NR 328 CMS Exam Practice Questions and answers verified to
pass 2025
1. Which interventions are in- Answer: B, D, E
cluded in the management Rationale: During a nosebleed, the child should be
instructed to
of nosebleeds in breathe through the mouth, cotton or wadded tissue can
children? Select all be inserted into the nostrils to stop bleeding, and
that apply. continuous pressure using the thumb and forefinger should
a. Apply warm be applied for at least 10 minutes. The child should be
compresses to the instructed to sit up and lean forward, not tilt the head
bridge of the nose if backward. Ice or cold cloths, not warm compresses, can be
bleeding is persistent. used on the bridge of the nose if bleeding persists.
b. Apply continuous
pres- sure to the nose
with thumb and
forefinger for at least
10 minutes.
c. Have the child sit
down and tilt the
head back- ward.
d. Insert cotton or
wadded tissue into
each nostril if
bleeding persists.
e. Instruct the child
to breathe through Answer: D
the mouth.
2. The nurse is
developing a
teaching plan for the family Rationale: The major cause of death for children with
sickle cell
of a toddler recently cell dis- ease. Of which does the
diag- nosed with sickle
,NR 328 CMS Exam Practice Questions and answers verified to
pass 2025
disease under the age of 5 is closely for presence of fever. Signs and symptoms of stroke,
overwhelming infections; thus the presence of respiratory problems, and
family needs to monitor the child
nurse include as important localized swelling over joints are also symptoms of
issues related to
for the family to be sickle cell disease, but are not directly related to the leading
aware and to report in cause of death for children under the age of 5.
order to recognize
signs of the ma- jor
cause of death for chil-
dren under age 5 with
sick-
,NR 328 CMS Exam Practice Questions and answers verified to
pass 2025
le cell disease? ic, has difficulty breath- ing, and
a. Presence of has rales upon inspiration
respiratory problems throughout the lung fields. What is
b. Signs and symptoms the nurse's best response to
of stroke
c. Localized swelling
over joints
d. Presence of fever
3. Which symptom would
the nurse recognize as
an ac- quired
immunodeficiency
syndrome (AIDS)-
defining condition in an
American child with
human immun-
odeficiency virus (HIV)?
a. Parotitis
b. Cytomegalovirus
c. Oral candidiasis
d. Hepatosplenomegaly
4. The nurse is
administer- ing a
blood transfusion to
a child for
treatment of
hemophilia. Upon as-
sessment, the nurse
notes that the child is
cyanot-
, NR 328 CMS Exam Practice Questions and answers verified to
pass 2025
immediate response to the situation. Epinephrine is
administered for allergic reactions. Insertion of a urinary
catheter may be done to treat an incompati- bility reaction.
Answer: B
Rationale: Cytomegalovirus is a
defining condition for AIDS in an HIV-
infected American child. Parotitis, oral
candidiasis, and he- patosplenomegaly
are common clinical manifestations of HIV
infec- tion in children but not AIDS-
defining conditions.
Answer: A
Rationale: Cyanosis, rales, and diflculty
breathing are all potential signs of
circulatory overload. If signs of
circulatory overload occur, the
transfusion should be stopped
immediately. Reassessing the patient
in five minutes would not provide an
pass 2025
1. Which interventions are in- Answer: B, D, E
cluded in the management Rationale: During a nosebleed, the child should be
instructed to
of nosebleeds in breathe through the mouth, cotton or wadded tissue can
children? Select all be inserted into the nostrils to stop bleeding, and
that apply. continuous pressure using the thumb and forefinger should
a. Apply warm be applied for at least 10 minutes. The child should be
compresses to the instructed to sit up and lean forward, not tilt the head
bridge of the nose if backward. Ice or cold cloths, not warm compresses, can be
bleeding is persistent. used on the bridge of the nose if bleeding persists.
b. Apply continuous
pres- sure to the nose
with thumb and
forefinger for at least
10 minutes.
c. Have the child sit
down and tilt the
head back- ward.
d. Insert cotton or
wadded tissue into
each nostril if
bleeding persists.
e. Instruct the child
to breathe through Answer: D
the mouth.
2. The nurse is
developing a
teaching plan for the family Rationale: The major cause of death for children with
sickle cell
of a toddler recently cell dis- ease. Of which does the
diag- nosed with sickle
,NR 328 CMS Exam Practice Questions and answers verified to
pass 2025
disease under the age of 5 is closely for presence of fever. Signs and symptoms of stroke,
overwhelming infections; thus the presence of respiratory problems, and
family needs to monitor the child
nurse include as important localized swelling over joints are also symptoms of
issues related to
for the family to be sickle cell disease, but are not directly related to the leading
aware and to report in cause of death for children under the age of 5.
order to recognize
signs of the ma- jor
cause of death for chil-
dren under age 5 with
sick-
,NR 328 CMS Exam Practice Questions and answers verified to
pass 2025
le cell disease? ic, has difficulty breath- ing, and
a. Presence of has rales upon inspiration
respiratory problems throughout the lung fields. What is
b. Signs and symptoms the nurse's best response to
of stroke
c. Localized swelling
over joints
d. Presence of fever
3. Which symptom would
the nurse recognize as
an ac- quired
immunodeficiency
syndrome (AIDS)-
defining condition in an
American child with
human immun-
odeficiency virus (HIV)?
a. Parotitis
b. Cytomegalovirus
c. Oral candidiasis
d. Hepatosplenomegaly
4. The nurse is
administer- ing a
blood transfusion to
a child for
treatment of
hemophilia. Upon as-
sessment, the nurse
notes that the child is
cyanot-
, NR 328 CMS Exam Practice Questions and answers verified to
pass 2025
immediate response to the situation. Epinephrine is
administered for allergic reactions. Insertion of a urinary
catheter may be done to treat an incompati- bility reaction.
Answer: B
Rationale: Cytomegalovirus is a
defining condition for AIDS in an HIV-
infected American child. Parotitis, oral
candidiasis, and he- patosplenomegaly
are common clinical manifestations of HIV
infec- tion in children but not AIDS-
defining conditions.
Answer: A
Rationale: Cyanosis, rales, and diflculty
breathing are all potential signs of
circulatory overload. If signs of
circulatory overload occur, the
transfusion should be stopped
immediately. Reassessing the patient
in five minutes would not provide an
