NURS 332 EXAM 3 STUDY QUESTIONS | PRACTICE QUESTIONS & ANSWERS |
COMPREHENSIVE NCLEX NURSING STUDY GUIDE 2026/2027
The nurse teaches parents that absolute contraindications for pediatric immunizations include:
Respiratory illness with low-grade fever.
Anaphylactic reaction to previous immunization.
Soreness, redness, and swelling at the previous injection site.
Febrile seizure one month after the previous injection of the vaccine. - ANS ✔✔Anaphylactic
reaction to previous immunization.
A mother refuses to have her child receive any immunizations, based on her religious beliefs.
The priority nursing diagnosis when planning health teaching for this family is:
Knowledge, Deficient on the part of the parent related to potential side effects of vaccines.
Injury, Risk for related to vaccine reaction.
Pain, Acute related to injection and associated anxiety.
Infection, Risk for related to incomplete immunization series. - ANS ✔✔Infection, Risk for
related to incomplete immunization series.
A 10-year-old child has just received his first immunization of influenza vaccine. His lips begin to
swell, and he states, "It feels like my throat is closing shut and my chest is tight when I breathe."
The nurse recognizes these signs as:
A local allergic reaction to the influenza vaccine injection.
An anxiety reaction due to receiving an injection.
A common systemic allergic reaction to immunization.
,A life-threatening reaction to the influenza vaccine. - ANS ✔✔A life-threatening reaction to the
influenza vaccine.
The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTAP) and
second inactivated polio vaccine (IPV) immunization injections for an infant who is 4-months-
old. Provided a separate injection site is used for all injections, the nurse also may give which of
the following immunizations during the same well child care appointment?
Varicella (Var).
Influenza (TIV).
Measles, mumps, rubella (MMR).
Haemophilus influenzae type B (HIB). - ANS ✔✔Haemophilus influenzae type B (HIB).
A toddler has been diagnosed with an acyanotic cardiac defect. Which assessment data would
most likely indicate congestive heart failure?
Heart murmur.
Cardiac volume overload.
Anuria.
Excitability. - ANS ✔✔Cardiac volume overload.
An infant who has a congenital heart defect comes into the clinic with parental complaints of
irritability, pallor, and increased cyanosis that began quickly over the last 30 minutes. As the
nurse assesses the infant, the parent asks why the child's color is bluish. The best response by
the nurse is, "Skin color is:
Related to the time of day."
Related to brain function."
Related to hemoglobin level and oxygen saturation."
,Unrelated to your child's condition." - ANS ✔✔Related to hemoglobin level and oxygen
saturation.
A client is admitted with a diagnosis of "rule out rheumatic fever." Based on Jones criteria, the
nurse assesses for:
Polyarthritis and dental caries.
Fever, headache, and low red blood cell count.
Chorea, muscle weakness, and decreased erythrocyte sedimentation rate.
Erythema, polyarthritis, and elevated antistreptolysin-O (ASO) titer. - ANS ✔✔Erythema,
polyarthritis, and elevated antistreptolysin-O (ASO) titer.
A toddler with Kawasaki's disease is ordered to receive aspirin therapy. Typical administration of
aspirin for Kawasaki's disease would include which of the following principles?
High doses of aspirin should be given while fever is high.
Length of aspirin therapy is related to child's response.
Aspirin dose increases after fever is gone.
Aspirin dosage is unrelated to platelet count. - ANS ✔✔Length of aspirin therapy is related to
child's response.
A newborn with possible hypoplastic left heart disease is to be admitted to the nursing unit.
Which drug should be available for use?
Digitoxin (Crystodigin).
Prostaglandin E1 (Prostin VR).
Morphine.
Testosterone (Andro). - ANS ✔✔Prostaglandin E1 (Prostin VR).
, A 2-year-old child is being discharged home and will have palliative surgery for tetralogy of
Fallot at a later date. The mother wants to know about how much physical activity she can allow
for the child. The nurse's best answer is:
"Allow the child to regulate her activity."
"Keep her on complete bedrest."
"Limit her activities to a few hours."
"Keep the child from crying." - ANS ✔✔"Allow the child to regulate her activity."
After a pediatric client has a cardiac catheterization, which intervention would have the highest
priority in the immediate postoperative period?
Encourage intake of small amounts of fluid.
Teach the parents signs of congestive heart failure.
Monitor the site for signs of infection.
Apply direct pressure to entry site for 15 minutes. - ANS ✔✔Apply direct pressure to entry site
for 15 minutes.
A child is being seen in the ambulatory clinic for a sore throat diagnosed as caused by group A
beta hemolytic streptococcus. The nurse provides care with the understanding that the risk of
developing rheumatic fever is greatest
Two weeks later.
Prior to the administration of an antibiotic.
Once the child has begun antibiotic therapy.
