WEEK 6 NURS 307 EXAM LATEST
A 3-year-old child with CP is admitted for dehydration following an
episode of diarrhea. The nurse's assessment follows: awake, pale,
thin child lying in bed, multiple contractures, drooling, coughing
spells noted when parent feeds. T 97.8°F (36.5°C), P 75, R 25, weight
7.2 kg, no diarrheal stool for 48 hours. Which nursing diagnosis is
most important?
1. Potential for skin breakdown: lying in one position.
2. Alteration in nutrition: less than body requirements.
3. Potential for impaired social support: mother sole caretaker.
4. Alteration in elimination: diarrhea.
Alteration in nutrition: less than body requirements.
The parent of an infant with CP asks the nurse if the infant will be
mentally retarded. Which is the nurse's best response?
1. "Children with CP have some amount of mental retardation."
2. "Approximately 20% of children with CP have normal
intelligence."
3. "Many children with CP have normal intelligence."
4. "Mental retardation is expected if motor and sensory deficits are
severe."
"Many children with CP have normal intelligence."
Parents bring their 2-month-old into the clinic with concerns that
the baby seems "floppy." The parents say the baby seems to be
working hard to breathe, eats very slowly, and seems to fatigue
quickly. The nurse assesses intercostal retractions, although the
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, WEEK 6 NURS 307 EXAM LATEST
baby is otherwise in no distress. They add there was a cousin whose
baby had similar symptoms. The nurse would be most concerned
with what possible complications?
1. Respiratory compromise.
2. Dehydration.
3. Need for emotional support for the family.
4. Feeding intolerance.
Respiratory compromise
The mother of a newborn relates that this is her first child, the baby
seems to sleep a lot, and does not cry much. Which question would
the nurse ask the mother?
1. "How many ounces of formula does your baby take at each
feeding?"
2. "How many bowel movements does your baby have in a day?"
3. "How much sleep do you get every night?"
4. "How long does the baby stay awake at each feeding?"
"How many ounces of formula does your baby take at each feeding?"
A child presents with a history of having had an upper respiratory
tract infection 2 weeks ago; complains of symmetrical lower
extremity weakness, back pain, muscle tenderness; and has absent
deep tendon reflexes in the lower extremities. Which is important
regarding this condition?
1. The disease process is probably bacterial.
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, WEEK 6 NURS 307 EXAM LATEST
2. The recent upper respiratory infection is not important
information.
3. This may be an acute inflammatory demyelinating neuropathy.
4. CN involvement is rare.
This may be an acute inflammatory demyelinating neuropathy.
Causes of autonomic dysreflexia include which of the following?
Select all that apply.
1. Decrease in blood pressure.
2. Abdominal distention.
3. Bladder distention.
4. Diarrhea.
5. Tight clothing.
6. Hypothermia.
2. Abdominal distention.
3. Bladder distention.
5. Tight clothing.
Which would the nurse expect to assess on a 3-week-old infant with
developmental dysplasia of the hip (DDH)?
1. Excessive hip abduction.
2. Femoral lengthening of an affected leg.
3. Asymmetry of gluteal and thigh folds.
4. Pain when lying prone.
Asymmetry of gluteal and thigh folds.
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, WEEK 6 NURS 307 EXAM LATEST
Which should the nurse stress to the parents of an infant in a Pavlik
harness for treatment of developmental dysplasia of the hip (DDH)?
1. Put socks on over the foot pieces of the harness to help stabilize
the harness.
2. Use lotions or powder on the skin to prevent rubbing of straps.
3. Remove harness during diaper changes for ease of cleaning diaper
area.
4. Check under the straps at least two to three times daily for red
areas.
Check under the straps at least two to three times daily for red areas.
Which can occur in untreated developmental dysplasia of the hip
(DDH)? Select all that apply.
1. Duck gait.
2. Pain.
3. Osteoarthritis in adulthood.
4. Osteoporosis in adulthood.
5. Increased flexibility of the hip joint in adulthood.
1. Duck gait.
2. Pain.
3. Osteoarthritis in adulthood
The nurse is teaching about congenital clubfoot in infants. The
nurse evaluates the teaching as successful when the parent states
that clubfoot is best treated when?
