NURS 5434 PREVENTION CASE ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Methylphenidate (Ritalin) is recommended 0.3 to 2 mg/kg/day. What is the
maximum recommended dose per day in mg for a child who weighs 66
pounds? (Enter numeric value only. If rounding is required, round to the
whole number)..
Answer: 60 mg
◍ Which other individuals are most at risk for contracting fifth disease?.
Answer: The children who were the child during the 2 weeks before the
symptoms appeared.
◍ Which of the following is Secondary prevention? SATA
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy.
Answer: C. Mammogram E. Pap smear F. Colonoscopy
◍ Metabolic syndrome significantly increases risk for:
A. Lung cancer
B. Asthma
C. Cardiovascular Disease
D. Obesity.
Answer: C. Cardiovascular Disease
◍ The RN prepares to give scheduled prescription medications to 20 different
, students. Which method for medication administration by the nurse is
safest?.
Answer: Keep each student's medication in the original bottle until the
student arrives, then verify the five rights prior to administration.
◍ A 58 year old male comes in as is diagnosed with HT
N. According to the JNC 8 guidelines, which one of the following is his
target BP?
A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90.
Answer: C. < 140/90
◍ The school nurse then assesses the 5-year-old with the complaint of a
stomachache. Which assessment questions would be appropriate to ask the
5-year-old?.
Answer: - When was the last time he had a bowel movement?- Where does
it hurt?- When and what did he last eat?
◍ The next morning, Katie's step-father shows up at the school He is agitated,
and demands to know Katie's whereabouts. Sarah happens to be in the
administrative office when he arrives. Which action should the RN and the
office personnel take?.
Answer: Place an emergency call to the police department from another
room.
◍ Sarah is called to the playground to assess a 7-year-old boy who fell from
the jungle gym. The child is crying and clutching his right arm. The forearm
is edematous and the child states that he cannot more his wrist. The arm
appears to have a closed fracture. Which action should the nurse take first?.
Answer: Check for the presence of a radial pulse.
◍ Which criteria led the nurse to suspect the child needed to be evaluated for
ADHD? (Select all that apply.).
Answer: - A decline in or poor academic skills.- Hyperactivity
, inappropriateness for the age of the child. - Inattention and difficulty with
concentration. - Labile mood and temper outbursts.
◍ When assessing the 10-year-old student, which action should the RN take
first?.
Answer: Take the child's temperature.
◍ Sarah assists Sarah, a child with newly diagnosed asthma, with the use of
her albuterol metered-dose inhaler (MDI) using a spacer. The RN notices
the child has audible wheezes prior to the MDI use. Which instruction
should the nurse provide Sarah?.
Answer: Shake the aerosol MDI three to four times prior to administration.
◍ Which resource provides the best information to the school health nurse on
recommended childhood immunization schedules?.
Answer: The website for the Centers for Disease Control (CDC).
◍ When auditing a student record, which finding requires intervention by the
nurse?.
Answer: A 9-year-old boy who had one dose of the measles, mumps, rubella
vaccine (MMR).
◍ A 58 year old African American man comes into the clinic. He has HTN and
diabetes. The patient does not consume tobacco products. He had a heart
attack 3 years ago. Total cholesterol is 234, LDL is 140 and HDL is 38. The
SBP is 138 and DBP is 90. Other than HTN meds he is taking nothing else.
A. Control BP better
B. His LDL is not very elevated so will only need high intensity statin.
C. Very high risk, start high intensity statin assess after 3 mo. And may add
Ezetimibe and PCSK9-1 prn.
Answer: C. Very high risk, start high intensity statin assess after 3 mo. And
may add Ezetimibe and PCSK9-1 prn
◍ She attaches the mouthpiece to the spacer, shakes the MDI for 3 seconds
and places the mouthpiece correctly in her mouth. Which action should the
nurse tell Sarah to take next?.
, Answer: Exhale steadily and completely through the nose.
◍ Sarah prepares to administer medications using the five rights of medication
administration. Which child's medication should Sarah administer first?.
Answer: A child returning from physical education class who is requesting a
prn dose of albuterol inhaler.
◍ Which of the following migraine medication is approved in patients that are
pregnant or breastfeeding?
A. Divalproex
B. Candesartan
C. Atogepant
D. Rimegepant.
Answer: D. Rimegepant
◍ A patient is going to be starting Almotriptan for her migraine headaches,
which of the following labs should be monitored while in this med? SATA
A. AST/ALT
B. CBC
C. TSH
D. CrCl
E. CMP.
Answer: A. AST/ALTD. CrCl
◍ Sarah takes the child's temperature, which is 101.2. She then completes a
brief head-to-toe assessment. Which assessment finding if of most concern
to the nurse?.
Answer: A red rash on the cheek and trunk.
◍ Patient with Type 2 Diabetes only should start in which type of statin?
