CAPSTONE EXAM 2 ACTUAL EXAM 2023-2024 COMPLETE 200

CAPSTONE EXAM 2 ACTUAL EXAM 2023-2024 COMPLETE 200

QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

• A child has fluid volume deficit. The nurse performs an assessment and

determines that the child is improving and the deficit is resolving if which finding is noted?

• The child has no tears.
• Urine specific gravity is 1.035.
• Capillary refill is less than 2 seconds.
• Urine output is less than 1 mL/kg/hr. - ANSWER- 3. Capillary refill is less than
• seconds.

• The nurse has just administered ibuprofen to a child with a temperature of

102° F (38.8° C). The nurse should also take which action?

• Withhold oral fluids for 8 hours.
• Sponge the child with cold water.
• Plan to administer salicylate in 4 hours.
• Remove excess clothing and blankets from the child. - ANSWER- 4. Remove

excess clothing and blankets from the child.

• A child with type 1 diabetes mellitus is brought to the emergency department

by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion?

• Potassium infusion
• PH insulin infusion
• 5% dextrose infusion 1 / 4

• Normal saline infusion - ANSWER- 4. Normal saline infusion

• A mother brings her 2-week-old infant to a clinic for a phenylketonuria

rescreening blood test. The test indicates a serum phenylalanine level of 1 mg/di (60.5 mcmol/L). The nurse reviews this result and makes which interpretation?

• It is positive.
• It is negative.
• It is inconclusive.
• It requires rescreening at age 6 weeks. - ANSWER- 2. It is negative.

• An adolescent client with type 1 diabetes mellitus is admitted to the

emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note?

• Sweating and tremors
• Hunger and hypertension
• Cold, clammy skin and irritability
• Fruity breath odor and decreasing level of consciousness - ANSWER- 4. Fruity

breath odor and decreasing level of consciousness

• A pediatrician prescribes an intravenous (IV) solution of 5% dextrose and

half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription?

• Obtains a weight
• Takes the temperature
• Takes the blood pressure
• Checks the amount of urine output - ANSWER- 4. Checks the amount of urine

output 2 / 4

• The mother of a 6-year-old child who has type 1 diabetes mellitus calls a

clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action?

• Hold the next dose of insulin.
• Come to the clinic immediately.
• Encourage the child to drink liquids.
• Administer an additional dose of regular insulin. - ANSWER- 3. Encourage the

child to drink liquids.

• A school-age child with type 1 diabetes mellitus has "soccer practice and the

school nurse provides instructions regarding how to prevent hypoglycemia during

practice: Which should the school nurse tell the child to do?

• Eat twice the amount normally eaten at lunchtime.
• Take half the amount of prescribed insulin on practice days.
• Take the prescribed insulin at noontime rather than in the morning.
• Eat a small box of raisins or drink a cup of orange juice before soccer practice. -

ANSWER- 4. Eat a small box of raisins or drink a cup of orange juice before soccer practice.

• The clinic nurse reviews the record of an infant and notes that the primary

health care provider (PH CP) documented a diagnosis of suspected Hirschypnings disease. The nurse reviews the assessment finding documented in the record, knowing that which is most likely led the mother to seek health care for this infant?

• Diarrhea
• Projectile vomiting
• Regurgitation of feedings
• Foul-smelling ribbon-like stools - ANSWER- 4. Foul-smelling ribbon-like stools 3 / 4

• An infant has just returned to the nursing unit after surgical repair of a cleft lip

on the right side. The nurse should place the infant in which best position at this time?

• Prone position
• On the stomach
• Left lateral position
• Right lateral position - ANSWER- 3. Left lateral position

• The nurse reviews the record of a newborn infant an expected a diagnosis of

esophageal atresia with tracheoesophageal fistula. The nurse expected which most likely sign of this condition documented in the record?

• Incessant crying
• Coughing at nighttime
• Choking with feedings
• Severe projectile vomiting - ANSWER- 3. Choking with feedings

• The nurse provides feeding instructions to a parent of an infant diagnosed

with gastro esophageal reflux disease which instructions should the nurse give to the parent to assist in reducing the episodes of emesis?

• Provide less frequent, larger feedings.
• Burp the infant less frequently during feedings.
• Thin the feedings by adding water to the formula.

4.Thicken the feedings by adding rice cereal to the formula. - ANSWER- 4.Thicken the feedings by adding rice cereal to the formula.

• A child is hospitalized because of persistent vomiting. The nurse should

monitor the child closely for which problem?

• / 4