ACTUAL Exam Questions and CORRECT
Answers
A nurse is assisting the provider with a developmental assessment of a toddler. Which of the
following behaviors should the nurse recognize as an expected finding? - CORRECT
ANSWER - Stands on one foot for several seconds.
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vast-occlusive crisis. Which of the following is the priority intervention for the
nurse to recommend to include in the plan? - CORRECT ANSWER - Promote oxygen
utilization.
A nurse is reinforcing teaching about home safety with the parent of a toddler. Which of the
following parent statements indicates an understanding of the teaching? - CORRECT
ANSWER - "I will place a screen in front of the fireplace."
A nurse is reinforcing teaching regarding immunization schedule of a newborn. Which of the
following statements made by the parent should the nurse recognize as an understanding of the
newborn's immunization schedule? - CORRECT ANSWER - "My baby will receive his
next immunization when he is 2 months old."
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a
preschooler. The nurse should recognize which of the following statements by the parent as a
contraindication to receive the immunization? - CORRECT ANSWER - "My child
received an immunoglobulin last month."
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is taking
pancrelipase as an enzyme replacement. The nurse should plan to inform the child's parents that
the therapeutic effects of this medication of this medication can be evaluated by which of the
following? - CORRECT ANSWER - Amount and consistency of stools.
, A nurse is reinforcing teaching with the parent of a child who has hemophilia and is experiencing
acute hemarthrosis. Which of the following instructions should the nurse include in the training?
- CORRECT ANSWER - Keep the affected joints immobilized.
A nurse has just received change-of-shift report for four children in a pediatric unit. Which of the
following children should the nurse collect data from first? - CORRECT ANSWER -A
child who has a fever and nuchal rigidity
A nurse is assisting with scoliosis screenings for a group of school-age children. The nurse
should place the students in which of the following positions during the screening? - CORRECT
ANSWER - Bending forward with back parallel to the floor
A nurse is a pediatric clinic is observing for an anaphylactic reaction after administering an IM
antibiotic to a child 5 min ago. Which of the following manifestations should the nurse expect to
observe first? - CORRECT ANSWER - Hives
A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The
nurse should identify which of the following as an indication that the preschooler experienced an
allergic reaction to the contrast dye? - CORRECT ANSWER - Urticaria
A nurse is reinforcing teaching with the parents of a 7 year old female child about behavioral
expectations. Which of the following behaviors should the nurse include in the teaching? -
CORRECT ANSWER - Spends a lot of time by herself
A nurse is assisting with the care of an infant who has spina bifida and recently has a
ventriculoperitoneal shunt placed for hydrocephalus. Which of the following findings should the
nurse identify as an indication of increased intracranial pressure? - CORRECT ANSWER -
High pitched cry
A nurse is collecting data from a child who has iron deficiency anemia. Which of the following
data signifies that adherence to ferrous sulfate therapy has occurred? - CORRECT
ANSWER - Green, tarry stools