NU518 2026 ACTUAL SCRIPT VERIFIED
MASTER FILE
◉ When preparing to perform a physical examination on an infant,
the nurse should:
A Have the parent remove all clothing except the diaper on a boy.
B Instruct the parent to feed the infant immediately before the
examination.
C Encourage the infant to suck on a pacifier during the abdominal
examination.
D Ask the parent to leave the room briefly when assessing the
infants vital signs.. Answer: A
◉ A 6-month-old infant has been brought to the well-child clinic for
a check-up. She is
currently sleeping. What should the nurse do first when beginning
the examination?
A Auscultate the lungs and heart while the infant is still sleeping.
B Examine the infants hips, because this procedure is
uncomfortable.
C Begin with the assessment of the eye, and continue with the
remainder of the
,examination in a head-to-toe approach.
D Wake the infant before beginning any portion of the examination
to obtain the
most accurate assessment of body systems.. Answer: A
◉ A 2-year-old child has been brought to the clinic for a well-child
checkup. The best way for
the nurse to begin the assessment is to:
a Ask the parent to place the child on the examining table.
B Have the parent remove all of the childs clothing before the
examination.
C Allow the child to keep a security object such as a toy or blanket
during the
examination.
D Initially focus the interactions on the child, essentially ignoring the
parent until
the childs trust has been obtained.. Answer: C
◉ The nurse is examining a 2-year-old child and asks, May I listen to
your heart now? Which
critique of the nurses technique is most accurate?
A Asking questions enhances the childs autonomy
B Asking the child for permission helps develop a sense of trust
,C This question is an appropriate statement because children at this
age like to
have choices
d Children at this age like to say, No. The examiner should not offer a
choice
when no choice is available. Answer: D
◉ You are running late after your quarterly quality improvement
meeting at the hospital and
have just gotten paged from the nurses' station because a family
member of one of your patients wants to talk with you about that
patient's care. You have clinic this afternoon and are doublebooked
for the first appointment time; three other patients also have arrived
and are sitting in the waiting room. Which of the following
demeanors is a behavior consistent with skilled interviewing when
you walk into the examination room to speak with your first clinic
patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm. Answer: D
◉ Suzanne, a 25 year old, comes to your clinic to establish care. You
are the student preparing to go into the examination room to
interview her. Which of the following is the most logical
, sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and
invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda,
and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story,
establish the agenda, expand and clarify the patient's story, and
negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story,
and establish rapport.. Answer: C
◉ Alexandra is a 28-year-old editor who presents to the clinic with
abdominal pain. The pain is
a dull ache, located in the right upper quadrant, that she rates as a 3
at the least and an 8 at the
worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a
time, it comes and goes, and it seems to be worse a couple of hours
after eating. She has noticed that it starts after eating greasy foods,
so she has cut down on these as much as she can. Initially it occurred
once a week, but now it is occurring every other day. Nothing makes
it better. From this description, which of the seven attributes of a
symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
MASTER FILE
◉ When preparing to perform a physical examination on an infant,
the nurse should:
A Have the parent remove all clothing except the diaper on a boy.
B Instruct the parent to feed the infant immediately before the
examination.
C Encourage the infant to suck on a pacifier during the abdominal
examination.
D Ask the parent to leave the room briefly when assessing the
infants vital signs.. Answer: A
◉ A 6-month-old infant has been brought to the well-child clinic for
a check-up. She is
currently sleeping. What should the nurse do first when beginning
the examination?
A Auscultate the lungs and heart while the infant is still sleeping.
B Examine the infants hips, because this procedure is
uncomfortable.
C Begin with the assessment of the eye, and continue with the
remainder of the
,examination in a head-to-toe approach.
D Wake the infant before beginning any portion of the examination
to obtain the
most accurate assessment of body systems.. Answer: A
◉ A 2-year-old child has been brought to the clinic for a well-child
checkup. The best way for
the nurse to begin the assessment is to:
a Ask the parent to place the child on the examining table.
B Have the parent remove all of the childs clothing before the
examination.
C Allow the child to keep a security object such as a toy or blanket
during the
examination.
D Initially focus the interactions on the child, essentially ignoring the
parent until
the childs trust has been obtained.. Answer: C
◉ The nurse is examining a 2-year-old child and asks, May I listen to
your heart now? Which
critique of the nurses technique is most accurate?
A Asking questions enhances the childs autonomy
B Asking the child for permission helps develop a sense of trust
,C This question is an appropriate statement because children at this
age like to
have choices
d Children at this age like to say, No. The examiner should not offer a
choice
when no choice is available. Answer: D
◉ You are running late after your quarterly quality improvement
meeting at the hospital and
have just gotten paged from the nurses' station because a family
member of one of your patients wants to talk with you about that
patient's care. You have clinic this afternoon and are doublebooked
for the first appointment time; three other patients also have arrived
and are sitting in the waiting room. Which of the following
demeanors is a behavior consistent with skilled interviewing when
you walk into the examination room to speak with your first clinic
patient?
A) Irritability
B) Impatience
C) Boredom
D) Calm. Answer: D
◉ Suzanne, a 25 year old, comes to your clinic to establish care. You
are the student preparing to go into the examination room to
interview her. Which of the following is the most logical
, sequence for the patient-provider interview?
A) Establish the agenda, negotiate a plan, establish rapport, and
invite the patient's story.
B) Invite the patient's story, negotiate a plan, establish the agenda,
and establish rapport.
C) Greet the patient, establish rapport, invite the patient's story,
establish the agenda, expand and clarify the patient's story, and
negotiate a plan.
D) Negotiate a plan, establish an agenda, invite the patient's story,
and establish rapport.. Answer: C
◉ Alexandra is a 28-year-old editor who presents to the clinic with
abdominal pain. The pain is
a dull ache, located in the right upper quadrant, that she rates as a 3
at the least and an 8 at the
worst. The pain started a few weeks ago, it lasts for 2 to 3 hours at a
time, it comes and goes, and it seems to be worse a couple of hours
after eating. She has noticed that it starts after eating greasy foods,
so she has cut down on these as much as she can. Initially it occurred
once a week, but now it is occurring every other day. Nothing makes
it better. From this description, which of the seven attributes of a
symptom has been omitted?
A) Setting in which the symptom occurs
B) Associated manifestations
C) Quality
