NUR 417 EXAM / NUR417 EXAM 1 LATEST 2026/2027 AND STUDY
GUIDE COMPLETE ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ (BRAND NEW!) FULL REVISED NUR 417
EXAM 1
1. The nurse is preparing to administer an oral medication to a 6-month-old infant.
Which action is most appropriate for this age group?
A. Administer the medication mixed in a full bottle of formula.
B. Place the medication between the tongue and the side of the cheek.
C. Ask the parent to hold the infant's nose to facilitate swallowing.
D. Administer the medication using a household teaspoon for accurate dosing.
Correct Answer: B. Place the medication between the tongue and the side of the
cheek.
Rationale: For infants, liquid medications should be administered between the
tongue and the side of the child's mouth to prevent aspiration and ensure
swallowing. Mixing medication in a full bottle of formula (A) is unsafe because if
the infant does not finish the bottle, the full dose is not received. Holding the nose
(C) increases the risk of aspiration. Household teaspoons are not accurate
measuring devices and should not be used for medication administration (D) .
2. The nurse is assessing a 2-year-old child for fall risk using the Humpty Dumpty
Scale. Which score would indicate a high risk for falls?
A. 7
B. 10
C. 12
D. 15
,Correct Answer: C. 12
Rationale: On the Humpty Dumpty Fall Risk Scale, a score of 12 or greater
indicates a high risk for falls. Scores of 7-11 indicate a low risk. Therefore, options
A (7) and B (10) are low risk, while option D (15) is also a high-risk score but
option C is the single best answer as it is the minimum score to indicate high risk .
3. A toddler is brought to the emergency department after ingesting a household
cleaning product. The nurse understands that this age group is particularly
susceptible to unintentional ingestion due to which developmental factor?
A. Increased gastric emptying time.
B. A well-developed blood-brain barrier.
C. The ability to discriminate between safe and unsafe tastes.
D. Exploring the environment through oral experimentation.
Correct Answer: D. Exploring the environment through oral experimentation.
Rationale: Toddlers and young children explore their environment through oral
experimentation, which is a normal part of psychological development and
increases their risk for unintentional ingestion. They do not have the cognitive
ability to understand danger. The sense of taste is not discriminating at this age
(C), and the blood-brain barrier is not fully developed (B) until about 1 year of age,
but this is a physical difference that affects pharmacodynamics, not a behavioral
reason for ingestion. Gastric emptying is irregular in infants (A), which is a
physiological difference affecting drug absorption .
4. The nurse is calculating a safe dose of acetaminophen for a child who weighs 44
pounds. The recommended safe dose is 10-15 mg/kg/dose. What is the maximum
safe single dose for this child?
,A. 200 mg
B. 300 mg
C. 400 mg
D. 500 mg
Correct Answer: B. 300 mg
Rationale: First, convert the child's weight from pounds to kilograms: 44 lbs / 2.2 =
20 kg. To find the maximum safe single dose, multiply the child's weight in kg by
the maximum recommended dose per kg: 20 kg x 15 mg/kg = 300 mg. Option A
(200 mg) reflects the minimum safe dose (20 kg x 10 mg/kg). Options C and D are
incorrect calculations .
5. The nurse is providing education to parents about medication safety in the home.
Which instruction is most important to include?
A. "Store medications in a cabinet that is easy for adults to reach."
B. "Call medicine 'candy' to make it more appealing to the child."
C. "Use household teaspoons for liquid medications to ensure accuracy."
D. "Model safe use of medicines by taking them out of the child's sight."
Correct Answer: D. "Model safe use of medicines by taking them out of the child's
sight."
Rationale: Parents should model safe medication use and take medicines when
children are not watching, as children often imitate adult behavior. Medications
should be stored in locked cabinets out of a child's sight and reach (A).
Medications should never be called "candy" (B) as this can confuse children and
lead to ingestion. Household teaspoons are not accurate and should not be used for
medication administration (C) .
, 6. A nurse is caring for a 4-year-old child who is prescribed an intramuscular (IM)
injection. Which site is most appropriate for a child of this age?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Correct Answer: D. Ventrogluteal
Rationale: The ventrogluteal site is free of major nerves and blood vessels and is
safe for children of all ages, making it an appropriate choice for a 4-year-old. The
vastus lateralis (B) is the preferred site for infants. The deltoid (C) is appropriate
for older children (typically 18 months and older), but the ventrogluteal is a more
universally safe and recommended site. The dorsogluteal (A) site is avoided in
children due to the risk of sciatic nerve injury .
7. When assessing a patient for anaphylaxis, the nurse would expect to find which
initial signs?
A. Severe bradycardia and hypotension.
B. Chest tightness and a barky cough.
C. A slow, bounding pulse and flushed skin.
D. Chest tightness and a rapid, weak pulse.
Correct Answer: D. Chest tightness and a rapid, weak pulse.
