NURS 4331 ACTUAL 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔An 18-month-old child is admitted with signs of increased intracranial pressure.
What should the nurse observe when assessing this patient? - ✔✔Increased
temperature and decreased respiratory rate
✔✔An 8-year-old child is being treated for tonic-clonic seizures. What should the nurse
emphasize when teaching the parents about this disorder? - ✔✔The child should
maintain an active lifestyle.
✔✔The nurse instructs a hearing-impaired school-age child on to how self-inject a
prescribed medication. Which observation indicates to the nurse that additional teaching
is required? - ✔✔The child places the filled syringe and uncapped needle on the bed to
open the alcohol wipe.
✔✔The nurse is providing education to the parents of a female with hydrocephalus who
has just had a shunt inserted. When discussing the child's condition with the parents,
which of the following would be most appropriate? - ✔✔"Tell me your concerns about
your child's shunt."
✔✔The nurse is educating parents of a male infant with Chiari type II malformation
about the condition. Which of the following would be most important for the nurse to
include? - ✔✔Taking time to feed the infant
✔✔A nurse is obtaining the history from a parent of a child who experiences absence
seizures. Which of the following would the nurse expect the mother to describe? -
✔✔Loss of motor activity accompanied by a blank stare
✔✔The school nurse is educating the parents of a child with infectious conjunctivitis.
Which of the following statements by the nurse would be most helpful for the parents
related to prevention? - ✔✔"Don't use anything that touches her face."
✔✔A 7-month-old is scheduled for surgical correction of strabismus. The child's mother
says to the nurse, "I'm glad my child will never have to wear that patch again." Which of
these responses would be most appropriate for the nurse to make? - ✔✔"Your child will
need to wear the patch for a few days to keep him/her from rubbing or putting pressure
on the eye."
✔✔A 4-month-old infant is seen at the ambulatory care clinic and diagnosed with
nasolacrimal duct obstruction. The mother asks what can be done. What information
should be included in the information provided to the parent? - ✔✔Most of these
conditions will spontaneously resolve.
, ✔✔A nurse is administering a blood transfusion to a child. About 35 minutes after
beginning the transfusion, the child develops pruritus and urticaria. Some wheezing is
noted. Which action would the nurse take first? - ✔✔Discontinue the transfusion.
✔✔A 3-year-old boy has been brought to the doctor's office with symptoms of anorexia
and abdominal pain. A blood test reveals a lead level of 20 mcg/100 mL. The child is
prescribed an oral chelating agent. On discharge, the nurse should counsel the parents
regarding: - ✔✔removal or covering of flaking paint on the walls of the home
✔✔The mother of Mary Jo, a 10-year-old who had a febrile reaction following a
transfusion, asks the nurse: "Why did this happen to my child?" Which response by the
nurse would be most appropriate? - ✔✔"Mary Jo's blood has developed antibodies to
the white blood cells, platelets or plasma protein antigens in the donor blood."
✔✔A 9-year-old child is diagnosed with von Willebrand's Disease (vWD) with the
following characteristics: decreased quantities of all sizes of von Willebrand's factor
multimers and decreased activity of von Willebrand's factor. The nurse identifies this as
which type of vWD as being involved? - ✔✔Type I
✔✔The nurse preparing a child for diagnostic testing to diagnose disseminated
intravascular coagulation (DIC). Which results would the nurse identify as indicating this
condition? - ✔✔Increased D-Dimer assay
✔✔A client with severe chronic anemia is receiving ongoing transfusion therapy. The
nurse frequently assesses the client for what major complication of this therapy? -
✔✔Toxic iron overload
✔✔A nurse is providing care to a child with hemophilia who is experiencing muscle and
joint involvement related to the bleeding. Which would the nurse include as an
adjunctive measure to control bleeding? - ✔✔Compression
✔✔The nurse is assessing a school-aged child with sickle-cell anemia. Which
assessment finding is consistent with this child's diagnosis? - ✔✔The nurse is
assessing a school-aged child with sickle-cell anemia. Which assessment finding is
consistent with this child's diagnosis?
✔✔The nurse is instructing the parents of a child with sickle cell anemia on safety
precautions. What should the nurse emphasize during this teaching? - ✔✔Ensure a
consistent and daily intake of adequate fluids to prevent dehydration.
✔✔While receiving a transfusion of packed red blood cells, a school-aged child begins
to experience itchy skin, hives, and wheezes. What should the nurse do first for this
child? - ✔✔Stop the transfusion.
