NURS 217 Fall 25 at Baton Rouge Community College
Access The Exact Questions for NURS 217 Fall 25 at Baton Rouge Community College
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock Actual Exam Questions and Answers for NURS 217 Fall 25 at Baton Rouge Community College on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Want the ultimate prep resource featuring the NURS 217 Fall 25 questions that will appear in your exams Register on our website to unlock access.
Free NURS 217 Fall 25 at Baton Rouge Community College Questions
1. A child has been admitted to the emergency department in status epilepticus. What is the priority nursing intervention?
- A. Restrain patient for protection
- B. Administer valium as ordered
- C. Maintain patent airway
- D. Begin oxygen therapy
Explanation
In status epilepticus, the child experiences continuous or recurrent seizures without regaining consciousness. The priority is to maintain a patent airway because prolonged seizures can cause hypoxia, aspiration, and respiratory arrest. Ensuring airway patency prevents obstruction from the tongue, secretions, or vomitus and allows for adequate oxygenation before administering medications or other interventions. After securing the airway, oxygen and medication therapy can be initiated as prescribed.
2. The nurse is caring for a child who has been admitted for a sickle cell crisis. What would the nurse do first to provide adequate pain management?
- A. Initiate pain assessment with a standardized pain scale
- B. Administer meperidine as ordered
- C. Use guided imagery and therapeutic touch
- D. Administer a nonsteroidal anti-inflammatory drug (NSAID) as ordered
Explanation
The first step in providing adequate pain management for a child in sickle cell crisis is to assess the pain using an age-appropriate, standardized pain scale. Pain assessment establishes a baseline for evaluating severity, location, and effectiveness of interventions. Once the pain is assessed, the nurse can then appropriately administer analgesics—usually opioids or NSAIDs—as prescribed. Comprehensive assessment ensures individualized and effective pain control, which is crucial in sickle cell crises where pain can be severe and unrelenting.
3. A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?
- A. Auscultating the rate and characteristics of the child's heart sounds.
- B. Identifying the degree of parental anxiety related to the diagnosis.
- C. Assessing the client's erythematous rash.
- D. Using a pain-rating tool to determine the severity of the joint pain.
Explanation
The priority assessment in a child with acute rheumatic fever (ARF) is to evaluate for cardiac involvement, which can lead to rheumatic carditis—a potentially life-threatening complication. Rheumatic carditis causes inflammation of the heart valves, myocardium, and pericardium, which can result in new heart murmurs, tachycardia, pericardial friction rub, or signs of heart failure. Immediate cardiac assessment allows early detection and intervention to prevent permanent damage (rheumatic heart disease).
4. The nurse is caring for a 2-year-old child who has a heart defect immediately after a cardiac catheterization. Which of the following actions should the nurse take?
- A. Elevate the affected extremity
- B. Perform range of motion
- C. Palpate pulses below the catheterization site
- D. Limit fluid intake
Explanation
After a cardiac catheterization, the nurse’s priority is to assess circulation to the extremity used for catheter insertion. This is done by palpating the pulses distal to the insertion site (usually the dorsalis pedis and posterior tibial pulses if the femoral artery was used). Comparing these with the unaffected leg helps detect early signs of arterial obstruction or thrombus formation. The nurse should also monitor the insertion site for bleeding or hematoma formation and keep the affected extremity straight for 4–8 hours post-procedure to prevent complications.
5. The nurse is present when the physician tells the pregnant patient that she has placental insufficiency. What effect does placental insufficiency have on the newborn?
- A. Birth weight and size may be smaller than expected
- B. Hyperbilirubinemia may develop
- C. Webbing of the fingers or toes may occur
- D. The white blood cell count may be low
Explanation
Placental insufficiency occurs when the placenta fails to deliver adequate oxygen and nutrients to the fetus, leading to intrauterine growth restriction (IUGR). As a result, the newborn is often small for gestational age (SGA) with low birth weight. Chronic hypoxia and nutrient deprivation slow fetal growth and can also lead to complications such as hypoglycemia, meconium aspiration, and distress during labor.
6. Which of the following should the nurse recommend to prevent urinary tract infections in young girls?
- A. Limit bathing as much as possible.
- B. Wear cotton underpants.
- C. Cleanse perineum with water after voiding.
- D. Increase fluids; decrease salt intake.
Explanation
The nurse should teach parents and young girls that wearing cotton underpants helps prevent urinary tract infections (UTIs) by allowing better air circulation and moisture absorption, keeping the perineal area dry and reducing bacterial growth. Synthetic fabrics trap heat and moisture, creating an ideal environment for bacteria such as E. coli to multiply. Encouraging proper hygiene and cotton underwear are key prevention strategies.
7. An infant with Tetralogy of Fallot is experiencing a tet spell involving cyanosis and dyspnea. Which position should the infant be placed in?
