Exam Test Questions and Correct Answers
A school nurse is assessing a child who has been stung by a bee. The child's hand
is swelling and the nurse notes that the child is allergic to insect stings. Which of
the following findings should the nurse expect if the child develops anaphylaxis?
(SATA)
A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor
B) Nausea
D) Urticaria
E) Stridor
A nurse is caring for a client who is unconscious. Which of the following actions
should the nurse take when providing oral care for the client?
A) Test for the presence of the clients gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open
A) Test for the presence of the clients gag reflex
A nurse is planning care for a client who has acute myelogenous leukemia and a
platelet count of 48,000/mm^3. Which of the follow interventions should the nurse
include?
A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth
A) Avoid IM injection
,A nurse is in the emergency department assessing a child following a motor
vehicle crash. The child is unresponsive, has spontaneous respirations of 22/min,
and has a laceration of the forehead that is bleeding. Which of the following
nursing actions should be first?
A. Stabilize the neck first
B. cleanse the child's laceration with soap and water
C. implement seizure precautions for the child
D. initiate Iv access for the child
A
A nurse is caring for an adolescent who has a closed head injury. Which of the
following findings are indications of increased ICP? (select all that apply)
A. report of headache
B. alteration in pupillary response
C. increase motor response
D. increased sleeping
E. increased sensory response
A, B, D
A nurse is caring for a child with ICP. Which of the following actions should the
nurse take? (select all that apply)
A. suction the endotracheal tube every 2hours
B. maintain a quiet environment
C. use two pillows to elevate the head
D. administer a stool softener
E. maintain body alignment
B, D, E
A nurse is assessing a child who has a concussion. Which of the following findings
should the nurse expect. (select all that apply)
A. amnesia
B. systemic hypertension
C. bradycardia
D. respiratory depression
E. confusion
A, C, D, E
,A nurse is conducting a well child visit with a 5-year-old child. Which
immunizations should the nurse plan to administer to the child? (Select all that
apply)
A. DTaP
B. IPV
C. MMR
D. PCV
E. Hib
A, B, C
A nurse is preparing an education program for a group of parents of preschool-age
children about promoting optimum nutrition. Which of the following information
should the nurse include in the teaching?
A. saturated fats should equal 20% of total daily caloric intake
B. Average calorie intake should be 1800 calories per day
C. daily intake of fruits and vegetables should total 2 servings
D. Healthy diets include a total of 8g of protein each day
B
A nurse is performing a developmental screening on a 3-year-old child. Which of
the following skills should the nurse expect the child to perform?
A. ride a tricycle
B. Hop on one foot
C. jump rope
D. throw a ball overhead
A
A nurse is caring for a preschool age child who says she needs to leave the hospital
because her doll is scared to be at home alone. Which of the following
characteristics of preoperational thought is the child exhibiting?
A. Egocentrism
B. Centration
C. Animism
D. Magical thinking
C
, A nurse is preparing to assess the function of the client’s trigeminal nerve (cranial
nerve V). Which of the following items should the nurse gather for the test?
A) Sugar
B) Coffee
C) Cotton wisps
D) Snellen chart
C) Cotton wisps
A nurse is caring for a client with alcohol use disorder who has undergone
detoxification. Which of the following medications should the nurse expect the
provider to prescribe to assist the client with maintaining sobriety
A) Varenicline
B) Clonidine
C) Buprenorphine
D) Disulfiram
D) Disulfiram
A newly admitted client who has major depressive disorder states to the nurse, "I'm
a failure, I can't even cope with the little things anymore." Which of the following
responses should the nurse provide?
A) "What happened in your life to make you feel like such a failure?"
B) "It sounds as if you are feeling pretty overwhelmed right now"
C) "Do you feel like you don't deserve to feel good about yourself?"
D) "I know you feel like that now, but you'll feel differently when you get better"
C) "Do you feel like you don't deserve to feel good about yourself?"
A nurse is caring for a middle-aged adult client. The nurse should identify which of
the following statements as an indication that the client has completed Eriksons
developmental task for her age group?
A) "I am comfortable with my decision to choose a lifelong partner."
B) "I think I have done a good job with my children since they are all independent
now."
C) "As I look back over my life, I can see that I have achieved most of the goals I
set for myself."
D) I love my work so much that it's difficult to think about retirement."
B) "I think I have done a good job with my children since they are all independent
now."