Page 1 of 313
ARCHER NCLEX REVIEW: TOUGH PRACTICE
EXAM WITH CORRECT ANSWERS,RATIONALES
AND WHY THE OTHERS ARE NOT CORRECT
NEWEST 2026 EXAM VERIFIED 10 0 %
Which of the following findings would lead you to suspect non-accidental
trauma in your 1-year-old burn victim patient?
Select all that apply.
A. Scalding on the anterior trunk
B. Circumferential burns on the feet
C. Same thickness of skin damage throughout the burn
D. Burns to the soles of the feet
Choices B and C are correct.
B is correct. Circumferential burns on the feet would lead you to suspect non-
accidental trauma in a 1-year-old. As a mandatory reporter, you are required to
report these suspicions. Circumferential burns are full-thickness burns affecting the
entire circumference of an area. They are very dangerous and can cause serious
complications. In this case, it is unlikely a one-year-old could inflict a circumferential
burn of the feet to themselves accidentally. This burn pattern can be caused by
holding the child's feet in scalding water.
C is correct. A burn that has the same thickness of skin damage throughout the burn
is suspicious for non-accidental trauma. In an accident where something such as
boiling water was spilled, the water will cool as it moves and leaves different levels of
tissue damage in different areas. Likewise, if the child splashes in a bathtub with
water that is too hot, areas will be affected differently. If the burn has the same
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thickness of skin damage throughout, it is suspicious for being non-accidental.
Choice A is incorrect. It is more likely for a 1-year old to spill something on their
anterior trunk accidentally. If they pull down on anything, such as a pot on the stove,
it can spill onto their torso and burn them. Burns on the posterior surface of a one-
year-old would be suspicious for non-accidental trauma.
Choice D is incorrect. Burns to the soles of the feet are not necessarily a concern for
non-accidental trauma. The child could have stepped onto something hot causing
the burns accidentally. Areas of suspicion should include the back, buttocks, inside
of the thighs, and genitalia.
The nurse is caring for a group of assigned clients. Which of the following
actions by the nurse is an example of a nurse-initiated intervention?
Select all that apply.
A. The nurse administers 1000 mg of ciprofloxacin to a client with pneumonia.
B. The nurse consults with a psychiatrist for a client suspected of pain
medication abuse.
C. The nurse checks the skin of bedridden clients for signs of breakdown.
D. A nurse assists an orthodox Jewish client with ordering a kosher meal.
E. The nurse records the intake & output of a client as prescribed by her
physician.
F. The nurse provides teaching to a client on how to care for a newly placed
ostomy.
Choices C, D, and F are correct. Nurse-initiated interventions, also known as
independent nursing actions, involve carrying out nurse-prescribed interventions
resulting from their assessment of client needs that are written on the nursing care
plan, as well as other activities that nurses can initiate without the direction or
supervision of another healthcare personnel. The nurse can take initiative
independently by monitoring clients' skin for breakdown, assisting a client to order an
appropriate meal, and providing education to clients and family members.
Choices A, B, and E are incorrect. Administration of medications and initiation of
intake-output monitoring are dependent interventions because these actions require
a physician's order or physician supervision. Consulting with a psychiatrist is a
collaborative intervention, not an independent nursing action.
Select the parenting style that is accurately paired with one of its advantages.
A. The democratic style of parenting: It is relatively quick and easy to solve
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problems.
B. The autocratic style of parenting: It gives the impression that the family is
strong.
C. The permissive style of parenting: It facilitates satisfaction among the
members of the family.
D. The laissez-faire style of parenting: It gives the impression that the family is
loving.
Choice C is correct. The permissive style of parenting, like other parenting styles,
has its advantages and its disadvantages. The permissive style of parenting
facilitates satisfaction among the members of the family, however, it is
disadvantageous because it can lead to undesirable behaviors because young
children of the family may need more structure and clearer boundaries to develop
appropriate behaviors.
Choice A is incorrect. The democratic style of parenting is not a quick and easy way
to solve problems; the democratic style of parenting is time-consuming but it also
allows all members of the family to have input and a voice that is heard.
Choice B is incorrect. The autocratic style of parenting does not give the impression
that the family is strong; the impression that it gives is one that the family is rigid and
highly structured.
Choice D is incorrect. The laissez-faire style of parenting does not give the
impression that the family is loving; the impression that it gives is one of being lazy
and not caring.
The nurse is caring for several geriatric clients. Which of the following should
the nurse include in the teaching plan for older clients with altered immune
responses? Select all that apply.
