NURS 232 PEDS EXAM 2 LATEST ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

NURS 232 PEDS EXAM 2 LATEST 2023-
m m m m m m


2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DE
m m m m m m m



TAILED ANSWERS WITH RATIONALES (VERIFIED ANS
m m m m m


WERS)
|ALREADY GRADED A+ m m




1.Amchild'smasthmamwouldmbe mconsideredmintermittentmandmcontrolledmif:

a) theirmnormalmactivitymismsomewhatmlimitedmbymtheirmasthma
b) theymhave mdailymnighttime mawakeningmw/masthmamsymptoms

c) theymhave mdailymsymptomsmof mtheirmasthma

d) theymhave m0-1mexacerbationmpermyearm-mANSWER-d) mtheymhave m0-1mexacerbationmpermyear

.*refermtomTable m20-5mClassificationmofmAsthma

*a) mmoderate mpersistent;mb) msevere mpersistent;mc) mmoderate mpersistent



2.Amchild'smasthmamwouldmbe mconsideredminmthe myellowmzone mwhen:

a) PEFRmism<50%mof mtheirmpersonalmbestmandmtheymhave msymptoms

b) PEFRmism50-80%mofmtheirmpersonalmbestmandmtheymhave msymptoms

c) PEFRmism50-80%mofmtheirmpersonalmbestmandmtheymdomnotmhave msymptoms

d) PEFRmism80-100%mof mtheirmpersonalmbestmandmtheymdomnotmhave msymptomsm- mANSWER-
b) mPEFRmism50-80%mofmtheirmpersonalmbestmandmtheymhave msymptoms

*developingmbreathingmproblems

*refermtom"FamiliesmWantmtomKnow-mUsingmExpiratorymPeakmFlowmMeter"

*a) mismredmzone;md) mismgreenmzone



3. Apneam inm anm infantm ism definedm asm am pause m inm orm absence m of m respiration'sm form more m than:

a) 10msecs

b) 20msecs

c) 45msec

d) 1mminm-mANSWER-b) m20msecs

**normalmifm<20msec

,4. Whichmof m the m followingm ismanm effective m anti-inflammatorym medsm form asthmam control?

a) Beta2madrenergicmagonists

b) Inhaledmcorticosteroids

c) Leukotriene mreceptormantagonists

d) Mastmcellmstabilizerm-mANSWER-b) mInhaledmcorticosteroidsm(ex:mfluticasone)

*a) mquickmrelief mbronchodilator;mc)bothmbronchodilatormandmanti-inflammatorymd) manti-
inflammatorymformallergenmexposure

*refermtom"MedicationsmUsedmtomTreat:mAsthma"



5. The m schoolm nurse mgoesm tomthem soccermfieldmwhenm am7myrmoldmstudentmw/m asthmamismcoughing,mwhe
ezing,mandmhavingmtrouble mcatchingmhermbreath.mThe mnurse mshouldmgive mwhichmmed?
a) albuterol

b) fluticasone m[flovent]

c) prednisone

d) montelukastm[singular] m-mANSWER-a) malbuterol

*shortmactingmbeta2magonist;mquickmrelief mmed

*b=inhaledmcorticosteroid, mc= mcorticosteroid, md=leukotriene mreceptormagonist



6. Respiratorym failure m occursm when:

a) retractionsmandmanmincreasedmRR

b) bodymcanmnomlongermmaintainmeffective mgasmexchange

c) periodicmpause minmrespirationmupmtom20msecsm-mANSWER-
b) mbodymcanmnomlongermmaintainmeffective mgasmexchange


7. Whichm nursingm interventionsm are m importantm form anm 18m mosm oldm w/m moderate m respiratorym distress?

a) elevate mHOB

b) keepmNPO
c) maintainmcalmmenvironment

d) allmofmthe mabove m-mANSWER-d) mallmof mthe mabove
**keepmNPOmb/cmriskmformaspiration

,8. Whichm ism am signm of m impendingm (late m signs) m respiratorym failure?

