NURS 4331 EXAMINATION 2026 SET QUESTIONS AND
SOLUTIONS RATED A+
✔✔Linda, a 14-year-old, and her mother are in the office. As Linda goes to the
bathroom, her mother stops the nurse and asks about the changes that Linda is going
through. She would like to talk to her about sex and the changes but she is unsure of
how to do this. As the nurse, which of the following would be appropriate for you to
suggest? - ✔✔Promote open lines of communication, encourage listening, don't lecture,
and share family values.
✔✔Jerry and his mother have come to the office for a routine visit. In the hall away from
Jerry, his mother relates to the nurse that she is concerned because Jerry is playing
games that girls play, and has noticed that when he plays any role-playing games his
character is very feminine. She tells the nurse that she is worried about Jerry's sexual
orientation. What is the best response to her concerns? - ✔✔"This behavior may be
exploratory or reflect peer pressure, so avoid making assumptions about his sexual
orientation."
✔✔An adolescent comes into the emergency department with a foot wound. Upon
assessment, the nurse learns that the patient is a runaway and has been living on the
streets. Which is the most appropriate care for the nurse to provide to the client at this
time? - ✔✔Treat the wound and provide wound care supplies
✔✔The nurse is caring for a chronically ill adolescent client. What can the nurse do to
maintain stimulation and support the client's sense of identity while hospitalized? -
✔✔Encourage communicating with friends through social media
✔✔A nurse is assessing, Maria, an 11-year-old female. During the assessment, the
nurse notices that the girl's breasts have begun to develop. Based on an understanding
of adolescent growth and development, the nurse would anticipate that Maria would
most likely begin to menstruate within which time period? - ✔✔2 years
✔✔During a complete physical assessment of a preteen boy, the nurse correctly
recognizes which finding as being the first change of puberty? - ✔✔Testicular
enlargement
✔✔When interviewed by the school nurse, a 13-year-old adolescent female states she
has a boyfriend and that her parents do not talk about sex with her. She says is
confused about the facts and wants to know the truth. Which approach would best
address this adolescent's concerns? - ✔✔Sit down with her and openly discuss her
concerns and questions in an honest, straightforward manner.
, ✔✔An adolescent who is depressed states, "Nothing ever seems to be right in my life."
Which would be the most appropriate response by the nurse? - ✔✔"You are feeling sad
right now. It's a hard time."
✔✔A nurse is reading a journal article about adolescents and major causes of injuries in
this age group. The nurse demonstrates understanding of this information by identifying
which situation as the major cause of adolescent injuries? - ✔✔Motor vehicle crashes
✔✔The nurse is providing education to parents of a child with a blood pressure in the
90th percentile. What would be included in the intervention strategies? - ✔✔The nurse
would review the child's 24-hour diet recall.
✔✔An infant with poor feeding is suspected of having a congenital heart defect. The
parents are asking why a chest x-ray is necessary in their infant. What is the best
response from the nurse? - ✔✔It will determine if the heart is enlarged.
✔✔In developing a plan of care for the child diagnosed with rheumatic fever, the nursing
intervention that takes highest priority for this child is to: - ✔✔promote rest periods and
bed rest.
✔✔The nurse is administering digoxin as ordered and the child vomits the dose. What
should the nurse do next? - ✔✔Administer next dose as ordered in 12 hours.
✔✔The nurse is assessing a child with suspected infective endocarditis. Which
assessment finding would the nurse interpret as a sign of extracardiac emboli? -
✔✔Roth spots
✔✔When assessing a infant born at 32 weeks' gestation, which finding would lead the
nurse to suspect to suspect that the newborn has a patent ductus arteriosus (PDA)? -
✔✔Continuous murmur on auscultation
✔✔The nurse is collecting data on a 5-year-old child admitted with the diagnosis of
congestive heart failure. Which clinical manifestation observed during the physical
assessment would be consistent with this diagnosis? - ✔✔Failure to gain weight
✔✔The nurse receives the shift report of multiple pediatric clients. Which pediatric client
will the nurse see first? - ✔✔a toddler with tetralogy of Fallot squatting quietly in the
corner of the room
✔✔A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication
should the nurse carefully assess for in this client? - ✔✔Severe erosion of teeth
SOLUTIONS RATED A+
✔✔Linda, a 14-year-old, and her mother are in the office. As Linda goes to the
bathroom, her mother stops the nurse and asks about the changes that Linda is going
through. She would like to talk to her about sex and the changes but she is unsure of
how to do this. As the nurse, which of the following would be appropriate for you to
suggest? - ✔✔Promote open lines of communication, encourage listening, don't lecture,
and share family values.
