NSG 3600 (Peds) Exam Questions and Verified
Answers
1.Mr. Fields is a resident of a long-term care facility who has moderate hearing loss. When communicating
with Mr. Fields, what should the nurse do?
Correct Answer
Minimize background noises and ensure that lighting is adequate to see the nurse's face
Question 2
A client visits the health care facility for a scheduled physical assessment. What should the nurse do when
physically assessing the quality of the client's oxygenation? Select all that apply.
Correct Answer
Monitor the client's respiratory rate
Check the symmetry of the client's chest
Observe the breathing pattern and effort
Question 3
A nurse is assessing the cranial nerves of a client who is recovering from Bell's palsy. Which of the following
cranial nerves are important for the coordination of facial movement and reflex activity? Select all that apply.
Correct Answer
VII
IX
V
Question 4
A 57-year-old patient is recovering in a hospital following a bilateral mastectomy and breast reconstruction 2
days earlier. Since her surgery, the patient has been unwilling to mobilize despite the nurse's teaching about
the benefits of early mobilization following surgery. The nurse would recognize that the patient's prolonged
immobility creates a risk for:
Correct Answer
Atelectasis
Question 5
Level of consciousness (LOC) can be assessed based on criteria in the Glasgow Coma Scale (GCS). Which of the
following indicators are assessed in the GCS? Select all that apply.
Correct Answer
Page 1 of 219
,Eye opening
Motor response
Verbal response
Question 6
A nurse in the emergency room is assessing a client for sensory perception dysfunction. Which of the
following assessment techniques will the nurse use to gather objective data? Select all that apply.
Correct Answer
Observation
Diagnostic tests and procedures
Physical assessment
Question 7
The nurse assesses that the client has sensory impairment from longterm furosemide (Lasix) use. Which of the
following actions will the nurse implement?
Correct Answer
When communicating with the client, use a lower tone of voice
Question 8
A nurse assesses patient breath sounds for patients presenting at a local clinic with difficulty breathing. Which
sounds would the nurse document as normal? (Select all that apply.)
Correct Answer
Blowing, hollow sounds; auscultated over the larynx and trachea
Soft, low-pitched, whispering sounds heard over most of the lung fields
Medium-pitched, medium-intensity, blowing sounds; auscultated over the first and second interspaces
anteriorly and the scapula posteriorly
Question 9
The nurse is performing an assessment on an infant. Which finding is considered an abnormal cardiovascular
assessment finding that should be documented and reported to the physician?
Correct Answer
Decreased heart rate
Question 10
The oncology nurse is caring for a client receiving chemotherapy. Which of the following statements would be
a priority assessment for the nurse?
Correct Answer
Have you been experiencing any strange tastes or aftertastes lately?
Page 2 of 219
,Question 11
The nurse is caring for a client with a dysrhythmia with a prescription for oxygen therapy. The client is
concerned and asks the nurse, "Why am I getting oxygen when I came in with a heart problem?" What
appropriate response would the nurse give this client?
Correct Answer
The dysrhythmia interferes with the heart's circulation, leading to changes in oxygenation
Question 12
A weak, thready pulse found after the nurse palpates peripheral pulses may indicate what condition?
Correct Answer
Decreased cardiac output
Question 13
The charge nurse is observing a new nurse perform an assessment of a patient's head and neck. Which of the
following actions, if observed, would require the charge nurse to intervene?
Correct Answer
Palpation of both carotid arteries at the same time
Question 14
You are working on a neurological unit and a physician asks you to perform a sensory experience assessment
for a patient. You think about what things may place a person at risk for disturbed sensory perception and
come up with which of the following? Choose all that apply.
Correct Answer
Diminished senses related to advanced age
Medications that alter certain senses
Neuropathy related to diabetes mellitus
Question 15
The physician tells the nurse that the elderly client has presbycusis. Which of the following interventions will
the nurse place in the client's care plan?
Correct Answer
Decrease background noises, as much as possible, before speaking
Question 16
The nurse educator is presenting a lecture on the respiratory and cardiovascular systems. Which response
given by the nursing staff would indicate to the educator that they have an understanding of cardiac output?
Correct Answer
Page 3 of 219
, If the client's stroke volume is 50 mL and heart rate is 50 beats per minute, then the cardiac output is 2.5
L/minute
Question 17
To assess a client's visual accommodation, the nurse has the client
Correct Answer
Look at a close object, then at a distant object
Question 18
You are preparing to assess a patient's cranial nerves. Which of the following techniques should you use to
assess cranial nerve III?
Correct Answer
Shine a bright light in the patient's eye and observe for bilateral pupillary response
Question 19
A patient is complaining of slight shortness of breath and lung auscultation reveals the presence of bilateral
coarse crackles. The nurse has applied supplementary oxygen by nasal cannula, recognizing that the flow rate
by this method should not exceed:
Correct Answer
6 L/minute
Question 20
Which of the following patients is experiencing a disturbance in sensory perception as the primary problem
rather than the etiology of another problem?
Correct Answer
A patient who is experiencing acute confusion as a result of a drug interaction
Question 21
Peripheral cyanosis and clubbing of the nails are symptoms of:
Correct Answer
Chronic hypoxia
Question 22
The community health nurse wants to identify clients who have lifestyle factors that may place them at risk for
sensory disturbances. Which of the following questions should she ask?
Correct Answer
Do you work around loud noises at work?