a) bradycardia

b) clubbing

c) nasalmflaring

d) wheezing,mincreasingmovermtime m-mANSWER-a) mbradycardia

*nasalmflaringmandmwheezingmare mearlymsigns

*refermtomTable m20-2m"ClinicalmManifestationsmof mRespiratorymFailure'"



9. The m familym ofmam childmw/mfrequentm seizuresmasksmthemnurse maboutmthemKetogenicmdiet.mThe mnursem s
houldmexplainmthatmthe mKetogenicmdiet:

a) ismunprovenmandmshouldmbe mavoided

b) canmeliminate mneedmformallmmeds

c) maymbe munpalatable mformoldermchildren

d) hasmfewmside meffectsm-mANSWER-c) mmaymbe munpalatable mformoldermchildren

*highmintake mofmfats,madequate mprotein,mlow/nomcarbs

*decreasedmadherence masmchildmgetsmolder;mesp.madolescence

*adverse meffectsminclude mconstipation,mkidneymstones,mormslowedmgrowth



10. Am nurse mism teachingmamclassmof mpregnantmwomenmaboutm diet.mWhichmnutrientmdecreasesminciden
ce mof mneuralmtube mdefects?

a) VitaminmA

b) VitaminmC

c) VitaminmD

d) FolicmAcidm- mANSWER-d) mFolicmAcid

*ex:mintake mgrainsmormfolicmacidmsuppliment



11. Whatm signsm bestm indicate m increasedm intracranialmpressure m (ICP) m inm anm infant?m (selectm allm thatm apply)

a) sunkenmanteriormfontanel

, b) complainsmofmblurredmvision

c) high-pitchedmcry

d) increasedmappetite

e) sleepingmmore mthanmusualm-mANSWER-c) mhigh-pitchedmcry

e) msleepingmmore mthanmusual

*irritability,mbulgingmfontanelle,mwidemsutures,mincreasedmheadmcircumference,mdilatedmscalpmveins,mhig
h-mpitchedmcatlike mcry,msignificantmdecrease minmLOC,mseizures

*refermtomTable m27-4m"Signsmof mICP"mformothermsigns



12. The m nurse mismprovidingmdischarge mteachingmtomthemparentsm of mamtoddlermwhomexperiencedmamfe
brile mseizure.mThe mnurse mknowsmclarificationmismneededmwhenmthe mmothermsays:
a) "mymchildmwillmlikelymhave manothermseizure"

b) "mymchild'sm7myrmoldmbrothermalsomismatmhighmriskmformamfebrile mseizure"

c) "I'llmgive mmymchildmacetaminophenmwhenmillmtompreventmthe mfevermfrommrisingmtoomhighmtoomrapidly"

d) "mostmchildrenmwithmfebrile mseizuresmdomnotmrequire mseizure mmedication"m-mANSWER-
b) m"mymchild'sm7myrmoldmbrothermalsomismatmhighmriskmformamfebrile mseizure"

*generallymseenm9mmosmtom5myrs;mrise minmtempm>=102.2m(39C) mduringm1stm24mhrsmofmacute millness;mtreatm
fevermcause mw/mantipyretics,mnotmAED's



13. The m nurse mismcaringm formam 3myrmoldmw/malteredmLOC.mThemnurse mdeterminesmthem the mchildmism orien
tedmbymaskingmchildmto:

a) name mpresidentmofmUS

b) identifymparentsmandmstate mownmname

c) state mfullmname mandmphone mnumber

d) identifymcurrentmmonthmbutmnotmthe mdate m-mANSWER-b) midentifymparentsmandmstate mownmname

*use mTable m27-5m"GCSmforminfantsmandmchildren"mormTable m27-2m"AVPU"

*Alert,mVerbal,mPainmresponse, mUnresponsive



14. The m parentmofmam 4mmonthmoldmw/mcysticmfibrosism asksmthemnursemwhatmtime mtom beginmthe mchild'sm1st
m chestmphysiotherapym(CPT) meachmday.mWhichmismthe mnurse'smbestmresponse?

a) "30mminsmbefore mbreakfast"