100 ITEM COMPREHENSIVE NURSING
EXAM WITH ANSWERS
1. ppThe ppnurse ppenters ppthe pproom ppas ppa pp3 ppyear-old ppis pphaving ppa ppgeneralized
ppseizure. ppWhich ppintervention ppshould ppthe ppnurse ppdo ppfirst?
A) ppClear ppthe pparea ppof ppany pphazards
B) ppPlace ppthe ppchild ppon ppthe ppside
C) ppRestrain ppthe ppchild
D) ppGive ppthe ppprescribed ppanticonvulsant pp- ppAnswerThe ppcorrect ppanswer ppis ppB:
ppPlace ppthe ppchild ppon ppthe ppside
Protecting ppthe ppairway ppis ppthe pptop pppriority ppin ppa ppseizure. ppIf ppa ppchild ppis
ppactively ppconvulsing, ppa pppatent ppairway ppand ppoxygenation ppmust ppbe ppassured.
2. ppA ppclient pphas ppjust ppreturned ppto ppthe ppmedical-surgical ppunit ppfollowing ppa
ppsegmental pplung ppresection. ppAfter ppassessing ppthe ppclient, ppthe ppfirst ppnursing
ppaction ppwould ppbe ppto
A) ppAdminister pppain ppmedication
B) ppSuction ppexcessive pptracheobronchial ppsecretions
C) ppAssist ppclient ppto ppturn, ppdeep ppbreath ppand ppcough
D) ppMonitor ppoxygen ppsaturation pp- ppAnswerThe ppcorrect ppanswer ppis ppB: ppSuction
ppexcessive pptracheobronchial ppsecretions
Suctioning ppthe ppcopious pptracheobronchial ppsecretions pppresent ppin pppost-thoracic
ppsurgery ppclients ppmaintains ppan ppopen ppairway ppwhich ppis ppalways ppthe pppriority
ppnursing ppintervention.
3. ppA ppnurse ppfrom ppthe ppsurgical ppdepartment ppis ppreassigned ppto ppthe pppediatric
ppunit. ppThe ppcharge ppnurse ppshould pprecognize ppthat ppthe ppchild ppat pphighest pprisk
ppfor ppcardiac pparrest ppand ppis ppthe ppleast pplikely ppto ppbe ppassigned ppto ppthis ppnurse
ppis ppwhich ppchild?
A) ppCongenital ppcardiac ppdefects
B) ppAn ppacute ppfebrile ppillness
C) ppProlonged pphypoxemia
D) ppSevere ppmultiple pptrauma pp- ppAnswerThe ppcorrect ppanswer ppis ppC: ppProlonged
pphypoxemia ppMost ppoften, ppthe ppcause ppof ppcardiac pparrest ppin ppthe pppediatric
pppopulation ppis ppprolonged pphypoxemia. ppChildren ppusually pphave ppboth ppcardiac
ppand pprespiratory pparrest.
,4. ppWhich ppof ppthe ppfollowing ppwould ppbe ppthe ppbest ppstrategy ppfor ppthe ppnurse ppto
ppuse ppwhen ppteaching ppinsulin ppinjection pptechniques ppto ppa ppnewly ppdiagnosed
ppclient ppwith ppdiabetes?
A) ppGive ppwritten pppre ppand ppposttests
B) ppAsk ppquestions ppduring pppractice
C) ppAllow ppanother ppdiabetic ppto ppassist
D) ppObserve ppa ppreturn ppdemonstration pp- ppAnswerThe ppcorrect ppanswer ppis ppD:
ppObserve ppa ppreturn ppdemonstration
Since ppthis ppis ppa pppsychomotor ppskill, ppthis ppis ppthe ppbest ppway ppto ppknow ppif ppthe
ppclient pphas pplearned ppthe ppproper pptechnique.
5. ppThe ppnurse ppis ppassessing ppa pp2-year-old ppclient ppwith ppa pppossible ppdiagnosis
ppof ppcongenital ppheart ppdisease. ppWhich ppof ppthese ppis ppmost pplikely ppto ppbe ppseen
ppwith ppthis ppdiagnosis?
