NUR353 NEWEST EXAM||QUESTIONS
AND CORRECT ANSWERS||GRADED
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What should the plan of care for a newborn with hypospadias include?
1
Preparing the infant for insertion of a cystostomy tube
2
Explaining to the parents the genetic basis for the defect
3
Keeping the infant's penis wrapped with petrolatum gauze
4
Giving the parents reasons why circumcision should not be performed -CORRECT
ANSWER Giving the parents reasons why circumcision should not be performed.
-The parents need to know why circumcision should not be performed. The foreskin
may be needed for repair and reconstruction of the penis. A cystostomy tube is not
inserted, because there is no interference with voiding. Hypospadias is not a genetic
disorder, although there appears to be some evidence that it is familial. The penis is
generally wrapped in petrolatum gauze after, not before, surgical correction of
hypospadias.
The day after undergoing abdominal appendectomy a school-aged child is prepared for
ambulation. Which nursing action would be most effective before the start of
ambulation?
Providing a rest period
2
Offering a reward for walking
3
Encouraging use of the spirometer
4
Administering the prescribed pain medication -CORRECT ANSWER Administering the
prescribed pain medication
After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
1
Frequency of crying
2
Amount of oral intake
,3
Characteristics of stools
4
Absence of bowel sounds -CORRECT ANSWER Characteristics of stools
-Because intussusception creates intestinal obstruction in which the intestine
"telescopes" and becomes trapped, passage of intestinal contents is lessened; stools
are red and look like currant jelly because of the mixing of stool with blood and mucus.
bowel sounds are not affected
Before discharging a 9-year-old child who is being treated for acute poststreptococcal
glomerulonephritis (APSGN), what information should the nurse plan to give the
parents?
1
How to obtain the vital signs daily
2
Date on which to return to prepare for renal dialysis
3
Instructions about which high-sodium foods to avoid
4
List of activities that will encourage the child to remain active -CORRECT ANSWER
Instructions about which high-sodium foods to avoid
-Sodium is usually limited to control or prevent edema or hypertension until the child is
asymptomatic. The child is usually on a regular diet with sodium restrictions (e.g., salty
snacks [potato chips, pretzels, tortilla chips] and hot dogs, bacon, bologna, and other
processed meats). child should rest and not be active
An infant with congenital hypothyroidism receives levothyroxine for three months.
During the return appointment, which statement by the mother indicates to the nurse
that the drug is effective?
1
The infant is alert and interactive.
2
The skin is cool to the touch.
3
The baby's fine tremor has ceased.
4
The baby's thyroid stimulating hormone level has increased. -CORRECT ANSWER The
infant is alert and interactive
-Infants with congenital hypothyroidism are lethargic and may even need to be
awakened and stimulated to nurse; therefore, an infant who is alert and interacts
appropriately for its age would demonstrate improvement.
At the beginning of the first formula feeding a newborn begins to cough and choke, and
the lips become cyanotic. What is the nurse's priority action in response to this
situation?
1
, Stimulate crying
2
Substitute sterile water for the formula
3
Suction and then oxygenate the newborn
4
Stop the feeding momentarily and then restart it -CORRECT ANSWER suction and then
oxygenate the newborn
- Cyanosis, choking, and coughing are signs of aspiration and hypoxia. Suctioning and
oxygenation are needed. Crying may add to the distress. Water could be aspirated,
worsening the problem. Stopping the feeding momentarily and then restarting it is
unsafe; the newborn is showing signs of a blocked airway.
An infant with hydrocephalus has a ventriculoperitoneal shunt surgically inserted. What
nursing care is essential during the first 24 hours after this procedure?
1
Medicating the infant for pain
2
Placing the infant in a high Fowler position
3
Positioning the infant on the side that has the shunt
4
Monitoring the infant for increasing intracranial pressure -CORRECT ANSWER
Monitoring the infant for increasing intracranial pressure.
-The shunt may become obstructed, leading to an accumulation of cerebrospinal fluid
and increased intracranial pressure. Although providing pain relief for the infant is an
important part of postsurgical care, monitoring for potentially severe complications such
as increased intracranial pressure takes precedence. Positioning the infant flat helps
prevent complications that may result from a too-rapid reduction of intracranial fluid. The
infant is positioned off the shunt to prevent pressure on the valve and incision area.
What is the priority of preoperative nursing care for an infant with a cleft lip?
1
Preventing crying
2
Modifying feeding
3
Preventing infection
4
Minimizing handling -CORRECT ANSWER Modifying feeding
-difficulty sucking on a nipple. cleft pallat=infection, not lip
The mother of an infant who just underwent cleft lip repair tells the nurse, "He seems
restless. May I hold him?" What information influences the nurse's response?
1
Holding may meet needs and reduce tension on the suture line.
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What should the plan of care for a newborn with hypospadias include?
