NSG 240 FINAL EXAM
NSG 240 FINAL EXAM 2025/2026
COMPLETE ALL 350 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||ALREADY GRADED A+
An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. Which would the
nurse tell the girl that may help her wear the bracelet consistently?
1. Hide the bracelet under long-sleeved clothes.
2. Wear the bracelet when engaging in contact sports.
3. Ask her friends to wear bracelets that look like hers.
4. Select a bracelet similar to bracelets worn by her peers.
Answer: 4. Select a bracelet similar to bracelets worn by her peers.
Rationale: Because adolescents have a developmental need to conform to their peers, the teenager
should be able to select a bracelet of a design similar to that of those worn by her peers. Hiding the
bracelet under long-sleeved clothes might be acceptable in cool weather, but not when it is warm
and friends are wearing T-shirts. The bracelet should be worn at all times when the girl is not with
responsible family members. Asking friends to wear a similar bracelet may be difficult, especially if
the girl does not wish to tell her friends why she needs the bracelet.
Which of these age groups has the highest incidence of lead poisoning?
1. Adult
2. Toddler
3. Adolescent
4. School-age child
Answer: 2. Toddler
Rationale: The incidence of lead poisoning is highest in late infancy and toddlerhood. Children at this
stage explore the environment and because of their increased level of oral activity, put objects into
their mouths. Adults have a greater risk of cardiovascular or pulmonary disease. Drowning and motor
vehicle accidents are more common among adolescents. Bicycle accidents are more common among
school-aged children.
A+ TEST BANK 1
, NSG 240 FINAL EXAM
How do toddlers learn self-protection?
1. Through trial-and-error strategies
2. By imitating playmates and siblings
3. By obeying orders from mother and father
4. By playing with age-appropriate toys and puzzles
Answer: 1. Through trial-and-error strategies
Rationale: The toddler is developing autonomy, is curious, and learns self-protection from
experience. Toddlerhood play is parallel, not interactive. The struggle for autonomy at this age limits
learning from siblings, even though the toddler attempts to copy their behavior. The toddler is still
learning from experiences, not from others. The toddler is still attempting to distinguish the self as
separate from the parents; the struggle for autonomy limits learning from parents. Toddlers learn
gross and fine motor skills as they play with their toys, not self-protection.
After the nurse provides education about all-terrain vehicle (ATV) safety for a parent of a 11-year-old
child, which statement made by the parent indicates an understanding of the information?
1. 'I will have my child ride with an adult.'
2. 'I will make sure my child wears a helmet.'
3. 'I will make sure my child does not get on an ATV.'
4. 'I will make sure my child has had safety training before he or she rides.'
Answer: 3. 'I will make sure my child does not get on an ATV.'
Rationale: The American Academy of Pediatrics recommends that children under 16 years of age not
ride in or operate an ATV. The child should not ride with another adult. When the child is 16 years of
age and begins riding an ATV, safety gear such as a helmet should be worn and proper safety training
should be implemented.
Which parental statement would the nurse recognize as indicating the need for further education
about bicycle safety for a school-aged client?
1. 'My child should be able to place both feet on the ground while seated.'
2. 'My child should be able to easily grasp the brake handles and squeeze them.'
3. 'My child will be required to wear a bicycle helmet if he or she wants to ride a bike.'
4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Answer: 4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Rationale: Children may not safely be able to ride their bike within a couple of weeks of learning. The
child should be able to place the balls of both feet on the ground while sitting on the bike. The child
should easily be able to grasp the brake handles and squeeze them. The child should always wear the
appropriate safety equipment while riding his or her bike.
A+ TEST BANK 2
, NSG 240 FINAL EXAM
Which intervention would the nurse encourage the parents of a child with plumbism (lead poisoning)
to do?
1. Discourage the child's pica by providing nutritious snacks.
2. Move the family away from areas that are next to gas stations.
3. Assess the family home environment for lead sources and have them removed.
4. Have the child take repeat x-rays of the wrist and forearm for signs of a lead line.
Answer: 3. Assess the family home environment for lead sources and have them removed.
