NSG 320 EXAM 3 NEWEST ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
A child presents to the emergency department with burns on the lower arm from
hot water. They appear to be white with red blisters, do not blanch, and the child
can feel pressure, but not pain, with palpation. How would the nurse describe
these burns?
1. Superficial burns
2. Deep partial-thickness burns
3. Full-thickness burns
4. Superficial partial-thickness burns
2. Deep partial-thickness burns
Rationale: Deep-partial thickness burns appear dry and white or red with
blisters if the burn was caused by scalding and the client can feel pressure when
applied.
Superficial burns are red and painful with no blistering.
Full-thickness burns show no blanching, no pain, and a white or charred
appearance.
Superficial partial-thickness burns show red, painful blisters and will blanch with
pressure.
A child is being admitted for what appears to be a minor electrical burn. In
preparing for the child's arrival to the floor, what order would the nurse
anticipate?
1. Continuous cardiac monitoring
2. Arterial blood gas to be drawn every 4 hours
1|Page
, NSG 320 Exam 3
3. Foley catheter to monitor output
4. Central venous access for fluid replacement
1. Continuous cardiac monitoring
Rationale: ECG and cardiac monitoring are indicated for electrical burns.
The nurse is assessing a child with presentation of rash on the scalp. The nurse
notes the infant does not seem to scratch her head and reports this to the
provider. What is the significance of this action?
1. Itching can differentiate disorders, such as atopic dermatitis from seborrheic
keratosis.
2. The nurse wants to be thorough in assessment of the infant.
3. It will determine whether or not the head can be washed.
4. It will determine if the infant has contracted pediculosis.
1. Itching can differentiate disorders, such as atopic dermatitis from seborrheic
keratosis.
Rationale: Seborrheic dermatitis is non-pruritic, which helps to distinguish it
from atopic dermatitis.
A nurse is caring for a severely dehydrated child. The child has had nausea and
vomiting for three days. The health care provider orders a 20 ml/kg bolus of
intravenous (IV) fluid of an isotonic crystalloid. Which IV fluid would be the best
choice?
1. Sodium Chloride 0.9% (normal saline)
2. Dextrose 10% and water
3. Dextrose 5% and 0.45% normal saline
4. Dextrose 5% and 0.9% normal saline
1. Sodium Chloride 0.9% (normal saline)
2|Page
, NSG 320 Exam 3
The nurse observes a newborn become cyanotic when feeding. What procedure
will the nurse perform as prescribed to assess for a tracheoesophageal fistula
(TEF)?
1. Feed the newborn with smaller, frequent feedings
2. Attempt to pass a nasogastric tube (NG tube)
3. Check for simian creases on the palms of the hands
4. Administer a saline lavage
2. Attempt to pass a nasogastric tube (NG tube)
Rationale: This is a simple test to see if the infant turns blue with the insertion
of the tube. If it does, it is highly indicative of a TEF.
The mother of a newborn diagnosed with tracheoesophageal fistula (TEF) asks the
nurse about the condition. Which statement is correct in educating this mother
about TEF?
1. "This was caused because of you not taking enough folic acid in the first
trimester of your pregnancy."
2. "Your child will most likely be prone to frequent fractures of the extremities."
3. "Your child will need to be on antibiotics of invasive procedures
prophylactically."
4. "Your baby should be able to start tube feedings in 2-3 days after the surgical
repair."
4. "Your baby should be able to start tube feedings in 2-3 days after the surgical
repair."
Rationale: A baby can eat via NG 2-3 days after surgical repair of TEF.
A child is diagnosed with erythema infectiosum (fifth disease) and the nurse is
providing parent education about the management of care. Which important
information regarding this disease is important to include in the teaching?
3|Page