1
Preparing the infant for insertion of a cystostomy tube
2
Explaining to the parents the genetic basis for the defect
3
Keeping the infant's penis wrapped with petrolatum gauze
4
Giving the parents reasons why circumcision should not be performed -CORRECT
ANSWER Giving the parents reasons why circumcision should not be performed.
-The parents need to know why circumcision should not be performed. The foreskin
may be needed for repair and reconstruction of the penis. A cystostomy tube is not
inserted, because there is no interference with voiding. Hypospadias is not a genetic
disorder, although there appears to be some evidence that it is familial. The penis is
generally wrapped in petrolatum gauze after, not before, surgical correction of
hypospadias.
The day after undergoing abdominal appendectomy a school-aged child is prepared for
ambulation. Which nursing action would be most effective before the start of
ambulation?
Providing a rest period
2
Offering a reward for walking
3
Encouraging use of the spirometer
4
Administering the prescribed pain medication -CORRECT ANSWER Administering the
prescribed pain medication
After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
After several episodes of abdominal pain and vomiting, a 5-month-old infant is admitted
with a tentative diagnosis of intussusception. What assessment should the nurse
document that will aid confirmation of the diagnosis?
1
Frequency of crying
2
Amount of oral intake
,3
Characteristics of stools
4
Absence of bowel sounds -CORRECT ANSWER Characteristics of stools
-Because intussusception creates intestinal obstruction in which the intestine
"telescopes" and becomes trapped, passage of intestinal contents is lessened; stools
are red and look like currant jelly because of the mixing of stool with blood and mucus.
bowel sounds are not affected
Before discharging a 9-year-old child who is being treated for acute poststreptococcal
glomerulonephritis (APSGN), what information should the nurse plan to give the
parents?
1
How to obtain the vital signs daily
2
Date on which to return to prepare for renal dialysis
3
Instructions about which high-sodium foods to avoid
4
List of activities that will encourage the child to remain active -CORRECT ANSWER
Instructions about which high-sodium foods to avoid
-Sodium is usually limited to control or prevent edema or hypertension until the child is
asymptomatic. The child is usually on a regular diet with sodium restrictions (e.g., salty
snacks [potato chips, pretzels, tortilla chips] and hot dogs, bacon, bologna, and other
processed meats). child should rest and not be active
An infant with congenital hypothyroidism receives levothyroxine for three months.
During the return appointment, which statement by the mother indicates to the nurse
that the drug is effective?
1
The infant is alert and interactive.
2
The skin is cool to the touch.
3
The baby's fine tremor has ceased.
4
The baby's thyroid stimulating hormone level has increased. -CORRECT ANSWER The
infant is alert and interactive
-Infants with congenital hypothyroidism are lethargic and may even need to be
awakened and stimulated to nurse; therefore, an infant who is alert and interacts
appropriately for its age would demonstrate improvement.
At the beginning of the first formula feeding a newborn begins to cough and choke, and
the lips become cyanotic. What is the nurse's priority action in response to this
situation?
1
, Stimulate crying
2
Substitute sterile water for the formula
3
Suction and then oxygenate the newborn
4
Stop the feeding momentarily and then restart it -CORRECT ANSWER suction and then
oxygenate the newborn
- Cyanosis, choking, and coughing are signs of aspiration and hypoxia. Suctioning and
oxygenation are needed. Crying may add to the distress. Water could be aspirated,
worsening the problem. Stopping the feeding momentarily and then restarting it is
unsafe; the newborn is showing signs of a blocked airway.
An infant with hydrocephalus has a ventriculoperitoneal shunt surgically inserted. What
nursing care is essential during the first 24 hours after this procedure?
1
Medicating the infant for pain
2
Placing the infant in a high Fowler position
3
Positioning the infant on the side that has the shunt
4
Monitoring the infant for increasing intracranial pressure -CORRECT ANSWER
Monitoring the infant for increasing intracranial pressure.
-The shunt may become obstructed, leading to an accumulation of cerebrospinal fluid
and increased intracranial pressure. Although providing pain relief for the infant is an
important part of postsurgical care, monitoring for potentially severe complications such
as increased intracranial pressure takes precedence. Positioning the infant flat helps
prevent complications that may result from a too-rapid reduction of intracranial fluid. The
infant is positioned off the shunt to prevent pressure on the valve and incision area.
What is the priority of preoperative nursing care for an infant with a cleft lip?
1
Preventing crying
2
Modifying feeding
3
Preventing infection
4
Minimizing handling -CORRECT ANSWER Modifying feeding
-difficulty sucking on a nipple. cleft pallat=infection, not lip
The mother of an infant who just underwent cleft lip repair tells the nurse, "He seems
restless. May I hold him?" What information influences the nurse's response?
1
Holding may meet needs and reduce tension on the suture line.