Rationale: All sources of lead must be removed from the home if the problem is to be controlled.
Sources include lead-painted surfaces and old plumbing that has lead solder. Although pica must be
controlled if it is present, this alone will not eliminate the environmental risks. The data do not
indicate that the child is engaging in pica. Leaded gasoline is no longer used in the United States.
Chelation therapy is based on the blood lead level; changes in bone take longer to evaluate.
The nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral
palsy. How would the nurse explain this choice to the parents?
1. The child has minimal step ability in the lower extremities.
2. It provides for two points of support on the floor at all times.
3. It provides for equal but partial weight bearing on each limb.
4. The child has more power in the upper extremities than in the lower extremities.
Answer: 3. It provides for equal but partial weight bearing on each limb.
Rationale: The four-point alternate crutch gait is a simple, slow, stable gait because there are always
three points of support on the floor, with equal but partial weight bearing on each limb. The child
has the ability to move, but the movement in the lower extremities is uncoordinated. The four-point
gait provides for three points of support, not two, at all times. A four-point gait divides weight
bearing equally among the limbs.
The nurse explains to the parents of a 6-year-old child with a pinworm infestation how pinworms are
transmitted. Which statement indicates that the teaching has been understood?
1. 'We need to keep the cat off the bed.'
2. 'She needs tow ash her hands before eating anything.'
3. 'She needs to cover her mouth whenever she coughs.'
4. 'We need to tell the school so that the cafeteria can be cleaned.'
Answer: 2. 'She needs tow ash her hands before eating anything.'
Rationale: Pinworm infestation is transferred by way of the oral-anal route, and effective hand
washing is the best way to prevent transmission. Cats do not transmit pinworms. The hands should
be kept away from the nose and mouth; the child should be taught to cough into a tissue or the
inside elbow of the arm. Cleaning the cafeteria is not an effective means of preventing the
transmission of pinworms.
A+ TEST BANK 3
, NSG 240 FINAL EXAM
Which would the nurse do first if an allergic reaction to a blood transfusion occurs?
1. Shut off the infusion.
2. Slow the rate of flow.
3. Administer an antihistamine.
4. Call the health care provider (HCP).
Answer: 1. Shut off the infusion.
Rationale: The child is experiencing an allergic reaction, and the infusion must be stopped
immediately to prevent serious complications. Slowing the rate of infusion will not halt the allergic
reaction to the transfused blood. Administering an antihistamine is dangerous as an initial action
because of the degree of allergic reaction cannot be determined at this time. Also, it requires an
HCP's prescription. The HCP should be notified after the infusion has been stopped.
Which nursing action would be included in the plan of care for a child with acute poststreptococcal
glomerulonephritis?
1. Encouraging fluids
2. Monitoring for seizures
3. Measuring abdominal girth
4. Checking for pupillary reactions
Answer: 2. Monitoring for seizures
Rationale: Cerebral edema from hypertension or cerebral ischemia may occur, which may result in
seizures. Increasing fluid intake may lead to an increase in blood pressure and edema. Measuring
abdominal girth is appropriate for children with nephrotic syndrome, in which the child has
hypoalbuminemia that causes fluid to shift from plasma to the abdominal cavity. Glomerulonephritis
will not alter pupillary reactions.
Which noninvasive assessment and management skills certification would the nurse be required to
use for airway maintenance and cardiopulmonary resuscitation (CPR)?
1. Basic Life Support (BLS)
2. Certified Emergency Nurse (CEN)
3. Advanced Cardiac Life Support (ACLS)
4. Pediatric Advanced Life Support (PALS)
Answer: 1. Basic Life Support (BLS)
Rationale: BLS is the certification for emergency nursing that includes assessment and management
skills for airway maintenance and CPR. CEN is emergency nursing certification that validates the core
emergency nursing knowledge base. ACLS involves invasive airway management skills,
pharmacology, electrical therapies, and special resuscitation. PALS involves neonatal and pediatric
resuscitation.
