NUR 2038 Exam 2 Practice Questions
All with Correct/Verified Solutions
2026 Update.
The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been
scratching the skin continuously and has developed a rash. The nurse assesses the child and
suspects the presence of scabies. The nurse bases this suspicion on which finding noted on
assessment of the child's skin?
1.Fine grayish red lines
2.Purple-colored lesions
3.Thick, honey-colored crusts
4.Clusters of fluid-filled vesicles - Answer 1.Fine grayish red lines
Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should give which
instruction to the parents regarding the use of this treatment?
1.Apply the lotion to areas of the rash only.
2.Apply the lotion and leave it on for 6 hours.
3.Avoid putting clothes on the child over the lotion.
4.Apply the lotion to cool, dry skin at least 30 minutes after bathing. - Answer 4.Apply the
lotion to cool, dry skin at least 30 minutes after bathing.
The school nurse has provided an instructional session about impetigo to parents of the
children attending the school. Which statement, if made by a parent, indicates a need for
further instruction?
1."It is extremely contagious."
2."It is most common in humid weather."
3."Lesions most often are located on the arms and chest."
4."It might show up in an area of broken skin, such as an insect bite." - Answer 3."Lesions
most often are located on the arms and chest."
The clinic nurse is reviewing the primary health care provider's prescription for a child who has
been diagnosed with scabies. Lindane has been prescribed for the child. The nurse questions
the prescription if which is noted in the child's record?
1.The child is 18 months old.
2.The child is being bottle-fed.
3.A sibling is using lindane for the treatment of scabies.
4.The child has a history of frequent respiratory infections. - Answer 1.The child is 18 months
old.
,A topical corticosteroid is prescribed by the primary health care provider for a child with contact
dermatitis (eczema). Which instruction should the nurse give the parent about applying the
cream?
1.Apply the cream over the entire body.
2.Apply a thick layer of cream to affected areas only.
3.Avoid cleansing the area before application of the cream.
4.Apply a thin layer of cream and rub it into the area thoroughly. - Answer 4.Apply a thin
layer of cream and rub it into the area thoroughly.
The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment
finding indicates that a child has a "positive" head check for lice?
1.Maculopapular lesions behind the ears
2.Lesions in the scalp that extend to the hairline or neck
3.White flaky particles throughout the entire scalp region
4.White sacs attached to the hair shafts in the occipital area - Answer 4.White sacs attached
to the hair shafts in the occipital area
A mother brings her 2-week-old infant to a clinic for a phenylketonuria rescreening blood test.
The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews
this result and makes which interpretation?
1.It is positive.
2.It is negative.
3.It is inconclusive.
4.It requires rescreening at age 6 weeks. - Answer 2.It is negative.
The clinic nurse reviews the record of an infant and notes that the primary health care provider
(PHCP) has documented a diagnosis of suspected Hirschsprung's disease. The nurse reviews the
assessment findings documented in the record, knowing that which sign most likely led the
mother to seek health care for the infant?
1.Diarrhea
2.Projectile vomiting
3.Regurgitation of feedings
4.Foul-smelling ribbon-like stools - Answer 4.Foul-smelling ribbon-like stools
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side.
The nurse should place the infant in which best position at this time?
1.Prone position
,2.On the stomach
3.Left lateral position
4.Right lateral position - Answer 3.Left lateral position
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal
atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely
sign of this condition documented in the record?
1.Incessant crying
2.Coughing at nighttime
3.Choking with feedings
4.Severe projectile vomiting - Answer 3.Choking with feedings
The nurse is caring for a newborn with a suspected diagnosis of imperforate anus. The nurse
monitors the infant, knowing that which is a clinical manifestation associated with this disorder?
1.Bile-stained fecal emesis
2.The passage of currant jelly-like stools
3.Failure to pass meconium stool in the first 24 hours after birth 4.Sausage-shaped mass
palpated in the upper right abdominal quadrant - Answer 3.Failure to pass meconium stool
in the first 24 hours after birth
The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment,
which data would the nurse expect to obtain when asking the parent about the child's
symptoms?
