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NR 328 CMS EXAM NEWEST 2025 TEST BANK|
COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| NR 328 PEDIATRIC
CMS EXAM PREP 2025 (NEW!!)
A nurse is administering albuterol by metered dose inhaler for a preschool-age child who is experiencing an asthma exacerbation. Which of the following findings should the nurse report to the provider?
- Respiratory rate 24 /min - expected/normal finding for this age child
- Peak flow rate of 80% - this is in the green zone, expected/desired
- Intercoastal retractions
- Elevated heart rate - expected side effect of albuterol - Correct
finding
Answer - C. Intercoastal retractions
A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.)
- Administer an analgesic to the child on a scheduled basis.
- Observe the child for frequent swallowing
- Provide cranberry juice to the child.
- Maintained a child in supine position.
- Discourage the child from coughing - Correct Answer - A. Administer
- Observe the child for frequent swallowing 1 / 4
an analgesic to the child on a scheduled basis.
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- Discourage the child from coughing
A nurse is caring for a school-age child who has heart failure. Which of the following findings should the nurse expect? (select all that apply.)
- Tachycardia
- Weight loss
- Cyanosis
- Dyspnea
- Bounding peripheral pulses - Correct Answer - A. Tachycardia
- Dyspnea
- Bounding peripheral pulses
A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider?
- Glasgow coma scale score of 15 - desired finding, GCS is 3-15
- Respiratory rate 25/min - within normal limits (24-40)
- Vomiting-
- Negative Babinski reflex - positive babinski 0-12 months; expected
negative in toddlers - Correct Answer - C. Vomiting
During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas?
- Sternocleidomastoid muscle 2 / 4
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- Posterior fontanel
- Trapezius muscle
- Cervical vertebrae - Correct Answer - A. Sternocleidomastoid muscle
A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperience" in caring for the baby. The nurse should recommend which of the following community resources?
- Respite childcare
- Parent management training - this is a treatment center for aggressive,
- Support group for postpartum depression
- Parent enhancement center - Correct Answer - D. Parent
'troubled' kids/teens
enhancement center
A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding?
- Regurgitation
- Wheezing
- Excessive crying
- Weight loss - Correct Answer - B. Wheezing
A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect?
- Capillary refill 3 seconds - >4seconds 3 / 4
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- Rapid respirations - respiratory alkalosis compensation
- Bradycardia - it would be tachycardia
- Warm extremities - cold extremities is expected. - Correct Answer -
- Rapid respirations
A nurse is preparing to administer immunization to a 3-month-old infant.Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
- Provide a pacifier coated with an oral sucrose solution prior to the
- Inject the immunizations into the deltoid muscle
- Apply eutectic mixture of local anesthetics (EMLA) cream
- Use a 20-gauge needle for the injections. - no, use 22-25gauge
injections.
immediately before the injections. - no, 60 minutes before hand
needle, 1/2"-1" long - Correct Answer - A. Provide a pacifier coated with an oral sucrose solution prior to the injections.
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
- Report the disease to the state health department.
- Administer amphotericin B IV.
- Initiate contact isolation precautions.
- Applying lidocaine ointment topically. - Correct Answer - C. Initiate
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contact isolation precautions.