(2026) NURSING !!! NCLEX EXAM GRADES A + WITH
RELEVANT SOLUTIONS TO QUESTIONS 5
1. Question1 point(s)
A nurse prepares a list of home care instructions for the parents of a child who
has a plaster cast applied to the left forearm. Choose the instructions that would
be included on the list. Select all that apply.
A. Use the fingertips to lift the cast while it is drying.
B. Keep small toys and sharp objects away from the cast.
Correct Answer
C. Use a padded ruler or another padded object to scratch the skin under the cast
if it itches.
Incorrect
D. Place a heating pad on the lower end of the cast and over the fingers if the
fingers feel cold.
E. Contact the health care provider if the child complains of numbness or tingling
in the extremity.
,Correct Answer
F. Elevate the extremity on pillows for the first 24 to 48 hours after casting to
prevent swelling.
Correct Answer
Incorrect
Correct Answer: B, E, & F.
Casts and splints support and protect injured bones and soft tissue. Casts and
splints hold the bones in place while they heal. They also reduce pain, swelling,
and muscle spasm. In some cases, splints and casts are applied following surgery.
Option A: While the cast is drying, the palms of the hands are used to lift the cast.
If the fingertips are used, indentations in the cast could occur and cause constant
pressure on the underlying skin.
Option B: Small toys and sharp objects are kept away from the cast. Keep dirt,
sand, and powder away from the inside of the splint or cast. Inspect the skin
around the cast. If the skin becomes red or raw around the cast, contact the
doctor.
Option C: No objects (including padded objects) are placed inside of the cast
because of the risk of altered skin integrity. Do not stick objects such as coat
hangers inside the splint or cast to scratch itching skin. Do not apply powders or
deodorants to itching skin.
,Option D: A heating pad is not applied to the cast or fingers. Cold fingers could
indicate neurovascular impairment, and the HCP should be notified. Numbness
and tingling in the hand or foot may be caused by too much pressure on the
nerves.
Option E: The extremity is elevated to prevent swelling, and the HCP is notified
immediately if any signs of neurovascular impairment develop. Prop the injured
arm or leg up above your heart by putting it on pillows or some other support.
The client will have to recline if the splint or cast is on the leg. Elevation allows
clear fluid and blood to drain “downhill” to the heart.
2. Question1 point(s)
A nurse reinforces instructions to the mother of a child who has been hospitalized
with croup. Which of the following statements, if made by the mother, would
indicate the need for further instruction? Select all that apply.
A. "I will give my child cough syrup if a cough develops."
Correct Answer
B. "During an attack, I will take my child to a cool location."
C. "I will give acetaminophen (Tylenol) if my child develops a fever."
D. "I will be sure that my child drinks at least three to four glasses of fluids every
day."
E. “I will place my child in a room with dry air.”
, Correct Answer
F. “I will let my child sit under the shower until the cough subsides.”
Correct
Incorrect
Correct Answer: A, E, & F.
Croup is a common respiratory illness of the trachea, larynx, and bronchi that can
lead to inspiratory stridor and barking cough. The parainfluenza virus typically
causes croup, but a bacterial infection can also cause it. Croup is primarily a
clinical diagnosis.
Option A: Cough syrups and cold medicines are not to be given, because they may
dry and thicken secretions. Cough medicines, which usually contain
dextromethorphan or guaifenesin, are discouraged.
Option B: During a croup attack, the child can be taken to a cool basement or
garage. Provide a calm, quiet environment for the child. Anxiety affects
respirations and a calm environment lessens anxiety.
Option C: Acetaminophen is used if a fever develops. Educate the parents on the
administration and uses of prescribed medications. This facilitates appropriate
medication administration and recognition of adverse side effects.
Option D: Adequate hydration of 500 to 1000 mL of fluids daily is important for
thinning secretions. Advise increase fluid intake and maintain intravenous fluid as
RELEVANT SOLUTIONS TO QUESTIONS 5
1. Question1 point(s)
A nurse prepares a list of home care instructions for the parents of a child who
has a plaster cast applied to the left forearm. Choose the instructions that would
be included on the list. Select all that apply.
A. Use the fingertips to lift the cast while it is drying.
B. Keep small toys and sharp objects away from the cast.
Correct Answer
C. Use a padded ruler or another padded object to scratch the skin under the cast
if it itches.
Incorrect
D. Place a heating pad on the lower end of the cast and over the fingers if the
fingers feel cold.
E. Contact the health care provider if the child complains of numbness or tingling
in the extremity.
,Correct Answer
F. Elevate the extremity on pillows for the first 24 to 48 hours after casting to
prevent swelling.
Correct Answer
Incorrect
Correct Answer: B, E, & F.
Casts and splints support and protect injured bones and soft tissue. Casts and
splints hold the bones in place while they heal. They also reduce pain, swelling,
and muscle spasm. In some cases, splints and casts are applied following surgery.
Option A: While the cast is drying, the palms of the hands are used to lift the cast.
If the fingertips are used, indentations in the cast could occur and cause constant
pressure on the underlying skin.
Option B: Small toys and sharp objects are kept away from the cast. Keep dirt,
sand, and powder away from the inside of the splint or cast. Inspect the skin
around the cast. If the skin becomes red or raw around the cast, contact the
doctor.
Option C: No objects (including padded objects) are placed inside of the cast
because of the risk of altered skin integrity. Do not stick objects such as coat
hangers inside the splint or cast to scratch itching skin. Do not apply powders or
deodorants to itching skin.
,Option D: A heating pad is not applied to the cast or fingers. Cold fingers could
indicate neurovascular impairment, and the HCP should be notified. Numbness
and tingling in the hand or foot may be caused by too much pressure on the
nerves.
Option E: The extremity is elevated to prevent swelling, and the HCP is notified
immediately if any signs of neurovascular impairment develop. Prop the injured
arm or leg up above your heart by putting it on pillows or some other support.
The client will have to recline if the splint or cast is on the leg. Elevation allows
clear fluid and blood to drain “downhill” to the heart.
2. Question1 point(s)
A nurse reinforces instructions to the mother of a child who has been hospitalized
with croup. Which of the following statements, if made by the mother, would
indicate the need for further instruction? Select all that apply.
A. "I will give my child cough syrup if a cough develops."
Correct Answer
B. "During an attack, I will take my child to a cool location."
C. "I will give acetaminophen (Tylenol) if my child develops a fever."
D. "I will be sure that my child drinks at least three to four glasses of fluids every
day."
E. “I will place my child in a room with dry air.”
, Correct Answer
F. “I will let my child sit under the shower until the cough subsides.”
Correct
Incorrect
Correct Answer: A, E, & F.
Croup is a common respiratory illness of the trachea, larynx, and bronchi that can
lead to inspiratory stridor and barking cough. The parainfluenza virus typically
causes croup, but a bacterial infection can also cause it. Croup is primarily a
clinical diagnosis.
Option A: Cough syrups and cold medicines are not to be given, because they may
dry and thicken secretions. Cough medicines, which usually contain
dextromethorphan or guaifenesin, are discouraged.
Option B: During a croup attack, the child can be taken to a cool basement or
garage. Provide a calm, quiet environment for the child. Anxiety affects
respirations and a calm environment lessens anxiety.
Option C: Acetaminophen is used if a fever develops. Educate the parents on the
administration and uses of prescribed medications. This facilitates appropriate
medication administration and recognition of adverse side effects.
Option D: Adequate hydration of 500 to 1000 mL of fluids daily is important for
thinning secretions. Advise increase fluid intake and maintain intravenous fluid as