A) ppSeveral ppotitis ppmedia ppepisodes ppin ppthe pplast ppyear
B) ppWeight ppand ppheight ppin pp10th pppercentile ppsince ppbirth
C) ppTakes ppfrequent pprest ppperiods ppwhile ppplaying
D) ppChanging ppfood pppreferences ppand ppdislikes pp- ppAnswerThe ppcorrect ppanswer
ppis ppC: ppTakes ppfrequent pprest ppperiods ppwhile ppplaying.
Children ppwith ppheart ppdisease pptend ppto pphave ppexercise ppintolerance. ppThe ppchild
ppself-limits ppactivity, ppwhich ppis ppconsistent ppwith ppmanifestations ppof ppcongenital
ppheart ppdisease ppin ppchildren.
6. ppThe ppnurse ppis ppreassigned ppto ppwork ppat ppthe ppPoison ppControl ppCenter
pptelephone pphotline. ppIn ppwhich ppof ppthese ppcases ppof ppchildhood pppoisoning ppwould
ppthe ppnurse ppsuggest ppthat ppparents pphave ppthe ppchild ppdrink pporange ppjuice?
A) ppAn pp18 ppmonth-old ppwho ppate ppan ppundetermined ppamount ppof ppcrystal ppdrain
ppcleaner
B) ppA pp14 ppmonth-old ppwho ppchewed pp2 ppleaves ppof ppa ppphilodendron ppplant
C) ppA pp20 ppmonth-old ppwho ppis ppfound ppsitting ppon ppthe ppbathroom ppfloor ppbeside
ppan ppempty ppbottle ppof ppdiazepam pp(Valium)
D) ppA pp30 ppmonth-old ppwho pphas ppswallowed ppa ppmouthful ppof ppcharcoal pplighter
ppfluid pp- ppAnswerThe ppcorrect ppanswer ppis ppA: ppAn pp18 ppmonth-old ppwho ppate ppan
ppundetermined ppamount ppof ppcrystal ppdrain ppcleaner.
Drain ppcleaner ppis ppvery ppalkaline. ppThe pporange ppjuice ppis ppacidic ppand ppwill pphelp
ppto ppneutralize ppthis ppsubstance.
7. ppA pp23-year-old ppsingle ppclient ppis ppin ppthe pp33rd ppweek ppof ppher ppfirst
pppregnancy. ppShe pptellsthe ppnurse ppthat ppshe pphas ppeverything ppready ppfor ppthe
ppbaby ppand pphas ppmade ppplans ppfor ppthe ppfirst ppweeks pptogether ppat pphome.
ppWhich ppnormal ppemotional ppreaction ppdoes ppthe ppnurse pprecognize?
A) ppAcceptance ppof ppthe pppregnancy
B) ppFocus ppon ppfetal ppdevelopment
C) ppAnticipation ppof ppthe ppbirth
D) ppAmbivalence ppabout pppregnancy pp- ppAnswerThe ppcorrect ppanswer ppis ppC:
ppAnticipation ppof ppthe ppbirth
, Directing ppactivities pptoward pppreparation ppfor ppthe ppnewborn's ppneeds ppand
pppersonal ppadjustment ppare ppindicators ppof ppappropriate ppemotional ppresponse ppin
ppthe ppthird pptrimester.
8. ppUpon ppexamining ppthe ppmouth ppof ppa pp3-year-old ppchild, ppthe ppnurse ppdiscovers
ppthat ppthe ppteeth pphave ppchalky ppwhite-to-yellowish ppstaining ppwith pppitting ppof ppthe
ppenamel. ppWhich ppof ppthe ppfollowing ppconditions ppwould ppmost pplikely ppexplain
ppthese ppfindings?
A) ppIngestion ppof pptetracycline
B) ppExcessive ppfluoride ppintake
C) ppOral ppiron pptherapy
D) ppPoor ppdental pphygiene pp- ppAnswerThterm-1e ppcorrect ppanswer ppis ppB:
ppExcessive ppfluoride ppintake
The ppdescribed ppfindings ppare ppindicative ppof ppfluorosis, ppa ppcondition ppcharacterized
ppby ppan ppincrease ppin ppthe ppextent ppand ppdegree ppof ppthe ppenamel's ppporosity.
ppThis ppproblem ppcan ppbe ppassociated ppwith pprepeated ppswallowing ppof pptoothpaste
ppwith ppfluoride ppor ppdrinking ppwater ppwith pphigh pplevels ppof ppfluoride.