A+ TEST BANK 4
NSG 240 FINAL EXAM 2025/2026
COMPLETE ALL 350 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||ALREADY GRADED A+
An adolescent girl with a seizure disorder refuses to wear a medical alert bracelet. Which would the
nurse tell the girl that may help her wear the bracelet consistently?
1. Hide the bracelet under long-sleeved clothes.
2. Wear the bracelet when engaging in contact sports.
3. Ask her friends to wear bracelets that look like hers.
4. Select a bracelet similar to bracelets worn by her peers.
Answer: 4. Select a bracelet similar to bracelets worn by her peers.
Rationale: Because adolescents have a developmental need to conform to their peers, the teenager
should be able to select a bracelet of a design similar to that of those worn by her peers. Hiding the
bracelet under long-sleeved clothes might be acceptable in cool weather, but not when it is warm
and friends are wearing T-shirts. The bracelet should be worn at all times when the girl is not with
responsible family members. Asking friends to wear a similar bracelet may be difficult, especially if
the girl does not wish to tell her friends why she needs the bracelet.
Which of these age groups has the highest incidence of lead poisoning?
1. Adult
2. Toddler
3. Adolescent
4. School-age child
Answer: 2. Toddler
Rationale: The incidence of lead poisoning is highest in late infancy and toddlerhood. Children at this
stage explore the environment and because of their increased level of oral activity, put objects into
their mouths. Adults have a greater risk of cardiovascular or pulmonary disease. Drowning and motor
vehicle accidents are more common among adolescents. Bicycle accidents are more common among
school-aged children.
A+ TEST BANK 1
, NSG 240 FINAL EXAM
How do toddlers learn self-protection?
1. Through trial-and-error strategies
2. By imitating playmates and siblings
3. By obeying orders from mother and father
4. By playing with age-appropriate toys and puzzles
Answer: 1. Through trial-and-error strategies
Rationale: The toddler is developing autonomy, is curious, and learns self-protection from
experience. Toddlerhood play is parallel, not interactive. The struggle for autonomy at this age limits
learning from siblings, even though the toddler attempts to copy their behavior. The toddler is still
learning from experiences, not from others. The toddler is still attempting to distinguish the self as
separate from the parents; the struggle for autonomy limits learning from parents. Toddlers learn
gross and fine motor skills as they play with their toys, not self-protection.
After the nurse provides education about all-terrain vehicle (ATV) safety for a parent of a 11-year-old
child, which statement made by the parent indicates an understanding of the information?
1. 'I will have my child ride with an adult.'
2. 'I will make sure my child wears a helmet.'
3. 'I will make sure my child does not get on an ATV.'
4. 'I will make sure my child has had safety training before he or she rides.'
Answer: 3. 'I will make sure my child does not get on an ATV.'
Rationale: The American Academy of Pediatrics recommends that children under 16 years of age not
ride in or operate an ATV. The child should not ride with another adult. When the child is 16 years of
age and begins riding an ATV, safety gear such as a helmet should be worn and proper safety training
should be implemented.
Which parental statement would the nurse recognize as indicating the need for further education
about bicycle safety for a school-aged client?
1. 'My child should be able to place both feet on the ground while seated.'
2. 'My child should be able to easily grasp the brake handles and squeeze them.'
3. 'My child will be required to wear a bicycle helmet if he or she wants to ride a bike.'
4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Answer: 4. 'My child should be able to safely ride after being supervised for a couple of weeks.'
Rationale: Children may not safely be able to ride their bike within a couple of weeks of learning. The
child should be able to place the balls of both feet on the ground while sitting on the bike. The child
should easily be able to grasp the brake handles and squeeze them. The child should always wear the
appropriate safety equipment while riding his or her bike.
A+ TEST BANK 2
, NSG 240 FINAL EXAM
Which intervention would the nurse encourage the parents of a child with plumbism (lead poisoning)
to do?
1. Discourage the child's pica by providing nutritious snacks.
2. Move the family away from areas that are next to gas stations.
3. Assess the family home environment for lead sources and have them removed.
4. Have the child take repeat x-rays of the wrist and forearm for signs of a lead line.
Answer: 3. Assess the family home environment for lead sources and have them removed.
