NR328 Exam 1
What factors have been shown to increase the risk of SIDS? Select all that apply -
Answer - recent illness
- sleeping with an adult (co-sleeping)
- smoking around the infant
An important milestone in the infant's life is the development of object permanence. This
milestone is represented by which of these statements? - Answer The infant turns &
looks for the mother when she walks out of his view
The type of play that infants engage in is called? - Answer Onlooker
What are the clinical manifestations of failure to thrive? Select all that apply - Answer -
growth failure
- developmental delays
- avoidance of eye contact
What must the nurse teach the parents of the child with cystic fibrosis about the use of
pancreatic enzymes? - Answer Extra enzymes must be taken with high-fat foods
A nurse is teaching an adolescent about the appropriate use of his asthma medications.
Which of the following medications should the nurse instruct the adolescent to use
before he participates in exercise? - Answer Albuterol
A child with asthma is undergoing pulmonary function tests. What is the purpose of the
peak expiratory flow rate test? - Answer Used to assess the severity of asthma
a 5-year old is recovering from a tonsillectomy & adenoidectomy and is being
discharged home with his mother. Home care instructions should include which of the
following? - Answer Observe the child for continuous swallowing.
What assessment finding does the nurse recognize as a manifestation of acute otitis
media? - Answer Presence of fever and otalgia (earache)
A 5-year-old is seen in the urgent care clinic with the following history and symptoms:
sudden onset of severe sore throat after going to bed, drooling and difficulty swallowing,
axillary temperature of 102.2°F (39.0°C), clear breath sounds, and absence of cough.
The child appears anxious and is flushed. Based on these symptoms and history, the
nurse anticipates a diagnosis of - Answer Acute epiglottis
A 5-year-old child is brought to the emergency department with abrupt onset of sore
throat, pain with swallowing, fever, and sitting upright and forward. Acute epiglottitis is
suspected. What are the most appropriate nursing interventions? Select all that apply. -
Answer -Vital signs
-Medical history
-Assessment of breath sounds
-Ready availability of emergency airway equipment
, NR328 Exam 1
What is an important nursing intervention in the care of a child with bacterial
conjunctivitis? - Answer Intermittent warmth, moist compresses to remove crusts on the
eye area
The school nurse is concerned about an outbreak of chickenpox, because two children
at the school have cancer and are immunodeficient as a result of chemotherapy. What
is the most appropriate recommendation the school nurse can give to the two children's
parents? - Answer Administer varicella zoster immune globulin (VZIG) to prevent
chickenpox
An infant has a low-grade fever, is sneezing, has tearing eyes, and exhibits a short and
rapid cough that occurs mainly at night and is followed by a crowing sound. Which
nursing actions are appropriate for this patient? Select all that apply. - Answer - Provide
humidified oxygenation and suction
- Place the patient on droplet precautions
Strict isolation is required for a child who is hospitalized with which infectious disease? -
Answer Chickenpox
How can the nurse prepare a child for a painful procedure? - Answer Involve the child in
the use of distraction, such as using bubbles, music, or playing games
The nurse works in a vaccination clinic. Which patients should receive the measles,
mumps, and rubella (MMR) vaccine? Select all that apply. - Answer - A 12-month-old
baby with a cold
- A 14-month-old baby allergic to eggs
- A breastfeeding mother
Which childhood vaccine provides some protection against bacterial meningitis,
epiglottitis, and bacterial pneumonia? - Answer Hib vaccine
A nurse is preparing to assess a preschooler. Which of the following actions should the
nurse take to prepare the child? - Answer Allow the child to role play using mini
equipment
An infant with a congenital heart defect is being given palivizumab. - Answer Prevent
RSV infection
Two parents bring their 4-month-old infant in for a well-baby visit. They are describing
the child's growth and development to the nurse during the assessment interview.
