100 Item Comprehensive Nursing
DIAGNOSIS Exam With Answers
/GUARANTEED PASS /GRADED A+
1. The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant - ANS ✅✅-The correct answer
is B: Place the child on the side
Protecting the airway is the top priority in a seizure. If a child is
actively convulsing, a patent airway and oxygenation must be
assured.
2. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the client, the first
nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breath and cough
D) Monitor oxygen saturation - ANS ✅✅-The correct answer is B:
Suction excessive tracheobronchial secretions
Suctioning the copious tracheobronchial secretions present in post-
thoracic surgery clients maintains an open airway which is always
the priority nursing intervention.
,3. A nurse from the surgical department is reassigned to the
pediatric unit. The charge nurse should recognize that the child at
highest risk for cardiac arrest and is the least likely to be assigned
to this nurse is which child?
A) Congenital cardiac defects
B) An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma - ANS ✅✅-The correct answer is C:
Prolonged hypoxemia Most often, the cause of cardiac arrest in the
pediatric population is prolonged hypoxemia. Children usually have
both cardiac and respiratory arrest.
4. Which of the following would be the best strategy for the nurse to
use when teaching insulin injection techniques to a newly diagnosed
client with diabetes?
A) Give written pre and posttests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration - ANS ✅✅-The correct answer is
D: Observe a return demonstration
Since this is a psychomotor skill, this is the best way to know if the
client has learned the proper technique.
5. The nurse is assessing a 2-year-old client with a possible
diagnosis of congenital heart disease. Which of these is most likely
to be seen with this diagnosis?
A) Several otitis media episodes in the last year
B) Weight and height in 10th percentile since birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes - ANS ✅✅-The correct
answer is C: Takes frequent rest periods while playing.
, Children with heart disease tend to have exercise intolerance. The
child self-limits activity, which is consistent with manifestations of
congenital heart disease in children.
6. The nurse is reassigned to work at the Poison Control Center
telephone hotline. In which of these cases of childhood poisoning
would the nurse suggest that parents have the child drink orange
juice?
A) An 18 month-old who ate an undetermined amount of crystal
drain cleaner
B) A 14 month-old who chewed 2 leaves of a philodendron plant
C) A 20 month-old who is found sitting on the bathroom floor beside
an empty bottle of diazepam (Valium)
D) A 30 month-old who has swallowed a mouthful of charcoal lighter
fluid - ANS ✅✅-The correct answer is A: An 18 month-old who ate
an undetermined amount of crystal drain cleaner.
Drain cleaner is very alkaline. The orange juice is acidic and will
help to neutralize this substance.
7. A 23-year-old single client is in the 33rd week of her first
pregnancy. She tellsthe nurse that she has everything ready for the
baby and has made plans for the first weeks together at home.
Which normal emotional reaction does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy - ANS ✅✅-The correct answer is C:
Anticipation of the birth
Directing activities toward preparation for the newborn's needs and
personal adjustment are indicators of appropriate emotional
response in the third trimester.
DIAGNOSIS Exam With Answers
/GUARANTEED PASS /GRADED A+
1. The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant - ANS ✅✅-The correct answer
is B: Place the child on the side
Protecting the airway is the top priority in a seizure. If a child is
actively convulsing, a patent airway and oxygenation must be
assured.
2. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the client, the first
nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breath and cough
D) Monitor oxygen saturation - ANS ✅✅-The correct answer is B:
Suction excessive tracheobronchial secretions
Suctioning the copious tracheobronchial secretions present in post-
thoracic surgery clients maintains an open airway which is always
the priority nursing intervention.
,3. A nurse from the surgical department is reassigned to the
pediatric unit. The charge nurse should recognize that the child at
highest risk for cardiac arrest and is the least likely to be assigned
to this nurse is which child?
A) Congenital cardiac defects
B) An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma - ANS ✅✅-The correct answer is C:
Prolonged hypoxemia Most often, the cause of cardiac arrest in the
pediatric population is prolonged hypoxemia. Children usually have
both cardiac and respiratory arrest.
4. Which of the following would be the best strategy for the nurse to
use when teaching insulin injection techniques to a newly diagnosed
client with diabetes?
A) Give written pre and posttests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration - ANS ✅✅-The correct answer is
D: Observe a return demonstration
Since this is a psychomotor skill, this is the best way to know if the
client has learned the proper technique.
5. The nurse is assessing a 2-year-old client with a possible
diagnosis of congenital heart disease. Which of these is most likely
to be seen with this diagnosis?
A) Several otitis media episodes in the last year
B) Weight and height in 10th percentile since birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes - ANS ✅✅-The correct
answer is C: Takes frequent rest periods while playing.
, Children with heart disease tend to have exercise intolerance. The
child self-limits activity, which is consistent with manifestations of
congenital heart disease in children.
6. The nurse is reassigned to work at the Poison Control Center
telephone hotline. In which of these cases of childhood poisoning
would the nurse suggest that parents have the child drink orange
juice?
A) An 18 month-old who ate an undetermined amount of crystal
drain cleaner
B) A 14 month-old who chewed 2 leaves of a philodendron plant
C) A 20 month-old who is found sitting on the bathroom floor beside
an empty bottle of diazepam (Valium)
D) A 30 month-old who has swallowed a mouthful of charcoal lighter
fluid - ANS ✅✅-The correct answer is A: An 18 month-old who ate
an undetermined amount of crystal drain cleaner.
Drain cleaner is very alkaline. The orange juice is acidic and will
help to neutralize this substance.
7. A 23-year-old single client is in the 33rd week of her first
pregnancy. She tellsthe nurse that she has everything ready for the
baby and has made plans for the first weeks together at home.
Which normal emotional reaction does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy - ANS ✅✅-The correct answer is C:
Anticipation of the birth
Directing activities toward preparation for the newborn's needs and
personal adjustment are indicators of appropriate emotional
response in the third trimester.
