EXAM, BOOK & ASSESSMENTS A &
B LATEST UPDATE 2026
Assessment A - Answer-
A nurse is contributing to the plan of care for a school-age child who has acute poststreptococcal
glomerulonephritis (APSGN) and is mildly hypertensive. Which of the following actions should the nurse
include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C. Monitor the child's blood pressure every 12 hour
D. Place the child on bed rest - Answer-Restrict the child's sodium intake
A nurse is collecting data from a toddler at a well-child visit. Which of the following findings should the
nurse identify as a possible indication of child maltreatment?
A. diaper dermatitis
B. bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso - Answer-laceration on the side of the torso
A nurse is reinforcing discharge teaching with the parent of a school-age child who is being treated for
nephrotic syndrome. The parents asks the nurse why it is necessary to check the child's urine for
protein. Which of the following explanations should the nurse offer?
,A. "A decrease in urine protein indicates that treatment is effective."
B. "Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary infection." - Answer-"A decrease in
urine protein indicates that treatment is effective."
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following
parent statements indicates an understanding of the teaching?
A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C. "We will purchase a toy storage box with a lightweight lid."
D. "We will provide a healthy snack of peanuts." - Answer-"We will purchase a toy storage box with a
lightweight lid."
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a
vaso-occlusive crisis. Which of the following is the priority intervention for the nurse to recommend to
include in the plan?
A. promote oxygen utilization
B. Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints - Answer-promote oxygen utilization
A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea.
Which of the following findings should the nurse identify as a risk factor for this disorder? (select all that
apply)
,A. hypothyroidism
B. obesity
C. cannabis use
D. oral contraceptive use
E. emotional stress - Answer-1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress
A nurse is reviewing the laboratory report of a preschooler who has Wilms' tumor and is scheduled to
begin treatment with an antineoplastic medication regimen. Which of the following laboratory results
should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 - Answer-Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy for fluid replacement. Which of the
following findings indicates the infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes - Answer-Sodium level 145 mEq/L
, A nurse is collecting data from a 12 month old infant during a well-child visit. The nurse should identify
which of the following findings as a deviation from expected growth and development?
A. vocabulary of three words
B. negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower - Answer-birth weight doubled
A nurse is assisting the provider with a developmental assessment of a toddler. Which of the following
behaviors should the nurse recognize as an expected finding?
A. Walks backwards with heel to toe
B. Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil - Answer-Stands on one foot for several seconds
A nurse is caring for a school-age child who has been admitted to the facility in sickle cell crisis. The
nurse is measuring the child's oral intake for the shift. The child consumed 4 oz of juice at breakfast. For
lunch, the child consumed 6 oz of milk, 6 z of gelatin, and drank 7 oz of water. What is the child's oral
intake for this shift in milliliters? (round to the nearest whole number) - Answer-690 ml
# of oz x 30=mL
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is
recovering from acute glomerulonephritis. Which of the following food choices by the parents indicates
an understanding of the teaching?
A. pretzels