include in the child's plan of care?
A) Administering a sedative to help calm the child
B) Assisting the child to lie still during the chest radiograph
C) Accompanying the child to continue observation
D) Informing the child that he might hear a loud
banging noise Ans: B
Feedback:
Chest radiographs that disclose alterations in normal anatomy or lung
expansion, or evidence of pneumonia, tumor, or foreign body, are
commonly performed for respiratory emergencies. Therefore, the nurse
would need to assist the child in remaining still during the procedure. A
sedative may be ordered for magnetic resonance imaging (MRI).
Accompanying the child to continue observation would be necessary if the
child was to undergo a computed tomography scan. Telling the child about
a loud banging noise would be appropriate if the child was having an MRI.
Page 1
, Origin: Chapter 29, 3
3.A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the
emergency department. Which action would be most appropriate?
A) Ventilating the child with a bag-valve-mask
B) Estimating the child's weight using a Broselow tape
C) Providing therapy using automated external defibrillation
D) Using rescue breathing and chest
compressions Ans: A
Feedback:
The child is exhibiting signs of ineffective oxygenation and ventilation.
Therefore, ventilating the child with a bag-valve-mask and 100% oxygen
would be effective and
Page 2
, efficient. Estimating the child's weight with a Broselow tape is typically
done by ambulatory care providers. According to the American Heart
Association, automated external defibrillators are recommended for use in
children who are older than age 1 year who have no pulse and have
suffered a sudden, witnessed collapse outside the hospital setting. Rescue
breathing and chest compressions are implemented for children who are
not breathing and do not have a pulse or when the pulse rate is less than
60 beats per minute.
Origin: Chapter 29, 4
4.When caring for an 8-year-old boy injured in an automobile accident, the
nurse demonstrates understanding of the principles of Pediatric Advanced
Life Support (PALS) by which action?
A) Assisting ventilation with a bag-valve-mask (BVM) device
B) Treating ventricular fibrillation using a defibrillator
C) Managing compensated shock to prevent decompensated shock
D) Treating supraventricular tachycardia using
cardioversion Ans: C
Feedback:
The principles of PALS stress evaluating and managing compensated shock
with the goal of preventing decompensated shock and thereby preventing
cardiopulmonary arrest.
Assisting ventilation with a BVM device, treating ventricular fibrillation
using a defibrillator, and treating supraventricular tachycardia using
cardioversion are interventions that may be used to treat both children
and adults.
Origin: Chapter 29, 5
5.A 9-year-old girl who has fallen from a second-story window is brought to
the emergency department. Which assessment would be the priority?
A) Evaluating pupils for equality and reactivity
B) Monitoring oxygen saturation levels
C) Asking the child if she knows where she is
D) Using the appropriate pain
assessment scale Ans: B
Feedback:
Airway is always the priority in any emergency situation. Therefore,
Page 3
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