Rationale: Anaphylaxis is a severe allergic reaction characterized by the release of
histamine, causing vasodilation, bronchoconstriction, and increased capillary
GUIDE COMPLETE ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ (BRAND NEW!) FULL REVISED NUR 417
EXAM 1
1. The nurse is preparing to administer an oral medication to a 6-month-old infant.
Which action is most appropriate for this age group?
A. Administer the medication mixed in a full bottle of formula.
B. Place the medication between the tongue and the side of the cheek.
C. Ask the parent to hold the infant's nose to facilitate swallowing.
D. Administer the medication using a household teaspoon for accurate dosing.
Correct Answer: B. Place the medication between the tongue and the side of the
cheek.
Rationale: For infants, liquid medications should be administered between the
tongue and the side of the child's mouth to prevent aspiration and ensure
swallowing. Mixing medication in a full bottle of formula (A) is unsafe because if
the infant does not finish the bottle, the full dose is not received. Holding the nose
(C) increases the risk of aspiration. Household teaspoons are not accurate
measuring devices and should not be used for medication administration (D) .
2. The nurse is assessing a 2-year-old child for fall risk using the Humpty Dumpty
Scale. Which score would indicate a high risk for falls?
A. 7
B. 10
C. 12
D. 15
,Correct Answer: C. 12
Rationale: On the Humpty Dumpty Fall Risk Scale, a score of 12 or greater
indicates a high risk for falls. Scores of 7-11 indicate a low risk. Therefore, options
A (7) and B (10) are low risk, while option D (15) is also a high-risk score but
option C is the single best answer as it is the minimum score to indicate high risk .
3. A toddler is brought to the emergency department after ingesting a household
cleaning product. The nurse understands that this age group is particularly
susceptible to unintentional ingestion due to which developmental factor?
A. Increased gastric emptying time.
B. A well-developed blood-brain barrier.
C. The ability to discriminate between safe and unsafe tastes.
D. Exploring the environment through oral experimentation.
Correct Answer: D. Exploring the environment through oral experimentation.
Rationale: Toddlers and young children explore their environment through oral
experimentation, which is a normal part of psychological development and
increases their risk for unintentional ingestion. They do not have the cognitive
ability to understand danger. The sense of taste is not discriminating at this age
(C), and the blood-brain barrier is not fully developed (B) until about 1 year of age,
but this is a physical difference that affects pharmacodynamics, not a behavioral
reason for ingestion. Gastric emptying is irregular in infants (A), which is a
physiological difference affecting drug absorption .
4. The nurse is calculating a safe dose of acetaminophen for a child who weighs 44
pounds. The recommended safe dose is 10-15 mg/kg/dose. What is the maximum
safe single dose for this child?
,A. 200 mg
B. 300 mg
C. 400 mg
D. 500 mg
Correct Answer: B. 300 mg
Rationale: First, convert the child's weight from pounds to kilograms: 44 lbs / 2.2 =
20 kg. To find the maximum safe single dose, multiply the child's weight in kg by
the maximum recommended dose per kg: 20 kg x 15 mg/kg = 300 mg. Option A
(200 mg) reflects the minimum safe dose (20 kg x 10 mg/kg). Options C and D are
incorrect calculations .
5. The nurse is providing education to parents about medication safety in the home.
Which instruction is most important to include?
A. "Store medications in a cabinet that is easy for adults to reach."
B. "Call medicine 'candy' to make it more appealing to the child."
C. "Use household teaspoons for liquid medications to ensure accuracy."
D. "Model safe use of medicines by taking them out of the child's sight."
Correct Answer: D. "Model safe use of medicines by taking them out of the child's
sight."
Rationale: Parents should model safe medication use and take medicines when
children are not watching, as children often imitate adult behavior. Medications
should be stored in locked cabinets out of a child's sight and reach (A).
Medications should never be called "candy" (B) as this can confuse children and
lead to ingestion. Household teaspoons are not accurate and should not be used for
medication administration (C) .
, 6. A nurse is caring for a 4-year-old child who is prescribed an intramuscular (IM)
injection. Which site is most appropriate for a child of this age?
A. Dorsogluteal
B. Vastus lateralis
C. Deltoid
D. Ventrogluteal
Correct Answer: D. Ventrogluteal
Rationale: The ventrogluteal site is free of major nerves and blood vessels and is
safe for children of all ages, making it an appropriate choice for a 4-year-old. The
vastus lateralis (B) is the preferred site for infants. The deltoid (C) is appropriate
for older children (typically 18 months and older), but the ventrogluteal is a more
universally safe and recommended site. The dorsogluteal (A) site is avoided in
children due to the risk of sciatic nerve injury .
7. When assessing a patient for anaphylaxis, the nurse would expect to find which
initial signs?
A. Severe bradycardia and hypotension.
B. Chest tightness and a barky cough.
C. A slow, bounding pulse and flushed skin.
D. Chest tightness and a rapid, weak pulse.
Correct Answer: D. Chest tightness and a rapid, weak pulse.
Rationale: Anaphylaxis is a severe allergic reaction characterized by the release of
histamine, causing vasodilation, bronchoconstriction, and increased capillary
