NR 328 Pediatric Nursing: Chamberlain College of Nursing
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NR 328 Pediatric Nursing Practice Questions: Chamberlain College of Nursing (Latest 2020, Already graded A)
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NR 328 Pediatric Nursing: Chamberlain College of Nursing
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Chamberlain College Of Nursing
NR 328 Pediatric Nursing Practice Questions: Chamberlain College of Nursing
A 1-day-old infant, born at 39 weeks' gestation, weighs 4 pounds, 7 ounces at birth. A pediatrician diagnoses the neonate with intrauterine growth restriction (IGR). An RN observes the newborn to be irritable, difficult to...
nr 328 pediatric nursing practice questions chamberlain college of nursing a 1 day old infant
born at 39 weeks gestation
7 ounces at birth a pediatrician diagnoses the neonat
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NR 328 Pediatric Nursing: Chamberlain College of Nursing
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NR 328 Pediatric Nursing Practice Questions: Chamberlain College of Nursing
A 1-day-old infant, born at 39 weeks' gestation, weighs 4 pounds, 7 ounces at birth. A
pediatrician diagnoses the neonate with intrauterine growth restriction (IGR). An RN observes
the newborn to be irritable, difficult to con- sole, restless, fist-sucking, and demonstrating a high-
pitched, shrill cry. Based on these assessment data, the RN should:
A) Increase stimulation of the baby by handling the infant as much as possible.
B) Schedule routine feeding times every 3 to 4 hours.
C) Encourage stimulation by rubbing the infant's back
and head.
D) Tightly swaddle the infant in a flexed position. D) Tightly swaddle the infant in a flexed
position.
Rationale - Tightly swaddling the baby promotes the infant's comfort and security and decreases
the stimulation that may contribute to the infant's irritability.
A 3-year-old child is hospitalized with multiple fractures as a result of a car accident. What is the
best way for a nurse to assess this child's pain level?
A) Ask the child to rate pain using a numeric pain rating scale.
B) Rely on vital sign measurements as a way to verify pain ratings.
C) Employ the FACES pain scale with every nursing assessment.
D) Try to have the child describe the pain's intensity and quality. C) Employ the FACES pain
scale with every nursing assessment.
, Rationale - The FACES pain rating scale can be used with children as young as 3 years of age,
and pain should be investigated with every nursing assessment.
A 7-year-old child is hospitalized for a tonsillectomy. What are priority nursing actions when
caring for this child after surgery? Select all that apply.
A) Advancing diet as tolerated.
B) Encouraging coughing to clear the throat.
C) Monitoring PT and PTT.
D) Administering pain medication around the clock.
E) Suctioning mouth and throat frequently. A) Advancing diet as tolerated.
C) Monitoring PT and PTT.
D) Administering pain medication around the clock.
Rationale -
Following tonsillectomy, the child may begin oral intake after surgery, beginning with ice chips
and progressing as tolerated to avoid vomiting, which could injure the surgical site.
Increased bleeding times put the child at risk for hemorrhage at the tonsillectomy site, which
could compromise the airway.
The nurse should expect that the child will have pain from the tonsillectomy. Pain control is best
achieved with around-the-clock dosing. Without adequate pain control, the child may cry,
putting stress on the surgical site.
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