Level 1 Online Practice A Exam
(2025/2026) Questions and Answers
with Rationales
A nurse is assessing a preschooler who has a urinary tract infection
(UTI). Which of the following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash - ✔✔ANSWER✔✔-Abdominal Pain
,Rat: The nurse should expect a preschooler who has a UTI to
experience abdominal pain. Other manifestations include
constipation, dysuria, foul-smelling urine, and fever.
A nurse is counseling a client who has a family history of colorectal
cancer about management of nutrition to help prevent
gastrointestinal (GI) cancers. Which of the following images indicates
a food or beverage the nurse should encourage the client to include
liberally in his diet? - ✔✔ANSWER✔✔-Fruits and Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse
should instruct the client to consume at least 2.5 cups of fruits and
vegetables per day.
A nurse is preparing to extinguish a small fire in a clients room.
Which of the following actions should the nurse take when using the
fire extinguisher?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three
times.
3. Sweep the fire extinguisher in a circular motion until the fire is
extinguished.
,4. Slide the pin on top of the fire extinguisher straight out. -
✔✔ANSWER✔✔-Slide the pin on top of the fire extinguisher straight
out.
Rat: The nurse should pull the pin on the top of the fire extinguisher
to allow for use to extinguish the fire.
A nurse is caring for a child who has celiac disease. Which of the
following items should the nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins - ✔✔ANSWER✔✔-Oatmeal with raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a
protein in wheat, rye, oats, and barley. This intolerance causes
diarrhea, weight loss, abdominal pain, and fatigue. Therefore, the
nurse should remove oatmeal from the child's meal tray.
A nurse at a providers office is counseling a client who reports
insomnia. Which of the following statements should the nurse make
to include the clients preferences into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early
evenings"
, 2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you
feel each day" - ✔✔ANSWER✔✔-"Sleep in the location of your home
where you feel your rest best"
Rat: The nurse should encourage the client to sleep wherever she
feels she gets the most rest, whether it be a bed, couch, or chair.
A nurse is assessing the spiritual wellbeing and development of a
preschooler. The nurse asks the preschooler, "Why is it wrong to kick
our baby sister?" Which of the following responses should the nurse
expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad." -
✔✔ANSWER✔✔-"It's wrong because my dad said I can't kick her."
Rat: The nurse should expect the preschooler to be motivated to
choose right from wrong because of rules taught to him by his
parents. The nurse should understand that, even though the
preschooler might know the rules, he is not yet able to understand
the rationale for the rules.