NUR 412 Nursing Concepts for Pediatric
Patients Exam 3 Questions and Correct Answers, With
Complete Solution, Updated 2024. Actual Exam
Questions.
A newborn was admitted to the nursery with a complete bilateral cleft lip and
palate. The physician explained the plan of therapy and its expected good results.
However, the mother refuses to see or hold her baby. Initial therapeutic approach
to the mother should be which of the following?
A. Encourage her to express her feelings.
B. Suggest holding baby but without eye contact.
C. Restate what the physician has told her about plastic surgery.
D. Recognize that attachment usually does not occur until after initial surgery.
A. Encourage her to express her feelings.
The nurse is caring for a neonate born with an omphalocele. Initial management
after delivery includes:
A. Beginning breast-feeding
B. Supine positioning with nasogastric feedings
C. Covering the omphalocele with saline-soaked gauze and plastic drape
D. Using radiant warmer to dry sac and maintain neutral thermal environment
C. Covering the omphalocele with saline-soaked gauze and plastic drape
Which of the following is an important nursing responsibility when a dysrhythmia
is suspected?
A. Order an immediate electrocardiogram.
B, Count radial rate every 1 minute for 5 minutes.
C. Count apical rate for 1 full minute and compare with radial rate.
D. Have someone else take the radial rate simultaneously with the apical rate.
C. Count apical rate for 1 full minute and compare with radial rate.
The nurse suspects a child is having an adverse reaction to a blood
transfusion.The first action by the nurse should be which of the following?
A. Notify physician.
B. Take vital signs and blood pressure and compare them with baseline.
C. Dilute infusing blood with equal amounts of normal saline.
D. Stop transfusion and maintain a patent intravenous line with normal saline and
new tubing.
D. Stop transfusion and maintain a patent intravenous line with normal saline and new
tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's
stools are a tarry green color. The nurse should explain that this is a(n):
A. Symptom of iron deficiency anemia.
B. Adverse effect of the iron preparation.
C. Indicator of an iron preparation overdose.
D. Normally expected change resulting from the iron preparation.
, D. Normally expected change resulting from the iron preparation.
The school nurse is caring for a child with hemophilia who fell on his arm during
recess. Which of the following supportive measures should the nurse do until
factor replacement therapy can be instituted?
A. Apply warm, moist compresses.
B. Apply tourniquet for at least 5 minutes.
C. Elevate arm above the level of the heart.
D. Begin passive range of motion unless pain is severe.
C. Elevate arm above the level of the heart.
The school nurse is discussing prevention of acquired immunodeficiency
syndrome with some adolescents. Which of the following is appropriate to
include?
A. Virus is easily transmitted.
B. It is only transmitted through blood.
C. Condoms should be used if adolescents are homosexual.
D. Recreational drug users should not share needles or other equipment.
D. Recreational drug users should not share needles or other equipment.
Postoperative care priority includes all of the following except:
A. Proper positioning for avoidance of contracture
B. Monitoring for CSF leakage or accumulation
C. Pain management of the lower extremities due to positioning
D. Family bonding due to alteration normal expectation at birth
C. Pain management of the lower extremities due to positioning
What volume of cerebrospinal fluid (CSF) do infants have?
A. 20-30 mL
B. 40-60 mL
C. 60-100 mL
D. 80-120 mL
B. 40-60 mL
What volume of cerebrospinal fluid (CSF) do young children have?
A. 20-30 mL
B. 40-60 mL
C. 60-100 mL
D. 80-120 mL
C. 60-100 mL
What volume of cerebrospinal fluid (CSF) do older children have?
A. 40-60 mL
B. 60-100 mL
C. 80-120 mL
D. 100-160 mL
C. 80-120 mL
What volume of cerebrospinal fluid (CSF) do adults have?
