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“MCH EXAM 1” EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS

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“MCH EXAM 1” EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL REVISED AND HIGHLY RECOMMENDALE 100% GUARANTEE PASS

Institución
MED SURG NCLEX
Grado
MED SURG NCLEX











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Institución
MED SURG NCLEX
Grado
MED SURG NCLEX

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Subido en
23 de noviembre de 2025
Número de páginas
72
Escrito en
2025/2026
Tipo
Examen
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Page 1 of 72


“MCH EXAM 1” EXAM 2025 – 2026 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION) WELL REVISED AND HIGHLY
RECOMMENDALE 100% GUARANTEE PASS



MCH Exam 1




A toddler has a deep laceration contaminated with dirt and sand. Before
suturing the nurse should irrigate the wound with:
a. alcohol.
b. normal saline.
c. hydrogen peroxide.
d. povidone-iodine.
b
An occlusive dressing, Acu-derm, is applied to a large abrasion. This is
advantageous because the dressing will:
a. provide an antiseptic for the wound.
b. deliver vitamin C to the wound.
c. maintain a moist environment for healing. Correct
d. promote mechanical friction for healing.
c
A child is being seen in the emergency department with multiple facial
abrasions and lacerations. Lidocaine, adrenaline, and tetracaine (LAT) is
applied topically to the wounds. The purpose of this is:
a. to cleanse the wounds.
b. to prevent infection.
c. to provide anesthesia.
d. to promote scab formation.
c
When applying wet compresses or dressings to the skin, the nurse should:
a. apply the dressing so the area is totally immobilized.
b. apply the dressing when it is saturated and dripping.
c. pour or syringe new solution over a dressing that has become dry.

, Page 2 of 72


d. apply the desired solution on cotton gauze or soft cotton cloths such as
clean handkerchiefs.
d
What is the most important step in the management of cellulitis?
a. Burow's solution compresses
b.Oral or parenteral antibiotics
c. Topical application of an antibiotic
d. Incision and drainage of severe lesions
b
A nurse should explain that ringworm is:
a. not contagious.
b. a sign of uncleanliness.
c. expected to recover spontaneously.
d. spread by direct and indirect contact.
d
The school nurse is seeing a child who brought poison ivy to school in his leaf
collection. He says that only his hands touched it. The most appropriate
nursing action is to:
a. apply Burow's solution compresses.
b. soak his hands in warm water.
c. rinse his hands in cold, running water.
d. scrub his hands thoroughly with antibacterial soap.
c
When giving instructions to a parent whose child has scabies, the school
nurse should tell him or her to:
a. treat all family members if symptoms develop.
b. be prepared for symptoms to last 2 to 3 weeks.
c. notify the practitioner so an antibiotic can be prescribed.
d. carefully treat only those areas where there is a rash.
b
What is most descriptive of atopic dermatitis (eczema) in the infant?
a. Worse in summer
b. Worse in humid climates

, Page 3 of 72


c. Associated with upper respiratory infections
d. Associated with hereditary allergies
d
When teaching the adolescent about the management of acne, what
intervention should the nurse include?
a. Clean the face with an antibacterial soap twice each day.
b. Clean the face gently with a mild soap once or twice each day.
c.Avoid foods with a high fat content such as French fries and chocolate.
d. Express comedones by gentle squeezing and then cleanse with alcohol.
b
Enteral feedings are ordered for a young child with burns covering 40% of total
body surface area. The nurse should know that:
a. oral feedings are contraindicated.
b. enteral feedings must be stopped during painful procedures.
c. paralytic ileus precludes the use of enteral feedings.
d. the feedings will be high carbohydrate, low protein.
c
The nurse is caring for a 12-year-old boy who sustained major burns when he
put charcoal lighter on a campfire. The nurse observes that he is "very brave"
and appears to accept pain with little or no response. The most appropriate
nursing action related to this is to:
a. request a psychologic consultation.
b. ask the child why he does not have pain.
c. praise the child for his ability to withstand pain.
d. encourage continued bravery as a coping strategy.
a
During the rehabilitative phase of care, pressure dressings are primarily
applied to burned areas to:
a. relieve pain.
b. decrease the blood supply to the scar.
c. limit motion during the healing process.
d.encourage healing through scar formation.
b

, Page 4 of 72


Based on the nurse's knowledge of wounds and wound healing, what are
factors that can delay or cause dysfunctional wound healing? (Select all that
apply.)
a. Overweight
b. Hypoxemia
c. Hypervolemia
d. Prolonged infection
e. Corticosteroid therapy
a,c,e
A mother of a 12-year-old child informs the phone triage nurse that she has
just removed a tick from her daughter's scalp and asks whether she needs to
be concerned about Rocky Mountain spotted fever. The nurse's BEST
response includes teaching about the clinical manifestations to look out for
which include: (Select all that apply.)
a. fatigue.
b. fever.
c. petechial rash.
d. severe headache.
e. severe diarrhea.
a,b,c,d,
What best describes the pattern of genetic transmission known as autosomal
recessive inheritance?


A. Disorders in which the abnormal gene for the trait is expressed even when
the other member of the pair is normal
B. Disorders in which both genes of a pair must be abnormal for the disorder
to be expressed
C. Disorders in which a single gene controls the particular trait
D. Disorders in which the abnormal gene is carried on the X chromosome
B. Disorders in which both genes of a pair must be abnormal for the disorder to be
expressed


Autosomal dominant inheritance occurs when the abnormal gene for the trait is
expressed, even when the other member of the pair is normal, such as Huntington
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