NURS 4331 ACTUAL 2026 TEST PAPER QUESTIONS AND
SOLUTIONS RATED A+
✔✔Antiemetics are ordered to control nausea and vomiting in the child undergoing
chemotherapy. How can the nurse most effectively use these medications? -
✔✔Administer the antiemetic before starting chemotherapy
✔✔The nurse realizes that the chemotherapy agents and radiation that a child is
receiving are likely to irritate the bladder. What are the best measures that the nurse
can take to diminish this risk? - ✔✔Keep intravenous (IV) fluids running to maintain
excellent hydration and frequent voids
✔✔A 16-year-old child suffering from alopecia related to chemotherapy treatment is
refusing to let friends visit. Which action by the nurse is most appropriate? - ✔✔Provide
opportunities for the child to discuss his or her body image changes
✔✔A nurse is providing care to a toddler with nephroblastoma and is being evaluated.
Which nursing action would be most important? - ✔✔Placing a "no abdominal palpation"
sign above the child's bed
✔✔A nurse is communicating with a family about palliative care. Which of the following
would be the best approach to take? - ✔✔Ask the family what they know, what they
wish to know and be prepared to repeat the information you give to them several times
✔✔The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor.
Which statement should the nurse post immediately? - ✔✔"Do not palpate abdomen."
✔✔A 6-year-old is dealing with the death of a sibling. Which action should the nurse
suggest to the family to best support the child with the grieving process? - ✔✔Assisting
the child in drawing a picture to be placed in the sibling's casket
✔✔A child receiving chemotherapy wants to have a large birthday party and invite all
the classmates. When the parent asks the nurse about this, what is the nurse's best
response? - ✔✔"It is better to avoid large groups right now."
✔✔An adolescent is recovering from surgery, radiation, and chemotherapy following a
diagnosis of Ewing sarcoma. Which statement by the family indicates that reteaching is
needed? - ✔✔"Our child is looking forward to playing football again."
✔✔A 3-year-old demonstrates lateral bowing of the tibia. Which signs would indicate
that the boy's condition is Blount disease rather than the more typical developmental
genu varum? - ✔✔A sharp, beaklike appearance to the medial aspect of the proximal
tibia on x-ray
, ✔✔A school-age child with a supracondylar fracture of the humerus has been placed in
a partial cast with the elbow region wrapped with an elastic bandage. What should the
nurse explain to the parents and child regarding the reason for this type of casting
approach? - ✔✔Ensures edema does not press on the nerves
✔✔The nurse receives a report from the admission department that a child with a
slipped femoral epiphysis is en route to the care area. For which type of child should the
nurse begin to plan care? - ✔✔Obese preadolescent male
✔✔When performing physical assessments of children with musculoskeletal disorders,
the nurse distinguishes normal variations in children's muscles versus adult muscles.
Which of the following would be most important for the nurse to keep in mind? -
✔✔During adolescence, muscle growth is influenced by increased production of
androgenic hormones
✔✔Which nursing intervention is the priority for the immobilized child in an acute care
setting? - ✔✔Offer age-appropriate toys and diversional activities.
✔✔In the emergency room, the nurse is assessing a toddler who is currently being
treated for a radius fracture and has a history of multiple fractures. The assessment
reveals short stature, blue sclera, and no bruising or swelling at the fracture site. The
nurse suspects: - ✔✔Osteogenesis imperfecta
✔✔A 3-year-old child is admitted to the hospital with osteomyelitis of the right femur.
The nurse would expect to start an IV and antibiotic after blood is drawn for which lab
test? - ✔✔Culture
✔✔The nurse is conducting a routine physical examination of a newborn to screen for
developmental DDH. The nurse correctly assesses the infant by placing the infant: -
✔✔In a prone position, noting asymmetry of the thigh or gluteal folds.
✔✔A nurse assesses a client who is complaining of calf pain, has a temperature of
101°F (38.3°C) and reports that his leg is very sore. X-rays do not reveal any
abnormalities but the client's white count is 21,000 cells and his erythrocyte
sedimentation rate is elevated. What problem do these symptoms suggest? -
✔✔Osteomyelitis
✔✔The nurse is assessing an infant at a well-check visit. The infant's mother states that
she is worried about her child's feet because they are so flat and wide. What the
appropriate response by the nurse? - ✔✔"Your child's feet are normal for an infant. A
child's longitudinal arch will not develop until the child is walking for several months."
