NUR 114
EXAM 3
NCLEX Style Questions w/
Rationales & Test Taking Strategies
Jefferson State Community College
This Document Description:
❖ This document contains NCLEX-style Exam
questions tailored to the NUR 114 course at
Jefferson State Community College.
❖ It covers core topics assessed in the course
and reflects the actual exam format and question style.
❖ Each question is followed by a correct answer, rationale, and
test-taking strategy to support exam preparation.
,The nurse is planning care for a child with hemolytic-uremic
syndrome who has been anuric and will be receiving peritoneal
dialysis treatment. The nurse would plan to implement which
measure?
1. Restrict fluids as prescribed.
2. Care for the arteriovenous fistula.
3. Encourage foods high in potassium.
4. Administer analgesics as prescribed.
Answer: 1
Rationale: Hemolytic-uremic syndrome is thought to be associated
with bacterial toxins, chemicals, and viruses that result in acute kidney
injury in children. Clinical manifestations of the disease include
acquired hemolytic anemia, thrombocytopenia, renal injury, and central
nervous system symptoms. A child with hemolytic-uremic syndrome
undergoing peritoneal dialysis because of anuria would be on fluid
restriction. Pain is not associated with hemolytic-uremic syndrome, and
potassium would be restricted, not encouraged, if the child is anuric.
Peritoneal dialysis does not require an arteriovenous fistula (only
hemodialysis).
Test-Taking Strategy: Note the subject, anuria. Focus on the child’s
diagnosis, and recall knowledge about the care of a client with acute
kidney injury. Also focus on the data in the question. Noting the word
,peritoneal will assist in eliminating option 2. From the remaining
options, remember that because the child is anuric, fluids will be
restricted.
An infant of a birth parent infected with human immunodeficiency
virus (HIV) is seen in the clinic each month and is being monitored for
symptoms indicative of HIV infection. With knowledge of the most
common opportunistic infection of children infected with HIV, the
nurse assesses the infant for which sign?
1. Cough
2. Liver failure
3. Watery stool
4. Nuchal rigidity
Answer: 1
Rationale: Acquired immunodeficiency syndrome (AIDS) is a disorder
caused by HIV and characterized by generalized dysfunction of the
immune system. The most common opportunistic infection of children
infected with HIV is Pneumocystis jiroveci pneumonia, which occurs
most frequently between the ages of 3 and 6 months, when HIV status
may be indeterminate. Cough is a common sign of this opportunistic
infection. Cytomegalovirus infection is also characteristic of HIV
infection; however, it is not the most common opportunistic infection.
Liver failure is a common sign of this complication. Although
, gastrointestinal disturbances and neurological abnormalities may
occur in a child with HIV infection, options 3 and 4 are not specific
opportunistic infections noted in the HIV-infected child. Watery stool is
noted with gastroenteritis, and nuchal rigidity is seen in meningitis.
Test-Taking Strategy: Note the strategic word, most. This will direct you
to the correct option. Also use of the ABCs—airway breathing, and
circulation—will assist in answering correctly. Remember that the most
common opportunistic infection of children infected with HIV is P.
jiroveci pneumonia and that cough is a common sign with this
complication.
The nurse provides home care instructions to the parent of a child
with acquired immunodeficiency syndrome (AIDS). Which statement
by the parent indicates the need for further teaching?
1. "I will wash my hands frequently."
2. "I will keep my child's immunizations up to date."
3. "I will avoid direct unprotected contact with my child's body
fluids."
4. "I can send my child to day care with a fever as long as it is a low-
grade fever."
Answer: 4
Rationale: AIDS is a disorder caused by human immunodeficiency virus
(HIV) and characterized by generalized dysfunction of the immune
EXAM 3
NCLEX Style Questions w/
Rationales & Test Taking Strategies
Jefferson State Community College
This Document Description:
❖ This document contains NCLEX-style Exam
questions tailored to the NUR 114 course at
Jefferson State Community College.
❖ It covers core topics assessed in the course
and reflects the actual exam format and question style.
❖ Each question is followed by a correct answer, rationale, and
test-taking strategy to support exam preparation.
,The nurse is planning care for a child with hemolytic-uremic
syndrome who has been anuric and will be receiving peritoneal
dialysis treatment. The nurse would plan to implement which
measure?
1. Restrict fluids as prescribed.
2. Care for the arteriovenous fistula.
3. Encourage foods high in potassium.
4. Administer analgesics as prescribed.
Answer: 1
Rationale: Hemolytic-uremic syndrome is thought to be associated
with bacterial toxins, chemicals, and viruses that result in acute kidney
injury in children. Clinical manifestations of the disease include
acquired hemolytic anemia, thrombocytopenia, renal injury, and central
nervous system symptoms. A child with hemolytic-uremic syndrome
undergoing peritoneal dialysis because of anuria would be on fluid
restriction. Pain is not associated with hemolytic-uremic syndrome, and
potassium would be restricted, not encouraged, if the child is anuric.
Peritoneal dialysis does not require an arteriovenous fistula (only
hemodialysis).
Test-Taking Strategy: Note the subject, anuria. Focus on the child’s
diagnosis, and recall knowledge about the care of a client with acute
kidney injury. Also focus on the data in the question. Noting the word
,peritoneal will assist in eliminating option 2. From the remaining
options, remember that because the child is anuric, fluids will be
restricted.
An infant of a birth parent infected with human immunodeficiency
virus (HIV) is seen in the clinic each month and is being monitored for
symptoms indicative of HIV infection. With knowledge of the most
common opportunistic infection of children infected with HIV, the
nurse assesses the infant for which sign?
1. Cough
2. Liver failure
3. Watery stool
4. Nuchal rigidity
Answer: 1
Rationale: Acquired immunodeficiency syndrome (AIDS) is a disorder
caused by HIV and characterized by generalized dysfunction of the
immune system. The most common opportunistic infection of children
infected with HIV is Pneumocystis jiroveci pneumonia, which occurs
most frequently between the ages of 3 and 6 months, when HIV status
may be indeterminate. Cough is a common sign of this opportunistic
infection. Cytomegalovirus infection is also characteristic of HIV
infection; however, it is not the most common opportunistic infection.
Liver failure is a common sign of this complication. Although
, gastrointestinal disturbances and neurological abnormalities may
occur in a child with HIV infection, options 3 and 4 are not specific
opportunistic infections noted in the HIV-infected child. Watery stool is
noted with gastroenteritis, and nuchal rigidity is seen in meningitis.
Test-Taking Strategy: Note the strategic word, most. This will direct you
to the correct option. Also use of the ABCs—airway breathing, and
circulation—will assist in answering correctly. Remember that the most
common opportunistic infection of children infected with HIV is P.
jiroveci pneumonia and that cough is a common sign with this
complication.
The nurse provides home care instructions to the parent of a child
with acquired immunodeficiency syndrome (AIDS). Which statement
by the parent indicates the need for further teaching?
1. "I will wash my hands frequently."
2. "I will keep my child's immunizations up to date."
3. "I will avoid direct unprotected contact with my child's body
fluids."
4. "I can send my child to day care with a fever as long as it is a low-
grade fever."
Answer: 4
Rationale: AIDS is a disorder caused by human immunodeficiency virus
(HIV) and characterized by generalized dysfunction of the immune
