NUR 336 Exam 4 Review Questions
With Correct Marking Scheme
A nurse in an emergency department is caring for an infant who has a 2-day
history of vomiting and an elevated temperature. What should the nurse
recognize as the most reliable indicator of fluid loss?
Weight loss
A nurse is caring for a 6-week-old infant who has pyloric stenosis. What clinical
manifestation should the nurse expect?
Projectile vomiting
A nurse is assessing a child who has nephrotic syndrome. What is the most
obvious clinical finding?
Facial edema or frothy urine or oliguria
A nurse is caring for a child who is admitted with suspected acute appendicitis.
Which of the following manifestations should indicate to the nurse that the child's
appendix is perforated?
Sudden decrease or cessation of pain
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate
oral fluids. The nurse should anticipate providing which type of fluid?
An oral rehydration solution (ORS)
A nurse is caring for an infant who has gastroesophageal reflux. The nurse
should place the infant in which position following feedings?
, Elevated; hold upright
A nurse is planning care for a 10-month-old infant who is post-op following cleft
palate repair. What safety intervention should the nurse plan to apply?
Soft elbow restraints
A nurse is caring for a male infant who has a palpable mass in the upper right
quadrant and stools mixed with blood and mucus. The nurse should recognize
what diagnosis is associated with these findings.
Intussusception
A nurse is caring for an infant who has inadequate motility of part of the intestine,
resulting in a mechanical obstruction. The nurse should identify this finding as a
manifestation of which disorder?
Hirschsprung's
A child is undergoing a colonoscopy and biopsy of the intestine. The child is
diagnosed with celiac disease because the biopsy showed _____________.
IgA; Immunoglobulin A
A nurse is caring for an 8-year-old child who has acute rheumatic fever. What
assessment is the nurse's priority immediately after admission?
Cardiac; auscultating the heart
A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to
administering the dose, the nurse measures the apical heart rate. The nurse
should withhold the dose if the infant's apical heart rate is less than what rate?
90 bpm
With Correct Marking Scheme
A nurse in an emergency department is caring for an infant who has a 2-day
history of vomiting and an elevated temperature. What should the nurse
recognize as the most reliable indicator of fluid loss?
Weight loss
A nurse is caring for a 6-week-old infant who has pyloric stenosis. What clinical
manifestation should the nurse expect?
Projectile vomiting
A nurse is assessing a child who has nephrotic syndrome. What is the most
obvious clinical finding?
Facial edema or frothy urine or oliguria
A nurse is caring for a child who is admitted with suspected acute appendicitis.
Which of the following manifestations should indicate to the nurse that the child's
appendix is perforated?
Sudden decrease or cessation of pain
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate
oral fluids. The nurse should anticipate providing which type of fluid?
An oral rehydration solution (ORS)
A nurse is caring for an infant who has gastroesophageal reflux. The nurse
should place the infant in which position following feedings?
, Elevated; hold upright
A nurse is planning care for a 10-month-old infant who is post-op following cleft
palate repair. What safety intervention should the nurse plan to apply?
Soft elbow restraints
A nurse is caring for a male infant who has a palpable mass in the upper right
quadrant and stools mixed with blood and mucus. The nurse should recognize
what diagnosis is associated with these findings.
Intussusception
A nurse is caring for an infant who has inadequate motility of part of the intestine,
resulting in a mechanical obstruction. The nurse should identify this finding as a
manifestation of which disorder?
Hirschsprung's
A child is undergoing a colonoscopy and biopsy of the intestine. The child is
diagnosed with celiac disease because the biopsy showed _____________.
IgA; Immunoglobulin A
A nurse is caring for an 8-year-old child who has acute rheumatic fever. What
assessment is the nurse's priority immediately after admission?
Cardiac; auscultating the heart
A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to
administering the dose, the nurse measures the apical heart rate. The nurse
should withhold the dose if the infant's apical heart rate is less than what rate?
90 bpm
