NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. The Health Care Provider orders Phenobarbital 3 milligrams per kilogram per day divided in two doses. Calculate a single dose for a newborn that weighs 3 kilograms. Do not round your answer.
      Correct Answer:4.5 mg
    2. The parents of a newborn male ask the nurse about circumcision. They are undecided as to what to do. Which response by the nurse is best?
      A)
      Circumcision is best because it will prevent the baby from obtaining a sexually transmitted disease.
      B)
      If you do not circumcise your baby, he will have difficulty maintaining adequate hygiene.
      C)
      It is best not to circumcise your baby because the procedure is very painful for newborns.
      D)
      I recommend you discuss the pros and cons of circumcision with the newborn's health care provider.
    3. A new parent asks you why their newborn has jaundice. How would you explain?
      A)
      Jaundice is caused by the newborn having too many red blood cells that are breaking down quickly.
      B)
      It is a sign of liver failure due to an underlying metabolic disorder.
      C)
      The baby is not drinking enough formula or breast milk, which prevents the excretion of bilirubin.
      D)
      The newborn’s immune system is attacking its own red blood cells, causing elevated bilirubin.
    4. The most recent blood count for a child who has received chemotherapy last week shows neutropenia. The priority nursing diagnosis for this child is:
      A)
      Risk for infection.
      B)
      Risk for hemorrhage.
      C)
      Altered skin integrity.
      D)
      Disturbance in body image.
    Page 1 of 16

    Exam Review

    1. The nurse should recognize which of the following signs as a manifestation of sepsis in the neonate? Select all that apply.
      (SATA)
      A)
      Poor tone.
      B)
      Tachypnea.
      C)
      Hypothermia.
      D)
      Sunken fontanel.
      E)
      Hypoglycemia.
    2. Tygacil 50 milligrams IV once a day is ordered for a patient. The Tygacil is dissolved in 50 milliliters of Normal Saline and should infuse over 30 minutes. Using an IV pump, how many milliliters per hour will you administer the medication? Whole number.
      Correct Answer:100 milliliters per hour
    3. You are reviewing the Complete Blood Count for a 3-year-old who has been diagnosed with idiopathic thrombocytopenia purpura. Which information should you report immediately to the health care provider?
      A)
      Increased eosinophil level.
      B)
      Hemoglobin level of 6.1 grams per deciliter.
      C)
      Platelet count of 40,000 per cubic millimeter.
      D)
      Elevated reticulocyte count.
    4. According to the heparin protocol, a patient is to receive 70 units per kilogram IV before a continuous heparin infusion is started. For a patient weighing 60 kilograms, how many units of heparin should be administered? Whole number.
      Correct Answer:4200 units
    Page 2 of 16

    Exam Review

    1. You are teaching a group of preschool teachers what to do when a child has a seizure. Your teaching plan should include which of the following?
      A)
      Insert a padded tongue blade in the child's mouth to prevent biting the tongue.
      B)
      Position the child in a sitting position to help keep the airway open.
      C)
      Initiate rescue breathing as soon as seizure activity begins.
      D)
      Move objects that the child might strike out of the way.
    2. Which information would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?
      A)
      Physiologic jaundice results in kernicterus.
      B)
      Pathologic jaundice appears within 24 hours after birth.
      C)
      Both are treated with exchange transfusions of maternal O-blood.
      D)
      Physiologic jaundice requires transfer to the Neonatal Intensive Care Unit.
    3. Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications?
      A)
      Administer the antiemetic before starting chemotherapy.
      B)
      Use the antiemetic after it is clear that nonpharmacologic methods are not effective.
      C)
      Start the antiemetic on a scheduled basis when the chemotherapy begins to cause nausea.
      D)
      Provide the antiemetic as needed (PRN) when nausea and vomiting are reported.
    4. The primary health care provider orders an intramuscular injection of phytonadione (AquaMEPHYTON) for the neonate. The nurse explains to the parents this medication is used to prevent which of the following conditions?
      A)
      Hypoglycemia.
      B)
      Hyperbilirubinemia.
      C)
      Hemorrhage.
      D)
      Polycythemia.
    Page 3 of 16

