NUR 332 EXAM 3 PRACTICE QUESTIONS
WITH CORRECT ANSWERS NEW MODIFIED
CURRENTLY TESTED AND APPROVED!!!
After a pediatric client has a cardiac catheterization, which intervention would
have the highest priority in the immediate postoperative period?
A. Encourage intake of small amounts of fluid.
B. Teach the parents signs of congestive heart failure.
C. Monitor the site for signs of infection.
D. Apply direct pressure to entry site for 15 minutes. --CORRECT
ANSWER--Apply direct pressure to entry site for 15 minutes.
A child is being seen in the ambulatory clinic for a sore throat diagnosed as
caused by group A beta hemolytic streptococcus. The nurse provides care with
the understanding that the risk of developing rheumatic fever is greatest
A. Two weeks later.
B. Prior to the administration of an antibiotic.
C. Once the child has begun antibiotic therapy.
D. With the onset of the strep infection. --CORRECT ANSWER--Two
weeks later.
Which evaluation would indicate a toxic dose of digoxin?
Page 1 of 112
, A. Tachycardia and dysrhythmia.
B. Headache and diarrhea.
C. Bradycardia and nausea and vomiting.
D. Tinnitus and nuchal rigidity. --CORRECT ANSWER--Bradycardia and
nausea and vomiting.
The nurse is developing a discharge teaching plan for the family of a child with
Kawasaki's disease. Which of the following is the first priority?
A. Teaching parents to administer aspirin and watch for side effects.
B. Recommending the child avoid contact sports.
C. Monitoring the child's temperature and notifying the doctor if it is over
98.6 degrees F.
D. Establishing home schooling for 6 months. --CORRECT ANSWER--
Teaching parents to administer aspirin and watch for side effects.
Which assessment data will be most indicative of a potential complication of
Kawasaki's disease?
A. Dermatitis of extremities.
B. Strawberry tongue, erythema of mouth.
C. Change in blood pressure, pulse, skin color.
D. Fever over 5 days, bilateral conjunctivitis. --CORRECT ANSWER--
Change in blood pressure, pulse, skin color.
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,A school-age child is admitted with a suspected acyanotic heart disease. After
learning that the heart defect is a congenital disorder, the parents ask the nurse
how they could have missed the problem all these years. The nurse's response
should include the information that:
A. Acyanotic heart disease may be asymptomatic.
B. The child would only be cyanotic with great exertion.
C. The parents should have recognized the symptoms associated with an
acyanotic heart defect.
D. The parents were probably ignoring the symptoms and hoping they would
go away. --CORRECT ANSWER--Acyanotic heart disease may be
asymptomatic.
The laboratory finding that would be seen in the cyanotic heart disease client
but not in the acyanotic heart disease client would be a(an):
A. Elevated pO2.
B. Elevated hemoglobin.
C. Decreased hematocrit.
D. Decreased pCO2. --CORRECT ANSWER--Elevated hemoglobin.
The mother asks the purpose of aspirin therapy in a child with rheumatic fever.
The nurse explains that the purpose is to:
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, A. Provide comfort and reduce temperature.
B. Prevent cardiac complications.
C. Hasten recovery.
D. Prevent the development of chorea. --CORRECT ANSWER--Provide
comfort and reduce temperature.
The nurse teaches parents that absolute contraindications for pediatric
immunizations include:
A. Respiratory illness with low-grade fever.
B. Anaphylactic reaction to previous immunization.
C. Soreness, redness, and swelling at the previous injection site.
D. Febrile seizure one month after the previous injection of the vaccine. --
CORRECT ANSWER--Anaphylactic reaction to previous immunization.
A mother refuses to have her child receive any immunizations, based on her
religious beliefs. The priority nursing diagnosis when planning health teaching
for this family is:
A. Knowledge, Deficient on the part of the parent related to potential side
effects of vaccines.
B. Injury, Risk for related to vaccine reaction.
C. Pain, Acute related to injection and associated anxiety.
D. Infection, Risk for related to incomplete immunization series. --
CORRECT ANSWER--Infection, Risk for related to incomplete
immunization series.
