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Adaptive: infant

Question 1 of 30

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

Select one answer.

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Adaptive: infant Practice Questions

Review these Adaptive: infant nursing practice questions with answer choices and explanations.

Question 1

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 2

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 3

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 4

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 5

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 6

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 7

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 8

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 9

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 10

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 11

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 12

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 13

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 14

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 15

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 16

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 17

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 18

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 19

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 20

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 21

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 22

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 23

A nurse is caring for an infant with hydrocephalus and VP shunt malfunction. Which finding indicates increased ICP?

  1. Increased appetite
  2. Irritability
  3. Flat fontanel
  4. Tachycardia
View answer and explanation

Correct answer:

  1. Irritability

Explanation: Irritability is an early ICP sign.

Question 24

A nurse is planning care for an infant with bronchiolitis. Which action should be included?

  1. Meningococcal vaccine
  2. Suction nares with bulb syringe
  3. IV antibiotics
  4. Negative-pressure room
View answer and explanation

Correct answer:

  1. Suction nares with bulb syringe

Explanation: Suctioning maintains airway.

Question 25

A nurse is caring for an infant who has heart failure and is receiving digoxin. Which finding indicates a positive response?

  1. Respiratory rate 32/min
  2. Heart rate 187/min
  3. Urine output 2 mL/kg/hr
  4. Capillary refill 4 seconds
View answer and explanation

Correct answer:

  1. Urine output 2 mL/kg/hr

Explanation: Improved urine output reflects improved cardiac output.

Question 26

A nurse is teaching about sudden infant death syndrome (SIDS). Which is correct?

  1. Place prone
  2. Use soft bedding
  3. Sleep on back
  4. Share bed
View answer and explanation

Correct answer:

  1. Sleep on back

Explanation: Back sleeping reduces SIDS risk.

Question 27

A nurse is teaching about sudden infant death syndrome (SIDS). Which is correct?

  1. Place prone
  2. Use soft bedding
  3. Sleep on back
  4. Share bed
View answer and explanation

Correct answer:

  1. Sleep on back

Explanation: Back sleeping reduces SIDS risk.

Question 28

A nurse is caring for an infant with pyloric stenosis. Which acid-base imbalance is expected?

  1. Metabolic acidosis
  2. Metabolic alkalosis
  3. Respiratory acidosis
  4. Respiratory alkalosis
View answer and explanation

Correct answer:

  1. Metabolic alkalosis

Explanation: Persistent vomiting leads to metabolic alkalosis.

Question 29

A nurse is caring for an infant with pyloric stenosis. Which acid-base imbalance is expected?

  1. Metabolic acidosis
  2. Metabolic alkalosis
  3. Respiratory acidosis
  4. Respiratory alkalosis
View answer and explanation

Correct answer:

  1. Metabolic alkalosis

Explanation: Persistent vomiting leads to metabolic alkalosis.

Question 30

A nurse is caring for an infant with pyloric stenosis. Which acid-base imbalance is expected?

  1. Metabolic acidosis
  2. Metabolic alkalosis
  3. Respiratory acidosis
  4. Respiratory alkalosis
View answer and explanation

Correct answer:

  1. Metabolic alkalosis

Explanation: Persistent vomiting leads to metabolic alkalosis.