EXAM 2025-2026 ACTUAL EXAM
COMPLETE 153 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)
A nurse is assisting with the care of a child who is postoperative and received
a transfusion
during a surgical procedure. Which of the following findings indicates the
child is having a
hemolytic reaction?
a) Chills and flank pain
b) Pruritus and flushing
c) Rales and cyanosis
d) Bradycardia and diarrhea
A
Chills and flank pain are findings that indicate an incompatibility
of the transfused blood product with the client's blood. The nurse should
identify this
finding as an indication that the child is having a hemolytic reaction.)
. A nurse is collecting date from a child during a well-child visit. The nurse
should recognize
that which of the following findings places the child at a higher risk for
abuse?
a) The child is 6 years old.
b) The child is male.
,c) The child was born at 30 weeks of gestation.
d) The child was born via cesarean birth.
C
The nurse should identify that children who
are born prematurely are at greater risk for abuse because of the potential
for impaired
bonding during early infancy.
A nurse is reinforcing teaching with the guardian of a child who has a new
diagnosis of
rheumatic fever. Which of the following statements by the guardian indicates
an
understanding of the teaching?
a) "I should not give my child aspirin for pain or fever."
b) "My child will take antibiotic for 6 months."
c) "My child might have a period of irregular movement of the extremities."
d) "I should expect there to be blood in my child's urine."
C
The nurse
should instruct the guardian that the child might experience chorea weeks or
months after
the initial diagnosis. Chorea is a temporary lack of coordination and the
presence of
sudden, irregular movements or periods of clumsiness.
A nurse is collecting data from an infant during a well-child visit. Which of the
following
,sites should the nurse use when obtaining the infant's heart rate?
) Apical
b) Radial
c) Carotid
d) Femoral
A
(The nurse should use the apical pulse to obtain the infant's heart rate and
count it
for a full minute, because it gives a reliable rate and rhythm and provides
accurate
baseline assessment data. In an infant, the apical heart rate is auscultated at
the fourth
intercostal space lateral to the midclavicular line.)
A nurse is preparing a toddler for suturing of a minor facial laceration. The
nurse should
place the toddler in which of the following restraints?
a) Mummy restraint
b) Jacket restraint
c) Elbow restraint
d) Wrist restraint
A
The nurse should use a mummy wrap when a short-term restraint is
needed for treatment of the toddler that involves the head and neck. The
nurse should
always use the least amount of restraint necessary.)
, A nurse is reinforcing dietary teaching with the parent of a 2-year-old toddler.
Which of the
following should the nurse include in the teaching?
a) "It is recommended that the toddler consumes no more than 12 ounces of
fruit juice each
day."
b) "An appropriate serving size is 1 tablespoon of food per year of age."
c) "Introduce healthy finger foods like carrots and celery sticks."
d) "Encourage 5 cups of low-fat milk each day.
B
The nurse should
include that an appropriate serving size for a 2-year-old toddler is 1 tbsp of
food per year
of age.
During a well-child visit, the parent of a toddler expresses concern to the
nurse that the
toddler takes several hours to fall asleep at night. Which of the following
recommendations
should the nurse make?
a) Vary the time the toddler goes to bed each night
b) Allow the toddler to watch television before bedtime
c) Provide the toddler with a favorite toy at bedtime.
d) Increase the toddler's activity prior to bedtime
C
The nurse should recommend to the