SOLUTIONS RATED A+
✔✔An 18-month-old child is admitted with signs of increased intracranial pressure.
What should the nurse observe when assessing this patient? - ✔✔Increased
temperature and decreased respiratory rate
✔✔An 8-year-old child is being treated for tonic-clonic seizures. What should the nurse
emphasize when teaching the parents about this disorder? - ✔✔The child should
maintain an active lifestyle.
✔✔The nurse instructs a hearing-impaired school-age child on to how self-inject a
prescribed medication. Which observation indicates to the nurse that additional teaching
is required? - ✔✔The child places the filled syringe and uncapped needle on the bed to
open the alcohol wipe.
✔✔The nurse is providing education to the parents of a female with hydrocephalus who
has just had a shunt inserted. When discussing the child's condition with the parents,
which of the following would be most appropriate? - ✔✔"Tell me your concerns about
your child's shunt."
✔✔The nurse is educating parents of a male infant with Chiari type II malformation
about the condition. Which of the following would be most important for the nurse to
include? - ✔✔Taking time to feed the infant
✔✔A nurse is obtaining the history from a parent of a child who experiences absence
seizures. Which of the following would the nurse expect the mother to describe? -
✔✔Loss of motor activity accompanied by a blank stare
✔✔The school nurse is educating the parents of a child with infectious conjunctivitis.
Which of the following statements by the nurse would be most helpful for the parents
related to prevention? - ✔✔"Don't use anything that touches her face."
✔✔A 7-month-old is scheduled for surgical correction of strabismus. The child's mother
says to the nurse, "I'm glad my child will never have to wear that patch again." Which of
these responses would be most appropriate for the nurse to make? - ✔✔"Your child will
need to wear the patch for a few days to keep him/her from rubbing or putting pressure
on the eye."
✔✔A 4-month-old infant is seen at the ambulatory care clinic and diagnosed with
nasolacrimal duct obstruction. The mother asks what can be done. What information
should be included in the information provided to the parent? - ✔✔Most of these
conditions will spontaneously resolve.
, ✔✔A nurse is administering a blood transfusion to a child. About 35 minutes after
beginning the transfusion, the child develops pruritus and urticaria. Some wheezing is
noted. Which action would the nurse take first? - ✔✔Discontinue the transfusion.
✔✔A 3-year-old boy has been brought to the doctor's office with symptoms of anorexia
and abdominal pain. A blood test reveals a lead level of 20 mcg/100 mL. The child is
prescribed an oral chelating agent. On discharge, the nurse should counsel the parents
regarding: - ✔✔removal or covering of flaking paint on the walls of the home
✔✔The mother of Mary Jo, a 10-year-old who had a febrile reaction following a
transfusion, asks the nurse: "Why did this happen to my child?" Which response by the
nurse would be most appropriate? - ✔✔"Mary Jo's blood has developed antibodies to
the white blood cells, platelets or plasma protein antigens in the donor blood."
✔✔A 9-year-old child is diagnosed with von Willebrand's Disease (vWD) with the
following characteristics: decreased quantities of all sizes of von Willebrand's factor
multimers and decreased activity of von Willebrand's factor. The nurse identifies this as
which type of vWD as being involved? - ✔✔Type I
✔✔The nurse preparing a child for diagnostic testing to diagnose disseminated
intravascular coagulation (DIC). Which results would the nurse identify as indicating this
condition? - ✔✔Increased D-Dimer assay
✔✔A client with severe chronic anemia is receiving ongoing transfusion therapy. The
nurse frequently assesses the client for what major complication of this therapy? -
✔✔Toxic iron overload
✔✔A nurse is providing care to a child with hemophilia who is experiencing muscle and
joint involvement related to the bleeding. Which would the nurse include as an
adjunctive measure to control bleeding? - ✔✔Compression
✔✔The nurse is assessing a school-aged child with sickle-cell anemia. Which
assessment finding is consistent with this child's diagnosis? - ✔✔The nurse is
assessing a school-aged child with sickle-cell anemia. Which assessment finding is
consistent with this child's diagnosis?
✔✔The nurse is instructing the parents of a child with sickle cell anemia on safety
precautions. What should the nurse emphasize during this teaching? - ✔✔Ensure a
consistent and daily intake of adequate fluids to prevent dehydration.
✔✔While receiving a transfusion of packed red blood cells, a school-aged child begins
to experience itchy skin, hives, and wheezes. What should the nurse do first for this
child? - ✔✔Stop the transfusion.
