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NR 328 CMS Exam Practice Questions And 100% CORRECT ANSWERS
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NR 328 CMS Exam Practice Questions And 100% CORRECT ANSWERS
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NR 328 CMS Exam Practice Questions And 100% CORRECT ANSWERS
Terms in this set (44)
Which interventions are included in the Answer: B, D, E
management of nosebleeds in children? Select all Rationale: During a nosebleed, the child should be instructed to breathe through the mouth, cotton
that apply. or wadded tissue can be inserted into the nostrils to stop bleeding, and continuous pressure using
a. Apply warm compresses to the bridge of the the thumb and forefinger should be applied for at least 10 minutes. The child should be instructed to
nose if bleeding is persistent. sit up and lean forward, not tilt the head backward. Ice or cold cloths, not warm compresses, can be
b. Apply continuous pressure to the nose with used on the bridge of the nose if bleeding persists.
thumb and forefinger for at least 10 minutes.
c. Have the child sit down and tilt the head
backward.
d. Insert cotton or wadded tissue into each nostril if
bleeding persists.
e. Instruct the child to breathe through the mouth.
The nurse is developing a teaching plan for the Answer: D
family of a toddler recently diagnosed with sickle Rationale: The major cause of death for children with sickle cell disease under the age of 5 is
cell disease. Of which does the nurse include as overwhelming infections; thus the family needs to monitor the child closely for presence of fever.
important for the family to be aware and to report Signs and symptoms of stroke, presence of respiratory problems, and localized swelling over joints
in order to recognize signs of the major cause of are also symptoms of issues related to sickle cell disease, but are not directly related to the leading
death for children under age 5 with sickle cell cause of death for children under the age of 5.
disease?
a. Presence of respiratory problems
b. Signs and symptoms of stroke
c. Localized swelling over joints
d. Presence of fever
, Which symptom would the nurse recognize as an Answer: B
acquired immunodeficiency syndrome (AIDS)- Rationale: Cytomegalovirus is a defining condition for AIDS in an HIV-infected American child.
defining condition in an American child with Parotitis, oral candidiasis, and hepatosplenomegaly are common clinical manifestations of HIV
human immunodeficiency virus (HIV)? infection in children but not AIDS-defining conditions.
a. Parotitis
b. Cytomegalovirus
c. Oral candidiasis
d. Hepatosplenomegaly
The nurse is administering a blood transfusion to a Answer: A
child for treatment of hemophilia. Upon Rationale: Cyanosis, rales, and difficulty breathing are all potential signs of circulatory overload. If
assessment, the nurse notes that the child is signs of circulatory overload occur, the transfusion should be stopped immediately. Reassessing the
cyanotic, has difficulty breathing, and has rales patient in five minutes would not provide an immediate response to the situation. Epinephrine is
upon inspiration throughout the lung fields. What administered for allergic reactions. Insertion of a urinary catheter may be done to treat an
is the nurse’s best response to these findings? incompatibility reaction.
a. Stop the transfusion immediately.
b. Administer epinephrine immediately.
c. Insert a urinary catheter and monitor hourly
outputs.
d. Reassess the patient again in five minutes.
The nurse is teaching the family of a child Answer: C, D, E
diagnosed with iron-deficiency anemia about the Rationale: The family should be instructed to administer the iron supplement in two divided doses
proper administration of iron supplements. Which between meals, when free hydrochloric acid is at its greatest levels to aid in absorption. Using a
points should the nurse include in the education straw for liquid iron is recommended to avoid staining the teeth. Citrus fruits or juices also help
session? Select all that apply. increase acidity and therefore absorption of the iron. Milk products bind the iron and interfere with
a. Stop the medication and call the primary care absorption and should not be used with administration of iron. Tarry stools are an expected change
provider if tarry stools are noted. with iron supplements, and therefore calling the primary care provider is not necessary
b. Administer with milk products to alter the taste if
taste is an issue.
c. Administer in two divided doses between meals.
d. Administer with citrus fruits or juices to increase
absorption.
e. Use a straw to administer the iron if it is in liquid
form.
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