2026 ACTUAL EXAM COMPLETE 153 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
A nurse is collecting data from an 18-month-old toddler who
has just presented to the
urgent care clinic. Which of the following data should the
nurse investigate further?
a) Respiratory rate 25/min
b) Blood pressure 120/80 mm Hg
c) Heart rate 110/min
d) Rectal temperature 37.4° C (99.3° F) - ANSWER-B
. A nurse in a pediatric clinic is talking on the telephone with
the parent of a 6-month-old
infant who has a urinary tract infection and started taking an
oral antibiotic the day before.
Listen to the audio clip and determine which of the following
responses the nurse should
make. (Audio says. "every time I try to give a dose of this
medicine to my baby, she either
refuses it or takes it and then spits it out. Is there anything I
can try that might get her to
take it?"
a) "Mix the medicine with ¼ cup of juice before giving it to
your baby."
,b) "Mix the medicine with 1 teaspoon of honey before giving it
to your baby."
c) "Mix the medicine with ¼ cup of formula before giving it to
your baby."
d) "Mix the medicine with 1 teaspoon of applesauce before
giving it to your baby." - ANSWER-D
A nurse is collecting data from an 18-month-old toddler.
Which of the following is a
deviation from expected growth and development that the
nurse should report to the
provider?
a) The toddler is unable to recognize familiar objects by name.
b) The toddler is unable to dress himself in simple clothing.
c) The toddler is unable to talk in complete sentences.
d) The toddler is unable to draw a circle - ANSWER-A
A nurse is reinforcing teaching with the parents of
preschoolers regarding the use of booster
seats in a motor vehicle. Which of the following instructions
should the nurse include in the
teaching?
a) Ensure the shoulder-lap portion of the seat belt fits across
the child's abdomen when
sitting in the booster seat.
b) Use a no-back, belt-positioning booster seat if the motor
vehicle does not have head rests.
,c) Discontinue using a booster seat when the child is 135 cm
(4 feet 5 in) in height.
d) Secure the child in the booster seat using the motor
vehicle's shoulder-lap seat belt. - ANSWER-D
A nurse is assisting with the admission of a toddler who has
bacterial meningitis caused by
Haemophilus influenza type B. which of the following isolation
guidelines should the nurse
plan to initiate?
a) Protective environment
b) Contact precautions
c) Airborne precautions
d) Droplet precautions - ANSWER-D
A nurse is reinforcing teaching with the parent of a 4-month-
old infant who has a new
prescription for nystatin to treat oral candidiasis and is
breastfeeding. Which of the
following instructions should the nurse include in the
teaching?
a) Continue nystatin for 2 weeks after the symptoms
disappear.
b) Clean the infant's pacifier every 2 days.
c) Discontinue breastfeeding until the infant is symptom-free.
d) Wipe the white patches from the infant's tongue using a
gauze pad. - ANSWER-A
, A nurse is reinforcing dietary teaching with an adolescent who
is a lacto-vegetarian and had
iron deficiency anemia. The nurse should recommend which of
the following as the best
source of iron?
a) 1 cup (8 oz)
b) 1 cup (8 oz) apple juice
c) ½ cup (4 oz) sweet green peppers
d) ⅛ cup (1 oz) low-fat cheese - ANSWER-A
. A nurse is reinforcing teaching with the parent of an infant
who has a new diagnosis of
human immunodeficiency virus (HIV). Which of the following
statements made by the
parent indicates an understanding of the teaching?
a) "The antiretroviral medication will stop the progression of
the disease."
b) "It won't be possible for my child to attend daycare."
c) "I should bring my child in for immunizations on schedule."
d) "My child's nutritional needs will not change." - ANSWER-C
A nurse is preparing to assist a provider with a lumbar
puncture for a school-age child. Which of the following actions
is the nurse's priority?
a) Labeling collected specimens