100 ITEM COMPREHENSIVE NURSING
EXAM WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS
1.A2TheA2nurseA2entersA2theA2roomA2asA2aA23A2year-
oldA2isA2havingA2aA2generalizedA2seizure.A2WhichA2interventionA2shouldA2theA2nurseA2doA2f
irst?
A)A2ClearA2theA2areaA2ofA2anyA2hazards
B)A2PlaceA2theA2childA2onA2theA2side
C)A2RestrainA2theA2child
D)A2GiveA2theA2prescribedA2anticonvulsantA2-A2Ans--
TheA2correctA2answerA2isA2B:A2PlaceA2theA2childA2onA2theA2side
ProtectingA2theA2airwayA2isA2theA2topA2priorityA2inA2aA2seizure.A2IfA2aA2childA2isA2activelyA2c
onvulsing,A2aA2patentA2airwayA2andA2oxygenationA2mustA2beA2assured.
2.A2AA2clientA2hasA2justA2returnedA2toA2theA2medical-
surgicalA2unitA2followingA2aA2segmentalA2lungA2resection.A2AfterA2assessingA2theA2client,A2
theA2firstA2nursingA2actionA2wouldA2beA2to
A)A2AdministerA2painA2medication
B)A2SuctionA2excessiveA2tracheobronchialA2secretions
C)A2AssistA2clientA2toA2turn,A2deepA2breathA2andA2cough
D)A2MonitorA2oxygenA2saturationA2-A2Ans--
TheA2correctA2answerA2isA2B:A2SuctionA2excessiveA2tracheobronchialA2secretions
SuctioningA2theA2copiousA2tracheobronchialA2secretionsA2presentA2inA2post-
thoracicA2surgeryA2clientsA2maintainsA2anA2openA2airwayA2whichA2isA2alwaysA2theA2priority
A2nursingA2intervention.
3.A2AA2nurseA2fromA2theA2surgicalA2departmentA2isA2reassignedA2toA2theA2pediatricA2unit.A2
TheA2chargeA2nurseA2shouldA2recognizeA2thatA2theA2childA2atA2highestA2riskA2forA2cardiacA2
arrestA2andA2isA2theA2leastA2likelyA2toA2beA2assignedA2toA2thisA2nurseA2isA2whichA2child?
A)A2CongenitalA2cardiacA2defects
B)A2AnA2acuteA2febrileA2illness
C)A2ProlongedA2hypoxemia
D)A2SevereA2multipleA2traumaA2-A2Ans--
TheA2correctA2answerA2isA2C:A2ProlongedA2hypoxemiaA2MostA2often,A2theA2causeA2ofA2car
diacA2arrestA2inA2theA2pediatricA2populationA2isA2prolongedA2hypoxemia.A2ChildrenA2usuall
yA2haveA2bothA2cardiacA2andA2respiratoryA2arrest.
4.A2WhichA2ofA2theA2followingA2wouldA2beA2theA2bestA2strategyA2forA2theA2nurseA2toA2useA2
whenA2teachingA2insulinA2injectionA2techniquesA2toA2aA2newlyA2diagnosedA2clientA2withA2di
abetes?
A)A2GiveA2writtenA2preA2andA2posttests
B)A2AskA2questionsA2duringA2practice
C)A2AllowA2anotherA2diabeticA2toA2assist
, D)A2ObserveA2aA2returnA2demonstrationA2-A2Ans--
TheA2correctA2answerA2isA2D:A2ObserveA2aA2returnA2demonstration
SinceA2thisA2isA2aA2psychomotorA2skill,A2thisA2isA2theA2bestA2wayA2toA2knowA2ifA2theA2clientA
2hasA2learnedA2theA2properA2technique.
5.A2TheA2nurseA2isA2assessingA2aA22-year-
oldA2clientA2withA2aA2possibleA2diagnosisA2ofA2congenitalA2heartA2disease.A2WhichA2ofA2the
seA2isA2mostA2likelyA2toA2beA2seenA2withA2thisA2diagnosis?
A)A2SeveralA2otitisA2mediaA2episodesA2inA2theA2lastA2year
B)A2WeightA2andA2heightA2inA210thA2percentileA2sinceA2birth
C)A2TakesA2frequentA2restA2periodsA2whileA2playing
D)A2ChangingA2foodA2preferencesA2andA2dislikesA2-A2Ans--
TheA2correctA2answerA2isA2C:A2TakesA2frequentA2restA2periodsA2whileA2playing.
ChildrenA2withA2heartA2diseaseA2tendA2toA2haveA2exerciseA2intolerance.A2TheA2childA2self-
limitsA2activity,A2whichA2isA2consistentA2withA2manifestationsA2ofA2congenitalA2heartA2disea
seA2inA2children.