1.Watery diarrhea
2.Projectile vomiting
3.Increased urine output
4.Vomiting large amounts of bile - Answer 2.Projectile vomiting
The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews
the child's record and expects to note which sign of this disorder documented?
1.Watery diarrhea
2.Ribbon-like stools
3.Profuse projectile vomiting
4.Bright red blood and mucus in the stools - Answer 4.Bright red blood and mucus in the
stools
After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which
initial action?
, 1.Turn the child to the side.
2.Administer the prescribed antiemetic.
3.Maintain NPO (nothing by mouth) status.
4.Notify the primary health care provider (PHCP). - Answer 1.Turn the child to the side.
The mother of a 6-year-old child arrives at a clinic because the child has been experiencing itchy,
red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the
laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the
nurse determines that which requires further investigation?
1.Possible trauma
2.Possible sexual abuse
3.Presence of an allergy
4.Presence of a respiratory infection - Answer 2.Possible sexual abuse
The nurse prepares a teaching plan for the mother of a child diagnosed with bacterial
conjunctivitis. Which, if stated by the mother, indicates a need for further teaching?
1."I need to wash my hands frequently."
2."I need to clean the eye as prescribed."
3."It is okay to share towels and washcloths."
4."I need to give the eye drops as prescribed." - Answer 3."It is okay to share towels and
washcloths."
The day care nurse is observing a 2-year-old child and suspects that the child may have
strabismus. Which observation made by the nurse indicates the presence of this condition?
1.The child has difficulty hearing.
2.The child consistently tilts the head to see.
3.The child does not respond when spoken to.
4.The child consistently turns the head to hear. - Answer 2.The child consistently tilts the
head to see.
The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the
immunization schedule for the child. Which statement should the nurse make to the parent?
1."The immunization schedule will need to be altered."
2."The child should not receive any hepatitis vaccines."
3."The child will receive all of the immunizations except for the polio series."
4."The child will receive the recommended basic series of immunizations along with a yearly
influenza vaccination." - Answer 4."The child will receive the recommended basic series of
immunizations along with a yearly influenza vaccination."
All with Correct/Verified Solutions
2026 Update.
The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been
scratching the skin continuously and has developed a rash. The nurse assesses the child and
suspects the presence of scabies. The nurse bases this suspicion on which finding noted on
assessment of the child's skin?
1.Fine grayish red lines
2.Purple-colored lesions
3.Thick, honey-colored crusts
4.Clusters of fluid-filled vesicles - Answer 1.Fine grayish red lines
Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should give which
instruction to the parents regarding the use of this treatment?
1.Apply the lotion to areas of the rash only.
2.Apply the lotion and leave it on for 6 hours.
3.Avoid putting clothes on the child over the lotion.
4.Apply the lotion to cool, dry skin at least 30 minutes after bathing. - Answer 4.Apply the
lotion to cool, dry skin at least 30 minutes after bathing.
The school nurse has provided an instructional session about impetigo to parents of the
children attending the school. Which statement, if made by a parent, indicates a need for
further instruction?
1."It is extremely contagious."
2."It is most common in humid weather."
3."Lesions most often are located on the arms and chest."
4."It might show up in an area of broken skin, such as an insect bite." - Answer 3."Lesions
most often are located on the arms and chest."
The clinic nurse is reviewing the primary health care provider's prescription for a child who has
been diagnosed with scabies. Lindane has been prescribed for the child. The nurse questions
the prescription if which is noted in the child's record?
1.The child is 18 months old.
2.The child is being bottle-fed.
3.A sibling is using lindane for the treatment of scabies.
4.The child has a history of frequent respiratory infections. - Answer 1.The child is 18 months
old.
,A topical corticosteroid is prescribed by the primary health care provider for a child with contact
dermatitis (eczema). Which instruction should the nurse give the parent about applying the
cream?
1.Apply the cream over the entire body.
2.Apply a thick layer of cream to affected areas only.
3.Avoid cleansing the area before application of the cream.
4.Apply a thin layer of cream and rub it into the area thoroughly. - Answer 4.Apply a thin
layer of cream and rub it into the area thoroughly.
The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment
finding indicates that a child has a "positive" head check for lice?
