100 Item Comprehensive Nursing
Exam |Questions And Correct
Solutions| 2026 Update
1. The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant - Ans--The correct answer is B: Place
the child on the side
Protecting the airway is the top priority in a seizure. If a child is actively
convulsing, a patent airway and oxygenation must be assured.
2. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the client, the first nursing action
would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breath and cough
D) Monitor oxygen saturation - Ans--The correct answer is B: Suction
excessive tracheobronchial secretions
Suctioning the copious tracheobronchial secretions present in post-
thoracic surgery clients maintains an open airway which is always the
priority nursing intervention.
3. A nurse from the surgical department is reassigned to the pediatric unit.
The charge nurse should recognize that the child at highest risk for cardiac
arrest and is the least likely to be assigned to this nurse is which child?
A) Congenital cardiac defects
B) An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma - Ans--The correct answer is C: Prolonged
hypoxemia Most often, the cause of cardiac arrest in the pediatric
,population is prolonged hypoxemia. Children usually have both cardiac and
respiratory arrest.
4. Which of the following would be the best strategy for the nurse to use
when teaching insulin injection techniques to a newly diagnosed client with
diabetes?
A) Give written pre and posttests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration - Ans--The correct answer is D:
Observe a return demonstration
Since this is a psychomotor skill, this is the best way to know if the client has
learned the proper technique.
5. The nurse is assessing a 2-year-old client with a possible diagnosis of
congenital heart disease. Which of these is most likely to be seen with this
diagnosis?
A) Several otitis media episodes in the last year
B) Weight and height in 10th percentile since birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes - Ans--The correct answer is C:
Takes frequent rest periods while playing.
Children with heart disease tend to have exercise intolerance. The child
self-limits activity, which is consistent with manifestations of congenital
heart disease in children.
6. The nurse is reassigned to work at the Poison Control Center telephone
hotline. In which of these cases of childhood poisoning would the nurse
suggest that parents have the child drink orange juice?
A) An 18 month-old who ate an undetermined amount of crystal drain
cleaner
B) A 14 month-old who chewed 2 leaves of a philodendron plant
C) A 20 month-old who is found sitting on the bathroom floor beside an
empty bottle of diazepam (Valium)
D) A 30 month-old who has swallowed a mouthful of charcoal lighter fluid -
Ans--The correct answer is A: An 18 month-old who ate an undetermined
amount of crystal drain cleaner.
, Drain cleaner is very alkaline. The orange juice is acidic and will help to
neutralize this substance.
7. A 23-year-old single client is in the 33rd week of her first pregnancy. She
tellsthe nurse that she has everything ready for the baby and has made
plans for the first weeks together at home. Which normal emotional reaction
does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy - Ans--The correct answer is C:
Anticipation of the birth
Directing activities toward preparation for the newborn's needs and
personal adjustment are indicators of appropriate emotional response in
the third trimester.
8. Upon examining the mouth of a 3-year-old child, the nurse discovers that
the teeth have chalky white-to-yellowish staining with pitting of the enamel.
Which of the following conditions would most likely explain these findings?
A) Ingestion of tetracycline
B) Excessive fluoride intake
C) Oral iron therapy
D) Poor dental hygiene - Ans--Thterm-1e correct answer is B: Excessive
fluoride intake
The described findings are indicative of fluorosis, a condition characterized
by an increase in the extent and degree of the enamel's porosity. This
problem can be associated with repeated swallowing of toothpaste with
fluoride or drinking water with high levels of fluoride.
9. Which of the following should the nurse teach the client to avoid when
takingchlorpromazine HCL (Thorazine)?
A) Direct sunlight
B) Foods containing tyramine
C) Foods fermented with yeast
D) Canned citrus fruit drinks - Ans--The correct answer is A: Avoid direct
sunlight
Phenothiazine increases sensitivity to the sun, making clients especially
susceptible to sunburn
Exam |Questions And Correct
Solutions| 2026 Update
1. The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant - Ans--The correct answer is B: Place
the child on the side
Protecting the airway is the top priority in a seizure. If a child is actively
convulsing, a patent airway and oxygenation must be assured.
2. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the client, the first nursing action
would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breath and cough
D) Monitor oxygen saturation - Ans--The correct answer is B: Suction
excessive tracheobronchial secretions
Suctioning the copious tracheobronchial secretions present in post-
thoracic surgery clients maintains an open airway which is always the
priority nursing intervention.
3. A nurse from the surgical department is reassigned to the pediatric unit.
The charge nurse should recognize that the child at highest risk for cardiac
arrest and is the least likely to be assigned to this nurse is which child?
A) Congenital cardiac defects
B) An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma - Ans--The correct answer is C: Prolonged
hypoxemia Most often, the cause of cardiac arrest in the pediatric
,population is prolonged hypoxemia. Children usually have both cardiac and
respiratory arrest.
4. Which of the following would be the best strategy for the nurse to use
when teaching insulin injection techniques to a newly diagnosed client with
diabetes?
A) Give written pre and posttests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration - Ans--The correct answer is D:
Observe a return demonstration
Since this is a psychomotor skill, this is the best way to know if the client has
learned the proper technique.
5. The nurse is assessing a 2-year-old client with a possible diagnosis of
congenital heart disease. Which of these is most likely to be seen with this
diagnosis?
A) Several otitis media episodes in the last year
B) Weight and height in 10th percentile since birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes - Ans--The correct answer is C:
Takes frequent rest periods while playing.
Children with heart disease tend to have exercise intolerance. The child
self-limits activity, which is consistent with manifestations of congenital
heart disease in children.
6. The nurse is reassigned to work at the Poison Control Center telephone
hotline. In which of these cases of childhood poisoning would the nurse
suggest that parents have the child drink orange juice?
A) An 18 month-old who ate an undetermined amount of crystal drain
cleaner
B) A 14 month-old who chewed 2 leaves of a philodendron plant
C) A 20 month-old who is found sitting on the bathroom floor beside an
empty bottle of diazepam (Valium)
D) A 30 month-old who has swallowed a mouthful of charcoal lighter fluid -
Ans--The correct answer is A: An 18 month-old who ate an undetermined
amount of crystal drain cleaner.
, Drain cleaner is very alkaline. The orange juice is acidic and will help to
neutralize this substance.
7. A 23-year-old single client is in the 33rd week of her first pregnancy. She
tellsthe nurse that she has everything ready for the baby and has made
plans for the first weeks together at home. Which normal emotional reaction
does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy - Ans--The correct answer is C:
Anticipation of the birth
Directing activities toward preparation for the newborn's needs and
personal adjustment are indicators of appropriate emotional response in
the third trimester.
8. Upon examining the mouth of a 3-year-old child, the nurse discovers that
the teeth have chalky white-to-yellowish staining with pitting of the enamel.
Which of the following conditions would most likely explain these findings?
A) Ingestion of tetracycline
B) Excessive fluoride intake
C) Oral iron therapy
D) Poor dental hygiene - Ans--Thterm-1e correct answer is B: Excessive
fluoride intake
The described findings are indicative of fluorosis, a condition characterized
by an increase in the extent and degree of the enamel's porosity. This
problem can be associated with repeated swallowing of toothpaste with
fluoride or drinking water with high levels of fluoride.
9. Which of the following should the nurse teach the client to avoid when
takingchlorpromazine HCL (Thorazine)?
A) Direct sunlight
B) Foods containing tyramine
C) Foods fermented with yeast
D) Canned citrus fruit drinks - Ans--The correct answer is A: Avoid direct
sunlight
Phenothiazine increases sensitivity to the sun, making clients especially
susceptible to sunburn