9. ppWhich ppof ppthe ppfollowing ppshould ppthe ppnurse ppteach ppthe ppclient ppto ppavoid
ppwhen pptakingchlorpromazine ppHCL pp(Thorazine)?
A) ppDirect ppsunlight
B) ppFoods ppcontaining pptyramine
C) ppFoods ppfermented ppwith ppyeast
D) ppCanned ppcitrus ppfruit ppdrinks pp- ppAnswerThe ppcorrect ppanswer ppis ppA: ppAvoid
ppdirect ppsunlight
Phenothiazine ppincreases ppsensitivity ppto ppthe ppsun, ppmaking ppclients ppespecially
ppsusceptible ppto ppsunburn
10. ppThe ppnurse ppis ppdiscussing ppdietary ppintake ppwith ppan ppadolescent ppwho pphas
ppacne. ppThe ppmost ppappropriate ppstatement ppfor ppthe ppnurse ppis
A) pp"Eat ppa ppbalanced ppdiet ppfor ppyour ppage."
B) pp"Increase ppyour ppintake ppof ppprotein ppand ppVitamin ppA."
C) pp"Decrease ppfatty ppfoods ppfrom ppyour ppdiet."
D) pp"Do ppnot ppuse ppcaffeine ppin ppany ppform, ppincluding ppchocolate." pp- ppAnswerThe
ppcorrect ppanswer ppis ppA: pp"Eat ppa ppbalanced ppdiet ppfor ppyour ppage."
A ppdiet ppfor ppa ppteenager ppwith ppacne ppshould ppbe ppa ppwell-balanced ppdiet ppfor
pptheir ppage. ppThere ppare ppno pprecommended ppadditions ppand ppsubtractions ppfrom
ppthe ppdiet
11. ppThe ppnurse ppis ppcaring ppfor ppa ppchild ppwho pphas ppjust ppreturned ppfrom ppsurgery
ppfollowing ppa pptonsillectomy ppand ppadenoidectomy. ppWhich ppaction ppby ppthe ppnurse
ppis ppappropriate?
A) ppOffer ppice ppcream ppevery pp2 pphours
B) ppPlace ppthe ppchild ppin ppa ppsupine ppposition
C) ppAllow ppthe ppchild ppto ppdrink ppthrough ppa ppstraw
EXAM WITH ANSWERS
1. ppThe ppnurse ppenters ppthe pproom ppas ppa pp3 ppyear-old ppis pphaving ppa ppgeneralized
ppseizure. ppWhich ppintervention ppshould ppthe ppnurse ppdo ppfirst?
A) ppClear ppthe pparea ppof ppany pphazards
B) ppPlace ppthe ppchild ppon ppthe ppside
C) ppRestrain ppthe ppchild
D) ppGive ppthe ppprescribed ppanticonvulsant pp- ppAnswerThe ppcorrect ppanswer ppis ppB:
ppPlace ppthe ppchild ppon ppthe ppside
Protecting ppthe ppairway ppis ppthe pptop pppriority ppin ppa ppseizure. ppIf ppa ppchild ppis
ppactively ppconvulsing, ppa pppatent ppairway ppand ppoxygenation ppmust ppbe ppassured.
2. ppA ppclient pphas ppjust ppreturned ppto ppthe ppmedical-surgical ppunit ppfollowing ppa
ppsegmental pplung ppresection. ppAfter ppassessing ppthe ppclient, ppthe ppfirst ppnursing
ppaction ppwould ppbe ppto
A) ppAdminister pppain ppmedication
B) ppSuction ppexcessive pptracheobronchial ppsecretions
C) ppAssist ppclient ppto ppturn, ppdeep ppbreath ppand ppcough
D) ppMonitor ppoxygen ppsaturation pp- ppAnswerThe ppcorrect ppanswer ppis ppB: ppSuction
ppexcessive pptracheobronchial ppsecretions
Suctioning ppthe ppcopious pptracheobronchial ppsecretions pppresent ppin pppost-thoracic
ppsurgery ppclients ppmaintains ppan ppopen ppairway ppwhich ppis ppalways ppthe pppriority
ppnursing ppintervention.
3. ppA ppnurse ppfrom ppthe ppsurgical ppdepartment ppis ppreassigned ppto ppthe pppediatric
ppunit. ppThe ppcharge ppnurse ppshould pprecognize ppthat ppthe ppchild ppat pphighest pprisk
ppfor ppcardiac pparrest ppand ppis ppthe ppleast pplikely ppto ppbe ppassigned ppto ppthis ppnurse
ppis ppwhich ppchild?
