BSN 425 COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ A nurse is caring for a client who has a history of angina and is scheduled
for exercise electrocardiography at 1100. Which of the following statements
by the client requires the nurse to contact the provider for possible
rescheduling?.
Answer: "I smoked a cigarette this morning to calm my nerves about having
this procedure."
◍ A nurse is assessing a client who has hypercholesterolemia and is receiving
simvastatin. Which of the following findings will the nurse recognize as a
potential adverse effect?.
Answer: Muscle weakness
◍ amiodarone contraindications and interactions.
Answer: contra: severe sinus brady, second or third degree heart block,
cardigenic shockinteractions: -warfarin -> increase INR -digoxin -> increase
dig level -beta blockers/ CCB -> brady risk -grapefruit juice -> increase
amiodarone level
◍ atopic dermatitis S&S- infant.
Answer: occurs between 2-6 mo old disappears by 3 yrs lesions: - erythema
- vesicles - weeping - oozing - crusting - scaling
◍ Candidiasis treatment.
Answer: can't scrape off 1. oral/ skin:- topical antifungal ointment 2.
esophagus: - antifungal (oral or IV)3. vaginal:- topical
◍ # 1 cause of death/ disability to children in US?.
Answer: injuries (accidents)
,◍ school age.
Answer: 5-12
◍ confidentiality for adolescents.
Answer: maintain as long as boundaries are not exceeded or harm to self or
others
◍ infant.
Answer: 1 month to 1 year
◍ interventions for severe resp distress.
Answer: ambu bagairway intubationventilator
◍ concrete operational stage.
Answer: 7-12 yrs understands relationships, conservation of masshave
difficulty understanding objects and events that do not have concrete
evidence can see others pov (develop friendships)
◍ Question 7 of 8What should the nurse include when providing
post-operative education to an older adult who underwent cataract surgery
with a lens implant?Use of eye dropsOrganize the environmentAvoid
coughing and sneezingApplication of cold compresses.
Answer: Use of eye dropsIt is imperative that the patient use the prescribed
eye drops after surgery to prevent infection and decrease inflammation.
◍ dantrolene NC, admin, pt education.
Answer: NC: monitor for CNS effects and help with ambulation; monitor
liver admin: PO and IV pt education: inform of adverse effects; report
prolonged diarrhea; avoid activities that require mental alertness; avoid
other CNS depressants like alcohol; report s/s of liver failure immediately
◍ A nurse is caring for a client who is scheduled for a coronary artery bypass
graft (CABG) in 2 hr. Which of the following client statements indicates a
need for further clarification by the nurse?.
Answer: "I took my warfarin last night according to my usual schedule."
◍ Growth in the first year of life.
, Answer: initial 6 mo: rapid, weight should double by 1 yr: birth weight
tripled, birth length increased by 50%
◍ socialization.
Answer: interest in company of otherslearn right from wronglearn standards
of society
◍ Bronchiolitis.
Answer: caused by virusRespiratory Syncytial Virus (RSV)involves upper
and lower resp tracts
◍ How does the size of the tongue compare to the mouth in pediatric patients?.
Answer: The tongue is bigger and the mouth is smaller.
◍ adolescent death/ dying.
Answer: adult-like concept of death --> guilt/ shamehard to accept rely on
peer, unable to relate, feel isolated
◍ Humpty Dumpty Falls Scale.
Answer: 1. age2. gender3. diagnosis4. cognitive impairments5.
environmental factors6. response to surgery or sedation7. medication use
◍ Bronchiolitis s/s.
Answer: runny nose, fever, cough, wheezing, retractions, tachypnea
◍ Bronchiolitis/ RSV age effects.
Answer: under 3 very common
◍ Acute Laryngotracheobronchitis vaccine.
Answer: none
◍ What is a characteristic of the pediatric epiglottis?.
Answer: It is longer and floppier.
◍ whole bowel irrigation.
Answer: Act of mechanically flushing the ingested poison from the
gastrointestinal tract after the patient has ingested potentially toxic doses
◍ Adolescent pain assessment.
, Answer: More verbal expressions of pain with less protestMuscle tension
with body controlnumerical scale
◍ What is the difference in alveoli in pediatric patients?.
Answer: There are fewer and smaller alveoli.
◍ A nurse is caring for a client who is 8 hr postoperative following a coronary
artery bypass graft (CABG). Which of the following findings should the
nurse report?.
Answer: Blood pressure 160/80 mmHg
◍ nitroglycerin therapeutic effect.
Answer: prevent and treat angina
◍ Topical meds for pain- EMLA cream.
Answer: used for dermatologic procedures (IV, shots, etc)- works for 30-60
mins - apply to skin and cover w tegaderm
◍ abuse aka.
Answer: suspected non accidental trauma (SNAT)
◍ what kind of drug is lidocaine and its MOA.
Answer: local anesthetic MOA: block influx of sodium through channels ->
prevent depolarization (necessary for action potential)
◍ amiodarone adverse effects.
Answer: bradycardiahypotension QT prolongation heart block thyroid issues
hepatic disease photosensitivity N/V/ anorexia
◍ Candidiasis.
Answer: fungal infectioninflamed w/ white exudate, peeling, and
bleedingitchy likes moist areasimmunosuppressed children at risk (cancer,
diabetes) not contagious
◍ Acute Epiglottitis cause.