SOLUTIONS RATED A+
✔✔Antiemetics are ordered to control nausea and vomiting in the child undergoing
chemotherapy. How can the nurse most effectively use these medications? -
✔✔Administer the antiemetic before starting chemotherapy
✔✔The nurse realizes that the chemotherapy agents and radiation that a child is
receiving are likely to irritate the bladder. What are the best measures that the nurse
can take to diminish this risk? - ✔✔Keep intravenous (IV) fluids running to maintain
excellent hydration and frequent voids
✔✔A 16-year-old child suffering from alopecia related to chemotherapy treatment is
refusing to let friends visit. Which action by the nurse is most appropriate? - ✔✔Provide
opportunities for the child to discuss his or her body image changes
✔✔A nurse is providing care to a toddler with nephroblastoma and is being evaluated.
Which nursing action would be most important? - ✔✔Placing a "no abdominal palpation"
sign above the child's bed
✔✔A nurse is communicating with a family about palliative care. Which of the following
would be the best approach to take? - ✔✔Ask the family what they know, what they
wish to know and be prepared to repeat the information you give to them several times
✔✔The nurse is preparing to post a sign above the crib of an infant with a Wilms tumor.
Which statement should the nurse post immediately? - ✔✔"Do not palpate abdomen."
✔✔A 6-year-old is dealing with the death of a sibling. Which action should the nurse
suggest to the family to best support the child with the grieving process? - ✔✔Assisting
the child in drawing a picture to be placed in the sibling's casket
✔✔A child receiving chemotherapy wants to have a large birthday party and invite all
the classmates. When the parent asks the nurse about this, what is the nurse's best
response? - ✔✔"It is better to avoid large groups right now."
✔✔An adolescent is recovering from surgery, radiation, and chemotherapy following a
diagnosis of Ewing sarcoma. Which statement by the family indicates that reteaching is
needed? - ✔✔"Our child is looking forward to playing football again."
✔✔A 3-year-old demonstrates lateral bowing of the tibia. Which signs would indicate
that the boy's condition is Blount disease rather than the more typical developmental
genu varum? - ✔✔A sharp, beaklike appearance to the medial aspect of the proximal
tibia on x-ray
, ✔✔A school-age child with a supracondylar fracture of the humerus has been placed in
a partial cast with the elbow region wrapped with an elastic bandage. What should the
nurse explain to the parents and child regarding the reason for this type of casting
approach? - ✔✔Ensures edema does not press on the nerves
✔✔The nurse receives a report from the admission department that a child with a
slipped femoral epiphysis is en route to the care area. For which type of child should the
nurse begin to plan care? - ✔✔Obese preadolescent male
✔✔When performing physical assessments of children with musculoskeletal disorders,
the nurse distinguishes normal variations in children's muscles versus adult muscles.
Which of the following would be most important for the nurse to keep in mind? -
✔✔During adolescence, muscle growth is influenced by increased production of
androgenic hormones
✔✔Which nursing intervention is the priority for the immobilized child in an acute care
setting? - ✔✔Offer age-appropriate toys and diversional activities.
✔✔In the emergency room, the nurse is assessing a toddler who is currently being
treated for a radius fracture and has a history of multiple fractures. The assessment
reveals short stature, blue sclera, and no bruising or swelling at the fracture site. The
nurse suspects: - ✔✔Osteogenesis imperfecta
✔✔A 3-year-old child is admitted to the hospital with osteomyelitis of the right femur.
The nurse would expect to start an IV and antibiotic after blood is drawn for which lab
test? - ✔✔Culture
✔✔The nurse is conducting a routine physical examination of a newborn to screen for
developmental DDH. The nurse correctly assesses the infant by placing the infant: -
✔✔In a prone position, noting asymmetry of the thigh or gluteal folds.
✔✔A nurse assesses a client who is complaining of calf pain, has a temperature of
101°F (38.3°C) and reports that his leg is very sore. X-rays do not reveal any
abnormalities but the client's white count is 21,000 cells and his erythrocyte
sedimentation rate is elevated. What problem do these symptoms suggest? -
✔✔Osteomyelitis
✔✔The nurse is assessing an infant at a well-check visit. The infant's mother states that
she is worried about her child's feet because they are so flat and wide. What the
appropriate response by the nurse? - ✔✔"Your child's feet are normal for an infant. A
child's longitudinal arch will not develop until the child is walking for several months."
