STUDY GUIDE WITH FULL SOLUTIONS 2026
◉ A nurse is assessing a 10-day-old client. Which of the following
should the nurse understand is a clinical manifestation of pyloric
stenosis? Answer: Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal
between the stomach and the duodenum, resulting in projectile
vomiting.
◉ A nurse is planning care for an adolescent who is postoperative
following scoliosis repair with Harrington rod instrumentation.
Which of the following interventions should the nurse include in the
plan of care? Answer: Initiate the use of a PCA pump for pain control
◉ A nurse is assessing an adolescent who has attention deficit
hyperactivity disorder (ADHD). Which of the following findings
should the nurse expect? Answer: Impulsivity
◉ A nurse is reviewing the laboratory results of a client who has
acute leukemia and received an aggressive chemotherapy treatment
10 days ago. Which of the following hematologic laboratory values
should the nurse expect? (Select all that apply.) Answer: Decreased
platelet count
, Decreased leukocyte count
Decreased erythrocyte count
◉ A nurse is preparing to administer the first measles, mumps, and
rubella (MMR) immunization to 15-month-old toddler. Which of the
following findings is a contraindication for this immunization?
Answer: The child has a congenital immunodeficiency
◉ A nurse is providing health promotion teaching to the parents of
an infant. Which of the following conditions should the nurse
identify as the leading cause of death among this age group?
Answer: Congenital amnomalies
◉ A nurse is caring for an infant who has a congenital heart defect.
Which of the following defects is associated with increased
pulmonary blood flow? Answer: Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open,
allowing the blood to flow through the patent ductus arteriosus and
back to the pulmonary artery and lungs.
◉ A nurse is assessing a 3-month-old infant. Which of the following
findings should the nurse report to the provider? Answer: Inability
to raise head when in prone position.