{"id":113086,"date":"2023-08-15T22:42:45","date_gmt":"2023-08-15T22:42:45","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113086"},"modified":"2023-08-15T22:42:46","modified_gmt":"2023-08-15T22:42:46","slug":"nr-328-exam-2-latest-2023-2024-real-exam-questions-and-correct-answers-with-rationalesalready-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/nr-328-exam-2-latest-2023-2024-real-exam-questions-and-correct-answers-with-rationalesalready-graded-a\/","title":{"rendered":"NR 328 EXAM 2 LATEST 2023-2024 REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|ALREADY GRADED A+"},"content":{"rendered":"\n

NR 328 EXAM 2 LATEST 2023-2024 REAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|ALRESDY GRADED A+<\/p>\n\n\n\n

    \n
  1. Nurse is caring for a 3-yo who is the victim of a house fire. Child has burns to the face &
    head. What is priority?
    a. Nutritional
    b. Cardiac
    c. Respiratory
    d. Neurologic
    Rationale: C. The primary emphasis during the emergent phase is the treatment of burn shock
    and the management of pulmonary status since respiratory obstruction poses the biggest threat to
    the patient\u2019s life. Monitoring vital signs, output, fluid infusion, and respiratory parameters are
    ongoing activities in the hours immediately after injury. Following assessment of the patient\u2019s
    airway, the nurse can assess the patient\u2019s nutritional, cardiac, and neurologic statuses. Observe
    for infection later\u2014especially skin graphs.<\/li>\n\n\n\n
  2. Baby sustained minor oral burns from drinking hot milk that had been warmed in a
    microwave for 3 mins. Teaching needs?
    a. Warm the milk in the microwave only for 1 minute.
    b. Never use a microwave for warming milk.
    c. Provide only chilled milk to the baby to avoid oral burns.
    d. Warm the milk in the microwave for 30 seconds only.
    Rationale B: Parents should be advised that they should never thaw or rewarm expressed milk in
    a microwave because it can cause uneven warming of milk and result in oral burns. They should
    be advised to thaw the frozen milk by either placing it in lukewarm water. Do not forget that
    sunlight and bath water can burn an infant\u2014parents should be educated to apply sunscreen to
    infants and to turn the hot water heater to it\u2019s lowest setting.<\/li>\n\n\n\n
  3. A school-age child with acute diarrhea and mild dehydration is being given oral
    rehydration solution (ORS). The child’s mother calls the clinic nurse because the child is
    also occasionally vomiting. What should the nurse recommend?
    a. Continuing to give ORS frequently in small amounts.
    b. Alternating ORS and carbonated drinks.
    c. Bringing the child to the hospital for intravenous fluids.
    d. Institute NPO status for the child for 8 hrs & resume ORS if no vomiting.
    Rationale: A. Vomiting is not a contraindication to the use of oral rehydration solution (ORS)
    unless it is severe. The mother should continue to give the ORS in small amounts and at frequent
    intervals. For a school-age child with mild dehydration, rehydration can be safely done at home
    with the use of oral solutions. Carbonated drinks should not be used; they may have a high
    carbohydrate content and contain caffeine, which is a diuretic and could exacerbate fluid loss and
    dehydration. Nothing-by-mouth (NPO) status is not indicated. Administration of small, frequent
    amounts of ORS is recommended. Oral rehydration solution is the most appropriate to give a
    child who is ill with acute gastroenteritis.<\/li>\n\n\n\n
  4. Nurse is assessing an infant with severe dehydration. What assessment findings are
    associated? SATA
    a. The skin is elastic.
    b. There are decreased tears.
    c. The capillary refill is 5 seconds.
    d. The fontanels are sunken.
    Rationale: B, C & D. The infant with severe dehydration has poor peripheral circulation and
    delayed capillary refill due to reduced blood volume. The capillary refill is delayed to more than
    4 seconds. The skin appears acrocyanotic or mottled with tenting. The child has hyperpnea, or
    deep and rapid respiration, as a result of poor oxygenation. Physical examination of the eyes
    reveals sunken eyes with absence of tears. The fontanels will be sunken. Remember assessment
    findings that are the opposite of above as well as urine specific gravity and urine output of 1-2
    mL\/kg\/hr are signs that the dehydration is normalizing. Also\u2014blood gas with vomiting?
    Diarrhea? Remember weight is the most reliable indicator of fluid loss.<\/li>\n\n\n\n
  5. What is the best method of assessing dehydration in a toddler?
    a. Assessing the fontanels
    b. Weighing the child daily at different times
    c. Checking the intravenous infusion site for signs of infiltration
    d. Accurate measurements of fluid intake and output
    Rationale: D. The priority nursing intervention for assessing dehydration in a child is recording
    of accurate measurements of fluid intake and output, including oral and parenteral intake and
    losses from urine, stools, vomiting, fistulas, nasogastric suction, sweat, and wound drainage.
    Assessing fontanels for bulging is an indicator of dehydration in infants, not toddlers. Weighing
    the child at the same time each day\u2014(most reliable) is more helpful than weighing the child at
    varying times. Monitoring the intravenous infusion site does not provide the nurse with
    assessment data that will reveal dehydration.<\/li>\n\n\n\n
  6. The nurse is teaching the parents of preschoolers about preventing urinary tract infections
    (UTIs). What strategies should the nurse instruct the parents to use to prevent UTIs?
    Select all that apply.
    a. “Give cranberry juice to your children on a regular basis.”
    b. “Do not allow your children to urinate in public toilets.”
    c. “Encourage your children to drink 6 to 8 glasses of water each day.”
    d. “Ensure that your children evacuate their bowels regularly.”
    Rationale: C & D. Drinking adequate amounts of water promotes flushing of the normal bladder
    and lowers the concentration of pathogens in the bladder. It also helps enhance the antibacterial
    properties of the renal medulla. Constipation can cause bladder obstruction and increase the risk
    of UTI. Thus, the parents must ensure that the children clear their bowels regularly. Much has
    been reported about the use of cranberry products for prevention of UTI. Initially it was thought
    to alter the urine acidity, but studies have not shown that ingestion results in a lower pH; but
    instead it appeared to decrease the adherence of certain bacteria to the bladder wall. Recent
    review of the literature showed that cranberry products did not significantly reduce the
    occurrence of symptomatic UTI overall or in any of the subgroups, including children. Because
    the benefit is small, cranberry juice cannot currently be recommended for prevention of UTIs.
    Other cranberry preparations need to be quantified using standardized methods to ensure the
    potency before being evaluated in clinical studies or recommended for use. If the child is outside
    the home and has a desire to void, the child should be allowed to use the public toilets, because
    holding urine in the bladder for a long time can increase the risk of UTI. Sexually active
    teenagers should be taught to urinate before and after intercourse. Know clinical manifestations
    of UTI in infant.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    NR 328 EXAM 2 LATEST 2023-2024 REAL EXAMQUESTIONS AND CORRECT ANSWERS WITHRATIONALES|ALRESDY GRADED A+<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113086","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113086","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113086"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113086\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113086"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113086"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113086"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}