Nurs 4427 Final Exam Practice Test (2026) Pdf | A+
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1. Which of the following is NOTa common symptom of GERD in infants?
. .. .. .. .. . .. .. .. .. .. ..
. . Spitting up ..
. . Excessive crying ..
. . Poor weight gain .. ..
. . Frequent coughing ..
2. Explain how the mechanism of delivery can lead to subgaleal hemorrhage in
.. .. .. .. .. .. .. .. .. .. .. . . newborns.
. . It occurs due to the use of forceps during delivery.
.. .. .. .. .. .. .. .. ..
.. It results from the baby's head being compressed and dragged through the pelvic
. . . . . . . . . .. .. ..
outlet.
..
. . It is caused by maternal bleeding during labor.
.. .. .. .. .. .. ..
.. It happens when the umbilical cord is wrapped around the baby's neck.
.. .. .. .. . .. .. .. .. .. ..
3. How does ritualism benefit toddlers in terms of their development?
. . . . . . . . .
. . It encourages toddlers to engage in screaming and kicking.
.. .. .. .. .. .. .. ..
. . It helps toddlers distinguish between requests and directives.
.. .. .. .. .. .. ..
. . It provides a sense of security, uniformity, and allows them to maintain
. . . . . . . . . . ..
.. control through routines. .. ..
. . It makes toddlers more obedient to their parents' commands.
.. .. .. .. .. .. .. ..
4. What is the primary action that occurs during the rooting reflex in infants?
.. .. .. . .. .. .. .. .. .. .. ..
, . . Infants grasp objects placed in their hands.
.. .. .. .. .. ..
. . Infants turn their head toward a touch on their cheek and begin to suck.
. .. . . . . .. .. . . .. . ..
. . Infants kick their legs in response to stimuli.
.. .. .. .. .. .. ..
. . Infants blink when exposed to bright light.
.. .. .. .. .. ..
5. Which assessment would the nurse perform to monitor for a major
. .. .. .. .. .. .. . . ..
complication in an infant after surgery to correct a myelomeningocele?
.. .. .. .. .. .. .. .. ..
. . Daily weights ..
. . Fluid output every 8 hours
.. .. .. ..
. . Blood pressure every 12 hours .. .. .. ..
. . Daily head circumference measurements
.. .. ..
6. What is the age range during which the pneumococcal vaccine should be administered to
.. .. .. .. .. .. .. .. .. .. .. .. .
children?
.
. . 1 month to 12 months
.. .. .. ..
. . 6 weeks to 24 months
.. .. .. ..
. . 2 years to 5 years
.. .. .. ..
. . 6 months to 18 months
.. .. .. ..
7. The nurse is assessing a neonate born byvacuum extraction. What assessment
.. .. .. .. .. .. .. . .. . ..
does the nurse perform to detect possible subgaleal hemorrhage?
. . . . . . . . ..
. . Measure serial head circumference. .. .. ..
. . Monitor the neonate for bradycardia. .. .. .. ..
. . Inspect the frontal aspect of the head.
.. .. .. .. .. ..
, . . Look for backward positioning of the ears.
.. .. .. .. .. ..
8. The Nissen fundoplication is...
. . .
. . A surgical procedure to treat gastroesophageal reflux
.. .. .. .. .. ..
. . The scale used to assess for severe dehydration
.. .. .. .. .. .. ..
. . An electric car .. ..
. . A surgical intervention to correct hypospadias
.. .. .. .. ..
. . Atreatment to remove endotoxins in a patient with hemolytic uremic syndrome
. .. .. .. .. .. .. .. .. .. ..
9. Which of the following recommendations should be made to the parents of an infant who has
.. .. .. .. .. .. .. .. .. .. .. .. . . .
both BPD and esophageal reflux?
. . . . .
. . Thicken formula with baby cereal. .. .. .. ..
. . Thin formula with a glucose solution.
.. .. .. .. ..
. . Feed the infant positioned in the supine position.
.. .. .. .. .. .. ..
. . Delay introduction of baby food until 9 months of age.
.. .. .. .. .. .. .. .. ..
10. Explain the significance of maintaining sufficient Hemoglobin levels in patients with
. . . .. .. . . . .. .
Thalassemia Major.
. .
. . It helps in reducing the risk of infections.
.. .. .. .. .. . ..
. . It supports normal growth and physical activity.
.. .. .. .. .. ..
. . It eliminates the need for blood transfusions.
