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MEPAP 2 FINAL EXAM | 2025 UPDATE |REAL EXAM
QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! WITH
RATIONALES
1. After reviewing the child’s medical record, which of the following findings should the nurse report
to the provider? Select four.
A. Arterial blood gases
B. WBC count
C. Oxygen saturation level
D. Respiratory assessment
E. Hemoglobin
F. Cardiovascular assessment
Answer: A, B, C, D
Rationale: Abnormal arterial blood gases, elevated WBC counts, low oxygen saturation, and abnormal
respiratory findings can indicate worsening conditions requiring provider intervention.
2. A nurse is receiving a change-of-shift report for four children. Which child should the nurse assess
first?
A. An adolescent placed in halo traction 1 hr ago, pain 6/10
B. An adolescent with infective endocarditis and a headache
C. A toddler with a concussion experiencing forceful vomiting
D. A school-age child with acute glomerulonephritis and brown urine
Answer: C
Rationale: Forceful vomiting in a child with a concussion suggests increased intracranial pressure,
requiring immediate evaluation.
3. Timing of a child's crying supports which condition?
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A. Nightmares
B. Sleep terrors
C. Insomnia
Answer: B
Rationale: Sleep terrors typically occur during non-REM sleep and are associated with crying and
difficulty being comforted.
4. Which of the following should guardians of a toddler with a leg cast report to the provider?
A. Capillary refill <2 seconds
B. Restricted toe movement
C. Foot swelling when dependent
D. Pedal pulse +3
Answer: B
Rationale: Restricted toe movement can indicate compartment syndrome, a medical emergency.
5. Instructions for a school-age child with moderate persistent asthma should include:
A. "Use salmeterol inhaler every 4 hours for acute wheezing."
B. "Monitor weight weekly on inhaled corticosteroids."
C. "Pulmonary function tests every 12-24 months evaluate therapy."
D. "Record the average of three peak flow readings."
Answer: C
Rationale: Pulmonary function tests assess the effectiveness of long-term asthma management.
6. Priority finding to report for an infant with pneumonia:
A. Nasal flaring
B. WBC count 18,000/mm³
C. Diarrhea
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D. Abdominal distension
Answer: A
Rationale: Nasal flaring indicates respiratory distress and requires immediate attention.
7. Developmental activity for a 10-year-old with neutropenia:
A. Provide an adventure book.
B. Arrange frequent visits from peers.
C. Offer a large-piece puzzle.
D. Use puppets for entertainment.
Answer: A
Rationale: A book is a low-infection risk and appropriate for this developmental stage.
8. First action post-tonic-clonic seizure:
A. Check for head injury.
B. Observe for oral bleeding.
C. Assess respiratory rate.
D. Check for extremity weakness.
Answer: C
Rationale: Ensuring adequate airway and breathing is the priority post-seizure.
9. Alert for hemolytic transfusion reaction:
A. Laryngeal edema
B. Flank pain
C. Distended neck veins
D. Muscular weakness
Answer: B
Rationale: Flank pain is a hallmark of hemolysis due to red blood cell destruction.
MEPAP 2 FINAL EXAM | 2025 UPDATE |REAL EXAM
QUESTIONS AND VERIFIED ANSWERS/ACCURATE
SOLUTIONS |GET IT 100% CORRECT!! WITH
RATIONALES
1. After reviewing the child’s medical record, which of the following findings should the nurse report
to the provider? Select four.
A. Arterial blood gases
B. WBC count
C. Oxygen saturation level
D. Respiratory assessment
E. Hemoglobin
F. Cardiovascular assessment
Answer: A, B, C, D
Rationale: Abnormal arterial blood gases, elevated WBC counts, low oxygen saturation, and abnormal
respiratory findings can indicate worsening conditions requiring provider intervention.
2. A nurse is receiving a change-of-shift report for four children. Which child should the nurse assess
first?
A. An adolescent placed in halo traction 1 hr ago, pain 6/10
B. An adolescent with infective endocarditis and a headache
C. A toddler with a concussion experiencing forceful vomiting
D. A school-age child with acute glomerulonephritis and brown urine
Answer: C
Rationale: Forceful vomiting in a child with a concussion suggests increased intracranial pressure,
requiring immediate evaluation.
3. Timing of a child's crying supports which condition?
,estudyr
A. Nightmares
B. Sleep terrors
C. Insomnia
Answer: B
Rationale: Sleep terrors typically occur during non-REM sleep and are associated with crying and
difficulty being comforted.
4. Which of the following should guardians of a toddler with a leg cast report to the provider?
A. Capillary refill <2 seconds
B. Restricted toe movement
C. Foot swelling when dependent
D. Pedal pulse +3
Answer: B
Rationale: Restricted toe movement can indicate compartment syndrome, a medical emergency.
5. Instructions for a school-age child with moderate persistent asthma should include:
A. "Use salmeterol inhaler every 4 hours for acute wheezing."
B. "Monitor weight weekly on inhaled corticosteroids."
C. "Pulmonary function tests every 12-24 months evaluate therapy."
D. "Record the average of three peak flow readings."
Answer: C
Rationale: Pulmonary function tests assess the effectiveness of long-term asthma management.
6. Priority finding to report for an infant with pneumonia:
A. Nasal flaring
B. WBC count 18,000/mm³
C. Diarrhea
, estudyr
D. Abdominal distension
Answer: A
Rationale: Nasal flaring indicates respiratory distress and requires immediate attention.
7. Developmental activity for a 10-year-old with neutropenia:
A. Provide an adventure book.
B. Arrange frequent visits from peers.
C. Offer a large-piece puzzle.
D. Use puppets for entertainment.
Answer: A
Rationale: A book is a low-infection risk and appropriate for this developmental stage.
8. First action post-tonic-clonic seizure:
A. Check for head injury.
B. Observe for oral bleeding.
C. Assess respiratory rate.
D. Check for extremity weakness.
Answer: C
Rationale: Ensuring adequate airway and breathing is the priority post-seizure.
9. Alert for hemolytic transfusion reaction:
A. Laryngeal edema
B. Flank pain
C. Distended neck veins
D. Muscular weakness
Answer: B
Rationale: Flank pain is a hallmark of hemolysis due to red blood cell destruction.