A. It is normal to run a slightly higher than normal temperature.
B. If arthritis pain begins to bother you, the doctor can prescribe something for
pain.
C. I'd like to talk to you about ways to manage stress.
D. It is very important to eat a well-balanced diet.
Choices B, C, and D are correct. Many elderly clients suffer from chronic pain ( for
example; arthritic pain). Chronic pain and continuous stress can negatively affect the
immune system. Uncontrolled and persistent pain can trigger a stress response.
Stress is associated with an increase in cortisol. Chronic cortisol elevation causes
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reduced immune response. Therefore, the nurse should discuss the strategies to
manage pain and stress appropriately. Additionally, the nurse should also educate
the elderly clients to maintain a well-balanced diet to promote a healthy immune
system
The nurse is caring for a child with nephroblastoma. The nurse plans to take
which action?
A. Post a sign that states, "Do not palpate abdomen"
B. Recommend foods low in protein
C. Insert an indwelling urinary catheter
D. Initiate fluid restrictions
Choice A is correct. Nephroblastoma (Wilms tumor) is the most common childhood
cancer. Common treatments include surgical removal followed by chemotherapy.
Nursing care involves minimal manipulation of the abdomen (no palpation) and a
posted sign. It is essential to keep the encapsulated tumor intact.
The nurse overhears unlicensed assistive personnel (UAP) telling a client that
they will have to get a feeding tube if they do not start eating more at
mealtimes. The nurse recognizes that the UAP has Select all that apply.
A. committed battery.
B. emotionally abused the client.
C. committed assault.
D. been negligent.
E. demonstrated libel.
Choices B and C are correct. The UAP has committed assault, and they have also
emotionally abused the client. Charge-like emotional abuse occurs when someone
causes another person, like a client, to feel fearful and threatened. Assault is
conduct that makes an individual fearful and apprehensive.
Which of the following most impacts the client's food preferences?
A. Culture and cultural background
B. The frequency of grocery shopping
C. The availability of foods locally
D. The costs associated with food
Choice A is correct. Culture and cultural background have the most impact on the
client's food preferences. Other factors that impact the client's food preferences
include religious practices, age, level of development, and also one's taste
ARCHER NCLEX REVIEW: TOUGH PRACTICE
EXAM WITH CORRECT ANSWERS,RATIONALES
AND WHY THE OTHERS ARE NOT CORRECT
NEWEST 2026 EXAM VERIFIED 10 0 %
Which of the following findings would lead you to suspect non-accidental
trauma in your 1-year-old burn victim patient?
Select all that apply.
A. Scalding on the anterior trunk
B. Circumferential burns on the feet
C. Same thickness of skin damage throughout the burn
D. Burns to the soles of the feet
Choices B and C are correct.
B is correct. Circumferential burns on the feet would lead you to suspect non-
accidental trauma in a 1-year-old. As a mandatory reporter, you are required to
report these suspicions. Circumferential burns are full-thickness burns affecting the
entire circumference of an area. They are very dangerous and can cause serious
complications. In this case, it is unlikely a one-year-old could inflict a circumferential
burn of the feet to themselves accidentally. This burn pattern can be caused by
holding the child's feet in scalding water.
C is correct. A burn that has the same thickness of skin damage throughout the burn
is suspicious for non-accidental trauma. In an accident where something such as
boiling water was spilled, the water will cool as it moves and leaves different levels of
tissue damage in different areas. Likewise, if the child splashes in a bathtub with
water that is too hot, areas will be affected differently. If the burn has the same
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thickness of skin damage throughout, it is suspicious for being non-accidental.
Choice A is incorrect. It is more likely for a 1-year old to spill something on their
anterior trunk accidentally. If they pull down on anything, such as a pot on the stove,
it can spill onto their torso and burn them. Burns on the posterior surface of a one-
year-old would be suspicious for non-accidental trauma.
Choice D is incorrect. Burns to the soles of the feet are not necessarily a concern for
non-accidental trauma. The child could have stepped onto something hot causing
the burns accidentally. Areas of suspicion should include the back, buttocks, inside
of the thighs, and genitalia.
The nurse is caring for a group of assigned clients. Which of the following
actions by the nurse is an example of a nurse-initiated intervention?
Select all that apply.
A. The nurse administers 1000 mg of ciprofloxacin to a client with pneumonia.
B. The nurse consults with a psychiatrist for a client suspected of pain
medication abuse.