    Exam Review

    1. A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
      A)
      Wash the cord daily with mild soap and water.
      B)
      Cover the cord with a diaper.
      C)
      Apply petroleum jelly to the cord stump.
      D)
      Give a sponge bath until the cord stump falls off.
    2. A one-day-old newborn, at 32 weeks' gestation, is under the radiant warmer. The nurse assesses the axillary temperature and notes it is 97.3 degrees F (36.3 degrees C). Which of the following would explain this assessment finding?
      A)
      This is a normal temperature for a preterm neonate.
      B)
      The supply of brown adipose tissue is incomplete.
      C)
      Conduction heat loss is pronounced in the neonate.
      D)
      Axillary temperatures are not valid for the preterm neonate.
    3. A nurse is assessing a 1-year-old toddler and notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
      A)
      Pyloric stenosis.
      B)
      Nephrotic syndrome.
      C)
      Wilms' tumor.
      D)
      Intussusception.
    4. While assisting with a lumbar puncture procedure on an infant or small child, the nurse should do which of the following actions?
      A)
      Have the patient in a clean diaper to avoid contamination of the site.
      B)
      Monitor the patient's cardiorespiratory status at all times.
      C)
      Position the patient in the prone position with the head to the left.
      D)
      Start an intravenous line to facilitate the use of conscious sedation.
    Page 4 of 16

    Exam Review

    1. A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority?
      A)
      Initiating breastfeeding.
      B)
      Performing the initial bath.
      C)
      Giving the vitamin K injection.
      D)
      Initiating skin-to-skin contact with the mother.
    2. What is a sign of increased intracranial pressure (ICP) in a 10-year-old child?
      A)
      Headache.
      B)
      Bulging fontanel.
      C)
      Tachypnea.
      D)
      Increase in head circumference.
    3. Which finding in an analysis of cerebrospinal fluid (CSF) is consistent with a diagnosis of bacterial meningitis?
      A)
      CSF appears cloudy.
      B)
      CSF pressure is decreased.
      C)
      Few leukocytes are present.
      D)
      Glucose level is increased compared with blood.
    4. Four newborns are in the nursery. The nurse would report which assessment finding to the healthcare provider?
      A)
      A 16-hour-old newborn who has not passed any meconium.
      B)
      A 16-hour-old newborn whose glucose level is 55 mg/dL.
      C)
      A 2-day-old newborn who is breathing irregularly at 70 breaths/minute.
      D)
      A 2-day-old newborn who is excreting a milky discharge from both nipples.
    Page 5 of 16

    Exam Review

    1. The infant has Apgar scores of 7 at 1 minute and 9 at 5 minutes. What is the indication of this assessment finding?
      A)
      Severe distress and absolute need of resuscitation.
      B)
      Adjusting to extrauterine life.
      C)
      Moderate difficulty and may need intervention.
      D)
      Predicts fair neurologic future outcomes.
    2. A nurse has taught parents about diagnostic testing for their child who is suspected of having leukemia. What test described by the parents shows good understanding of this information?
      A)
      Bone marrow aspiration and biopsy.
      B)
      Computed tomography (CT) scan.
      C)
      Complete blood cell count (CBC).
      D)
      Lumbar puncture.
    3. A nurse is providing teaching to the parents of a child who has had a shunt inserted as treatment for hydrocephalus. The parents demonstrate understanding of the teaching when they make what statement?
      A)
      "Having the shunt put in decreases his risk for developmental problems.”.
      B)
      "If he doesn't get an infection in the first week, the risk is greatly reduced.”.
      C)
      "He will need more surgeries to replace the shunt as he grows.”.
      D)
      "The shunt will help to prevent any further complications from his disease.”. —
    4. A nurse is preparing a presentation for an expectant parent group about neural tube defects and how to prevent them. Which would the nurse emphasize?
      A)
      Smoking cessation.
      B)
      Aerobic exercise.
      C)
      Increased calcium intake.
      D)
      Folic acid supplementation.
    Page 6 of 16