With the onset of the strep infection. - ANS ✔✔Two weeks later.
COMPREHENSIVE NCLEX NURSING STUDY GUIDE 2026/2027
The nurse teaches parents that absolute contraindications for pediatric immunizations include:
Respiratory illness with low-grade fever.
Anaphylactic reaction to previous immunization.
Soreness, redness, and swelling at the previous injection site.
Febrile seizure one month after the previous injection of the vaccine. - ANS ✔✔Anaphylactic
reaction to previous immunization.
A mother refuses to have her child receive any immunizations, based on her religious beliefs.
The priority nursing diagnosis when planning health teaching for this family is:
Knowledge, Deficient on the part of the parent related to potential side effects of vaccines.
Injury, Risk for related to vaccine reaction.
Pain, Acute related to injection and associated anxiety.
Infection, Risk for related to incomplete immunization series. - ANS ✔✔Infection, Risk for
related to incomplete immunization series.
A 10-year-old child has just received his first immunization of influenza vaccine. His lips begin to
swell, and he states, "It feels like my throat is closing shut and my chest is tight when I breathe."
The nurse recognizes these signs as:
A local allergic reaction to the influenza vaccine injection.
An anxiety reaction due to receiving an injection.
A common systemic allergic reaction to immunization.
,A life-threatening reaction to the influenza vaccine. - ANS ✔✔A life-threatening reaction to the
influenza vaccine.
The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTAP) and
second inactivated polio vaccine (IPV) immunization injections for an infant who is 4-months-
old. Provided a separate injection site is used for all injections, the nurse also may give which of
the following immunizations during the same well child care appointment?
Varicella (Var).
Influenza (TIV).
Measles, mumps, rubella (MMR).
Haemophilus influenzae type B (HIB). - ANS ✔✔Haemophilus influenzae type B (HIB).
A toddler has been diagnosed with an acyanotic cardiac defect. Which assessment data would
most likely indicate congestive heart failure?
Heart murmur.
Cardiac volume overload.
Anuria.
Excitability. - ANS ✔✔Cardiac volume overload.
An infant who has a congenital heart defect comes into the clinic with parental complaints of
irritability, pallor, and increased cyanosis that began quickly over the last 30 minutes. As the
nurse assesses the infant, the parent asks why the child's color is bluish. The best response by
the nurse is, "Skin color is:
Related to the time of day."
Related to brain function."
Related to hemoglobin level and oxygen saturation."
,Unrelated to your child's condition." - ANS ✔✔Related to hemoglobin level and oxygen
saturation.
A client is admitted with a diagnosis of "rule out rheumatic fever." Based on Jones criteria, the
nurse assesses for:
Polyarthritis and dental caries.
Fever, headache, and low red blood cell count.
Chorea, muscle weakness, and decreased erythrocyte sedimentation rate.
Erythema, polyarthritis, and elevated antistreptolysin-O (ASO) titer. - ANS ✔✔Erythema,
polyarthritis, and elevated antistreptolysin-O (ASO) titer.
A toddler with Kawasaki's disease is ordered to receive aspirin therapy. Typical administration of
aspirin for Kawasaki's disease would include which of the following principles?
High doses of aspirin should be given while fever is high.
Length of aspirin therapy is related to child's response.
Aspirin dose increases after fever is gone.
Aspirin dosage is unrelated to platelet count. - ANS ✔✔Length of aspirin therapy is related to
child's response.
A newborn with possible hypoplastic left heart disease is to be admitted to the nursing unit.
Which drug should be available for use?
Digitoxin (Crystodigin).
Prostaglandin E1 (Prostin VR).
Morphine.
Testosterone (Andro). - ANS ✔✔Prostaglandin E1 (Prostin VR).
, A 2-year-old child is being discharged home and will have palliative surgery for tetralogy of
Fallot at a later date. The mother wants to know about how much physical activity she can allow
for the child. The nurse's best answer is:
"Allow the child to regulate her activity."
"Keep her on complete bedrest."
"Limit her activities to a few hours."
"Keep the child from crying." - ANS ✔✔"Allow the child to regulate her activity."
After a pediatric client has a cardiac catheterization, which intervention would have the highest
priority in the immediate postoperative period?
Encourage intake of small amounts of fluid.
Teach the parents signs of congestive heart failure.
Monitor the site for signs of infection.
Apply direct pressure to entry site for 15 minutes. - ANS ✔✔Apply direct pressure to entry site
for 15 minutes.
A child is being seen in the ambulatory clinic for a sore throat diagnosed as caused by group A
beta hemolytic streptococcus. The nurse provides care with the understanding that the risk of
developing rheumatic fever is greatest
Two weeks later.
Prior to the administration of an antibiotic.
Once the child has begun antibiotic therapy.
With the onset of the strep infection. - ANS ✔✔Two weeks later.