6.A2TheA2nurseA2isA2reassignedA2toA2workA2atA2theA2PoisonA2ControlA2CenterA2telephoneA2
hotline.A2InA2whichA2ofA2theseA2casesA2ofA2childhoodA2poisoningA2wouldA2theA2nurseA2sug
gestA2thatA2parentsA2haveA2theA2childA2drinkA2orangeA2juice?
A)A2AnA218A2month-
oldA2whoA2ateA2anA2undeterminedA2amountA2ofA2crystalA2drainA2cleaner
B)A2AA214A2month-oldA2whoA2chewedA22A2leavesA2ofA2aA2philodendronA2plant
C)A2AA220A2month-
oldA2whoA2isA2foundA2sittingA2onA2theA2bathroomA2floorA2besideA2anA2emptyA2bottleA2ofA2di
azepamA2(Valium)
D)A2AA230A2month-oldA2whoA2hasA2swallowedA2aA2mouthfulA2ofA2charcoalA2lighterA2fluidA2-
A2Ans--TheA2correctA2answerA2isA2A:A2AnA218A2month-
oldA2whoA2ateA2anA2undeterminedA2amountA2ofA2crystalA2drainA2cleaner.
DrainA2cleanerA2isA2veryA2alkaline.A2TheA2orangeA2juiceA2isA2acidicA2andA2willA2helpA2toA2n
eutralizeA2thisA2substance.
7.A2AA223-year-
oldA2singleA2clientA2isA2inA2theA233rdA2weekA2ofA2herA2firstA2pregnancy.A2SheA2tellstheA2nur
seA2thatA2sheA2hasA2everythingA2readyA2forA2theA2babyA2andA2hasA2madeA2plansA2forA2theA
2firstA2weeksA2togetherA2atA2home.A2WhichA2normalA2emotionalA2reactionA2doesA2theA2nur
seA2recognize?
A)A2AcceptanceA2ofA2theA2pregnancy
B)A2FocusA2onA2fetalA2development
C)A2AnticipationA2ofA2theA2birth
D)A2AmbivalenceA2aboutA2pregnancyA2-A2Ans--
TheA2correctA2answerA2isA2C:A2AnticipationA2ofA2theA2birth
DirectingA2activitiesA2towardA2preparationA2forA2theA2newborn'sA2needsA2andA2personalA2a
djustmentA2areA2indicatorsA2ofA2appropriateA2emotionalA2responseA2inA2theA2thirdA2trimest
er.
EXAM WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS
1.A2TheA2nurseA2entersA2theA2roomA2asA2aA23A2year-
oldA2isA2havingA2aA2generalizedA2seizure.A2WhichA2interventionA2shouldA2theA2nurseA2doA2f
irst?
A)A2ClearA2theA2areaA2ofA2anyA2hazards
B)A2PlaceA2theA2childA2onA2theA2side
C)A2RestrainA2theA2child
D)A2GiveA2theA2prescribedA2anticonvulsantA2-A2Ans--
TheA2correctA2answerA2isA2B:A2PlaceA2theA2childA2onA2theA2side
ProtectingA2theA2airwayA2isA2theA2topA2priorityA2inA2aA2seizure.A2IfA2aA2childA2isA2activelyA2c
onvulsing,A2aA2patentA2airwayA2andA2oxygenationA2mustA2beA2assured.
2.A2AA2clientA2hasA2justA2returnedA2toA2theA2medical-
surgicalA2unitA2followingA2aA2segmentalA2lungA2resection.A2AfterA2assessingA2theA2client,A2
theA2firstA2nursingA2actionA2wouldA2beA2to
A)A2AdministerA2painA2medication
B)A2SuctionA2excessiveA2tracheobronchialA2secretions
C)A2AssistA2clientA2toA2turn,A2deepA2breathA2andA2cough
D)A2MonitorA2oxygenA2saturationA2-A2Ans--
TheA2correctA2answerA2isA2B:A2SuctionA2excessiveA2tracheobronchialA2secretions
SuctioningA2theA2copiousA2tracheobronchialA2secretionsA2presentA2inA2post-
thoracicA2surgeryA2clientsA2maintainsA2anA2openA2airwayA2whichA2isA2alwaysA2theA2priority
A2nursingA2intervention.
3.A2AA2nurseA2fromA2theA2surgicalA2departmentA2isA2reassignedA2toA2theA2pediatricA2unit.A2
TheA2chargeA2nurseA2shouldA2recognizeA2thatA2theA2childA2atA2highestA2riskA2forA2cardiacA2
arrestA2andA2isA2theA2leastA2likelyA2toA2beA2assignedA2toA2thisA2nurseA2isA2whichA2child?
