NUR 315 FINAL EXAM 2026/2027 | ULTIMATE NURSING EXAM
REVIEW GUIDE | PRACTICE TEST BANK, ANSWER KEY
1. What is a significant postoperative concern for a child who has undergone
shunt revision surgery for hydrocephalus?
Impaired mobility
Fluid volume deficit
Risk for infection
Pain management
2. What is the recommended intervention for a child with mild vesicoureteral
reflux to promote urinary tract health?
Inform teachers that the child should be allowed to use the
restroom every 2-3 hours and as needed
Conduct a bladder scan for residual urine prior to lunch hour
Perform urinary catheterization in the health room prn
Provide a water bottle at her desk so she can have plenty of fluids
3. If the RN receives another voicemail from a 30-week pregnant client stating,
'I have a severe headache and blurred vision,' how should she prioritize this
call compared to the previous clients?
This client has a normal concern and can wait for a response.
This client should be called back after the client with clear fluid
leakage.
This client is less urgent than the client with constipation.
This client should be prioritized due to the potential signs of pre-
eclampsia.
,4. Describe the significance of a woman's water breaking in relation to labor.
A woman's water breaking indicates that the amniotic sac has
ruptured, which often signifies the onset of labor.
It means the baby is in distress and needs immediate attention.
It indicates that the woman is experiencing false labor.
It is a sign that the pregnancy is going past the due date.
5. Describe why a 1" 23 gauge needle is preferred for administering the DPT
vaccine to an 18-month-old.
A 1" 23 gauge needle is preferred because it allows for faster injection
of the vaccine.
A 1" 23 gauge needle is preferred because it minimizes pain during the
injection.
A 1" 23 gauge needle is preferred because it is long enough to
reach the muscle tissue and has a suitable gauge for pediatric
intramuscular injections.
A 1" 23 gauge needle is preferred because it is the only needle
available.
6. Why is weight considered the most critical finding when assessing
dehydration in a child with infectious diarrhea?
Weight provides a direct measurement of fluid loss and is crucial for
determining the severity of dehydration.
Urine specific gravity reflects hydration status but is secondary to
weight.
Skin turgor indicates elasticity but is less precise than weight.
, The number of diarrhea stools is important but does not quantify
dehydration.
7. Tatiana's child has clubfoot. She asks the nurse what kind of treatment she can
expect her daughter to go through. The best response by the nurse is:
There is no formal treatment; clubfoot resolves spontaneously
When serial casting is used as the method of treatment, the cast is
changed every one to two weeks until complete correction has
occurred
Treatment will begin when your daughter is about 6 months old.
It usually requires about one year of treatment to resolve the problem
8. Which inhaler is commonly used for quick relief during an asthma attack in
children?
Theo-dur
Preventil
Cromolyn sodium
Serevent
9. Describe how coarctation of the aorta can lead to symptoms such as
headaches and nosebleeds in children.
Coarctation of the aorta has no significant symptoms in children.
Coarctation of the aorta results in decreased blood flow to the brain,
causing dizziness.
Coarctation of the aorta can cause increased blood pressure in the
upper body, leading to headaches and nosebleeds.
, Coarctation of the aorta leads to low blood pressure in the legs,
which causes fainting.
10. The nurse is educating a 22-year-old female about the Papanicolaou (Pap)
test. Which client statement indicates that further teaching is needed?
"I need to have yearly Pap tests until I am 30 years old."
"The specimen will be sent to a laboratory for evaluation."
"I can have sexual intercourse the night before the test."
"Pap smears help detect precancerous and cancerous cells."
11. You are assisting your patient who has asthma to bed. The patient is
experiencing a frequent cough and chest tightness. Lung auscultation reveals
expiratory wheezes. The patient's peak flow rate is 78% less than their best.
Which medication should the nurse plan to administer?
Tiotropium
Singulair
Theophylline
Albuterol
12. A child is diagnosed with Hepatitis A. The parents ask how their child could
have been infected. The nurse explains that the most common route of
infection is?
