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NURS 328 EXAM 2 ACTUAL QUESTIONS WITH VERIFIED ANSWERS 2024 |RATED A+
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NURS 328 EXAM 2 ACTUALQUESTIONS WITH VERIFIED
ANSWERS 2024 |RATED A+
A 10 month old is admi/ed a1er receiving a ventriculoperitoneal shunt. Which
assessment would indicate malfunc<on in this shunt? The infant...
A. Cries but quiets when held
b. Is irritable and vomi<ng
c. Has an increased abdominal girth
d. Has a fontanel that is full and so1
B. Is irritable and vomi<ng
A newborn is being delivered with a known myelomeningocele. The nurse
a/ending the delivery will perform the following ac<vi<es. 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
A, b, d, and e
A 4 month old infant has a tonic clonic seizure. It is important during this <me
for the nurse to do which of the following interven<ons. Select all that apply.
A. Time and observe the infant's reac<ons
,b. Place an oral airway during the infant's seizure
c. Administer an<convulsants as ordered
d. Restrain the infant
e. Ensure a bag and mask is at bedside
A, c, and e
A 3 year child ,admi/ed to the pediatric floor for seizure control, has a
generalized tonic-clonic seizure. The ini<al ac<on 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 pa<ent.
D. Call the md.
A. Place child on his side and assess the child.
A nurse is expec<ng 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. Infec<ons of the spinal fluid
d. Meningi<s
B. Lower extremity paralysis
A 5 month old infant with rsv bronchioli<s is in respiratory distress. The baby
has copious secre<ons, increased work of breathing, cyanosis, and a respiratory
rate of 78. What is the most appropriate ini<al nursing interven<on?
A. A/empt to calm the infant by placing him in his mother's lap and offering
,him a bo/le.
B. Alert the physician to the situa<on and ask for an order for a stat chest x-ray.
C. Suc<on secre<ons, provide 100% oxygen via mask, and an<cipate respiratory
failure.
D. Bring the emergency equipment to the room and begin bag-valve-mask
ven<la<on
C. Suc<on secre<ons, provide 100% oxygen via mask, and an<cipate respiratory
failure.
No oral feeds rr over 60
When caring for a child following a tonsillectomy, what should the nurse do?
A. Watch for con<nuous swallowing.
B. Encourage gargling to reduce discomfort.
C. Posi<on the child on the back for sleeping.
D. Apply warm compresses to the throat.
A. Watch for con<nuous swallowing.
A 4-year old girl is brought to the ed. She has "froglike" croaking sounds on
inspira<on, is agitated, and is drooling. She insists on si_ng 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 prepara<ons for placement in a mist tent.
D. No<fy the physician immediately and be prepared to assist with a
tracheostomy or intuba<on
, D. No<fy the physician immediately and be prepared to assist with a
tracheostomy or intuba<on
Apnea of infancy has been diagnosed in an infant who will soon be discharged
with home monitoring. Which informa<on should the nurse include when
teaching the parents about the infant's care?
A. Cardiopulmonary resuscita<on
b. Importance of adequate fluids
c. Reassurance that the infant cannot be electrocuted during monitoring
d. Advice that the infant not be le1 with other caretakers, such as babysi/ers
A. Cardiopulmonary resuscita<on
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 epiglo_<s
B. Try a cool-mist vaporizor at night and watch for signs of difficulty breathing
A 4-year-old boy needs to use a metered-dose inhaler to treat asthma. He
cannot coordinate the breathing to use it effec<vely. The nurse should suggest
that he use a :
a. Spacer
b. Nebulizer
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