A)A2CongenitalA2cardiacA2defects
B)A2AnA2acuteA2febrileA2illness
C)A2ProlongedA2hypoxemia
D)A2SevereA2multipleA2traumaA2-A2Ans--
TheA2correctA2answerA2isA2C:A2ProlongedA2hypoxemiaA2MostA2often,A2theA2causeA2ofA2car
diacA2arrestA2inA2theA2pediatricA2populationA2isA2prolongedA2hypoxemia.A2ChildrenA2usuall
yA2haveA2bothA2cardiacA2andA2respiratoryA2arrest.
4.A2WhichA2ofA2theA2followingA2wouldA2beA2theA2bestA2strategyA2forA2theA2nurseA2toA2useA2
whenA2teachingA2insulinA2injectionA2techniquesA2toA2aA2newlyA2diagnosedA2clientA2withA2di
abetes?
A)A2GiveA2writtenA2preA2andA2posttests
B)A2AskA2questionsA2duringA2practice
C)A2AllowA2anotherA2diabeticA2toA2assist
, D)A2ObserveA2aA2returnA2demonstrationA2-A2Ans--
TheA2correctA2answerA2isA2D:A2ObserveA2aA2returnA2demonstration
SinceA2thisA2isA2aA2psychomotorA2skill,A2thisA2isA2theA2bestA2wayA2toA2knowA2ifA2theA2clientA
2hasA2learnedA2theA2properA2technique.
5.A2TheA2nurseA2isA2assessingA2aA22-year-
oldA2clientA2withA2aA2possibleA2diagnosisA2ofA2congenitalA2heartA2disease.A2WhichA2ofA2the
seA2isA2mostA2likelyA2toA2beA2seenA2withA2thisA2diagnosis?
A)A2SeveralA2otitisA2mediaA2episodesA2inA2theA2lastA2year
B)A2WeightA2andA2heightA2inA210thA2percentileA2sinceA2birth
C)A2TakesA2frequentA2restA2periodsA2whileA2playing
D)A2ChangingA2foodA2preferencesA2andA2dislikesA2-A2Ans--
TheA2correctA2answerA2isA2C:A2TakesA2frequentA2restA2periodsA2whileA2playing.
ChildrenA2withA2heartA2diseaseA2tendA2toA2haveA2exerciseA2intolerance.A2TheA2childA2self-
limitsA2activity,A2whichA2isA2consistentA2withA2manifestationsA2ofA2congenitalA2heartA2disea
seA2inA2children.
6.A2TheA2nurseA2isA2reassignedA2toA2workA2atA2theA2PoisonA2ControlA2CenterA2telephoneA2
hotline.A2InA2whichA2ofA2theseA2casesA2ofA2childhoodA2poisoningA2wouldA2theA2nurseA2sug
gestA2thatA2parentsA2haveA2theA2childA2drinkA2orangeA2juice?
A)A2AnA218A2month-
oldA2whoA2ateA2anA2undeterminedA2amountA2ofA2crystalA2drainA2cleaner
B)A2AA214A2month-oldA2whoA2chewedA22A2leavesA2ofA2aA2philodendronA2plant
C)A2AA220A2month-
oldA2whoA2isA2foundA2sittingA2onA2theA2bathroomA2floorA2besideA2anA2emptyA2bottleA2ofA2di
azepamA2(Valium)
D)A2AA230A2month-oldA2whoA2hasA2swallowedA2aA2mouthfulA2ofA2charcoalA2lighterA2fluidA2-
A2Ans--TheA2correctA2answerA2isA2A:A2AnA218A2month-
oldA2whoA2ateA2anA2undeterminedA2amountA2ofA2crystalA2drainA2cleaner.
DrainA2cleanerA2isA2veryA2alkaline.A2TheA2orangeA2juiceA2isA2acidicA2andA2willA2helpA2toA2n
eutralizeA2thisA2substance.
7.A2AA223-year-
oldA2singleA2clientA2isA2inA2theA233rdA2weekA2ofA2herA2firstA2pregnancy.A2SheA2tellstheA2nur
seA2thatA2sheA2hasA2everythingA2readyA2forA2theA2babyA2andA2hasA2madeA2plansA2forA2theA
2firstA2weeksA2togetherA2atA2home.A2WhichA2normalA2emotionalA2reactionA2doesA2theA2nur
seA2recognize?
A)A2AcceptanceA2ofA2theA2pregnancy
B)A2FocusA2onA2fetalA2development
C)A2AnticipationA2ofA2theA2birth
D)A2AmbivalenceA2aboutA2pregnancyA2-A2Ans--
TheA2correctA2answerA2isA2C:A2AnticipationA2ofA2theA2birth
DirectingA2activitiesA2towardA2preparationA2forA2theA2newborn'sA2needsA2andA2personalA2a
djustmentA2areA2indicatorsA2ofA2appropriateA2emotionalA2responseA2inA2theA2thirdA2trimest
er.