Page 4 of 219
Answers
1.Mr. Fields is a resident of a long-term care facility who has moderate hearing loss. When communicating
with Mr. Fields, what should the nurse do?
Correct Answer
Minimize background noises and ensure that lighting is adequate to see the nurse's face
Question 2
A client visits the health care facility for a scheduled physical assessment. What should the nurse do when
physically assessing the quality of the client's oxygenation? Select all that apply.
Correct Answer
Monitor the client's respiratory rate
Check the symmetry of the client's chest
Observe the breathing pattern and effort
Question 3
A nurse is assessing the cranial nerves of a client who is recovering from Bell's palsy. Which of the following
cranial nerves are important for the coordination of facial movement and reflex activity? Select all that apply.
Correct Answer
VII
IX
V
Question 4
A 57-year-old patient is recovering in a hospital following a bilateral mastectomy and breast reconstruction 2
days earlier. Since her surgery, the patient has been unwilling to mobilize despite the nurse's teaching about
the benefits of early mobilization following surgery. The nurse would recognize that the patient's prolonged
immobility creates a risk for:
Correct Answer
Atelectasis
Question 5
Level of consciousness (LOC) can be assessed based on criteria in the Glasgow Coma Scale (GCS). Which of the
following indicators are assessed in the GCS? Select all that apply.
Correct Answer
Page 1 of 219
,Eye opening
Motor response
Verbal response
Question 6
A nurse in the emergency room is assessing a client for sensory perception dysfunction. Which of the
following assessment techniques will the nurse use to gather objective data? Select all that apply.
Correct Answer
Observation
Diagnostic tests and procedures
Physical assessment
Question 7
The nurse assesses that the client has sensory impairment from longterm furosemide (Lasix) use. Which of the
following actions will the nurse implement?
Correct Answer
When communicating with the client, use a lower tone of voice
Question 8
A nurse assesses patient breath sounds for patients presenting at a local clinic with difficulty breathing. Which
sounds would the nurse document as normal? (Select all that apply.)
Correct Answer
Blowing, hollow sounds; auscultated over the larynx and trachea
Soft, low-pitched, whispering sounds heard over most of the lung fields
Medium-pitched, medium-intensity, blowing sounds; auscultated over the first and second interspaces
anteriorly and the scapula posteriorly
Question 9
The nurse is performing an assessment on an infant. Which finding is considered an abnormal cardiovascular
assessment finding that should be documented and reported to the physician?
Correct Answer
Decreased heart rate
Question 10
The oncology nurse is caring for a client receiving chemotherapy. Which of the following statements would be
a priority assessment for the nurse?
Correct Answer
Have you been experiencing any strange tastes or aftertastes lately?
Page 2 of 219
,Question 11
The nurse is caring for a client with a dysrhythmia with a prescription for oxygen therapy. The client is
concerned and asks the nurse, "Why am I getting oxygen when I came in with a heart problem?" What
appropriate response would the nurse give this client?
Correct Answer
The dysrhythmia interferes with the heart's circulation, leading to changes in oxygenation
Question 12
A weak, thready pulse found after the nurse palpates peripheral pulses may indicate what condition?
Correct Answer
Decreased cardiac output
Question 13
The charge nurse is observing a new nurse perform an assessment of a patient's head and neck. Which of the
following actions, if observed, would require the charge nurse to intervene?
Correct Answer
Palpation of both carotid arteries at the same time
Question 14
You are working on a neurological unit and a physician asks you to perform a sensory experience assessment
for a patient. You think about what things may place a person at risk for disturbed sensory perception and
come up with which of the following? Choose all that apply.
Correct Answer
Diminished senses related to advanced age
Medications that alter certain senses
Neuropathy related to diabetes mellitus
Question 15
The physician tells the nurse that the elderly client has presbycusis. Which of the following interventions will
the nurse place in the client's care plan?
Correct Answer
Decrease background noises, as much as possible, before speaking
Question 16
The nurse educator is presenting a lecture on the respiratory and cardiovascular systems. Which response
given by the nursing staff would indicate to the educator that they have an understanding of cardiac output?
Correct Answer
Page 3 of 219
, If the client's stroke volume is 50 mL and heart rate is 50 beats per minute, then the cardiac output is 2.5
L/minute
Question 17
To assess a client's visual accommodation, the nurse has the client
Correct Answer
Look at a close object, then at a distant object
Question 18
You are preparing to assess a patient's cranial nerves. Which of the following techniques should you use to
assess cranial nerve III?
Correct Answer
Shine a bright light in the patient's eye and observe for bilateral pupillary response
Question 19
A patient is complaining of slight shortness of breath and lung auscultation reveals the presence of bilateral
coarse crackles. The nurse has applied supplementary oxygen by nasal cannula, recognizing that the flow rate
by this method should not exceed:
Correct Answer
6 L/minute
Question 20
Which of the following patients is experiencing a disturbance in sensory perception as the primary problem
rather than the etiology of another problem?
Correct Answer
A patient who is experiencing acute confusion as a result of a drug interaction
Question 21
Peripheral cyanosis and clubbing of the nails are symptoms of:
Correct Answer
Chronic hypoxia
Question 22
The community health nurse wants to identify clients who have lifestyle factors that may place them at risk for
sensory disturbances. Which of the following questions should she ask?
Correct Answer
Do you work around loud noises at work?
Page 4 of 219