.. .. .. .. .. ..
. . It prevents the development of other chronic diseases.
.. .. .. .. .. .. ..
, 11. A patient diagnosed withThalassemia Major presents with severe anemia. Which of the
. .. .. . .. .. .. .. .. .. .. ..
following management strategies would be most appropriate to address the underlying cause
.. .. .. .. .. .. .. .. . . . .
of their anemia?
. . .
. . Administering iron supplements to increase hemoglobin levels. .. .. .. .. .. ..
. . Transfusion of healthy red blood cells to replace defective ones. .. .. . .. .. . .. .. ..
. . Providing vitamin B12 injections to enhance red blood cell production.
.. .. .. .. .. .. .. .. ..
. . Encouraging a diet rich in folic acid to support red blood cell formation. . .. .. .. .. . . .. .. .. .. ..
12. Explain why the use of iron fortified formula is important in preventing iron deficiency
. . .. . .. . .. . .. . .. .. ..
anemia in infants.
. . ..
. . It provides essential vitamins that enhance iron absorption.
.. .. . .. .. .. ..
. . It contains higher levels of iron compared to cow's milk.
.. .. . .. .. .. .. .. ..
. . It is easier for infants to digest than cow's milk.
.. .. . .. .. .. .. .. ..
. . It reduces the risk of gastrointestinal infections.
.. .. .. .. .. ..
13. A pediatric patient presents with symptoms of ear pain and fever.
.. .. .. .. .. .. .. .. .. ..
Considering the common causes of otitis media, which of the following scenarios is most likelyto
.. .. .. . .. .. .. .. .. .. .. . . . .
contribute to this condition in the child?
. . . . . . .
. . The child frequently plays outdoors in cold weather.
.. .. .. .. .. .. ..
.. The child is often exposed to secondhand smoke from family members.
. . . . . . . . . ..
. . The child has a diet rich in fruits and vegetables.
.. .. .. .. .. .. .. .. ..
. . The child participates in regular physical activity.
.. .. .. .. .. ..
14. A patient with GERD is experiencing frequent symptoms after meals. If they decide to
. .. .. .. .. .. .. .. .. .. .. .. .
modify theirdiet, which of the following meal options would be
. . . . . . . .. . . ..
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1. Which of the following is NOTa common symptom of GERD in infants?
. .. .. .. .. . .. .. .. .. .. ..
. . Spitting up ..
. . Excessive crying ..
. . Poor weight gain .. ..
. . Frequent coughing ..
2. Explain how the mechanism of delivery can lead to subgaleal hemorrhage in
.. .. .. .. .. .. .. .. .. .. .. . . newborns.
. . It occurs due to the use of forceps during delivery.
.. .. .. .. .. .. .. .. ..
.. It results from the baby's head being compressed and dragged through the pelvic
. . . . . . . . . .. .. ..
outlet.
..
. . It is caused by maternal bleeding during labor.
.. .. .. .. .. .. ..
.. It happens when the umbilical cord is wrapped around the baby's neck.
.. .. .. .. . .. .. .. .. .. ..
3. How does ritualism benefit toddlers in terms of their development?
. . . . . . . . .
. . It encourages toddlers to engage in screaming and kicking.
.. .. .. .. .. .. .. ..
. . It helps toddlers distinguish between requests and directives.
.. .. .. .. .. .. ..
. . It provides a sense of security, uniformity, and allows them to maintain
. . . . . . . . . . ..
.. control through routines. .. ..
. . It makes toddlers more obedient to their parents' commands.
.. .. .. .. .. .. .. ..
4. What is the primary action that occurs during the rooting reflex in infants?
.. .. .. . .. .. .. .. .. .. .. ..
, . . Infants grasp objects placed in their hands.
.. .. .. .. .. ..
. . Infants turn their head toward a touch on their cheek and begin to suck.
. .. . . . . .. .. . . .. . ..
. . Infants kick their legs in response to stimuli.
.. .. .. .. .. .. ..
. . Infants blink when exposed to bright light.
.. .. .. .. .. ..
5. Which assessment would the nurse perform to monitor for a major
. .. .. .. .. .. .. . . ..
complication in an infant after surgery to correct a myelomeningocele?
.. .. .. .. .. .. .. .. ..
. . Daily weights ..
. . Fluid output every 8 hours
.. .. .. ..
. . Blood pressure every 12 hours .. .. .. ..
