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Exam (elaborations)

NUR 327: Peds Exam With Verified Questions and Answers

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NUR 327: Peds Exam With Verified Questions and Answers The nurse is preparing staff in-service about atraumatic care for pediatric patients. Which interventions should the nurse include? Select one: a. Help the child accept the loss of control associated with hospitalization b. Prepare the ch...

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  • August 18, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 327
  • NURS 327
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©EXAM STUDY MATERIAL 8/9/2024 11:50 AM



NUR 327: Peds Exam With Verified
Questions and Answers


The nurse is preparing staff in-service about atraumatic care for pediatric patients. Which
interventions should the nurse include?
Select one:
a. Help the child accept the loss of control associated with hospitalization
b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed
animal.
c. Help the child accept that pain is connected with a treatment or procedure
d. Prepare the child for separation from parents during hospitalization by reviewing a video -
answer✔✔B
What represents the major stressor of hospitalization for children from middle infancy
throughout the preschool years?
Select one:
a. Fear of pain
b. Fear of bodily injury
c. Loss of control

d. Separation anxiety - answer✔✔D
The mother of a 20-month-old boy tells the nurse that he has a barking cough at night. His
temperature is 37 degrees C. The nurse suspects croup and should recommend:
Select one:
a. Trying a cool mist vaporizer at night and watching for signs of difficulty breathing
b. Controlling the fever with acetaminophen and calling if the cough gets worse at night
c. Admitting to the hospital and observing for impending epiglottitis

, ©EXAM STUDY MATERIAL 8/9/2024 11:50 AM


d. Trying over the counter cough medicine and coming to the clinic in the morning if there is no
improvement - answer✔✔A
A 4-year old girl is brought to the emergency department. She has a "froglike" croaking sound
on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should:


Select one:
a. Notify the physician immediately and be prepared to assist with a tracheostomy or intubation
b. Examine her oral pharynx and report to the physician
c. Auscultate her lungs and make preparations for placement in a mist tent.

d. Make her lie down and rest quietly - answer✔✔A
One of the goals for children with asthma is to prevent respiratory infection. This is because
respiratory infection:
Select one:
a. Encourages exercise-induced asthma
b. Lessens effectiveness of medications
c. Increases sensitivity to allergens

d. Can trigger an episode or aggravate an asthmatic state - answer✔✔D
Asthma is classified into four categories: mild intermittent, mild persistent, moderate persistent,
and severe persistent. Clinical features used to determine these categories include: (select all that
apply)
A. Pulmonary lung function tests
B. Associated allergies
C. Frequency of symptoms

D. Frequency and severity of exacerbations - answer✔✔ACD
Cystic Fibrosis may affect singular or multiple systems of the body. The primary factor
responsible for possible multiple clinical manifestations is:
Select one:
a. Hyperactivity of the sweat glands
b. Atrophic changes in the mucosal wall of the intestines

, ©EXAM STUDY MATERIAL 8/9/2024 11:50 AM


c. Hypoactivity of the autonomic nervous system
d. Mechanical obstruction caused by increased viscosity of mucous gland secretions -
answer✔✔D
A infant with congenital heart defect is receiving palivizumab (Synagis). The purpose of this is
to:
Select one:
a. Make isolation of the infant unnecessary
b. Decrease toxicity of antiviral agents
c. Prevent respiratory syncytial virus (RSV) infection

d. Prevent secondary bacterial infection - answer✔✔C
Which of the following would the nurse expect to see if he/she was assessing a child with Fifth's
Disease?


A.Koplik Spots
B.Hoarseness
C.Facial Rash

D.Splenomegaly - answer✔✔C
Cystic fibrosis may affect singular or multiple systems of the body. The primary factor
responsible for possible multiple clinical manifestations is:
A.Atrophic changes in the mucosal wall of the intestines
B. Hypoactivity of the autonomic nervous system
C.Hyperactivity of the sweat glands
D.Mechanical obstructions caused by increased viscosity of mucous gland secretions. -
answer✔✔D
A 12-year old child is in the urgent care clinic with a complaint of fever, headache, and sore
throat. A diagnosis if strep throat is made with a rapid-strep test. Oral penicillin is prescribed.
The nurse knows which of the following statements about strep throat:


A.Children with strep throat are less likely to contract the illness again.

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