Which parent statement below indicates a potential delay in milestone development? -
Answer "Our child has not made attempts to speak words yet, but he does coo and
laugh"
What factors have been shown to increase the risk of SIDS? Select all that apply -
Answer - recent illness
- sleeping with an adult (co-sleeping)
- smoking around the infant
An important milestone in the infant's life is the development of object permanence. This
milestone is represented by which of these statements? - Answer The infant turns &
looks for the mother when she walks out of his view
The type of play that infants engage in is called? - Answer Onlooker
What are the clinical manifestations of failure to thrive? Select all that apply - Answer -
growth failure
- developmental delays
- avoidance of eye contact
What must the nurse teach the parents of the child with cystic fibrosis about the use of
pancreatic enzymes? - Answer Extra enzymes must be taken with high-fat foods
A nurse is teaching an adolescent about the appropriate use of his asthma medications.
Which of the following medications should the nurse instruct the adolescent to use
before he participates in exercise? - Answer Albuterol
A child with asthma is undergoing pulmonary function tests. What is the purpose of the
peak expiratory flow rate test? - Answer Used to assess the severity of asthma
a 5-year old is recovering from a tonsillectomy & adenoidectomy and is being
discharged home with his mother. Home care instructions should include which of the
following? - Answer Observe the child for continuous swallowing.
What assessment finding does the nurse recognize as a manifestation of acute otitis
media? - Answer Presence of fever and otalgia (earache)
A 5-year-old is seen in the urgent care clinic with the following history and symptoms:
sudden onset of severe sore throat after going to bed, drooling and difficulty swallowing,
axillary temperature of 102.2°F (39.0°C), clear breath sounds, and absence of cough.
The child appears anxious and is flushed. Based on these symptoms and history, the
nurse anticipates a diagnosis of - Answer Acute epiglottis
A 5-year-old child is brought to the emergency department with abrupt onset of sore
throat, pain with swallowing, fever, and sitting upright and forward. Acute epiglottitis is
suspected. What are the most appropriate nursing interventions? Select all that apply. -
Answer -Vital signs
-Medical history
-Assessment of breath sounds
-Ready availability of emergency airway equipment
, NR328 Exam 1
What is an important nursing intervention in the care of a child with bacterial
conjunctivitis? - Answer Intermittent warmth, moist compresses to remove crusts on the
eye area
The school nurse is concerned about an outbreak of chickenpox, because two children
at the school have cancer and are immunodeficient as a result of chemotherapy. What
is the most appropriate recommendation the school nurse can give to the two children's
parents? - Answer Administer varicella zoster immune globulin (VZIG) to prevent
chickenpox
An infant has a low-grade fever, is sneezing, has tearing eyes, and exhibits a short and
rapid cough that occurs mainly at night and is followed by a crowing sound. Which
nursing actions are appropriate for this patient? Select all that apply. - Answer - Provide
humidified oxygenation and suction
- Place the patient on droplet precautions
Strict isolation is required for a child who is hospitalized with which infectious disease? -
Answer Chickenpox
How can the nurse prepare a child for a painful procedure? - Answer Involve the child in
the use of distraction, such as using bubbles, music, or playing games
The nurse works in a vaccination clinic. Which patients should receive the measles,
mumps, and rubella (MMR) vaccine? Select all that apply. - Answer - A 12-month-old
baby with a cold
- A 14-month-old baby allergic to eggs
- A breastfeeding mother
Which childhood vaccine provides some protection against bacterial meningitis,
epiglottitis, and bacterial pneumonia? - Answer Hib vaccine
A nurse is preparing to assess a preschooler. Which of the following actions should the
nurse take to prepare the child? - Answer Allow the child to role play using mini
equipment
An infant with a congenital heart defect is being given palivizumab. - Answer Prevent
RSV infection
Two parents bring their 4-month-old infant in for a well-baby visit. They are describing
the child's growth and development to the nurse during the assessment interview.
Which parent statement below indicates a potential delay in milestone development? -
Answer "Our child has not made attempts to speak words yet, but he does coo and
laugh"