C. The nurse checks the skin of bedridden clients for signs of breakdown.
D. A nurse assists an orthodox Jewish client with ordering a kosher meal.
E. The nurse records the intake & output of a client as prescribed by her
physician.
F. The nurse provides teaching to a client on how to care for a newly placed
ostomy.
Choices C, D, and F are correct. Nurse-initiated interventions, also known as
independent nursing actions, involve carrying out nurse-prescribed interventions
resulting from their assessment of client needs that are written on the nursing care
plan, as well as other activities that nurses can initiate without the direction or
supervision of another healthcare personnel. The nurse can take initiative
independently by monitoring clients' skin for breakdown, assisting a client to order an
appropriate meal, and providing education to clients and family members.
Choices A, B, and E are incorrect. Administration of medications and initiation of
intake-output monitoring are dependent interventions because these actions require
a physician's order or physician supervision. Consulting with a psychiatrist is a
collaborative intervention, not an independent nursing action.
Select the parenting style that is accurately paired with one of its advantages.
A. The democratic style of parenting: It is relatively quick and easy to solve
, Page 3 of 313
problems.
B. The autocratic style of parenting: It gives the impression that the family is
strong.
C. The permissive style of parenting: It facilitates satisfaction among the
members of the family.
D. The laissez-faire style of parenting: It gives the impression that the family is
loving.
Choice C is correct. The permissive style of parenting, like other parenting styles,
has its advantages and its disadvantages. The permissive style of parenting
facilitates satisfaction among the members of the family, however, it is
disadvantageous because it can lead to undesirable behaviors because young
children of the family may need more structure and clearer boundaries to develop
appropriate behaviors.
Choice A is incorrect. The democratic style of parenting is not a quick and easy way
to solve problems; the democratic style of parenting is time-consuming but it also
allows all members of the family to have input and a voice that is heard.
Choice B is incorrect. The autocratic style of parenting does not give the impression
that the family is strong; the impression that it gives is one that the family is rigid and
highly structured.
Choice D is incorrect. The laissez-faire style of parenting does not give the
impression that the family is loving; the impression that it gives is one of being lazy
and not caring.
The nurse is caring for several geriatric clients. Which of the following should
the nurse include in the teaching plan for older clients with altered immune
responses? Select all that apply.
A. It is normal to run a slightly higher than normal temperature.
B. If arthritis pain begins to bother you, the doctor can prescribe something for
pain.
C. I'd like to talk to you about ways to manage stress.
D. It is very important to eat a well-balanced diet.
Choices B, C, and D are correct. Many elderly clients suffer from chronic pain ( for
example; arthritic pain). Chronic pain and continuous stress can negatively affect the
immune system. Uncontrolled and persistent pain can trigger a stress response.
Stress is associated with an increase in cortisol. Chronic cortisol elevation causes
, Page 4 of 313
reduced immune response. Therefore, the nurse should discuss the strategies to
manage pain and stress appropriately. Additionally, the nurse should also educate
the elderly clients to maintain a well-balanced diet to promote a healthy immune
system
The nurse is caring for a child with nephroblastoma. The nurse plans to take
which action?
A. Post a sign that states, "Do not palpate abdomen"
B. Recommend foods low in protein
C. Insert an indwelling urinary catheter
D. Initiate fluid restrictions
Choice A is correct. Nephroblastoma (Wilms tumor) is the most common childhood
cancer. Common treatments include surgical removal followed by chemotherapy.
Nursing care involves minimal manipulation of the abdomen (no palpation) and a
posted sign. It is essential to keep the encapsulated tumor intact.
The nurse overhears unlicensed assistive personnel (UAP) telling a client that
they will have to get a feeding tube if they do not start eating more at
mealtimes. The nurse recognizes that the UAP has Select all that apply.
A. committed battery.
B. emotionally abused the client.
C. committed assault.
D. been negligent.
E. demonstrated libel.
Choices B and C are correct. The UAP has committed assault, and they have also
emotionally abused the client. Charge-like emotional abuse occurs when someone
causes another person, like a client, to feel fearful and threatened. Assault is
conduct that makes an individual fearful and apprehensive.
Which of the following most impacts the client's food preferences?
A. Culture and cultural background
B. The frequency of grocery shopping
C. The availability of foods locally
D. The costs associated with food
Choice A is correct. Culture and cultural background have the most impact on the
client's food preferences. Other factors that impact the client's food preferences
include religious practices, age, level of development, and also one's taste
