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NURS 328 EXAM #2 QUESTIONS WITH ALL PASSED ANSWERS 2024!!
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NURS 328 EXAM #2 QUESTIONS WITH ALL PASSED ANSWERS 2024!!
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NURS 328 EXAM #2 QUESTIONS WITH ALLPASSED ANSWERS 2024!!
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 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 Answer - a. Sterile saline and gauze dressings
b. Latex free environment
d. Lay the child prone
e. Establish IV access
,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 Answer - a. Time and observe the
infant's reactions
c. Administer anticonvulsants as ordered
e. Ensure a bag and mask is at bedside
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.
d. Call the MD 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 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 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. 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.
d. Notify the physician immediately and be prepared to assist with a
tracheostomy or intubation Answer - d. Notify the physician immediately and
be prepared to assist with a tracheostomy or intubation
Apnea of infancy has been diagnosed in an infant who will soon be discharged
with home monitoring. Which information should the nurse include when
teaching the parents about the infant's care?
a. Cardiopulmonary resuscitation
b. Importance of adequate fluids
c. Reassurance that the infant cannot be electrocuted during monitoring
d. Advice that the infant not be left with other caretakers, such as babysitters
Answer - a. Cardiopulmonary resuscitation
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 (98.6 F). The nurse suspects croup.
What should she recommend?
a. Control fever with acetaminophen and call if cough gets worse tonight
b. Try a cool-mist vaporizor at night and watch for signs of difficulty breathing
c. Try over-the-counter medicine and come to the clinic tomorrow if no
improvement
d. Admit to the hospital and observe for impending epiglottitis Answer - b. Try
a cool-mist vaporizor at night and watch for signs of difficulty breathing
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