Quiz
NUR 436 Midterm
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Questions in this quiz (43)
1In children 10 years old and younger, the most common type of diabetes is Type 2.
- ATrue
- BFalse
2Your are caring for a patient who has an insulin to CHO ration of 1:10. For lunch you determine they will be consuming 75 g of CHO. How much rapid acting insulin will you administer to cover the meal?
- A7.5 units
- B7 units
- C17 units
- D5 units
3For the lunch meal you count up the carbohydrates found on your patients tray and find a ham and cheese sandwich and one small apple. You would estimate the amount of carbohydrates in this meal to be:
- A30g
- B51g
- C21g
- D60g
4The nurse is discussing various sites used for insulin injections with a child and her family. Which site usually has the fastest rate of absorption?
- Aarm
- Bleg
- Cbuttocks
- Dabdomen
5Patient's should be educated on how and when to check their ketones at home. All of the following statements would be good to include in your education except:
- AYou need to check your ketones anytime you are sick.
- BYou should check your ketones every morning before breakfast.
- CYou should check your ketones if you have been experiencing a lot of stress.
- DCheck your ketones if two consecutive blood glucose readings have been over 300.
6The nurse is orienting a new staff member on a unit that cares for many patients at the end of life. Which of the following comments by the nurse correctly reflects a principle of palliative care?
- AWe’re busy because most people prefer to die in a hospital rather than at home where they would be a burden.
- BPatients are eligible for palliative care even though they are also receiving curative treatment.
- CBecause our patients often are uncomfortable, they need physical care more than psychological or spiritual care.
- DDeath and dying are not discussed much here in order to maintain hope for patients and families
7The nurse admits a terminally ill patient to the hospital. What is the first action that the nurse should complete when planning this patient's care?
- AEncourage the patient to talk about any fears or unresolved issues.
- BDiscuss the normal grief process with the patient and family.
- CEmphasize the importance of addressing any family issues.
- DDetermine the patient's wishes regarding end-of-life care.
8You ask another nurse how to collect a laboratory specimen. The nurse raises her eyebrows and asks, “Why don't you figure it out?” What would be the best response?
- A“When you brush me off like that, it makes it even harder for me to learn."
- BSay nothing and walk away. Find a different nurse to help you.
- C“Why do you always put students down like that?"
- D“I guess I just enjoy having you make fun of me.”
9The term animism can best be described as:
- AA child believing he is an animal.
- BThe belief that everything is centered around themselves.
- CThe belief that inanimate objects have lifelike qualities.
- DUsing an active imagination.
10You are preparing to provide education to your pediatric patient. In assessing his developmental level, you find this child loves to pretend he is spiderman but, has limited language skills and is often frightened when medical professionals walk into his room. Which of the following ages, most closely aligns with this description?
- A1 y/o
- B3 y/o
- C6 y/o
- D13 y/o
11Some communication techniques health care workers utilize can negatively affect the interview and threaten rapport between the nurse and the patient. Which communication technique should the nurse implement to encourage therapeutic communication and maintain rapport?
- AOffering sympathy
- BAsking personal questions
- CGiving personal opinions
- DUse of silence
- EGiving false reassurance
12What is it called when the electrical charge released from a pacemaker is insufficient to produce an atrial or ventricular contraction?
- ADevice failure
- BFailure to sense
- CFailure to capture
- DAcquired AV block
13Which of the following statements are incorrect about a Second Degree AV block type II ?
- AThe P-R interval progressively lengthens
- BThis type of dysrhythmia is more serious than a First Degree AV block
- CThe P-R interval may be a normal length
- DThe P wave has a normal shape
14Indications for placement of a permanent pacemaker, include the following: (Select all that apply)
- AThird Degree AV Block
- BFirst Degree AV Block
- CAtrial Fibrillation w/ slow ventricular response
- DHeart failure
- EAtrial fibrillation w/ rapid ventricular response
15An infant is brought to the emergency department with poor skin turgor, weight loss, lethargy, and tachycardia. These physical assessment findings are suggestive of:
- AOverhydration
- BDehydration
- CSodium excess (hypernatremia)
- DCalcium excess (hypercalcemia)
16An infant is being treated for bronchiolitis related to respiratory syncytial virus (RSV), which of the following interventions would typically NOT be included in their plan of care?
- AHumidified oxygen
- BIntravenous fluids
- CSuctioning as needed
- DAntibiotics
17A child weighing 19 kg comes into the emergency department needing rapid fluid expansion. How many milliliters does the nurse prepare to administer of 0.9% normal saline?
- A380 mL
- B400 mL
- C60 mL/hr
- D100 mL/hr
18Your patient is receiving weight-based protocol Heparin Sodium IV infusion for a Deep Vein Thrombosis (DVT). What lab value will you as the nurse be monitoring as per protocol?
- AProthrombin Time (PT)
- BWhite Blood Cell Count (WBC)
- CFibrinogen (Factor 1)
- DActivated Partial Thromboplastin Time (aPTT)
19A nurse is preparing to administer cefotaxime 1 Gram IVPB over 45 min.
Available is cefotaxime 1 Gram in 100 mL 0.9% sodium chloride (0.9% NaCl).
The nurse should set the IV infusion pump to [blank_start]133 mL/hr[blank_end].
(Round the answer to the nearest whole number.)- A133 mL/hr
20To effectively administer medication via a small volume nebulizer (SVN), the machine must only be used with oxygen and not air.
- ATrue
- BFalse
212. You are caring for an infant (less than 1 year old of age) whose oxygen saturation has dropped to 90%. The provider order is to maintain oxygen saturations greater than 92%. The parent is at the bedside and the infant is very agitated when anything is placed near their face due to having facial lesions. Which oxygen delivery system would be the most appropriate? Why?