A. 60-100 mL
B. 500-700 mL
C. 80-120 mL
D. 100-160 mL
Patients Exam 3 Questions and Correct Answers, With
Complete Solution, Updated 2024. Actual Exam
Questions.
A newborn was admitted to the nursery with a complete bilateral cleft lip and
palate. The physician explained the plan of therapy and its expected good results.
However, the mother refuses to see or hold her baby. Initial therapeutic approach
to the mother should be which of the following?
A. Encourage her to express her feelings.
B. Suggest holding baby but without eye contact.
C. Restate what the physician has told her about plastic surgery.
D. Recognize that attachment usually does not occur until after initial surgery.
A. Encourage her to express her feelings.
The nurse is caring for a neonate born with an omphalocele. Initial management
after delivery includes:
A. Beginning breast-feeding
B. Supine positioning with nasogastric feedings
C. Covering the omphalocele with saline-soaked gauze and plastic drape
D. Using radiant warmer to dry sac and maintain neutral thermal environment
C. Covering the omphalocele with saline-soaked gauze and plastic drape
Which of the following is an important nursing responsibility when a dysrhythmia
is suspected?
A. Order an immediate electrocardiogram.
B, Count radial rate every 1 minute for 5 minutes.
C. Count apical rate for 1 full minute and compare with radial rate.
D. Have someone else take the radial rate simultaneously with the apical rate.
C. Count apical rate for 1 full minute and compare with radial rate.
The nurse suspects a child is having an adverse reaction to a blood
transfusion.The first action by the nurse should be which of the following?
A. Notify physician.
B. Take vital signs and blood pressure and compare them with baseline.
C. Dilute infusing blood with equal amounts of normal saline.
D. Stop transfusion and maintain a patent intravenous line with normal saline and
new tubing.
D. Stop transfusion and maintain a patent intravenous line with normal saline and new
tubing.
The parent of a child receiving an iron preparation tells the nurse that the child's
stools are a tarry green color. The nurse should explain that this is a(n):
A. Symptom of iron deficiency anemia.
B. Adverse effect of the iron preparation.
C. Indicator of an iron preparation overdose.
D. Normally expected change resulting from the iron preparation.
, D. Normally expected change resulting from the iron preparation.
The school nurse is caring for a child with hemophilia who fell on his arm during
recess. Which of the following supportive measures should the nurse do until
factor replacement therapy can be instituted?
A. Apply warm, moist compresses.
B. Apply tourniquet for at least 5 minutes.
C. Elevate arm above the level of the heart.
D. Begin passive range of motion unless pain is severe.
C. Elevate arm above the level of the heart.
The school nurse is discussing prevention of acquired immunodeficiency
syndrome with some adolescents. Which of the following is appropriate to
include?
A. Virus is easily transmitted.
B. It is only transmitted through blood.
C. Condoms should be used if adolescents are homosexual.
D. Recreational drug users should not share needles or other equipment.
D. Recreational drug users should not share needles or other equipment.
Postoperative care priority includes all of the following except:
A. Proper positioning for avoidance of contracture
B. Monitoring for CSF leakage or accumulation
C. Pain management of the lower extremities due to positioning
D. Family bonding due to alteration normal expectation at birth
C. Pain management of the lower extremities due to positioning
What volume of cerebrospinal fluid (CSF) do infants have?
A. 20-30 mL
B. 40-60 mL
C. 60-100 mL
D. 80-120 mL
B. 40-60 mL
What volume of cerebrospinal fluid (CSF) do young children have?
A. 20-30 mL
B. 40-60 mL
C. 60-100 mL
D. 80-120 mL
C. 60-100 mL
What volume of cerebrospinal fluid (CSF) do older children have?
A. 40-60 mL
B. 60-100 mL
C. 80-120 mL
D. 100-160 mL
C. 80-120 mL
What volume of cerebrospinal fluid (CSF) do adults have?
A. 60-100 mL
B. 500-700 mL
C. 80-120 mL
D. 100-160 mL
