NUR 340 exam 1 clicker questions
Which of the following patients has severe respiratory distress?
A.Jason, 3-mos-old resp. rate 18
B.Jackson, 3-yrs-old resp. rate 22
C.Megan, 13-yrs-old resp. rate 24
D.Michelle 19-mos-old resp. rate 26 – answer A.Jason, 3-mos-old resp. rate 18
*The nurse in an outpatient center is caring for a 4-month-old infant with a URI. The
parent asks "what should I do about his fever?" The child's temperature is 100º F. How
should the nurse respond?
A.You can give him Tylenol® or Motrin®, which ever you prefer.
B.A low grade fever can actually be beneficial.
C.A temperature of 100º F is not actually considered a fever.
D.You can alternate Tylenol® and Motrin® every 4-hours. - answerB.A low grade fever
can actually be beneficial.
The nurse caring for 6-month-old Alexa obtains an axillary temperature of 100.4°F.
What action should the nurse take at this time?
A.Administer prn acetaminophen.
B.Assess respiratory and fluid status.
C.Question the parent about the child's usual temperature status.
D.Record the temperature and retake in one hour. - answerB.Assess respiratory and
fluid status.
(technically 101.4-axillary)
*The nurse is discharging a client following a tonsillectomy. Which of the following
statements made by the child's mother would indicate the need for further teaching?
A.I will make sure he continues to drink lots of fluids.
B.He will be so happy to get back to school on Monday
C.I will be glad to get through the next few days so that I can stop worrying about him
bleeding
D.We promised him that we would stop for sherbet on our way home - answerC.I will be
glad to get through the next few days so that I can stop worrying about him bleeding
Emma Grace, 18-months-old is your next door neighbor. Emma's mother phones you at
10pm to ask for advice. Emma has been fussy all day. She has a fever of 100.6 and is
, making a funny crowing noise when she breaths. You go next door & find a fussy
toddler with mild inspiratory stridor. What action should you take at this time?
A.Explain to Emma's mother that that the child probably has a cold and that she will be
fine.
B.Call an ambulance to have Emma transported to the nearest ED
C.Advise Emma's mother to turn the shower on hot, close the door and set in the
bathroom with Emma for 15 minutes - answerC.Advise Emma's mother to turn the
shower on hot, close the door and set in the bathroom with Emma for 15 minutes
Your next door neighbor phones you to ask advice about her 4-year old son. He has a
sore throat, pain on swallowing, and a fever of 103.4° F. You go next door & find an
acutely ill child setting upright and drooling. What action should you take at this time?
A.Use a spoon & flash light to assess the child's throat.
B.Instruct the mother to phone her pediatrician in the morning.
C.Call an ambulance to have the child transported to the nearest ED.
D.Advise the mother to bundle the child up, take him outside and allow him to breath the
cold snowy air for five minutes. - answerC.Call an ambulance to have the child
transported to the nearest ED.
The nurse is caring for a 3-year-old child who is 3 hours post tonsillectomy. The child
appears restless and is swallowing frequently. The child is quiet. The most appropriate
action of the nurse is which of the following?
A.Allow the child to sleep.
B.Use a tongue blade to assess the surgical site.
C.Perform a focused assessment on the child.
D.Administer analgesia to promote comfort. - answerC
The classic clinical presentation of otitis media is which combination of signs?
A.Ear canal inflammation, effusion, and slow onset
B.Pain when ear is tugged, serosanguineous drainage from ear
C.Acute onset, middle ear inflammation, and effusion - answer
The parents of a child who contracted RSV while hospitalized for heart surgery asks the
nurse how this happened. The nurse knows that the virus was most likely transmitted
how?
A.Via the hospital ventilation system.
B.On the hands or clothing of a health care provider.
C.From a child playing in the playroom. - answerC
Which of the following patients has severe respiratory distress?
A.Jason, 3-mos-old resp. rate 18
B.Jackson, 3-yrs-old resp. rate 22
C.Megan, 13-yrs-old resp. rate 24
D.Michelle 19-mos-old resp. rate 26 – answer A.Jason, 3-mos-old resp. rate 18
*The nurse in an outpatient center is caring for a 4-month-old infant with a URI. The
parent asks "what should I do about his fever?" The child's temperature is 100º F. How
should the nurse respond?
A.You can give him Tylenol® or Motrin®, which ever you prefer.
B.A low grade fever can actually be beneficial.
C.A temperature of 100º F is not actually considered a fever.
D.You can alternate Tylenol® and Motrin® every 4-hours. - answerB.A low grade fever
can actually be beneficial.
The nurse caring for 6-month-old Alexa obtains an axillary temperature of 100.4°F.
What action should the nurse take at this time?
A.Administer prn acetaminophen.
B.Assess respiratory and fluid status.
C.Question the parent about the child's usual temperature status.
D.Record the temperature and retake in one hour. - answerB.Assess respiratory and
fluid status.
(technically 101.4-axillary)
*The nurse is discharging a client following a tonsillectomy. Which of the following
statements made by the child's mother would indicate the need for further teaching?
A.I will make sure he continues to drink lots of fluids.
B.He will be so happy to get back to school on Monday
C.I will be glad to get through the next few days so that I can stop worrying about him
bleeding
D.We promised him that we would stop for sherbet on our way home - answerC.I will be
glad to get through the next few days so that I can stop worrying about him bleeding
Emma Grace, 18-months-old is your next door neighbor. Emma's mother phones you at
10pm to ask for advice. Emma has been fussy all day. She has a fever of 100.6 and is
, making a funny crowing noise when she breaths. You go next door & find a fussy
toddler with mild inspiratory stridor. What action should you take at this time?
A.Explain to Emma's mother that that the child probably has a cold and that she will be
fine.
B.Call an ambulance to have Emma transported to the nearest ED
C.Advise Emma's mother to turn the shower on hot, close the door and set in the
bathroom with Emma for 15 minutes - answerC.Advise Emma's mother to turn the
shower on hot, close the door and set in the bathroom with Emma for 15 minutes
Your next door neighbor phones you to ask advice about her 4-year old son. He has a
sore throat, pain on swallowing, and a fever of 103.4° F. You go next door & find an
acutely ill child setting upright and drooling. What action should you take at this time?
A.Use a spoon & flash light to assess the child's throat.
B.Instruct the mother to phone her pediatrician in the morning.
C.Call an ambulance to have the child transported to the nearest ED.
D.Advise the mother to bundle the child up, take him outside and allow him to breath the
cold snowy air for five minutes. - answerC.Call an ambulance to have the child
transported to the nearest ED.
The nurse is caring for a 3-year-old child who is 3 hours post tonsillectomy. The child
appears restless and is swallowing frequently. The child is quiet. The most appropriate
action of the nurse is which of the following?
A.Allow the child to sleep.
B.Use a tongue blade to assess the surgical site.
C.Perform a focused assessment on the child.
D.Administer analgesia to promote comfort. - answerC
The classic clinical presentation of otitis media is which combination of signs?
A.Ear canal inflammation, effusion, and slow onset
B.Pain when ear is tugged, serosanguineous drainage from ear
C.Acute onset, middle ear inflammation, and effusion - answer
The parents of a child who contracted RSV while hospitalized for heart surgery asks the
nurse how this happened. The nurse knows that the virus was most likely transmitted
how?
A.Via the hospital ventilation system.
B.On the hands or clothing of a health care provider.
C.From a child playing in the playroom. - answerC
