NURS 4331 Exam Questions With Complete
Solutions
A 10-year-old boy has just arrived by ambulance at
the emergency room following a motor vehicle
accident, and a nurse is assessing him. Which
three body systems should the nurse evaluate fist?
Correct Answers Respiratory, cardiovascular, and
neurologic
A 12-year-old boy has broken his arm and is
showing signs and symptoms of shock. Which of
the following would the nurse do first? Correct
Answers Establish a suitable IV site.
A 13-year-old boy has had a near-drowning
experience. The nurse notices he has labored
breathing and a cough. Which of the following
would be the priority? Correct Answers
Administering 100% oxygen by mask
A 13-year-old girl has grown rapidly in height over
the past 2 years and is taller than most of the boys
in her class. She wonders when she will stop
growing. What should the nurse tell her as a
,general guideline for the ages at which most girls
stop growing? Correct Answers 16 to 17 years old
A 13-year-old girl tells the nurse during a
gynecological visit that a friend of hers developed
toxic shock syndrome from tampon use. The client
says that tampons work well for her, but she
wonders whether they are safe. Which of the
following recommendations should the nurse give
this client to help prevent toxic shock syndrome?
Correct Answers Alternate use of tampons with
sanitary pads
A 15-year-old boy visits his primary care
physician's office with fever, headache, and
malaise, along with complaints of pain on chewing
and pain in the jawline just in front of the ear lobe.
The boy asks his mother to leave the exam room
for a minute and then tells the nurse that he is also
experiencing testicular pain and swelling. The
nurse recognizes that this client most likely has
which condition? Correct Answers Mumps
A 15-year-old male complains of persistent scrotal
pain, edema, and nausea since being hit in the
groin by a baseball 3 hours ago. Which is the
, priority action by the nurse? Correct Answers
Ensuring that the teen is assessed by the physician
immediately
A 17-year-old girl has been diagnosed with bulimia
nervosa. Which complication should the nurse
carefully assess for in this client? Correct Answers
Severe erosion of teeth
A 3-year-old child is brought to the emergency
department after swallowing batteries taken from a
grandparent's hearing aids. The parents believe
that two batteries were swallowed. What should
the nurse explain to the parents regarding the care
that the child will need at this time? Correct
Answers Preparation for an emergency endoscopy
to remove the batteries
A 6-month-old child has developed skin irritation
due to an allergic reaction. He has been prescribed
a topical skin ointment. The nurse will consider
which of the following before administering the
drug? Correct Answers That the infant's skin has
greater permeability than that of an adult
Solutions
A 10-year-old boy has just arrived by ambulance at
the emergency room following a motor vehicle
accident, and a nurse is assessing him. Which
three body systems should the nurse evaluate fist?
Correct Answers Respiratory, cardiovascular, and
neurologic
A 12-year-old boy has broken his arm and is
showing signs and symptoms of shock. Which of
the following would the nurse do first? Correct
Answers Establish a suitable IV site.
A 13-year-old boy has had a near-drowning
experience. The nurse notices he has labored
breathing and a cough. Which of the following
would be the priority? Correct Answers
Administering 100% oxygen by mask
A 13-year-old girl has grown rapidly in height over
the past 2 years and is taller than most of the boys
in her class. She wonders when she will stop
growing. What should the nurse tell her as a
,general guideline for the ages at which most girls
stop growing? Correct Answers 16 to 17 years old
A 13-year-old girl tells the nurse during a
gynecological visit that a friend of hers developed
toxic shock syndrome from tampon use. The client
says that tampons work well for her, but she
wonders whether they are safe. Which of the
following recommendations should the nurse give
this client to help prevent toxic shock syndrome?
Correct Answers Alternate use of tampons with
sanitary pads
A 15-year-old boy visits his primary care
physician's office with fever, headache, and
malaise, along with complaints of pain on chewing
and pain in the jawline just in front of the ear lobe.
The boy asks his mother to leave the exam room
for a minute and then tells the nurse that he is also
experiencing testicular pain and swelling. The
nurse recognizes that this client most likely has
which condition? Correct Answers Mumps
A 15-year-old male complains of persistent scrotal
pain, edema, and nausea since being hit in the
groin by a baseball 3 hours ago. Which is the
, priority action by the nurse? Correct Answers
Ensuring that the teen is assessed by the physician
immediately
A 17-year-old girl has been diagnosed with bulimia
nervosa. Which complication should the nurse
carefully assess for in this client? Correct Answers
Severe erosion of teeth
A 3-year-old child is brought to the emergency
department after swallowing batteries taken from a
grandparent's hearing aids. The parents believe
that two batteries were swallowed. What should
the nurse explain to the parents regarding the care
that the child will need at this time? Correct
Answers Preparation for an emergency endoscopy
to remove the batteries
A 6-month-old child has developed skin irritation
due to an allergic reaction. He has been prescribed
a topical skin ointment. The nurse will consider
which of the following before administering the
drug? Correct Answers That the infant's skin has
greater permeability than that of an adult
