QUESTIONS AND ANSWERS LATEST
EXAM UPDATE TESTED AND
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1- A nurse is caring for a 4-year-old child who has pneumonia. The child's mother
left 2 hours ago, and he is currently experiencing the separation anxiety stage of
despair. Which of the following findings should the nurse expect?
A. Crying and screaming
B. Inactivity and thumb sucking
C. Showing interest in nearby toys
D. Attempting to escape and find the parent - ANSWER-B. Inactivity and thumb
sucking
2- A nurse is admitting a child who has Wilms' tumor. Which of the following
actions should the nurse take?
A. Initiate contact precautions for the child.
B. Explain to the child's parents that chemotherapy will start 3 months after surgery.
C. Put a "no abdominal palpation" sign over the child's bed.
D. Prepare the child for a spinal tap. - ANSWER-C. Put a "no abdominal palpation"
sign over the child's bed.
3- A nurse is providing discharge teaching to the guardian of an adolescent who is
postoperative following a tonsillectomy. Which of the following manifestations
should the guardian report to the provider?
,A. Nasal secretions containing dark brown blood
B. Constant clearing of the throat
C. Unpleasant odor from the oral cavity
D. Temperature of 37.7°C (99.8°F) at 48 hr postoperative - ANSWER-B. Constant
clearing of the throat
4- A nurse is assessing an adolescent who is receiving fentanyl via epidural.
Which of the following assessments should the nurse identify as the priority?
A. Skin around the catheter site
B. Blood pressure
C. Pain level
D. Oxygen saturation - ANSWER-D. Oxygen saturation
5- A nurse is planning to assess an 8-year-old child who was brought to the clinic by
a parent. The parent reports the child has missed school for 3 weeks and refuses to
go back due to "not feeling well." Which of the following actions should the nurse
perform during the initial interview with the child?
A. Ask the child to describe what things were like right before not wanting to go to
school
B. Use a direct question and ask the child why going to school is no longer fun
C. Tell the child it is okay not to like school, but she has to go back
D. Reassure the child that things might not be going well right now, but they will
soon improve - ANSWER-A. Ask the child to describe what things were like
right before not wanting to go to school
6- A nurse is teaching a group of parents of toddlers about growth and development.
A parent asks, "Why does my child's abdomen stick out?" Which of the following
replies should the nurse provide?
,A. "You should give your child a stool softener daily."
B. "Toddlers gain weight at a rapid pace."
C. "You should have your child assessed for a spinal deformity."
D. "Toddlers do not have well-developed abdominal muscles." - ANSWER-D.
"Toddlers do not have well-developed abdominal muscles."
7- A nurse is caring for an infant who has pertussis. Which of the following actions
should the nurse take?
A. Assess for edema of the extremities
B. Apply warm compresses to the neck area
C. Initiate airborne precautions
D. Maintain a cardiorespiratory monitor - ANSWER-D. Maintain a cardiorespiratory
monitor
8- A nurse is performing a well-child assessment on a 7-year-old client who takes
great pride in bringing school papers home. The nurse recognizes that this behavior
demonstrates which of the following of Erikson's stages of psychosocial
development?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Autonomy vs. shame and doubt - ANSWER-B. Industry vs. inferiority
9 A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition.
Which of the following statements by the parent indicates an understanding of the
teaching?
A. "My child should consume 1,000 calories per day."
, B. "My child should have 4 oz of protein per day."
C. "I should give my child 32 oz (4 cups) of milk per day."
D. "I should feed my child 4 oz (1/2 cup) of vegetables per day." - ANSWER-A.
"My child should consume 1,000 calories per day."
10- A nurse is caring for a 4-month-old child who has acute otitis media and a fever
of 38.3°C (101°F). Which of the following medications should the nurse
administer?
A. Diphenhydramine
B. Furosemide
C. Amoxicillin
D. Ibuprofen - ANSWER-C. Amoxicillin
11- A nurse is assessing the fine motor skill development of a 4-year-old child. The
nurse should expect the child to be able to perform which of the following
activities?
A. Tying shoelaces into a bow
B. Copying a square
C. Drawing a person with at least 8 parts
D. Printing the letters of her name - ANSWER-B. Copying a square
12- A nurse is creating a plan of care for a child who has aplastic anemia. Which of
the following interventions should the nurse include?
A. Initiate protective-environment isolation for the child
B. Apply pressure for 1-2 min at the puncture site following blood specimen
collection
C. Mix the child's ferrous sulfate elixir twice per day into a glass of milk for
administration