50 NCLEX-Style Nursing Exam
Questions 2025 | Nur 101
Q20-50 (Modules H–K)
Comprehensive Questions
with Answers & Rationales |
Grade A | 100% Correct -The
Ultimate Guide for Yr.
(2026/2027)
**20.** A child on chemotherapy develops mouth ulcers. What is the most
appropriate nursing intervention?
A. Apply hydrogen peroxide
B. Give citrus juices
C. Encourage oral hygiene with saline rinses
D. Offer hot foods
**Correct Answer: ** Encourage oral hygiene with saline rinses
**Rationale: ** Saline rinses prevent infection without further irritating
mucous membranes.
,**21.** Which action is priority when caring for a child receiving a blood
transfusion?
A. Monitor vital signs closely
B. Encourage rapid infusion
C. Warm blood quickly
D. Provide oral hydration only
**Correct Answer: ** Monitor vital signs closely
**Rationale: ** Monitoring vitals detects early transfusion reactions
promptly.
**22.** A child with Hirschsprung’s disease is likely to present with:
A. Severe diarrhea
B. Ribbon-like stools
C. Weight gain
D. Normal bowel movements
**Correct Answer: ** Ribbon-like stools
**Rationale: ** Ribbon-like stools result from narrowed colon segments.
**23.** For a child with vesicoureteral reflux (VUR), the primary nursing
goal is to:
A. Encourage frequent voiding
B. Increase dietary sodium
C. Monitor renal function regularly
D. Restrict fluids significantly
,**Correct Answer: ** Monitor renal function regularly
**Rationale: ** Regular monitoring prevents kidney damage from recurrent
infections.
**24.** In diabetic ketoacidosis (DKA), the nurse anticipates administering:
A. IV insulin and fluids
B. Oral hypoglycemics
C. IV glucagon
D. Rapid oral rehydration only
**Correct Answer: ** IV insulin and fluids
**Rationale: ** IV insulin and fluid resuscitation correct ketoacidosis
effectively.
**25.** A sign of congenital hypothyroidism in infants includes:
A. Hyperactivity
B. Cold intolerance
C. Prolonged jaundice
D. Excessive hunger
**Correct Answer: ** Prolonged jaundice
**Rationale: ** Prolonged jaundice is a common initial indicator of
congenital hypothyroidism.
Here are questions **26–35** clearly presented:
, **26.** What should the nurse teach parents about iron supplements in
iron-deficiency anemia?
A. Take with milk
B. Administer with orange juice
C. Expect stools to lighten
D. Decrease fluid intake
**Correct Answer: ** B
**Rationale: ** Vitamin C in orange juice enhances iron absorption.
**27.** The priority intervention for a child experiencing hemarthrosis due
to hemophilia is to:
A. Apply warm compresses
B. Immobilize and elevate the joint
C. Encourage range of motion
D. Administer aspirin
**Correct Answer: ** B
**Rationale: ** Immobilizing and elevating helps reduce bleeding and
swelling in joints.
**28.** The nurse anticipates which symptom in a child with a brain
tumor?
A. Persistent headaches and vomiting
B. Weight gain
C. Increased appetite
Questions 2025 | Nur 101
Q20-50 (Modules H–K)
Comprehensive Questions
with Answers & Rationales |
Grade A | 100% Correct -The
Ultimate Guide for Yr.
(2026/2027)
**20.** A child on chemotherapy develops mouth ulcers. What is the most
appropriate nursing intervention?
A. Apply hydrogen peroxide
B. Give citrus juices
C. Encourage oral hygiene with saline rinses
D. Offer hot foods
**Correct Answer: ** Encourage oral hygiene with saline rinses
**Rationale: ** Saline rinses prevent infection without further irritating
mucous membranes.
,**21.** Which action is priority when caring for a child receiving a blood
transfusion?
A. Monitor vital signs closely
B. Encourage rapid infusion
C. Warm blood quickly
D. Provide oral hydration only
**Correct Answer: ** Monitor vital signs closely
**Rationale: ** Monitoring vitals detects early transfusion reactions
promptly.
**22.** A child with Hirschsprung’s disease is likely to present with:
A. Severe diarrhea
B. Ribbon-like stools
C. Weight gain
D. Normal bowel movements
**Correct Answer: ** Ribbon-like stools
**Rationale: ** Ribbon-like stools result from narrowed colon segments.
**23.** For a child with vesicoureteral reflux (VUR), the primary nursing
goal is to:
A. Encourage frequent voiding
B. Increase dietary sodium
C. Monitor renal function regularly
D. Restrict fluids significantly
,**Correct Answer: ** Monitor renal function regularly
**Rationale: ** Regular monitoring prevents kidney damage from recurrent
infections.
**24.** In diabetic ketoacidosis (DKA), the nurse anticipates administering:
A. IV insulin and fluids
B. Oral hypoglycemics
C. IV glucagon
D. Rapid oral rehydration only
**Correct Answer: ** IV insulin and fluids
**Rationale: ** IV insulin and fluid resuscitation correct ketoacidosis
effectively.
**25.** A sign of congenital hypothyroidism in infants includes:
A. Hyperactivity
B. Cold intolerance
C. Prolonged jaundice
D. Excessive hunger
**Correct Answer: ** Prolonged jaundice
**Rationale: ** Prolonged jaundice is a common initial indicator of
congenital hypothyroidism.
Here are questions **26–35** clearly presented:
, **26.** What should the nurse teach parents about iron supplements in
iron-deficiency anemia?
A. Take with milk
B. Administer with orange juice
C. Expect stools to lighten
D. Decrease fluid intake
**Correct Answer: ** B
**Rationale: ** Vitamin C in orange juice enhances iron absorption.
**27.** The priority intervention for a child experiencing hemarthrosis due
to hemophilia is to:
A. Apply warm compresses
B. Immobilize and elevate the joint
C. Encourage range of motion
D. Administer aspirin
**Correct Answer: ** B
**Rationale: ** Immobilizing and elevating helps reduce bleeding and
swelling in joints.
**28.** The nurse anticipates which symptom in a child with a brain
tumor?
A. Persistent headaches and vomiting
B. Weight gain
C. Increased appetite