Page 4 of 112
WITH CORRECT ANSWERS NEW MODIFIED
CURRENTLY TESTED AND APPROVED!!!
After a pediatric client has a cardiac catheterization, which intervention would
have the highest priority in the immediate postoperative period?
A. Encourage intake of small amounts of fluid.
B. Teach the parents signs of congestive heart failure.
C. Monitor the site for signs of infection.
D. Apply direct pressure to entry site for 15 minutes. --CORRECT
ANSWER--Apply direct pressure to entry site for 15 minutes.
A child is being seen in the ambulatory clinic for a sore throat diagnosed as
caused by group A beta hemolytic streptococcus. The nurse provides care with
the understanding that the risk of developing rheumatic fever is greatest
A. Two weeks later.
B. Prior to the administration of an antibiotic.
C. Once the child has begun antibiotic therapy.
D. With the onset of the strep infection. --CORRECT ANSWER--Two
weeks later.
Which evaluation would indicate a toxic dose of digoxin?
Page 1 of 112
, A. Tachycardia and dysrhythmia.
B. Headache and diarrhea.
C. Bradycardia and nausea and vomiting.
D. Tinnitus and nuchal rigidity. --CORRECT ANSWER--Bradycardia and
nausea and vomiting.
The nurse is developing a discharge teaching plan for the family of a child with
Kawasaki's disease. Which of the following is the first priority?
A. Teaching parents to administer aspirin and watch for side effects.
B. Recommending the child avoid contact sports.
C. Monitoring the child's temperature and notifying the doctor if it is over
98.6 degrees F.
D. Establishing home schooling for 6 months. --CORRECT ANSWER--
Teaching parents to administer aspirin and watch for side effects.
Which assessment data will be most indicative of a potential complication of
Kawasaki's disease?
A. Dermatitis of extremities.
B. Strawberry tongue, erythema of mouth.
C. Change in blood pressure, pulse, skin color.
D. Fever over 5 days, bilateral conjunctivitis. --CORRECT ANSWER--
Change in blood pressure, pulse, skin color.
Page 2 of 112
,A school-age child is admitted with a suspected acyanotic heart disease. After
learning that the heart defect is a congenital disorder, the parents ask the nurse
how they could have missed the problem all these years. The nurse's response
should include the information that:
A. Acyanotic heart disease may be asymptomatic.
B. The child would only be cyanotic with great exertion.
C. The parents should have recognized the symptoms associated with an
acyanotic heart defect.
D. The parents were probably ignoring the symptoms and hoping they would
go away. --CORRECT ANSWER--Acyanotic heart disease may be
asymptomatic.
The laboratory finding that would be seen in the cyanotic heart disease client
but not in the acyanotic heart disease client would be a(an):
A. Elevated pO2.
B. Elevated hemoglobin.
C. Decreased hematocrit.
D. Decreased pCO2. --CORRECT ANSWER--Elevated hemoglobin.
The mother asks the purpose of aspirin therapy in a child with rheumatic fever.
The nurse explains that the purpose is to:
Page 3 of 112
, A. Provide comfort and reduce temperature.
B. Prevent cardiac complications.
C. Hasten recovery.
D. Prevent the development of chorea. --CORRECT ANSWER--Provide
comfort and reduce temperature.
The nurse teaches parents that absolute contraindications for pediatric
immunizations include:
A. Respiratory illness with low-grade fever.
B. Anaphylactic reaction to previous immunization.
C. Soreness, redness, and swelling at the previous injection site.
D. Febrile seizure one month after the previous injection of the vaccine. --
CORRECT ANSWER--Anaphylactic reaction to previous immunization.
A mother refuses to have her child receive any immunizations, based on her
religious beliefs. The priority nursing diagnosis when planning health teaching
for this family is:
A. Knowledge, Deficient on the part of the parent related to potential side
effects of vaccines.
B. Injury, Risk for related to vaccine reaction.
C. Pain, Acute related to injection and associated anxiety.
D. Infection, Risk for related to incomplete immunization series. --
CORRECT ANSWER--Infection, Risk for related to incomplete
immunization series.
Page 4 of 112