- A6 L/min Simple mask placed over face.
- B2 L/min Nasal cannula taped to face.
- C6 L/min Simple mask blow-by face.
- D10 L/min High flow non-rebreather placed on face.
223. You are caring for a child (6-12 years of age) who is in the post anesthesia care unit (PACU) following abdominal surgery. The anesthesiologist orders for the oxygen saturations to be maintained greater than 92%. The patient is beginning to arouse from sleeping and has 02 sats at 91%. Which oxygen delivery system would be the most appropriate? Why?
- A6 L/min via Simple mask.
- B2 L/min via Nasal cannula.
- CBlow-by with simple mask.
- D10 L/min via non-rebreather.
23You are caring for a toddler (1 to 3 years of age) whose oxygen saturation has been dropping to 85%. The order is to maintain oxygen saturations greater than 92%. The toddler is currently using 02 at 4 L/min via nasal cannula. What course of action would the nurse take? Why?
- AIncrease the 02 to 6L/min
- BPlace the toddler under an oxygen hood.
- CProvide blow-by 02.
- DPlace the toddler on a non-rebreather at 10L/min.
24Medications that can be used in a nebulizer include [blank_start]bronchodilators[blank_end], [blank_start]steroids[blank_end], and [blank_start]antibiotics[blank_end].
- Abronchodilators
- Bsteroids
- Cantibiotics
25How often should the pulse oximeter probe be changed for your pediatric patient?
- Aevery 24 hours
- Bevery 2 hours
- Cevery 4 hours
- Devery 8 hours
26To complete a respiratory assessment, the nurse should:
- AAuscultate lung sounds bilaterally skin to skin anteriorly and posteriorly.
- BCount the respiratory rate/min and note the work of breathing.
- CNote the patient skin color and level of consciousness.
- DCheck the pulse oximetry and note if patient on Room air or with 02.
- EAsk if okay to listen to patient’s chest over gown.
27You are assessing your pediatric patient and notice they are experiencing retractions below the xiphoid area/abdominal. You would document this as [blank_start]substernal[blank_end] retractions.
- Asubsternal
28If a student finds an infant/child without an ID band, the student is required to obtain a new ID band and place it on the patient.
- ATrue
- BFalse
29An infant not critically ill is being transported to radiology for a test. Mom is at bedside with the child. Which means of transportation is most appropriate?
- ATransport infant on a gurney with side rails up.
- BTransport infant in a wheelchair held in mom’s arms.
- CHave caregiver carry the child and walk to radiology.
- DLay infant in a wagon and have nurse pull to radiology.
30Which bed is most appropriate for a 4 month old infant?
- ARegular hospital bed
- BClimber crib
- COpen crib
- DOn the couch in room w/ caregiver
31Which bed is most appropriate for a 13 month old toddler?
- ARegular hospital bed
- BClimber crib
- COpen crib
- DOn the couch in room w/ caregiver
32Which bed is most appropriate for a 28 month old toddler who sleeps in a regular bed at home?
- ARegular hospital bed
- BClimber crib
- COpen crib
- DOn the couch in room w/ caregiver
33Which bed is most appropriate for a 4 year old child who sleeps in a regular bed at home?
- ARegular hospital bed
- BClimber crib
- COpen crib
- DOn the couch in room w/ caregiver
34CPR compressions for a child should be at a depth of [blank_start]2[blank_end] inches, while compressions for an infant should be at a depth of [blank_start]1.5[blank_end] inches.
- A2
- B1.5
35The P wave represents [blank_start]atrial depolarization[blank_end].
- Aatrial depolarization
36The QRS complex represents [blank_start]ventricular depolarization[blank_end],
- Aventricular depolarization
37The T wave represents [blank_start]ventricular repolarization[blank_end].
- Aventricular repolarization
38The PR interval indicates the time that the impulse travels from the [blank_start]SA node[blank_end] to the [blank_start]AV node[blank_end].
- ASA node
- BAV node
39Pediatric-specific strategies aimed at reducing medication errors include which of the following?
- AStandardize and identify medications effectively, as well as processes for drug administration.
- BEnsure full pharmacy oversight, as well as the involvement of other appropriate staff in the verifying, dispensing and administering of both neonatal/pediatric meds.
- CUse technology judiciously.
40To prevent complications of enteral feedings, and appropriate nursing action would be to keep the head of the patient's bed elevated at least [blank_start]30[blank_end] degrees.
- A30
41Arne Ardings has an order for a CXR after central line placement. The rationale for this test is to ensure proper placement in the [blank_start]superior vena cava[blank_end].
- Asuperior vena cava
42The intensive care unit (ICU) charge nurse will determine that teaching about hemodynamic monitoring for a new staff nurse has been effective when the new nurse:
- Apositions the zero-reference stopcock line level with the phlebostatic axis.
- Brebalances and recalibrates monitoring equipment hourly.
- Censures accurate hemodynamic readings by elevating the head of the patient's bed to 45 degrees or places them in supine position.
- Dexplains, "I will reposition the stopcock to phlebostatic axis when the patient is repositioned."
43To determine whether there is a delay in impulse conduction through the ventricles, the nurse will measure the duration of the patient's [blank_start]QRS complex[blank_end].
To determine whether there is a delay in impulse conduction through the atria, the nurse will measure the length of the patient's [blank_start]P wave[blank_end].- AQRS complex
- BP wave
- CP wave
- DQRS complex
- EP-R interval
- FT wave
- GP-R interval
- HT wave
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- Quiz on NUR 436 Midterm, created by Nikki Schweitzer on 28/02/2019.
- Author
- Nikki Schweitzer
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- English
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