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C) Security - ✔✔- ACTUAL ANSWER- In planning care for a 6 month-old infant,
what must the nurse provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?" - ✔✔- ACTUAL ANSWER- A nurse has just received a medication
order which is not legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
D) Age of children in the home - ✔✔- ACTUAL ANSWER- What is the most
important consideration when teaching parents how to reduce risks in the home?
A) Age and knowledge level of the parents
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B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
C) Administer the prescribed analgesia - ✔✔- ACTUAL ANSWER- A 35 year-old
client with sickle cell crisis is talking on the telephone but stops as the nurse
enters the room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
A) Respiratory rate of 42 - ✔✔- ACTUAL ANSWER- While caring for a toddler
with croup, which initial sign of croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
A) Lethargy - ✔✔- ACTUAL ANSWER- A client is admitted with low T3 and T4
levels and an elevated TSH level. On initial assessment, the nurse would
anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
B) "The seizure may or may not mean your child has epilepsy." - ✔✔- ACTUAL
ANSWER- The emergency room nurse admits a child who experienced a seizure
at school. The father comments that this is the first occurrence, and denies any
family history of epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
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A) Risk for injury - ✔✔- ACTUAL ANSWER- Alcohol and drug abuse impairs
judgment and increases risk taking behavior. What nursing diagnosis best
applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
B) Pale mucosa of the eyelids and lips - ✔✔- ACTUAL ANSWER- Which these
findings would the nurse more closely associate with anemia in a 10 month-old
infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
D) Pupil responses - ✔✔- ACTUAL ANSWER- The nurse is caring for a client in
hypertensive crisis in an intensive care unit. The priority assessment in the first
hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
D) A preschooler with intermittent episodes of alertness - ✔✔- ACTUAL
ANSWER- Which of these clients who are all in the terminal stage of cancer is
least appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness
D) Pale, thin arms and legs, uninterested in surroundings - ✔✔- ACTUAL
ANSWER- The nurse is about to assess a 6 month-old child with nonorganic
failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the
baby to be
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Answers 2025 RN bundle10/9/2026, 6:36:34 2026/10/09Page
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A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen
D) Pale, thin arms and legs, uninterested in surroundings
D) Hair loss - ✔✔- ACTUAL ANSWER- As the nurse is speaking with a group of
teens which of these side effects of chemotherapy for cancer would the nurse
expect this group to be more interested in during the discussion?
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss
B) Administer acetaminophen as ordered as this is normal at this time - ✔✔-
ACTUAL ANSWER- While caring for a client who was admitted with myocardial
infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees
Fahrenheit (38.5 degreesCelsius). The appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
B) Assess for dyspnea or stridor - ✔✔- ACTUAL ANSWER- A client is admitted
for first and second degree burns on the face, neck, anterior chest and hands.
The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication
D) I went to the bathroom and my urine looked very red and it didn't hurt when I
went. - ✔✔- ACTUAL ANSWER- Which of these clients who call the community
health clinic would the nurse ask to come in that day to be seen by the health
care provider?
A) I started my period and now my urine has turned bright red.
B) I am an diabetic and today I have been going to the bathroom every hour.
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Answers 2025 RN bundle10/9/2026, 6:36:34 2026/10/09Page
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1 of 3710/9/2026, 6:36:34 AMHES
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bundle
C) Security - ✔✔- ACTUAL ANSWER- In planning care for a 6 month-old infant,
what must the nurse provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?" - ✔✔- ACTUAL ANSWER- A nurse has just received a medication
order which is not legible. Which statement best reflects assertive
communication?
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
would be more careful."
D) "Please print in the future so I do not have to spend extra time attempting to
read your writing."
D) Age of children in the home - ✔✔- ACTUAL ANSWER- What is the most
important consideration when teaching parents how to reduce risks in the home?
A) Age and knowledge level of the parents
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bundle.pdf!@(*)(#&*UY&*$($H(&U@*$*$*&U$*H*@$HN$($
Answers 2025 RN bundle10/9/2026, 6:36:34 2026/10/09Page
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2 of 3710/9/2026, 6:36:34 AMHES
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
C) Administer the prescribed analgesia - ✔✔- ACTUAL ANSWER- A 35 year-old
client with sickle cell crisis is talking on the telephone but stops as the nurse
enters the room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
A) Respiratory rate of 42 - ✔✔- ACTUAL ANSWER- While caring for a toddler
with croup, which initial sign of croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
A) Lethargy - ✔✔- ACTUAL ANSWER- A client is admitted with low T3 and T4
levels and an elevated TSH level. On initial assessment, the nurse would
anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
B) "The seizure may or may not mean your child has epilepsy." - ✔✔- ACTUAL
ANSWER- The emergency room nurse admits a child who experienced a seizure
at school. The father comments that this is the first occurrence, and denies any
family history of epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
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Answers 2025 RN bundle10/9/2026, 6:36:34 2026/10/09Page
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3 of 3710/9/2026, 6:36:34 AMHES
A) Risk for injury - ✔✔- ACTUAL ANSWER- Alcohol and drug abuse impairs
judgment and increases risk taking behavior. What nursing diagnosis best
applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
B) Pale mucosa of the eyelids and lips - ✔✔- ACTUAL ANSWER- Which these
findings would the nurse more closely associate with anemia in a 10 month-old
infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
D) Pupil responses - ✔✔- ACTUAL ANSWER- The nurse is caring for a client in
hypertensive crisis in an intensive care unit. The priority assessment in the first
hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
D) A preschooler with intermittent episodes of alertness - ✔✔- ACTUAL
ANSWER- Which of these clients who are all in the terminal stage of cancer is
least appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness
D) Pale, thin arms and legs, uninterested in surroundings - ✔✔- ACTUAL
ANSWER- The nurse is about to assess a 6 month-old child with nonorganic
failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the
baby to be
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A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over abdomen
D) Pale, thin arms and legs, uninterested in surroundings
D) Hair loss - ✔✔- ACTUAL ANSWER- As the nurse is speaking with a group of
teens which of these side effects of chemotherapy for cancer would the nurse
expect this group to be more interested in during the discussion?
A) Mouth sores
B) Fatigue
C) Diarrhea
D) Hair loss
B) Administer acetaminophen as ordered as this is normal at this time - ✔✔-
ACTUAL ANSWER- While caring for a client who was admitted with myocardial
infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees
Fahrenheit (38.5 degreesCelsius). The appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
B) Assess for dyspnea or stridor - ✔✔- ACTUAL ANSWER- A client is admitted
for first and second degree burns on the face, neck, anterior chest and hands.
The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication
D) I went to the bathroom and my urine looked very red and it didn't hurt when I
went. - ✔✔- ACTUAL ANSWER- Which of these clients who call the community
health clinic would the nurse ask to come in that day to be seen by the health
care provider?
A) I started my period and now my urine has turned bright red.
B) I am an diabetic and today I have been going to the bathroom every hour.
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