Answers 100% Guarantee Pass 2026
1. Nurse planning care for school age child with tunneled CVA device. Which
interventions should the nurse include in plan?
Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride
solution when not in use
Use a semipermeable transparent dressing to cover the site
Use sterile scissors to remove the dressing from the site.
Access the site using a noncoring angled needle
2. Why is it critical for the nurse to assess the airway and breathing of a child
who has ingested a toxic substance?
Because the parents need reassurance.
Because the child may be dehydrated.
Because airway compromise can occur due to swelling or irritation
from the toxin.
Because the child may need immediate medication.
3. Discuss the implications of an emancipated adolescent seeking treatment for
an STI without a guardian present.
An emancipated adolescent cannot make health decisions without a
guardian's approval.
An emancipated adolescent has the right to seek treatment
independently, ensuring confidentiality and autonomy in their
health care.
An emancipated adolescent's treatment must be delayed until a
guardian is present.
, An emancipated adolescent must inform their parents about their
health issues before seeking treatment.
4. If the client continues to report increased pain despite reinforcement of PCA
pump usage, what should the nurse consider next?
Assessing the effectiveness of the current pain management plan.
Documenting the client's pain level and moving on.
Discontinuing the PCA pump and switching to oral medication.
Increasing the PCA pump dosage without consulting the physician.
5. A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness of
the medication?
Blood pressure 86/52 mm Hg
Serum potassium level 4.1 mEq/L
Reports experiencing an onset of loose stools within 15 minutes of
administration
Reports an absence of nausea and vomiting
6. Why is rocking a child in long rhythmic movements considered a beneficial
strategy before a painful procedure?
Rocking provides comfort and helps to reduce anxiety in children.
Rocking helps the child to forget about their pain.
Rocking is a method to teach the child about the procedure.
Rocking distracts the child from the procedure entirely.
,7. If an emancipated adolescent presents with symptoms of an STI, what steps
should the nurse take to ensure appropriate care while respecting the
adolescent's autonomy?
Delay treatment until a guardian can be present.
Provide treatment and education while maintaining confidentiality.
Inform the adolescent that they cannot receive treatment without
parental consent.
Require the adolescent to contact a guardian before treatment.
8. A 10 year old child with no previous history of seizures experience a tonic-
clonic seizure at school. breathing is unimpaired, but there is some postictal
confusion. what is the school nurse's most appropriate initial action
Stay with the child and ask someone to call EMS
Notify the parent that the child should go home
Stay with the child, offering calm reassurance
Notify the parent and regular practitioner
9. In a scenario where a 2-month-old infant requires a heel stick, what additional
strategy could the nurse implement alongside breastfeeding to further
minimize pain?
Using a larger needle
Swaddling the infant
Delaying the procedure until the infant is older
Performing the procedure in a quiet room
, 10. The number one priority nursing action for a child having a generalized tonic
clonic seizure would be:
Place Prone
Place Supine
Place Side Lying
Place with Head of Bed Up
11. What is a common behavior characteristic of toddlers that a nurse should
mention during anticipatory guidance?
Expresses likes and dislikes
Shows consistent empathy
Demonstrates abstract thinking
Follows complex instructions
12. If a school nurse is informed that a child with varicella has returned to school
before all lesions have crusted, what should be the nurse's immediate
action?
Isolate the child and notify the parents.
Contact the child's physician for further instructions.
Send the child home for a few hours.
Allow the child to attend class as usual.
13. A 3-year-old has a blood lead level of 3. When discussing lead poisoning
what is proper info
give pancreatic enzymes
make sure they are getting enough ca and iron