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Exam (elaborations)

Walden University Nursing Test Bank & Exam Preparation Guide (Updated 2026 Edition)

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This document is a comprehensive Nursing Test Bank and Exam Preparation resource designed to support students enrolled in Walden University nursing and health-related programs. It contains structured, exam-oriented questions aligned with Walden University learning outcomes, NCLEX-style standards, and evidence-based nursing practice. The material is suitable for formative assessment, revision, self-testing, and exam readiness, offering learners an opportunity to evaluate knowledge mastery, clinical reasoning, and application of theoretical concepts in real-world nursing scenarios. This updated 2026 edition reflects current nursing guidelines, academic standards, and competency-based education approaches commonly used at Walden University.

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In the mouth and stomach, salivary D-amylase initiates the digestion
1 of which nutrients? Proteins Carbohydrates Fats Fiber
A 3-year-old child has hepatitis A. What symptoms would the
2 healthcare professional assess for? (Select all that apply.) Nausea Vomiting Diarrhea Jaundice
A child has a disorder that resulted in the failure of bones to ossify,
resulting in soft bones and skeletal deformity. What treatment plan Extremely careful Increasing vitamin D Containment and motion
3 does the healthcare professional discuss with the parents? handling intake Revascularization therapy
A child has celiac disease. Which foods does the healthcare
4 professional teach the parents to eliminate from their child’s diet? Citrus fruits Starchy vegetables Wheat products Barley
A child has chronic hepatitis and the healthcare professional wants
to assess the child for portal hypertension. What action by the Listen to the child’s lung Palpate the child’s Inspect the skin for
5 professional is most appropriate? sounds Assess for pedal edema abdomen jaundice
A child has cystic fibrosis (CF). Which medication does the
6 healthcare professional teach the parents about? Salt tablets Pancreatic enzymes Antihypertensives Antibiotics
A child has Duchenne muscular dystrophy and the parents want to
know how this occurred. Which statement by the healthcare X-linked recessive Common SMN1 gene Autosomal dominant Inheritance is not well
7 professional is most accurate? inheritance abnormality inheritance defined
A child has Duchenne muscular dystrophy. What complication does
the healthcare professional teach the parents is most important to
8 control? Respiratory infection Joint contractures Urinary tract infection Fractures from falling
A child has osteosarcoma and the healthcare team is assessing for Pancreatic enzyme
9 metastases. What diagnostic study would be the priority? analysis Liver biopsy Chest x-ray or CT scan Brain MRI
“The lungs aren’t
A child has scoliosis with a 40-degree curvature of the spine, and the “Scoliosis is a bone “Yes, we should obtain “Scoliosis severe enough affected until the
parent is worried about pulmonary involvement. What statement disorder and does not pulmonary function to involve the lungs curvature is over 80
10 by the healthcare professional is most appropriate? affect the lungs.” studies soon.” would be fatal.” degrees.”
Gastric emptying is Duodenal ulcers occur
A class of students has learned about contributing factors to Bleeding from duodenal slowed, causing greater The characteristic pain with greater frequency
duodenal ulcers. What statement indicates to the professor that the ulcers causes exposure of the mucosa begins 30 min to 2 hours than other types of
11 students need a review? hematemesis or melena. to acid. after eating peptic ulcers.
Bacteria are walled off by
Bone contains multiple Microcirculation of bone macrophages and T
microscopic channels is highly vulnerable to lymphocytes;
that are impermeable to damage and destruction consequently, the
A health care professional determines that the student needs more the cells and by bacterial toxins, Bone cells have a limited antibiotics cannot
education when the student makes which statement about treating biochemicals of the leading to ischemic capacity to replace bone penetrate the infected
12 bone infection? body’s natural defenses. necrosis of bone. destroyed by infections. area.
A health care professional is providing education to a group of
seasonal athletes. What type of fracture does the professional warn
13 them to avoid? Stress Greenstick Insufficiency Pathologic

, A health care professional is teaching a group of college women
about increasing calcium in the diet to prevent osteoporosis. A
participant asks at what age is peak bone mass is reached in
14 women. What response is best? 15 years 20 years 30 years 35 years
Increased oxidative stress
A health care professional who works with older women and increased Decreased formation and
understands that which changes are believed to play a significant intracellular reactive short life span of
15 role in the development of age-related bone loss? oxygen species Hypoparathyroidism Increased body weight osteoclasts
A healthcare professional is educating an expectant parent class.
Which skeletal deformity does the professional tell them is normal Genu valgum (knock
16 at birth but generally disappears by years of age? Genu varum (bowleg) knee) Equinovarus (clubfoot) planus (flat feet)
A healthcare professional wants to estimate the total mass of
muscle in a patient’s body. What serum laboratory test should the
17 professional evaluate? Albumin Blood urea nitrogen Creatinine Creatine
A healthcare professional working with children learns that which is
the most common congenital skeletal defect of the upper
18 extremity? Vestigial tabs Paget disease Rickets Syndactyly
A newborn baby displays jaundice 20 hours after birth. What action Draw blood to measure Teach the patient about Obtain consent for blood Prepare to administer
19 by the healthcare professional is most appropriate? total bilirubin. phototherapy. transfusions. vitamin K.
A newborn has meconium ileus. What diagnostic test does the Pulmonary function
20 healthcare professional advise the parents about? Colonoscopy studies A sweat test Nerve conduction studies
A newborn is diagnosed with osteomyelitis. What organism does the
21 healthcare professional prepare to treat? Staphylococcus aureus Escherichia coli Group B streptococcus Bacillus anthracis
A patient asks the healthcare professional to describe the cause of Zone of low pressure of Reverse muscular
gastroesophageal reflux disease (GERD). What response by the Excessive production of the lower esophageal Presence of Helicobacter peristalsis of the
22 professional is best? hydrochloric acid sphincter pylori in the esophagus esophagus
A patient has a bone density T score of -2.8. What diagnosis does
23 the health care professional educate the patient on? Osteoplasia Osteoporosis Osteopenia Osteomalacia
A patient has a temporary displacement of two bones causing the
bone surfaces to partially lose contact with each other. What
treatment does the health care professional prepare the patient Reduction and Calcium phosphate
24 for? Internal fixation immobilization cement Low-density ultrasound
Chronic inflammatory
disease with stiffening Chronic systemic Wide-spread and deep
and fusion of the spine inflammatory disease State of abnormal and chronic muscle pain,
A patient has ankylosing spondylitis. Which description of this and sacroiliac that affects many tissues excessive bone fatigue, and tender
25 condition by the health care professional is most accurate? joints and organs resorption and formation points
A patient has been admitted for a possible small intestinal
obstruction. What is the first sign the healthcare professional
26 assesses for that would indicate the presence of this condition? Vomiting Dehydration Electrolyte imbalances Distention

, A patient has been admitted to the hospital with a possible bowel Colicky pain caused by
obstruction. Which assessment finding would alert the healthcare Profuse vomiting of clear Vague dull hypogastric distention, followed by Excruciating pain,
27 professional that the obstruction is in the small vs. large intestine? gastric fluids pain without vomiting vomiting vomiting, and fever
A patient has been diagnosed with Paget disease. What explanation “It is a problem with “It’s a disorder of altered
of the disease does the health care professional provide the “It is a severe infection in bone resorption and “It is a condition in which energy production in
28 patient? your bones.” formation.” your bones become soft.” muscle.”
Exercise soon after eating You need to schedule an Over-the-counter
A patient has been diagnosed with reflux esophagitis (GERD). What to increase gastric Try these proton-pump upper GI endoscopy antiemetics work well for
29 instruction by the healthcare professional is most appropriate? emptying. inhibitors for 2 weeks. soon. this condition.
A patient has chronic gastritis. What treatment does the healthcare Pancreatic enzyme
30 professional educate the patient on? Antibiotic therapy Corticosteroids Vitamin B12 injections replacement
A patient has frank bleeding of the rectum. How does the healthcare
31 professional document this finding? Melena Hematochezia Occult bleeding Hematemesis
A patient has portal hypertension-induced splenomegaly. Which lab
value would the healthcare professional associate with this Low white blood cell High hemoglobin and
32 condition? count Low platelet count High red cell count hematocrit
A patient in the clinic had a femur x-ray that was read as having a
“moth-eaten” appearance. What treatment option does the health Calcium and vitamin D
33 care professional discuss with the patient? Limb-salvaging surgery Amputation Oral bisphosphonates supplements
A patient in the clinic has calcium crystals that are associated with
34 chronic gout. How does the professional document this finding? Stones Spurs Tophi Nodes
A patient in the clinic is worried about having fibromyalgia. For Hot, tender, and Fasciculations of the Sensitivity at tender
which symptoms should the health care professional assess the edematous muscle upper and lower Exercise intolerance and points and profound
35 patient for? groups bilaterally extremity muscles painful muscle cramps fatigue
A patient in the clinic reports projectile vomiting without nausea or
other gastrointestinal symptoms. What action by the healthcare Provide antiemetic Administer intravenous Schedule a GI
36 professional is most appropriate? medications. Arrange a brain scan. hydration. consultation.
Dull and diffuse, Sharp and localized, Pins-and-needle Intermittent and aching,
A patient in the Emergency Department has either a tendon or persisting over the persisting over the sensations that occur occurring over the
ligament injury. What pain description from the patient would the distribution of the tendon distribution of the tendon distal to the injury with distribution of the tendon
37 health care professional associate with these injuries? or ligament or ligament movement or ligament
A patient is brought to the Emergency Department after being
found by neighbors. The patient says she has been lying on the floor
in the house for 3 days. What action by the health care professional Order a serum creatine Obtain an x-ray of the Arrange for the patient to Perform the Fracture Risk
38 is best? kinase (CK) level patient’s hips have a DXA scan Assessment
A patient reports dumping syndrome after a partial gastrectomy. Eat small, frequent high- This will need surgical Take antacids 30 min Drink plenty of water
39 What does the healthcare professional teach this patient? protein meals. correction. before meals. with your meals.

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