2026 FINAL PAPER REVIEW QUESTIONS
ANSWERS BUNDLED PRACTICE COLLECTION
◉ A nurse is creating a plan of care for an infant who has an epidural
hematoma from a head injury. Which of the following interventions
should the nurse include in the plan?
Position the infant side-lying with their head at a 0° to 5° angle.
Perform a neurological assessment every 4 hr.
Suction the infant's naers to remove secretions.
Implement seizure precautions for the infant..
Answer: Implement seizure precautions for the infant
Child who has an epidural hematoma is at greatest risk of seizure
activity.
◉ A nurse is preparing an adolescent for a lumbar puncture. Which
of the following actions should the nurse take?
Place a cardiac monitor on the adolescent prior to the procedure.
,Apply topical analgesic cream to the site 1hr prior to the procedure.
Keep the adolescent in a semi-fowler's position for 4hrs following
the procedure.
Restrict fluids for 2hrs following procedure..
Answer: Apply topical analgesic cream to the site 1hr prior to the
procedure.
◉ A nurse is providing teaching to the parent of a school-age child
who has a new prescription for oral nystatin for the treatment of
oral candidiasis. Which of the following instructions should the
nurse include?
"Shake the medication prior to administration.".
"Provide the medication through a straw."
"Rinse the child's mouth with water immediately after giving the
medication."
"Mix the medication with applesauce if the child dislikes the taste.".
Answer: "Shake the medication prior to administration."
shake the medication prior to administration to disperse the
medication evenly within the suspension.
,◉ A nurse in an emergency department is performing a physical
assessment on a 2 week old male newborn. Which of the following
findings is priority for the nurse to report to the provider?
excoriated scrotal area
multiple capillary hemangiomas
depressed posterior fontanel
substernal retractions.
Answer: substernal retractions
This finding indicates the newborn is experiencing increased
respiratory effort, which could quickly progress to respiratory
failure
◉ A nurse is receiving change-of-shift report on four children. Which
of the following children should the nurse see first?
A school age child who has sickle cell anemia and reports decreased
vision in the left eye.
School age child who has cystic fibrosis and a frequent
nonproductive cough.
, A preschooler who has asthma and a peak flow meter reading in the
green zone.
An adolescent who has meningitis and reports a sensitivity to lights
and noise..
Answer: A school age child who has sickle cell anemia and reports
decreased vision in the left eye.
The priority finding is to report the decreased vision in the left eye.
This indicates that the child is experiencing a vaso-occlusive crisis
and should be reported to the provider immediately
◉ A nurse is assessing a school-age child who has meningitis. Which
of the following findings is the priority for the nurse to report to the
provider?
Reports a headache as 6 on a 0 to 10 pain scale
Petechiae on the lower extremities
Nuchal rigidity
Positive Kernig's sign.
Answer: Petechiae on the lower extremities