. . Daily head circumference measurements
.. .. ..
6. What is the age range during which the pneumococcal vaccine should be administered to
.. .. .. .. .. .. .. .. .. .. .. .. .
children?
.
. . 1 month to 12 months
.. .. .. ..
. . 6 weeks to 24 months
.. .. .. ..
. . 2 years to 5 years
.. .. .. ..
. . 6 months to 18 months
.. .. .. ..
7. The nurse is assessing a neonate born byvacuum extraction. What assessment
.. .. .. .. .. .. .. . .. . ..
does the nurse perform to detect possible subgaleal hemorrhage?
. . . . . . . . ..
. . Measure serial head circumference. .. .. ..
. . Monitor the neonate for bradycardia. .. .. .. ..
. . Inspect the frontal aspect of the head.
.. .. .. .. .. ..
, . . Look for backward positioning of the ears.
.. .. .. .. .. ..
8. The Nissen fundoplication is...
. . .
. . A surgical procedure to treat gastroesophageal reflux
.. .. .. .. .. ..
. . The scale used to assess for severe dehydration
.. .. .. .. .. .. ..
. . An electric car .. ..
. . A surgical intervention to correct hypospadias
.. .. .. .. ..
. . Atreatment to remove endotoxins in a patient with hemolytic uremic syndrome
. .. .. .. .. .. .. .. .. .. ..
9. Which of the following recommendations should be made to the parents of an infant who has
.. .. .. .. .. .. .. .. .. .. .. .. . . .
both BPD and esophageal reflux?
. . . . .
. . Thicken formula with baby cereal. .. .. .. ..
. . Thin formula with a glucose solution.
.. .. .. .. ..
. . Feed the infant positioned in the supine position.
.. .. .. .. .. .. ..
. . Delay introduction of baby food until 9 months of age.
.. .. .. .. .. .. .. .. ..
10. Explain the significance of maintaining sufficient Hemoglobin levels in patients with
. . . .. .. . . . .. .
Thalassemia Major.
. .
. . It helps in reducing the risk of infections.
.. .. .. .. .. . ..
. . It supports normal growth and physical activity.
.. .. .. .. .. ..
. . It eliminates the need for blood transfusions.
.. .. .. .. .. ..
. . It prevents the development of other chronic diseases.
.. .. .. .. .. .. ..
, 11. A patient diagnosed withThalassemia Major presents with severe anemia. Which of the
. .. .. . .. .. .. .. .. .. .. ..
following management strategies would be most appropriate to address the underlying cause
.. .. .. .. .. .. .. .. . . . .
of their anemia?
. . .
. . Administering iron supplements to increase hemoglobin levels. .. .. .. .. .. ..
. . Transfusion of healthy red blood cells to replace defective ones. .. .. . .. .. . .. .. ..
. . Providing vitamin B12 injections to enhance red blood cell production.
.. .. .. .. .. .. .. .. ..
. . Encouraging a diet rich in folic acid to support red blood cell formation. . .. .. .. .. . . .. .. .. .. ..
12. Explain why the use of iron fortified formula is important in preventing iron deficiency
. . .. . .. . .. . .. . .. .. ..
anemia in infants.
. . ..
. . It provides essential vitamins that enhance iron absorption.
.. .. . .. .. .. ..
. . It contains higher levels of iron compared to cow's milk.
.. .. . .. .. .. .. .. ..
. . It is easier for infants to digest than cow's milk.
.. .. . .. .. .. .. .. ..
. . It reduces the risk of gastrointestinal infections.
.. .. .. .. .. ..
13. A pediatric patient presents with symptoms of ear pain and fever.
.. .. .. .. .. .. .. .. .. ..
Considering the common causes of otitis media, which of the following scenarios is most likelyto
.. .. .. . .. .. .. .. .. .. .. . . . .
contribute to this condition in the child?
. . . . . . .
. . The child frequently plays outdoors in cold weather.
.. .. .. .. .. .. ..
.. The child is often exposed to secondhand smoke from family members.
. . . . . . . . . ..
. . The child has a diet rich in fruits and vegetables.
.. .. .. .. .. .. .. .. ..
. . The child participates in regular physical activity.
.. .. .. .. .. ..
14. A patient with GERD is experiencing frequent symptoms after meals. If they decide to
. .. .. .. .. .. .. .. .. .. .. .. .
modify theirdiet, which of the following meal options would be
. . . . . . . .. . . ..