Blood
Fecal-oral
Parenteral
Mucosal
REVIEW GUIDE | PRACTICE TEST BANK, ANSWER KEY
1. What is a significant postoperative concern for a child who has undergone
shunt revision surgery for hydrocephalus?
Impaired mobility
Fluid volume deficit
Risk for infection
Pain management
2. What is the recommended intervention for a child with mild vesicoureteral
reflux to promote urinary tract health?
Inform teachers that the child should be allowed to use the
restroom every 2-3 hours and as needed
Conduct a bladder scan for residual urine prior to lunch hour
Perform urinary catheterization in the health room prn
Provide a water bottle at her desk so she can have plenty of fluids
3. If the RN receives another voicemail from a 30-week pregnant client stating,
'I have a severe headache and blurred vision,' how should she prioritize this
call compared to the previous clients?
This client has a normal concern and can wait for a response.
This client should be called back after the client with clear fluid
leakage.
This client is less urgent than the client with constipation.
This client should be prioritized due to the potential signs of pre-
eclampsia.
,4. Describe the significance of a woman's water breaking in relation to labor.
A woman's water breaking indicates that the amniotic sac has
ruptured, which often signifies the onset of labor.
It means the baby is in distress and needs immediate attention.
It indicates that the woman is experiencing false labor.
It is a sign that the pregnancy is going past the due date.
5. Describe why a 1" 23 gauge needle is preferred for administering the DPT
vaccine to an 18-month-old.
A 1" 23 gauge needle is preferred because it allows for faster injection
of the vaccine.
A 1" 23 gauge needle is preferred because it minimizes pain during the
injection.
A 1" 23 gauge needle is preferred because it is long enough to
reach the muscle tissue and has a suitable gauge for pediatric
intramuscular injections.
A 1" 23 gauge needle is preferred because it is the only needle
available.
6. Why is weight considered the most critical finding when assessing
dehydration in a child with infectious diarrhea?
Weight provides a direct measurement of fluid loss and is crucial for
determining the severity of dehydration.
Urine specific gravity reflects hydration status but is secondary to
weight.
Skin turgor indicates elasticity but is less precise than weight.
, The number of diarrhea stools is important but does not quantify
dehydration.
7. Tatiana's child has clubfoot. She asks the nurse what kind of treatment she can
expect her daughter to go through. The best response by the nurse is:
There is no formal treatment; clubfoot resolves spontaneously
When serial casting is used as the method of treatment, the cast is
changed every one to two weeks until complete correction has
occurred
Treatment will begin when your daughter is about 6 months old.
It usually requires about one year of treatment to resolve the problem
8. Which inhaler is commonly used for quick relief during an asthma attack in
children?
Theo-dur
Preventil
Cromolyn sodium
Serevent
9. Describe how coarctation of the aorta can lead to symptoms such as
headaches and nosebleeds in children.
Coarctation of the aorta has no significant symptoms in children.
Coarctation of the aorta results in decreased blood flow to the brain,
causing dizziness.
Coarctation of the aorta can cause increased blood pressure in the
upper body, leading to headaches and nosebleeds.
, Coarctation of the aorta leads to low blood pressure in the legs,
which causes fainting.
10. The nurse is educating a 22-year-old female about the Papanicolaou (Pap)
test. Which client statement indicates that further teaching is needed?
"I need to have yearly Pap tests until I am 30 years old."
"The specimen will be sent to a laboratory for evaluation."
"I can have sexual intercourse the night before the test."
"Pap smears help detect precancerous and cancerous cells."
11. You are assisting your patient who has asthma to bed. The patient is
experiencing a frequent cough and chest tightness. Lung auscultation reveals
expiratory wheezes. The patient's peak flow rate is 78% less than their best.
Which medication should the nurse plan to administer?
Tiotropium
Singulair
Theophylline
Albuterol
12. A child is diagnosed with Hepatitis A. The parents ask how their child could
have been infected. The nurse explains that the most common route of
infection is?
Blood
Fecal-oral
Parenteral
Mucosal
