DAVIS ADVANTAGE FOR PEDIATRIC NURSING ACTUAL EXAM TEST PAPER FULL
QUESTIONS CORRECT RESPONSES
Question:
The nursing instructor asks students how they would assess the fifth vital sign. Which student would
be correct? 1) "I would have the client rate her pain on a scale of 0 to 10." 2) "I would ask the client
when she had her last bowel movement." 3) "I would take the client's pulse oximetry reading." 4) "I
would interview the client about history of tobacco use.".
Answer:
"I would have the client rate her pain on a scale of 0 to 10."
Question:
A client's axillary temperature is 100.8°F. The nurse realizes this is outside normal range for this
client and that axillary temperatures do not reflect core temperature. What should the nurse do to
obtain a good estimate of the core temperature? 1) Add 1°F to 100.8°F to obtain an oral equivalent.
2) Add 2°F to 100.8°F to obtain a rectal equivalent. 3) Obtain a rectal temperature reading. 4)
Obtain a tympanic membrane reading.
Answer:
Obtain a rectal temperature reading.
Question:
When caring for a client with a fever, what should the nurse expect to be increased? 1) Urine output
2) Sensitivity to pain 3) Blood pressure 4) Respiratory rate.
Answer:
Respiratory rate Rationale: The metabolic rate increases with a fever, increasing a person's
respiratory rate.
Question:
, The nurse is teaching a client how to use a portable blood pressure device to monitor blood pressure
at home. What is the most important action for the nurse to take? 1) Ask the client to demonstrate
the use of the blood pressure device. 2) Explain the importance of frequent calibration of the device.
3) Give the client a chart to record his blood pressure readings. 4) Provide written instructions of the
information taught.
Answer:
Ask the client to demonstrate the use of the blood pressure device.
Question:
At last measurement, the client's vital signs were: oral temperature 98°F (36.7°C), heart rate 76
beats/min, respiratory rate 16 breaths/min, and blood pressure (BP) 118/60 mm Hg. Four hours later,
the vital signs were: oral temperature 103.2°F (38.5°C), heart rate 76 beats/min, respiratory rate 14
breaths/min, and blood pressure 120/66 mm Hg. Which should be the nurse's first intervention at
this time? 1) Ask the client whether he has had a warm drink in the last 30 minutes. 2) Notify the
primary care provider of the client's temperature. 3) Ask the client whether he is feeling chilled. 4)
Take the temperature by a different route.
Answer:
Ask the client whether he has had a warm drink in the last 30 minutes.
Question:
A client's average normal temperature is 98°F. Which temperature would be expected during the
night in a healthy young adult client who does not have a fever, inflammatory process, or underlying
health problems? 1) 97.2°F 2) 98.0°F 3) 98.6°F 4) 99.2°F.
Answer:
97.2°F Rationale: The lowest temperature occurs during sleep (usually at night) when the metabolic
rate is lowest. Temperature normally increases throughout the day until it peaks in the early evening.
Question:
The nurse is instructing a client how to appropriately dress an infant in cold weather. Which
instruction would be most important for the nurse to include? 1) "Be sure to put mittens on the
baby." 2) "Layer the infant's clothing." 3) "Place a cap on the infant's head." 4) "Put warm booties on
the baby.".
QUESTIONS CORRECT RESPONSES
Question:
The nursing instructor asks students how they would assess the fifth vital sign. Which student would
be correct? 1) "I would have the client rate her pain on a scale of 0 to 10." 2) "I would ask the client
when she had her last bowel movement." 3) "I would take the client's pulse oximetry reading." 4) "I
would interview the client about history of tobacco use.".
Answer:
"I would have the client rate her pain on a scale of 0 to 10."
Question:
A client's axillary temperature is 100.8°F. The nurse realizes this is outside normal range for this
client and that axillary temperatures do not reflect core temperature. What should the nurse do to
obtain a good estimate of the core temperature? 1) Add 1°F to 100.8°F to obtain an oral equivalent.
2) Add 2°F to 100.8°F to obtain a rectal equivalent. 3) Obtain a rectal temperature reading. 4)
Obtain a tympanic membrane reading.
Answer:
Obtain a rectal temperature reading.
Question:
When caring for a client with a fever, what should the nurse expect to be increased? 1) Urine output
2) Sensitivity to pain 3) Blood pressure 4) Respiratory rate.
Answer:
Respiratory rate Rationale: The metabolic rate increases with a fever, increasing a person's
respiratory rate.
Question:
, The nurse is teaching a client how to use a portable blood pressure device to monitor blood pressure
at home. What is the most important action for the nurse to take? 1) Ask the client to demonstrate
the use of the blood pressure device. 2) Explain the importance of frequent calibration of the device.
3) Give the client a chart to record his blood pressure readings. 4) Provide written instructions of the
information taught.
Answer:
Ask the client to demonstrate the use of the blood pressure device.
Question:
At last measurement, the client's vital signs were: oral temperature 98°F (36.7°C), heart rate 76
beats/min, respiratory rate 16 breaths/min, and blood pressure (BP) 118/60 mm Hg. Four hours later,
the vital signs were: oral temperature 103.2°F (38.5°C), heart rate 76 beats/min, respiratory rate 14
breaths/min, and blood pressure 120/66 mm Hg. Which should be the nurse's first intervention at
this time? 1) Ask the client whether he has had a warm drink in the last 30 minutes. 2) Notify the
primary care provider of the client's temperature. 3) Ask the client whether he is feeling chilled. 4)
Take the temperature by a different route.
Answer:
Ask the client whether he has had a warm drink in the last 30 minutes.
Question:
A client's average normal temperature is 98°F. Which temperature would be expected during the
night in a healthy young adult client who does not have a fever, inflammatory process, or underlying
health problems? 1) 97.2°F 2) 98.0°F 3) 98.6°F 4) 99.2°F.
Answer:
97.2°F Rationale: The lowest temperature occurs during sleep (usually at night) when the metabolic
rate is lowest. Temperature normally increases throughout the day until it peaks in the early evening.
Question:
The nurse is instructing a client how to appropriately dress an infant in cold weather. Which
instruction would be most important for the nurse to include? 1) "Be sure to put mittens on the
baby." 2) "Layer the infant's clothing." 3) "Place a cap on the infant's head." 4) "Put warm booties on
the baby.".
