TYPES: KEY CONCEPTS FOR ARCHITECTURE | REAL EXAM
ACTUAL EXAM 2026 || MOST RECENT EXAM 2026|2027
ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
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A child is admitted to the hospital for confirmation of a diagnosis of
acute lymphoblastic leukemia. When performing a nursing assessment,
which symptoms that are commonly manifested by this condition
should the practical nurse (PN) observe in the child?
a. Bone pain, pallor
b.Weakness, tremors
c.Nystagmus, anorexia
d.Fever, abdominal distention -ANSWERS-a. Bone pain, pallor
Rationale:Bone pain and pallor are the most common presenting
symptoms of leukemia. Leukemic cells invade the bone marrow,
gradually causing a weakening of the bone and a tendency toward
pathological fractures. As leukemic cells invade the periosteum,
increasing pressure causes severe pain and anemia results from
decreased erythrocytes, causing pallor.
To minimize separation anxiety in a hospitalized 2-year-old, which
nursing intervention is best for the practical nurse to implement?
,a.Provide for privacy.
b.Encourage parents to room-in.
c.Explain procedures and routines.
d.Encourage contact with children of the same age. -ANSWERS-
b.Encourage parents to room-in.
Rationale:Separation anxiety is especially threatening for toddlers, so
encouraging parents to room-in helps the toddler cope with this threat.
The practical nurse (PN) is caring for an infant with pyloric stenosis.
What nursing intervention should be included in the preoperative
period?
a.Monitor for signs of metabolic acidosis.
b.Estimate the quantity of diarrhea stools.
c.Place in a supine position after feeding.
d.Observe for projectile vomiting. -ANSWERS-d.Observe for projectile
vomiting.
Rationale:Projectile vomiting, the classic sign of pyloric stenosis,
contributes to metabolic alkalosis.
A child with acute appendicitis who is scheduled for surgery in 3 hours
is complaining of abdominal pain. Which intervention should the
practical nurse implement?
,a.Assist the child into a position of comfort
b.Withhold administration of a narcotic analgesic.
c.Place a warm compress over the tender area.
d.Offer to provide the child with warm tea or broth. -ANSWERS-a.Assist
the child into a position of comfort
Rationale:Placing the child in a position of comfort best minimizes
abdominal pain related to intra-abdominal inflammation of the
appendix.
The practical nurse (PN) is caring for a child with Wilms' tumor. Which
preoperative intervention should the PN implement?
a.Gently percuss the abdomen for evidence of trapped air.
b.Observe the abdomen for any noticeable discolorations.
c.Apply cold compresses to the abdomen to reduce edema.
d.Put a sign above the bed reading, "Do not palpate abdomen." -
ANSWERS-d.Put a sign above the bed reading, "Do not palpate
abdomen."
Rationale:Prevention of abdominal palpation minimizes the risk of
rupturing the encapsulated tumor and subsequent metastasis.
The parent of a 4-year-old often observes his child at day care via a
video camera hookup to his computer. The parent tells the practical
, nurse (PN) at the day care center that the child frequently eats with her
fingers rather than with utensils. How should the PN respond?
a.Explain that the day care center employs certified child care
specialists with knowledge of growth and development.
b.Advise the parent that an in-service program will be provided to staff
regarding mealtime behavior to be expected of preschoolers.
c.Schedule the child for an Ages and Stages Questionnaire to evaluate
the child's developmental skill level.
d.Offer reassurance that this behavior is normal but that the child can
now be taught how to use utensils. -ANSWERS-d.Offer reassurance that
this behavior is normal but that the child can now be taught how to use
utensils.
Rationale:Preschoolers should learn to use utensils but often prefer to
use their fingers.
The practical nurse (PN) in the clinic receives a phone call from the
mother of a 6-year-old child with a newly applied cast for a fracture of
the femur. The mother reports that the child is in pain and is crying and
that the child's foot appears swollen and blue. Which nursing diagnosis
supports the PN's initial intervention?
a.Impaired skin integrity
b.Altered comfort (acute pain)
c.Altered peripheral tissue perfusion
d.Ineffective individual coping -ANSWERS-c.Altered peripheral tissue
perfusion