Answer: bacterial (H. influenae)
◍ A nurse is teaching a client who has angina about nitroglycerin sublingual
tablets. Which of the following statements should the nurse include in the
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ A nurse is caring for a client who has a history of angina and is scheduled
for exercise electrocardiography at 1100. Which of the following statements
by the client requires the nurse to contact the provider for possible
rescheduling?.
Answer: "I smoked a cigarette this morning to calm my nerves about having
this procedure."
◍ A nurse is assessing a client who has hypercholesterolemia and is receiving
simvastatin. Which of the following findings will the nurse recognize as a
potential adverse effect?.
Answer: Muscle weakness
◍ amiodarone contraindications and interactions.
Answer: contra: severe sinus brady, second or third degree heart block,
cardigenic shockinteractions: -warfarin -> increase INR -digoxin -> increase
dig level -beta blockers/ CCB -> brady risk -grapefruit juice -> increase
amiodarone level
◍ atopic dermatitis S&S- infant.
Answer: occurs between 2-6 mo old disappears by 3 yrs lesions: - erythema
- vesicles - weeping - oozing - crusting - scaling
◍ Candidiasis treatment.
Answer: can't scrape off 1. oral/ skin:- topical antifungal ointment 2.
esophagus: - antifungal (oral or IV)3. vaginal:- topical
◍ # 1 cause of death/ disability to children in US?.
Answer: injuries (accidents)
,◍ school age.
Answer: 5-12
◍ confidentiality for adolescents.
Answer: maintain as long as boundaries are not exceeded or harm to self or
others
◍ infant.
Answer: 1 month to 1 year
◍ interventions for severe resp distress.
Answer: ambu bagairway intubationventilator
◍ concrete operational stage.
Answer: 7-12 yrs understands relationships, conservation of masshave
difficulty understanding objects and events that do not have concrete
evidence can see others pov (develop friendships)
◍ Question 7 of 8What should the nurse include when providing
post-operative education to an older adult who underwent cataract surgery
with a lens implant?Use of eye dropsOrganize the environmentAvoid
coughing and sneezingApplication of cold compresses.
Answer: Use of eye dropsIt is imperative that the patient use the prescribed
eye drops after surgery to prevent infection and decrease inflammation.
◍ dantrolene NC, admin, pt education.
Answer: NC: monitor for CNS effects and help with ambulation; monitor
liver admin: PO and IV pt education: inform of adverse effects; report
prolonged diarrhea; avoid activities that require mental alertness; avoid
other CNS depressants like alcohol; report s/s of liver failure immediately
◍ A nurse is caring for a client who is scheduled for a coronary artery bypass
graft (CABG) in 2 hr. Which of the following client statements indicates a
need for further clarification by the nurse?.
Answer: "I took my warfarin last night according to my usual schedule."
◍ Growth in the first year of life.
, Answer: initial 6 mo: rapid, weight should double by 1 yr: birth weight
tripled, birth length increased by 50%
◍ socialization.
Answer: interest in company of otherslearn right from wronglearn standards
of society
◍ Bronchiolitis.
Answer: caused by virusRespiratory Syncytial Virus (RSV)involves upper
and lower resp tracts
◍ How does the size of the tongue compare to the mouth in pediatric patients?.
Answer: The tongue is bigger and the mouth is smaller.
◍ adolescent death/ dying.
Answer: adult-like concept of death --> guilt/ shamehard to accept rely on
peer, unable to relate, feel isolated
◍ Humpty Dumpty Falls Scale.
Answer: 1. age2. gender3. diagnosis4. cognitive impairments5.
environmental factors6. response to surgery or sedation7. medication use
◍ Bronchiolitis s/s.
Answer: runny nose, fever, cough, wheezing, retractions, tachypnea
◍ Bronchiolitis/ RSV age effects.
Answer: under 3 very common
◍ Acute Laryngotracheobronchitis vaccine.
Answer: none
◍ What is a characteristic of the pediatric epiglottis?.
Answer: It is longer and floppier.
◍ whole bowel irrigation.
Answer: Act of mechanically flushing the ingested poison from the
gastrointestinal tract after the patient has ingested potentially toxic doses
◍ Adolescent pain assessment.
, Answer: More verbal expressions of pain with less protestMuscle tension
with body controlnumerical scale
◍ What is the difference in alveoli in pediatric patients?.
Answer: There are fewer and smaller alveoli.
◍ A nurse is caring for a client who is 8 hr postoperative following a coronary
artery bypass graft (CABG). Which of the following findings should the
nurse report?.
Answer: Blood pressure 160/80 mmHg
◍ nitroglycerin therapeutic effect.
Answer: prevent and treat angina
◍ Topical meds for pain- EMLA cream.
Answer: used for dermatologic procedures (IV, shots, etc)- works for 30-60
mins - apply to skin and cover w tegaderm
◍ abuse aka.
Answer: suspected non accidental trauma (SNAT)
◍ what kind of drug is lidocaine and its MOA.
Answer: local anesthetic MOA: block influx of sodium through channels ->
prevent depolarization (necessary for action potential)
◍ amiodarone adverse effects.
Answer: bradycardiahypotension QT prolongation heart block thyroid issues
hepatic disease photosensitivity N/V/ anorexia
◍ Candidiasis.
Answer: fungal infectioninflamed w/ white exudate, peeling, and
bleedingitchy likes moist areasimmunosuppressed children at risk (cancer,
diabetes) not contagious
◍ Acute Epiglottitis cause.
Answer: bacterial (H. influenae)
◍ A nurse is teaching a client who has angina about nitroglycerin sublingual
tablets. Which of the following statements should the nurse include in the