1.Maculopapular lesions behind the ears
2.Lesions in the scalp that extend to the hairline or neck
3.White flaky particles throughout the entire scalp region
4.White sacs attached to the hair shafts in the occipital area - Answer 4.White sacs attached
to the hair shafts in the occipital area
A mother brings her 2-week-old infant to a clinic for a phenylketonuria rescreening blood test.
The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews
this result and makes which interpretation?
1.It is positive.
2.It is negative.
3.It is inconclusive.
4.It requires rescreening at age 6 weeks. - Answer 2.It is negative.
The clinic nurse reviews the record of an infant and notes that the primary health care provider
(PHCP) has documented a diagnosis of suspected Hirschsprung's disease. The nurse reviews the
assessment findings documented in the record, knowing that which sign most likely led the
mother to seek health care for the infant?
1.Diarrhea
2.Projectile vomiting
3.Regurgitation of feedings
4.Foul-smelling ribbon-like stools - Answer 4.Foul-smelling ribbon-like stools
An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side.
The nurse should place the infant in which best position at this time?
1.Prone position
,2.On the stomach
3.Left lateral position
4.Right lateral position - Answer 3.Left lateral position
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal
atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely
sign of this condition documented in the record?
1.Incessant crying
2.Coughing at nighttime
3.Choking with feedings
4.Severe projectile vomiting - Answer 3.Choking with feedings
The nurse is caring for a newborn with a suspected diagnosis of imperforate anus. The nurse
monitors the infant, knowing that which is a clinical manifestation associated with this disorder?
1.Bile-stained fecal emesis
2.The passage of currant jelly-like stools
3.Failure to pass meconium stool in the first 24 hours after birth 4.Sausage-shaped mass
palpated in the upper right abdominal quadrant - Answer 3.Failure to pass meconium stool
in the first 24 hours after birth
The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment,
which data would the nurse expect to obtain when asking the parent about the child's
symptoms?
1.Watery diarrhea
2.Projectile vomiting
3.Increased urine output
4.Vomiting large amounts of bile - Answer 2.Projectile vomiting
The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews
the child's record and expects to note which sign of this disorder documented?
1.Watery diarrhea
2.Ribbon-like stools
3.Profuse projectile vomiting
4.Bright red blood and mucus in the stools - Answer 4.Bright red blood and mucus in the
stools
After a tonsillectomy, a child begins to vomit bright red blood. The nurse should take which
initial action?
, 1.Turn the child to the side.
2.Administer the prescribed antiemetic.
3.Maintain NPO (nothing by mouth) status.
4.Notify the primary health care provider (PHCP). - Answer 1.Turn the child to the side.
The mother of a 6-year-old child arrives at a clinic because the child has been experiencing itchy,
red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the
laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the
nurse determines that which requires further investigation?
1.Possible trauma
2.Possible sexual abuse
3.Presence of an allergy
4.Presence of a respiratory infection - Answer 2.Possible sexual abuse
The nurse prepares a teaching plan for the mother of a child diagnosed with bacterial
conjunctivitis. Which, if stated by the mother, indicates a need for further teaching?
1."I need to wash my hands frequently."
2."I need to clean the eye as prescribed."
3."It is okay to share towels and washcloths."
4."I need to give the eye drops as prescribed." - Answer 3."It is okay to share towels and
washcloths."
The day care nurse is observing a 2-year-old child and suspects that the child may have
strabismus. Which observation made by the nurse indicates the presence of this condition?
1.The child has difficulty hearing.
2.The child consistently tilts the head to see.
3.The child does not respond when spoken to.
4.The child consistently turns the head to hear. - Answer 2.The child consistently tilts the
head to see.
The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the
immunization schedule for the child. Which statement should the nurse make to the parent?
1."The immunization schedule will need to be altered."
2."The child should not receive any hepatitis vaccines."
3."The child will receive all of the immunizations except for the polio series."
4."The child will receive the recommended basic series of immunizations along with a yearly
influenza vaccination." - Answer 4."The child will receive the recommended basic series of
immunizations along with a yearly influenza vaccination."