- A. Fowler’s
- B. Prone
- C. Knee-chest
- D. Trendelenburg’s
Explanation
During a tet spell (hypercyanotic episode), the infant experiences severe hypoxia due to increased right-to-left shunting of blood through the ventricular septal defect. The knee-chest position increases systemic vascular resistance, which decreases the right-to-left shunt and improves pulmonary blood flow and oxygenation. This position also helps calm the infant and facilitates venous return to the heart, reducing cyanosis and dyspnea.
8. Which of the following are normal breast changes or nursing considerations during pregnancy? Select all that apply.
- A. Firm nodules or persistent asymmetry should be evaluated
- B. Colostrum production may begin in the second trimester
- C. Engorgement and tenderness usually occur only after delivery
- D. Montgomery tubercles (small bumps on areola) become more prominent
- E. Nipples become more erect and areolas enlarge
Explanation
A. Firm nodules or persistent asymmetry should be evaluated
During pregnancy the breasts normally become fuller, heavier, and somewhat nodular because the milk-producing glands are enlarging. However, a distinct, firm, localized lump that persists or one breast looking very different from the other in a new way is not considered normal and should be assessed further. This teaching is important because pregnancy can sometimes delay evaluation of concerning breast changes.
B. Colostrum production may begin in the second trimester
Colostrum is the thick, yellowish, antibody-rich early milk that protects the newborn from infection. The breasts can begin making and sometimes leaking small amounts of colostrum as early as the second trimester. This is normal and does not mean the patient will go into labor early. Parents should be reassured that this is the body preparing for breastfeeding.
D. Montgomery tubercles (small bumps on areola) become more prominent
Montgomery glands are sebaceous glands in the areola. In pregnancy they enlarge and look like raised bumps. They secrete an oily, protective substance that helps moisturize and lubricate the nipple and areola, reducing friction and breakdown during breastfeeding. Seeing more obvious Montgomery tubercles is an expected change and not a sign of infection.
E. Nipples become more erect and areolas enlarge
Under hormonal influence (especially estrogen, progesterone, and prolactin), the nipples typically become larger, more pigmented, and more everted. The areola also darkens and increases in diameter. These changes help prepare for latching and also help the newborn visually locate the breast after birth. Many patients also report increased nipple sensitivity or tenderness during this time.
During pregnancy the breasts normally become fuller, heavier, and somewhat nodular because the milk-producing glands are enlarging. However, a distinct, firm, localized lump that persists or one breast looking very different from the other in a new way is not considered normal and should be assessed further. This teaching is important because pregnancy can sometimes delay evaluation of concerning breast changes.
B. Colostrum production may begin in the second trimester
Colostrum is the thick, yellowish, antibody-rich early milk that protects the newborn from infection. The breasts can begin making and sometimes leaking small amounts of colostrum as early as the second trimester. This is normal and does not mean the patient will go into labor early. Parents should be reassured that this is the body preparing for breastfeeding.
D. Montgomery tubercles (small bumps on areola) become more prominent
Montgomery glands are sebaceous glands in the areola. In pregnancy they enlarge and look like raised bumps. They secrete an oily, protective substance that helps moisturize and lubricate the nipple and areola, reducing friction and breakdown during breastfeeding. Seeing more obvious Montgomery tubercles is an expected change and not a sign of infection.
E. Nipples become more erect and areolas enlarge
Under hormonal influence (especially estrogen, progesterone, and prolactin), the nipples typically become larger, more pigmented, and more everted. The areola also darkens and increases in diameter. These changes help prepare for latching and also help the newborn visually locate the breast after birth. Many patients also report increased nipple sensitivity or tenderness during this time.
9. Which action by the school nurse is important in the prevention of rheumatic fever?
- A. Conduct routine blood pressure screenings
- B. Recommend salicylates instead of acetaminophen for minor discomforts
- C. Refer children with sore throats for throat cultures
- D. Encourage routine cholesterol screenings
Explanation
Rheumatic fever is a preventable complication of untreated or inadequately treated Group A beta-hemolytic streptococcal (GAS) pharyngitis. The most effective prevention strategy is early identification and treatment of strep throat with appropriate antibiotics (usually penicillin). By referring children with sore throats for throat cultures, the school nurse helps ensure early diagnosis and treatment, thereby preventing rheumatic fever, which can cause long-term cardiac damage (rheumatic heart disease).
10. The nurse has received the morning report on a group of pediatric patients. Which pediatric patient should the nurse prioritize care for?
- A. School-age child with dysphagia, drooling, and a hoarse voice
- B. Toddler with a temperature of 100.4°F (38°C) and a harsh, barking cough
- C. Infant with rhinorrhea, coughing, and oxygen saturation of 92%
- D. Preschool-aged child with crackles in the right lower lobe and chest pain
Explanation
A school-age child presenting with dysphagia (difficulty swallowing), drooling, and a hoarse voice is exhibiting classic signs of acute epiglottitis, a life-threatening airway emergency. The inflamed epiglottis can rapidly swell and obstruct the airway. This child must be prioritized immediately to maintain airway patency. The nurse should avoid examining the throat or using a tongue depressor and should notify the provider immediately while preparing for possible intubation or tracheostomy.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .