NSG 240 FINAL EXAM | ALL 350 QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | LATEST
UPDATED 2026/2027 | 100% GUARANTEED PASS!!
An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. Which would the nurse
tell the girl that may help her wear the bracelet consistently?
1. Hide the bracelet under long-sleeved clothes.
2. Wear the bracelet when engaging in contact sports.
3. Ask her friends to wear bracelets that look like hers.
4. Select a bracelet similar to bracelets worn by her peers.
Answer: 4. Select a bracelet similar to bracelets worn by her peers.
Rationale: Because adolescents have a developmental need to conform to their peers, the teenager should
be able to select a bracelet of a design similar to that of those worn by her peers. Hiding the bracelet under
long-sleeved clothes might be acceptable in cool weather, but not when it is warm and friends are wearing
T-shirts. The bracelet should be worn at all times when the girl is not with responsible family members.
Asking friends to wear a similar bracelet may be difficult, especially if the girl does not wish to tell her
friends why she needs the bracelet.
Which of these age groups has the highest incidence of lead poisoning?
1. Adult
2. Toddler
3. Adolescent
4. School-age child
Answer: 2. Toddler
Rationale: The incidence of lead poisoning is highest in late infancy and toddlerhood. Children at this
stage explore the environment and because of their increased level of oral activity, put objects into their
mouths. Adults have a greater risk of cardiovascular or pulmonary disease. Drowning and motor vehicle
accidents are more common among adolescents. Bicycle accidents are more common among school-aged
children.
How do toddlers learn self-protection?
1. Through trial-and-error strategies
2. By imitating playmates and siblings
3. By obeying orders from mother and father
,4. By playing with age-appropriate toys and puzzles
Answer: 1. Through trial-and-error strategies
Rationale: The toddler is developing autonomy, is curious, and learns self-protection from experience.
Toddlerhood play is parallel, not interactive. The struggle for autonomy at this age limits learning from
siblings, even though the toddler attempts to copy their behavior. The toddler is still learning from
experiences, not from others. The toddler is still attempting to distinguish the self as separate from the
parents; the struggle for autonomy limits learning from parents. Toddlers learn gross and fine motor skills
as they play with their toys, not self-protection.
Which parental statement would the nurse recognize as indicating the need for further education about
bicycle safety for a school-aged client?
1. 'My child should be able to place both feet on the ground while seated.'
2. 'My child should be able to easily grasp the brake handles and squeeze them.'
3. 'My child will be required to wear a bicycle helmet if he or she wants to ride a bike.'
4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Answer: 4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Rationale: Children may not safely be able to ride their bike within a couple of weeks of learning. The
child should be able to place the balls of both feet on the ground while sitting on the bike. The child
should easily be able to grasp the brake handles and squeeze them. The child should always wear the
appropriate safety equipment while riding his or her bike.
Which intervention would the nurse encourage the parents of a child with plumbism (lead poisoning) to
do?
1. Discourage the child's pica by providing nutritious snacks.
2. Move the family away from areas that are next to gas stations.
3. Assess the family home environment for lead sources and have them removed.
4. Have the child take repeat x-rays of the wrist and forearm for signs of a lead line. Answer: 3. Assess the
family home environment for lead sources and have them removed.
Rationale: All sources of lead must be removed from the home if the problem is to be controlled.
Sources include lead-painted surfaces and old plumbing that has lead solder. Although pica must be
controlled if it is present, this alone will not eliminate the environmental risks. The data do not indicate
that the child is engaging in pica. Leaded gasoline is no longer used in the United States. Chelation
therapy is based on the blood lead level; changes in bone take longer to evaluate.
The nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral palsy.
How would the nurse explain this choice to the parents?
,1. The child has minimal step ability in the lower extremities.
2. It provides for two points of support on the floor at all times.
3. It provides for equal but partial weight bearing on each limb.
4. The child has more power in the upper extremities than in the lower extremities.
Answer: 3. It provides for equal but partial weight bearing on each limb.
Rationale: The four-point alternate crutch gait is a simple, slow, stable gait because there are always three
points of support on the floor, with equal but partial weight bearing on each limb. The child has the ability
to move, but the movement in the lower extremities is uncoordinated. The four-point
gait provides for three points of support, not two, at all times. A four-point gait divides weight
bearing equally among the limbs.
After the nurse provides education about all-terrain vehicle (ATV) safety for a parent of a 11-year-old
child, which statement made by the parent indicates an understanding of the information?
1. 'I will have my child ride with an adult.'
2. 'I will make sure my child wears a helmet.'
3. 'I will make sure my child does not get on an ATV.'
4. 'I will make sure my child has had safety training before he or she rides.'
Answer: 3. 'I will make sure my child does not get on an ATV.'
Rationale: The American Academy of Pediatrics recommends that children under 16 years of age not ride
in or operate an ATV. The child should not ride with another adult. When the child is 16 years of age and
begins riding an ATV, safety gear such as a helmet should be worn and proper safety training should be
implemented.
The nurse explains to the parents of a 6-year-old child with a pinworm infestation how pinworms are
transmitted. Which statement indicates that the teaching has been understood?
1. 'We need to keep the cat off the bed.'
2. 'She needs tow ash her hands before eating anything.'
3. 'She needs to cover her mouth whenever she coughs.'
4. 'We need to tell the school so that the cafeteria can be cleaned.'
Answer: 2. 'She needs tow ash her hands before eating anything.'
Rationale: Pinworm infestation is transferred by way of the oral-anal route, and effective hand washing is
the best way to prevent transmission. Cats do not transmit pinworms. The hands should be kept away
from the nose and mouth; the child should be taught to cough into a tissue or the
inside elbow of the arm. Cleaning the cafeteria is not an effective means of preventing the
transmission of pinworms.
Which would the nurse do first if an allergic reaction to a blood transfusion occurs?
1. Shut off the infusion.
, 2. Slow the rate of flow.
3. Administer an antihistamine.
4. Call the health care provider (HCP).
Answer: 1. Shut off the infusion.
Rationale: The child is experiencing an allergic reaction, and the infusion must be stopped immediately to
prevent serious complications. Slowing the rate of infusion will not halt the allergic
reaction to the transfused blood. Administering an antihistamine is dangerous as an initial action
because of the degree of allergic reaction cannot be determined at this time. Also, it requires an
HCP's prescription. The HCP should be notified after the infusion has been stopped.
Which team member acts as a liaison between the health care facility and the media?
1. Triage officer
2. Public information officer
3. Medical command physician
4. Hospital incident commander
Answer: 2. Public information officer
Rationale: The public information officer acts as a liaison between the health care facility and the media.
The triage officer applies disaster triage tags after evaluating the client's condition. The medical command
physician decides the number, acuity, and resource needs of clients. The hospital incident commander
assumes overall leadership for implementing the emergency plan.
.
An 8-year-old girl who is hospitalized for intravenous (IV) antibiotic therapy tells the nurse that she is
bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by
the father would indicate a need for further teaching?
1. 'I'll bring a radio and CD player.'
2. 'I'll bring homework and school supplies.'
3. 'She'll enjoy having a rubber baseball and plastic bat.'
4. 'She'll enjoy rubber stamps and a pretty box to keep them in.'
Answer: 3. 'She'll enjoy having a rubber baseball and plastic bat.'
Rationale: Playing with a bat and ball is an unsafe activity in a hospital setting; the IV catheter could b
dislodged, and boisterous activity is dangerous to the other children on the unit. A radio and CD player,
homework and school supplies, and rubber stamps and a collection box are all appropriate for the school-
aged child.
The nurse provides discharge teaching to a client who had a total hip replacement. The client states that
the plan is to go swimming at the community pool the day after discharge. Which action would the nurse
take in response to the client's comment?
CORRECT ANSWERS | GRADED A+ | LATEST
UPDATED 2026/2027 | 100% GUARANTEED PASS!!
An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. Which would the nurse
tell the girl that may help her wear the bracelet consistently?
1. Hide the bracelet under long-sleeved clothes.
2. Wear the bracelet when engaging in contact sports.
3. Ask her friends to wear bracelets that look like hers.
4. Select a bracelet similar to bracelets worn by her peers.
Answer: 4. Select a bracelet similar to bracelets worn by her peers.
Rationale: Because adolescents have a developmental need to conform to their peers, the teenager should
be able to select a bracelet of a design similar to that of those worn by her peers. Hiding the bracelet under
long-sleeved clothes might be acceptable in cool weather, but not when it is warm and friends are wearing
T-shirts. The bracelet should be worn at all times when the girl is not with responsible family members.
Asking friends to wear a similar bracelet may be difficult, especially if the girl does not wish to tell her
friends why she needs the bracelet.
Which of these age groups has the highest incidence of lead poisoning?
1. Adult
2. Toddler
3. Adolescent
4. School-age child
Answer: 2. Toddler
Rationale: The incidence of lead poisoning is highest in late infancy and toddlerhood. Children at this
stage explore the environment and because of their increased level of oral activity, put objects into their
mouths. Adults have a greater risk of cardiovascular or pulmonary disease. Drowning and motor vehicle
accidents are more common among adolescents. Bicycle accidents are more common among school-aged
children.
How do toddlers learn self-protection?
1. Through trial-and-error strategies
2. By imitating playmates and siblings
3. By obeying orders from mother and father
,4. By playing with age-appropriate toys and puzzles
Answer: 1. Through trial-and-error strategies
Rationale: The toddler is developing autonomy, is curious, and learns self-protection from experience.
Toddlerhood play is parallel, not interactive. The struggle for autonomy at this age limits learning from
siblings, even though the toddler attempts to copy their behavior. The toddler is still learning from
experiences, not from others. The toddler is still attempting to distinguish the self as separate from the
parents; the struggle for autonomy limits learning from parents. Toddlers learn gross and fine motor skills
as they play with their toys, not self-protection.
Which parental statement would the nurse recognize as indicating the need for further education about
bicycle safety for a school-aged client?
1. 'My child should be able to place both feet on the ground while seated.'
2. 'My child should be able to easily grasp the brake handles and squeeze them.'
3. 'My child will be required to wear a bicycle helmet if he or she wants to ride a bike.'
4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Answer: 4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Rationale: Children may not safely be able to ride their bike within a couple of weeks of learning. The
child should be able to place the balls of both feet on the ground while sitting on the bike. The child
should easily be able to grasp the brake handles and squeeze them. The child should always wear the
appropriate safety equipment while riding his or her bike.
Which intervention would the nurse encourage the parents of a child with plumbism (lead poisoning) to
do?
1. Discourage the child's pica by providing nutritious snacks.
2. Move the family away from areas that are next to gas stations.
3. Assess the family home environment for lead sources and have them removed.
4. Have the child take repeat x-rays of the wrist and forearm for signs of a lead line. Answer: 3. Assess the
family home environment for lead sources and have them removed.
Rationale: All sources of lead must be removed from the home if the problem is to be controlled.
Sources include lead-painted surfaces and old plumbing that has lead solder. Although pica must be
controlled if it is present, this alone will not eliminate the environmental risks. The data do not indicate
that the child is engaging in pica. Leaded gasoline is no longer used in the United States. Chelation
therapy is based on the blood lead level; changes in bone take longer to evaluate.
The nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral palsy.
How would the nurse explain this choice to the parents?
,1. The child has minimal step ability in the lower extremities.
2. It provides for two points of support on the floor at all times.
3. It provides for equal but partial weight bearing on each limb.
4. The child has more power in the upper extremities than in the lower extremities.
Answer: 3. It provides for equal but partial weight bearing on each limb.
Rationale: The four-point alternate crutch gait is a simple, slow, stable gait because there are always three
points of support on the floor, with equal but partial weight bearing on each limb. The child has the ability
to move, but the movement in the lower extremities is uncoordinated. The four-point
gait provides for three points of support, not two, at all times. A four-point gait divides weight
bearing equally among the limbs.
After the nurse provides education about all-terrain vehicle (ATV) safety for a parent of a 11-year-old
child, which statement made by the parent indicates an understanding of the information?
1. 'I will have my child ride with an adult.'
2. 'I will make sure my child wears a helmet.'
3. 'I will make sure my child does not get on an ATV.'
4. 'I will make sure my child has had safety training before he or she rides.'
Answer: 3. 'I will make sure my child does not get on an ATV.'
Rationale: The American Academy of Pediatrics recommends that children under 16 years of age not ride
in or operate an ATV. The child should not ride with another adult. When the child is 16 years of age and
begins riding an ATV, safety gear such as a helmet should be worn and proper safety training should be
implemented.
The nurse explains to the parents of a 6-year-old child with a pinworm infestation how pinworms are
transmitted. Which statement indicates that the teaching has been understood?
1. 'We need to keep the cat off the bed.'
2. 'She needs tow ash her hands before eating anything.'
3. 'She needs to cover her mouth whenever she coughs.'
4. 'We need to tell the school so that the cafeteria can be cleaned.'
Answer: 2. 'She needs tow ash her hands before eating anything.'
Rationale: Pinworm infestation is transferred by way of the oral-anal route, and effective hand washing is
the best way to prevent transmission. Cats do not transmit pinworms. The hands should be kept away
from the nose and mouth; the child should be taught to cough into a tissue or the
inside elbow of the arm. Cleaning the cafeteria is not an effective means of preventing the
transmission of pinworms.
Which would the nurse do first if an allergic reaction to a blood transfusion occurs?
1. Shut off the infusion.
, 2. Slow the rate of flow.
3. Administer an antihistamine.
4. Call the health care provider (HCP).
Answer: 1. Shut off the infusion.
Rationale: The child is experiencing an allergic reaction, and the infusion must be stopped immediately to
prevent serious complications. Slowing the rate of infusion will not halt the allergic
reaction to the transfused blood. Administering an antihistamine is dangerous as an initial action
because of the degree of allergic reaction cannot be determined at this time. Also, it requires an
HCP's prescription. The HCP should be notified after the infusion has been stopped.
Which team member acts as a liaison between the health care facility and the media?
1. Triage officer
2. Public information officer
3. Medical command physician
4. Hospital incident commander
Answer: 2. Public information officer
Rationale: The public information officer acts as a liaison between the health care facility and the media.
The triage officer applies disaster triage tags after evaluating the client's condition. The medical command
physician decides the number, acuity, and resource needs of clients. The hospital incident commander
assumes overall leadership for implementing the emergency plan.
.
An 8-year-old girl who is hospitalized for intravenous (IV) antibiotic therapy tells the nurse that she is
bored. The nurse has a discussion with the father about appropriate activities. Which activity suggested by
the father would indicate a need for further teaching?
1. 'I'll bring a radio and CD player.'
2. 'I'll bring homework and school supplies.'
3. 'She'll enjoy having a rubber baseball and plastic bat.'
4. 'She'll enjoy rubber stamps and a pretty box to keep them in.'
Answer: 3. 'She'll enjoy having a rubber baseball and plastic bat.'
Rationale: Playing with a bat and ball is an unsafe activity in a hospital setting; the IV catheter could b
dislodged, and boisterous activity is dangerous to the other children on the unit. A radio and CD player,
homework and school supplies, and rubber stamps and a collection box are all appropriate for the school-
aged child.
The nurse provides discharge teaching to a client who had a total hip replacement. The client states that
the plan is to go swimming at the community pool the day after discharge. Which action would the nurse
take in response to the client's comment?