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4
A 3-year-old child with CP is admitted for dehydration following an
episode of diarrhea. The nurse's assessment follows: awake, pale,
thin child lying in bed, multiple contractures, drooling, coughing
spells noted when parent feeds. T 97.8°F (36.5°C), P 75, R 25, weight
7.2 kg, no diarrheal stool for 48 hours. Which nursing diagnosis is
most important?
1. Potential for skin breakdown: lying in one position.
2. Alteration in nutrition: less than body requirements.
3. Potential for impaired social support: mother sole caretaker.
4. Alteration in elimination: diarrhea.
Alteration in nutrition: less than body requirements.
The parent of an infant with CP asks the nurse if the infant will be
mentally retarded. Which is the nurse's best response?
1. "Children with CP have some amount of mental retardation."
2. "Approximately 20% of children with CP have normal
intelligence."
3. "Many children with CP have normal intelligence."
4. "Mental retardation is expected if motor and sensory deficits are
severe."
"Many children with CP have normal intelligence."
Parents bring their 2-month-old into the clinic with concerns that
the baby seems "floppy." The parents say the baby seems to be
working hard to breathe, eats very slowly, and seems to fatigue
quickly. The nurse assesses intercostal retractions, although the
END OF
PAGE
1
, WEEK 6 NURS 307 EXAM LATEST
baby is otherwise in no distress. They add there was a cousin whose
baby had similar symptoms. The nurse would be most concerned
with what possible complications?
1. Respiratory compromise.
2. Dehydration.
3. Need for emotional support for the family.
4. Feeding intolerance.
Respiratory compromise
The mother of a newborn relates that this is her first child, the baby
seems to sleep a lot, and does not cry much. Which question would
the nurse ask the mother?
1. "How many ounces of formula does your baby take at each
feeding?"
2. "How many bowel movements does your baby have in a day?"
3. "How much sleep do you get every night?"
4. "How long does the baby stay awake at each feeding?"
"How many ounces of formula does your baby take at each feeding?"
A child presents with a history of having had an upper respiratory
tract infection 2 weeks ago; complains of symmetrical lower
extremity weakness, back pain, muscle tenderness; and has absent
deep tendon reflexes in the lower extremities. Which is important
regarding this condition?
1. The disease process is probably bacterial.
END OF
PAGE
2
, WEEK 6 NURS 307 EXAM LATEST
2. The recent upper respiratory infection is not important
information.
3. This may be an acute inflammatory demyelinating neuropathy.
4. CN involvement is rare.
This may be an acute inflammatory demyelinating neuropathy.
Causes of autonomic dysreflexia include which of the following?
Select all that apply.
1. Decrease in blood pressure.
2. Abdominal distention.
3. Bladder distention.
4. Diarrhea.
5. Tight clothing.
6. Hypothermia.
2. Abdominal distention.
3. Bladder distention.
5. Tight clothing.
Which would the nurse expect to assess on a 3-week-old infant with
developmental dysplasia of the hip (DDH)?
1. Excessive hip abduction.
2. Femoral lengthening of an affected leg.
3. Asymmetry of gluteal and thigh folds.
4. Pain when lying prone.
Asymmetry of gluteal and thigh folds.
END OF
PAGE
3
, WEEK 6 NURS 307 EXAM LATEST
Which should the nurse stress to the parents of an infant in a Pavlik
harness for treatment of developmental dysplasia of the hip (DDH)?
1. Put socks on over the foot pieces of the harness to help stabilize
the harness.
2. Use lotions or powder on the skin to prevent rubbing of straps.
3. Remove harness during diaper changes for ease of cleaning diaper
area.
4. Check under the straps at least two to three times daily for red
areas.
Check under the straps at least two to three times daily for red areas.
Which can occur in untreated developmental dysplasia of the hip
(DDH)? Select all that apply.
1. Duck gait.
2. Pain.
3. Osteoarthritis in adulthood.
4. Osteoporosis in adulthood.
5. Increased flexibility of the hip joint in adulthood.
1. Duck gait.
2. Pain.
3. Osteoarthritis in adulthood
The nurse is teaching about congenital clubfoot in infants. The
nurse evaluates the teaching as successful when the parent states
that clubfoot is best treated when?
END OF
PAGE
4
