NUR 307: VSim Sabina Vasquez Pre/Post test with
complete solution
During assessment the pediatric patient reports good control of asthma symptoms with
no interference in daily activities and one incidence of nighttime cough in the past
month. The patient uses a rescue inhaler occasionally during the week for asthma
exacerbations. The patient would be classified as having which of the following levels of
asthma severity?
Mild intermittent
A nurse is explaining the pathophysiology of asthma and asthma exacerbation to a
group of nursing students at a workshop. Which of the following statements would be
most accurate for the nurse to make? (SATA)
1) the smooth muscles of the airway increases in responsiveness, causing
bronchoconstriction
2) Chronic inflammation contributes to irreversible airway changes and decreased lung
function
3) exposure to bacterial and viral infections increases airways responsiveness and
inflammation
A patient arrives at the emergency department in respiratory distress with a history of
asthma. Upon assessment, the nurse notes that the patient sits forward with intercostal
retractions, has a productive cough, and wheeze upon auscultation. Which of the
following interventions is most appropriate for the nurse to implement at this time?
Elevate the head of the bed and allow the patient to assume a position of comfort
A nurse observes that a preschooler who is hospitalized appears stressed. which of the
following is the most likely stressor for this child?
Fear of mutilation
The nurse is preparing a 5 year old for a chest x-ray. Which of the following statements
would be the nurse's best explanation of this procedure to the patient?
I am sending you to have a big camera take picture of your body
A patient weighting 43 lb has an order fro intravenous cefuroxime 475 mg Q8 hr. The
safe dose range is 50 to 100 mg/kg/day. Is the order safe?
Yes, the safe range is 975 to 1,950 mg/day
The provider has given an order for acetaminophen suspension 240 mg orally every 4 -
6 hr as needed for fever. Which of the following considerations does the nurse need to
remember when administering acetaminophen?
Acetaminophen can affect lab test results for WBC and H+H
A nurse must administer maintenance fluid intravenously to a patient weight 43 lb. What
is the daily maintenance fluid requirement for this patient?
1,475 mL/day
The nurse is preparing Sadina for her nebulized albuterol treatment. Which of the
following demonstrates that the nurse understands developmentally appropriate
communication?
Some kids say the breathing treatment makes them feel a little shaky
What techniques can the nurse employ when providing care for Sabina and her family
to reduce the overall stress of hospitalization (SATA)
complete solution
During assessment the pediatric patient reports good control of asthma symptoms with
no interference in daily activities and one incidence of nighttime cough in the past
month. The patient uses a rescue inhaler occasionally during the week for asthma
exacerbations. The patient would be classified as having which of the following levels of
asthma severity?
Mild intermittent
A nurse is explaining the pathophysiology of asthma and asthma exacerbation to a
group of nursing students at a workshop. Which of the following statements would be
most accurate for the nurse to make? (SATA)
1) the smooth muscles of the airway increases in responsiveness, causing
bronchoconstriction
2) Chronic inflammation contributes to irreversible airway changes and decreased lung
function
3) exposure to bacterial and viral infections increases airways responsiveness and
inflammation
A patient arrives at the emergency department in respiratory distress with a history of
asthma. Upon assessment, the nurse notes that the patient sits forward with intercostal
retractions, has a productive cough, and wheeze upon auscultation. Which of the
following interventions is most appropriate for the nurse to implement at this time?
Elevate the head of the bed and allow the patient to assume a position of comfort
A nurse observes that a preschooler who is hospitalized appears stressed. which of the
following is the most likely stressor for this child?
Fear of mutilation
The nurse is preparing a 5 year old for a chest x-ray. Which of the following statements
would be the nurse's best explanation of this procedure to the patient?
I am sending you to have a big camera take picture of your body
A patient weighting 43 lb has an order fro intravenous cefuroxime 475 mg Q8 hr. The
safe dose range is 50 to 100 mg/kg/day. Is the order safe?
Yes, the safe range is 975 to 1,950 mg/day
The provider has given an order for acetaminophen suspension 240 mg orally every 4 -
6 hr as needed for fever. Which of the following considerations does the nurse need to
remember when administering acetaminophen?
Acetaminophen can affect lab test results for WBC and H+H
A nurse must administer maintenance fluid intravenously to a patient weight 43 lb. What
is the daily maintenance fluid requirement for this patient?
1,475 mL/day
The nurse is preparing Sadina for her nebulized albuterol treatment. Which of the
following demonstrates that the nurse understands developmentally appropriate
communication?
Some kids say the breathing treatment makes them feel a little shaky
What techniques can the nurse employ when providing care for Sabina and her family
to reduce the overall stress of hospitalization (SATA)