A) ppCongenital ppcardiac ppdefects
B) ppAn ppacute ppfebrile ppillness
C) ppProlonged pphypoxemia
D) ppSevere ppmultiple pptrauma pp- ppAnswerThe ppcorrect ppanswer ppis ppC: ppProlonged
pphypoxemia ppMost ppoften, ppthe ppcause ppof ppcardiac pparrest ppin ppthe pppediatric
pppopulation ppis ppprolonged pphypoxemia. ppChildren ppusually pphave ppboth ppcardiac
ppand pprespiratory pparrest.
,4. ppWhich ppof ppthe ppfollowing ppwould ppbe ppthe ppbest ppstrategy ppfor ppthe ppnurse ppto
ppuse ppwhen ppteaching ppinsulin ppinjection pptechniques ppto ppa ppnewly ppdiagnosed
ppclient ppwith ppdiabetes?
A) ppGive ppwritten pppre ppand ppposttests
B) ppAsk ppquestions ppduring pppractice
C) ppAllow ppanother ppdiabetic ppto ppassist
D) ppObserve ppa ppreturn ppdemonstration pp- ppAnswerThe ppcorrect ppanswer ppis ppD:
ppObserve ppa ppreturn ppdemonstration
Since ppthis ppis ppa pppsychomotor ppskill, ppthis ppis ppthe ppbest ppway ppto ppknow ppif ppthe
ppclient pphas pplearned ppthe ppproper pptechnique.
5. ppThe ppnurse ppis ppassessing ppa pp2-year-old ppclient ppwith ppa pppossible ppdiagnosis
ppof ppcongenital ppheart ppdisease. ppWhich ppof ppthese ppis ppmost pplikely ppto ppbe ppseen
ppwith ppthis ppdiagnosis?
A) ppSeveral ppotitis ppmedia ppepisodes ppin ppthe pplast ppyear
B) ppWeight ppand ppheight ppin pp10th pppercentile ppsince ppbirth
C) ppTakes ppfrequent pprest ppperiods ppwhile ppplaying
D) ppChanging ppfood pppreferences ppand ppdislikes pp- ppAnswerThe ppcorrect ppanswer
ppis ppC: ppTakes ppfrequent pprest ppperiods ppwhile ppplaying.
Children ppwith ppheart ppdisease pptend ppto pphave ppexercise ppintolerance. ppThe ppchild
ppself-limits ppactivity, ppwhich ppis ppconsistent ppwith ppmanifestations ppof ppcongenital
ppheart ppdisease ppin ppchildren.
6. ppThe ppnurse ppis ppreassigned ppto ppwork ppat ppthe ppPoison ppControl ppCenter
pptelephone pphotline. ppIn ppwhich ppof ppthese ppcases ppof ppchildhood pppoisoning ppwould
ppthe ppnurse ppsuggest ppthat ppparents pphave ppthe ppchild ppdrink pporange ppjuice?
A) ppAn pp18 ppmonth-old ppwho ppate ppan ppundetermined ppamount ppof ppcrystal ppdrain
ppcleaner
B) ppA pp14 ppmonth-old ppwho ppchewed pp2 ppleaves ppof ppa ppphilodendron ppplant
C) ppA pp20 ppmonth-old ppwho ppis ppfound ppsitting ppon ppthe ppbathroom ppfloor ppbeside
ppan ppempty ppbottle ppof ppdiazepam pp(Valium)
D) ppA pp30 ppmonth-old ppwho pphas ppswallowed ppa ppmouthful ppof ppcharcoal pplighter
ppfluid pp- ppAnswerThe ppcorrect ppanswer ppis ppA: ppAn pp18 ppmonth-old ppwho ppate ppan
ppundetermined ppamount ppof ppcrystal ppdrain ppcleaner.
Drain ppcleaner ppis ppvery ppalkaline. ppThe pporange ppjuice ppis ppacidic ppand ppwill pphelp
ppto ppneutralize ppthis ppsubstance.