Rationale: All sources of lead must be removed from the home if the problem is to be controlled.
Sources include lead-painted surfaces and old plumbing that has lead solder. Although pica must be
controlled if it is present, this alone will not eliminate the environmental risks. The data do not
indicate that the child is engaging in pica. Leaded gasoline is no longer used in the United States.
Chelation therapy is based on the blood lead level; changes in bone take longer to evaluate.
The nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral
palsy. How would the nurse explain this choice to the parents?
1. The child has minimal step ability in the lower extremities.
2. It provides for two points of support on the floor at all times.
3. It provides for equal but partial weight bearing on each limb.
4. The child has more power in the upper extremities than in the lower extremities.
Answer: 3. It provides for equal but partial weight bearing on each limb.
Rationale: The four-point alternate crutch gait is a simple, slow, stable gait because there are always
three points of support on the floor, with equal but partial weight bearing on each limb. The child
has the ability to move, but the movement in the lower extremities is uncoordinated. The four-point
gait provides for three points of support, not two, at all times. A four-point gait divides weight
bearing equally among the limbs.
The nurse explains to the parents of a 6-year-old child with a pinworm infestation how pinworms are
transmitted. Which statement indicates that the teaching has been understood?
1. 'We need to keep the cat off the bed.'
2. 'She needs tow ash her hands before eating anything.'
3. 'She needs to cover her mouth whenever she coughs.'
4. 'We need to tell the school so that the cafeteria can be cleaned.'
Answer: 2. 'She needs tow ash her hands before eating anything.'
Rationale: Pinworm infestation is transferred by way of the oral-anal route, and effective hand
washing is the best way to prevent transmission. Cats do not transmit pinworms. The hands should
be kept away from the nose and mouth; the child should be taught to cough into a tissue or the
inside elbow of the arm. Cleaning the cafeteria is not an effective means of preventing the
transmission of pinworms.
A+ TEST BANK 3
, NSG 240 FINAL EXAM
Which would the nurse do first if an allergic reaction to a blood transfusion occurs?
1. Shut off the infusion.
2. Slow the rate of flow.
3. Administer an antihistamine.
4. Call the health care provider (HCP).
Answer: 1. Shut off the infusion.
Rationale: The child is experiencing an allergic reaction, and the infusion must be stopped
immediately to prevent serious complications. Slowing the rate of infusion will not halt the allergic
reaction to the transfused blood. Administering an antihistamine is dangerous as an initial action
because of the degree of allergic reaction cannot be determined at this time. Also, it requires an
HCP's prescription. The HCP should be notified after the infusion has been stopped.
Which nursing action would be included in the plan of care for a child with acute poststreptococcal
glomerulonephritis?
1. Encouraging fluids
2. Monitoring for seizures
3. Measuring abdominal girth
4. Checking for pupillary reactions
Answer: 2. Monitoring for seizures
Rationale: Cerebral edema from hypertension or cerebral ischemia may occur, which may result in
seizures. Increasing fluid intake may lead to an increase in blood pressure and edema. Measuring
abdominal girth is appropriate for children with nephrotic syndrome, in which the child has
hypoalbuminemia that causes fluid to shift from plasma to the abdominal cavity. Glomerulonephritis
will not alter pupillary reactions.
Which noninvasive assessment and management skills certification would the nurse be required to
use for airway maintenance and cardiopulmonary resuscitation (CPR)?
1. Basic Life Support (BLS)
2. Certified Emergency Nurse (CEN)
3. Advanced Cardiac Life Support (ACLS)
4. Pediatric Advanced Life Support (PALS)
Answer: 1. Basic Life Support (BLS)
Rationale: BLS is the certification for emergency nursing that includes assessment and management
skills for airway maintenance and CPR. CEN is emergency nursing certification that validates the core
emergency nursing knowledge base. ACLS involves invasive airway management skills,
pharmacology, electrical therapies, and special resuscitation. PALS involves neonatal and pediatric
resuscitation.
A+ TEST BANK 4