✔✔Jerry and his mother have come to the office for a routine visit. In the hall away from
Jerry, his mother relates to the nurse that she is concerned because Jerry is playing
games that girls play, and has noticed that when he plays any role-playing games his
character is very feminine. She tells the nurse that she is worried about Jerry's sexual
orientation. What is the best response to her concerns? - ✔✔"This behavior may be
exploratory or reflect peer pressure, so avoid making assumptions about his sexual
orientation."
✔✔An adolescent comes into the emergency department with a foot wound. Upon
assessment, the nurse learns that the patient is a runaway and has been living on the
streets. Which is the most appropriate care for the nurse to provide to the client at this
time? - ✔✔Treat the wound and provide wound care supplies
✔✔The nurse is caring for a chronically ill adolescent client. What can the nurse do to
maintain stimulation and support the client's sense of identity while hospitalized? -
✔✔Encourage communicating with friends through social media
✔✔A nurse is assessing, Maria, an 11-year-old female. During the assessment, the
nurse notices that the girl's breasts have begun to develop. Based on an understanding
of adolescent growth and development, the nurse would anticipate that Maria would
most likely begin to menstruate within which time period? - ✔✔2 years
✔✔During a complete physical assessment of a preteen boy, the nurse correctly
recognizes which finding as being the first change of puberty? - ✔✔Testicular
enlargement
✔✔When interviewed by the school nurse, a 13-year-old adolescent female states she
has a boyfriend and that her parents do not talk about sex with her. She says is
confused about the facts and wants to know the truth. Which approach would best
address this adolescent's concerns? - ✔✔Sit down with her and openly discuss her
concerns and questions in an honest, straightforward manner.
, ✔✔An adolescent who is depressed states, "Nothing ever seems to be right in my life."
Which would be the most appropriate response by the nurse? - ✔✔"You are feeling sad
right now. It's a hard time."
✔✔A nurse is reading a journal article about adolescents and major causes of injuries in
this age group. The nurse demonstrates understanding of this information by identifying
which situation as the major cause of adolescent injuries? - ✔✔Motor vehicle crashes
✔✔The nurse is providing education to parents of a child with a blood pressure in the
90th percentile. What would be included in the intervention strategies? - ✔✔The nurse
would review the child's 24-hour diet recall.
✔✔An infant with poor feeding is suspected of having a congenital heart defect. The
parents are asking why a chest x-ray is necessary in their infant. What is the best
response from the nurse? - ✔✔It will determine if the heart is enlarged.
✔✔In developing a plan of care for the child diagnosed with rheumatic fever, the nursing
intervention that takes highest priority for this child is to: - ✔✔promote rest periods and
bed rest.
✔✔The nurse is administering digoxin as ordered and the child vomits the dose. What
should the nurse do next? - ✔✔Administer next dose as ordered in 12 hours.
✔✔The nurse is assessing a child with suspected infective endocarditis. Which
assessment finding would the nurse interpret as a sign of extracardiac emboli? -
✔✔Roth spots
✔✔When assessing a infant born at 32 weeks' gestation, which finding would lead the
nurse to suspect to suspect that the newborn has a patent ductus arteriosus (PDA)? -
✔✔Continuous murmur on auscultation
✔✔The nurse is collecting data on a 5-year-old child admitted with the diagnosis of
congestive heart failure. Which clinical manifestation observed during the physical
assessment would be consistent with this diagnosis? - ✔✔Failure to gain weight
✔✔The nurse receives the shift report of multiple pediatric clients. Which pediatric client
will the nurse see first? - ✔✔a toddler with tetralogy of Fallot squatting quietly in the
corner of the room
✔✔A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication
should the nurse carefully assess for in this client? - ✔✔Severe erosion of teeth