7. ppA pp23-year-old ppsingle ppclient ppis ppin ppthe pp33rd ppweek ppof ppher ppfirst
pppregnancy. ppShe pptellsthe ppnurse ppthat ppshe pphas ppeverything ppready ppfor ppthe
ppbaby ppand pphas ppmade ppplans ppfor ppthe ppfirst ppweeks pptogether ppat pphome.
ppWhich ppnormal ppemotional ppreaction ppdoes ppthe ppnurse pprecognize?
A) ppAcceptance ppof ppthe pppregnancy
B) ppFocus ppon ppfetal ppdevelopment
C) ppAnticipation ppof ppthe ppbirth
D) ppAmbivalence ppabout pppregnancy pp- ppAnswerThe ppcorrect ppanswer ppis ppC:
ppAnticipation ppof ppthe ppbirth
, Directing ppactivities pptoward pppreparation ppfor ppthe ppnewborn's ppneeds ppand
pppersonal ppadjustment ppare ppindicators ppof ppappropriate ppemotional ppresponse ppin
ppthe ppthird pptrimester.
8. ppUpon ppexamining ppthe ppmouth ppof ppa pp3-year-old ppchild, ppthe ppnurse ppdiscovers
ppthat ppthe ppteeth pphave ppchalky ppwhite-to-yellowish ppstaining ppwith pppitting ppof ppthe
ppenamel. ppWhich ppof ppthe ppfollowing ppconditions ppwould ppmost pplikely ppexplain
ppthese ppfindings?
A) ppIngestion ppof pptetracycline
B) ppExcessive ppfluoride ppintake
C) ppOral ppiron pptherapy
D) ppPoor ppdental pphygiene pp- ppAnswerThterm-1e ppcorrect ppanswer ppis ppB:
ppExcessive ppfluoride ppintake
The ppdescribed ppfindings ppare ppindicative ppof ppfluorosis, ppa ppcondition ppcharacterized
ppby ppan ppincrease ppin ppthe ppextent ppand ppdegree ppof ppthe ppenamel's ppporosity.
ppThis ppproblem ppcan ppbe ppassociated ppwith pprepeated ppswallowing ppof pptoothpaste
ppwith ppfluoride ppor ppdrinking ppwater ppwith pphigh pplevels ppof ppfluoride.
9. ppWhich ppof ppthe ppfollowing ppshould ppthe ppnurse ppteach ppthe ppclient ppto ppavoid
ppwhen pptakingchlorpromazine ppHCL pp(Thorazine)?
A) ppDirect ppsunlight
B) ppFoods ppcontaining pptyramine
C) ppFoods ppfermented ppwith ppyeast
D) ppCanned ppcitrus ppfruit ppdrinks pp- ppAnswerThe ppcorrect ppanswer ppis ppA: ppAvoid
ppdirect ppsunlight
Phenothiazine ppincreases ppsensitivity ppto ppthe ppsun, ppmaking ppclients ppespecially
ppsusceptible ppto ppsunburn
10. ppThe ppnurse ppis ppdiscussing ppdietary ppintake ppwith ppan ppadolescent ppwho pphas
ppacne. ppThe ppmost ppappropriate ppstatement ppfor ppthe ppnurse ppis
A) pp"Eat ppa ppbalanced ppdiet ppfor ppyour ppage."
B) pp"Increase ppyour ppintake ppof ppprotein ppand ppVitamin ppA."
C) pp"Decrease ppfatty ppfoods ppfrom ppyour ppdiet."
D) pp"Do ppnot ppuse ppcaffeine ppin ppany ppform, ppincluding ppchocolate." pp- ppAnswerThe
ppcorrect ppanswer ppis ppA: pp"Eat ppa ppbalanced ppdiet ppfor ppyour ppage."
A ppdiet ppfor ppa ppteenager ppwith ppacne ppshould ppbe ppa ppwell-balanced ppdiet ppfor
pptheir ppage. ppThere ppare ppno pprecommended ppadditions ppand ppsubtractions ppfrom
ppthe ppdiet
11. ppThe ppnurse ppis ppcaring ppfor ppa ppchild ppwho pphas ppjust ppreturned ppfrom ppsurgery
ppfollowing ppa pptonsillectomy ppand ppadenoidectomy. ppWhich ppaction ppby ppthe ppnurse
ppis ppappropriate?
A) ppOffer ppice ppcream ppevery pp2 pphours
B) ppPlace ppthe ppchild ppin ppa ppsupine ppposition
C) ppAllow ppthe ppchild ppto ppdrink ppthrough ppa ppstraw