A. Low intensity statin
B. Moderate intensity statin
C. High intensity statin.
Answer: B. Moderate intensity statin
◍ Which intervention should the nurse implement for a child taking
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Methylphenidate (Ritalin) is recommended 0.3 to 2 mg/kg/day. What is the
maximum recommended dose per day in mg for a child who weighs 66
pounds? (Enter numeric value only. If rounding is required, round to the
whole number)..
Answer: 60 mg
◍ Which other individuals are most at risk for contracting fifth disease?.
Answer: The children who were the child during the 2 weeks before the
symptoms appeared.
◍ Which of the following is Secondary prevention? SATA
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy.
Answer: C. Mammogram E. Pap smear F. Colonoscopy
◍ Metabolic syndrome significantly increases risk for:
A. Lung cancer
B. Asthma
C. Cardiovascular Disease
D. Obesity.
Answer: C. Cardiovascular Disease
◍ The RN prepares to give scheduled prescription medications to 20 different
, students. Which method for medication administration by the nurse is
safest?.
Answer: Keep each student's medication in the original bottle until the
student arrives, then verify the five rights prior to administration.
◍ A 58 year old male comes in as is diagnosed with HT
N. According to the JNC 8 guidelines, which one of the following is his
target BP?
A. < 120/80
B. < 130/80
C. < 140/90
D. < 150/90.
Answer: C. < 140/90
◍ The school nurse then assesses the 5-year-old with the complaint of a
stomachache. Which assessment questions would be appropriate to ask the
5-year-old?.
Answer: - When was the last time he had a bowel movement?- Where does
it hurt?- When and what did he last eat?
◍ The next morning, Katie's step-father shows up at the school He is agitated,
and demands to know Katie's whereabouts. Sarah happens to be in the
administrative office when he arrives. Which action should the RN and the
office personnel take?.
Answer: Place an emergency call to the police department from another
room.
◍ Sarah is called to the playground to assess a 7-year-old boy who fell from
the jungle gym. The child is crying and clutching his right arm. The forearm
is edematous and the child states that he cannot more his wrist. The arm
appears to have a closed fracture. Which action should the nurse take first?.
Answer: Check for the presence of a radial pulse.
◍ Which criteria led the nurse to suspect the child needed to be evaluated for
ADHD? (Select all that apply.).
Answer: - A decline in or poor academic skills.- Hyperactivity
, inappropriateness for the age of the child. - Inattention and difficulty with
concentration. - Labile mood and temper outbursts.
◍ When assessing the 10-year-old student, which action should the RN take
first?.
Answer: Take the child's temperature.
◍ Sarah assists Sarah, a child with newly diagnosed asthma, with the use of
her albuterol metered-dose inhaler (MDI) using a spacer. The RN notices
the child has audible wheezes prior to the MDI use. Which instruction
should the nurse provide Sarah?.
Answer: Shake the aerosol MDI three to four times prior to administration.
◍ Which resource provides the best information to the school health nurse on
recommended childhood immunization schedules?.
Answer: The website for the Centers for Disease Control (CDC).
◍ When auditing a student record, which finding requires intervention by the
nurse?.
Answer: A 9-year-old boy who had one dose of the measles, mumps, rubella
vaccine (MMR).
◍ A 58 year old African American man comes into the clinic. He has HTN and
diabetes. The patient does not consume tobacco products. He had a heart
attack 3 years ago. Total cholesterol is 234, LDL is 140 and HDL is 38. The
SBP is 138 and DBP is 90. Other than HTN meds he is taking nothing else.
A. Control BP better
B. His LDL is not very elevated so will only need high intensity statin.
C. Very high risk, start high intensity statin assess after 3 mo. And may add
Ezetimibe and PCSK9-1 prn.
Answer: C. Very high risk, start high intensity statin assess after 3 mo. And
may add Ezetimibe and PCSK9-1 prn
◍ She attaches the mouthpiece to the spacer, shakes the MDI for 3 seconds
and places the mouthpiece correctly in her mouth. Which action should the
nurse tell Sarah to take next?.
, Answer: Exhale steadily and completely through the nose.
◍ Sarah prepares to administer medications using the five rights of medication
administration. Which child's medication should Sarah administer first?.
Answer: A child returning from physical education class who is requesting a
prn dose of albuterol inhaler.
◍ Which of the following migraine medication is approved in patients that are
pregnant or breastfeeding?
A. Divalproex
B. Candesartan
C. Atogepant
D. Rimegepant.
Answer: D. Rimegepant
◍ A patient is going to be starting Almotriptan for her migraine headaches,
which of the following labs should be monitored while in this med? SATA
A. AST/ALT
B. CBC
C. TSH
D. CrCl
E. CMP.
Answer: A. AST/ALTD. CrCl
◍ Sarah takes the child's temperature, which is 101.2. She then completes a
brief head-to-toe assessment. Which assessment finding if of most concern
to the nurse?.
Answer: A red rash on the cheek and trunk.
◍ Patient with Type 2 Diabetes only should start in which type of statin?
A. Low intensity statin
B. Moderate intensity statin
C. High intensity statin.
Answer: B. Moderate intensity statin
◍ Which intervention should the nurse implement for a child taking
