NURS 232 PEDS EXAM 4 LATEST 2023-2024
ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |
Practice questions for this set
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a) HR of 70 bpm
*infants HR should be 80-130; hold digoxin if <60-100 depending on age of
child
*tachypnea, dyspnea, and weak pulses are indication to use bc they're s/s of
CHF
*want normal K+ (3.5-5); low will potentiate effects
*vision changes is a sign of dig toxicity, but an infant cant communicate that
Give this one a try later!
, Surgical repair for patent ductus arteriosus (PDA) is done to prevent the complication
of
a) pulmonary infection.
1
b) right-to-left shunt of blood.
c) decreased workload on left side of heart.
d) increased pulmonary vascular congestion.
Which of the following scenarios would the nurse want to hold digoxin for an infant
being treated for HF? (select all apply)
a) HR of 70 bpm
b) tachypnea and dyspnea
c) weak pulses
d) K+ 3.5
e) vision changes
Who is most likely to be the one to fabricate s/s of health condition in child
3
(Munchausen Syndrome by Proxy)? Who is usually the victim?
Pt w Juvenile Idiopathic Arthritis (JIA) may experience decreased mobility, pain,
4 swelling, & delayed G&D. What additional symptoms may a pt have if it affects many
joints?
Don't know?
Terms in this set (294)
,A 3 yr old has just returned c) check circulation, sensation, and motion of toes.
from surgery in a hip spica
cast. The priority nursing chief concern is that the extremity may continue to
intervention is to swell; must assess to ensure that the cast does not
a) elevate the head of the become a tourniquet and cause complications. position
bed. should be changed every 2 hours; positioning a child
b) offer sips of water. with a spica cast is important to prevent injury.
c) check circulation,
sensation, and motion of
toes.
d) turn the child to the right
side, then the left side every
4 hours.
A 5 yr old has been a) Discuss with the parents the potential need for
diagnosed w muscular respiratory support
dystrophy. Which of the
following nursing *Is a progressive neuromuscular disease with no cure.
interventions would be Muscles become weaker, including those needed for
appropriate? respiration. A decision will need to be made about
a) Discuss with the parents whether respiratory support will be provided.
the potential need for
respiratory support
b) Explain that this disease
is easily treated with
medication
c) Suggest exercises that
will limit the use of muscles
and prevent fatigue
d) Assist the parents in
finding a nursing facility for
future care
, A 6-year-old involved in a a) Edema
bicycle crash has a right b) Numbness
tibia/fibula fracture that has c) Severe pain
been casted. Which of the d) Weak pulse
following are early signs of
compartment syndrome in *nurse must recognize as complication of injury or cast
this child? (Select all that itself from pressure build up; make sure to assess pt and
apply) do neurovascular checks
a) Edema
b) Numbness
c) Severe pain
d) Weak pulse
d) Anular rash
A 6 yr old girl has started to a) victim of sexual abuse
bed wet and suck her
thumb. Her school
performance is down, she
takes 6 showers/day and
has had several recent UTIs.
Based on this, what might
the nurse suspect?
a) victim of sexual abuse
b) school phobia
c) trying to gain attention
d) ADHD
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