UPDATED ACTUAL Exam | Detailed Solutions
• A nurse is caring for an adolescent following the application of a plaster cast for a
fractured right tibia. Which of the following actions should the nurse take? -✓✓
Perform a neurovascular check of the lower extremities
• A nurse is caring for a 4-yea-old child who refuses to take his medication because
of the bad taste. Which of the following strategies should the nurse use to elicit the
child's cooperation? -✓✓ Offer the child an ice pop prior to administering the
medication
• A nurse is collecting data from an infant who has otitis media. The nurse should
expect which of the following findings? -✓✓ Tugging on the affected ear lobe
• A nurse is reinforcing teaching with a parent of 1-month-old-infant who is to
undergo initial surgery to treat Hirschsprung's disease. Which of the following
statements should indicate to the nurse that the parent understands the goal of the
surgery? -✓✓ I'm glad that the ostomy is only temporary
• A nurse is reviewing the medical record of an adolescent and notes a calcium
level of 11.4 mEq/L. Which of the following findings should the nurse expect? -
✓✓ Muscle hypotonicity
• A nurse is planning care for a 4-year-old child who has been admitted to the
hospital. Which of the following toys should the nurse plan to provide the child? -
✓✓ Modeling clay
, • A nurse is caring for an infant who is 1 day postoperative following surgical
repair of a cleft lip. Which of the following actions should the nurse take? -✓✓
Apply an antibiotic ointment to the suture site
• 9. A nurse is reinforcing discharge instructions with a parent of a child who has
cystic fibrosis. Which of the following statements by the parent indicates an
understanding of the teaching? -✓✓ I will make sure my child washes her hands
before eating
• 10. A nurse is reinforcing teaching about elimination with an adolescent who is
paralyzed from the waist down following a spinal cord injury. Which of the
following statements by the adolescent indicates a need for further teaching? -✓✓ I
need to catheterize myself twice a day
• 11. A nurse working at a clinic speaks on the telephone with a parent of a 2-
month-old infant. The parent tells the nurse that the infant has projectile vomiting
followed by hunger after meals. Which of the following responses by the nurse is
appropriate? -✓✓ Bring your infant into the clinic today to be seen
• 12. A parent asks a nurse about toys to provide for a 10-month-old infant. Which
of the following toys should the nurse suggest? -✓✓ Push-pull toy
• 13. A nurse is caring for a client who is postoperative immediately following a
tonsillectomy. Which of the following snacks should the nurse offer the client? -
✓✓ Orange ice pop
• 14. The mother of a 4-year-old child tells a nurse that her child is reluctant to go
to bed at night. Which of the following responses should the nurse make? -✓✓
Keep a night light on in your child's room