Bank Actual Exam 2026 | All Questions
and Correct Answers with Detailed
Explanations | Graded A+ | Verified
Answers | Just Released
A male infant with a 2-day history of fever and diarrhea is brought to a
clinic by his mother who tells the nurse that the child refuses to drink
anything. The nurse determines that the child has a weak cry with no
tears. Which prescription is most important to implement?
A. Provide a bottle of electrolyte solution
B. Infuse normal saline intravenously
C. Administer an antipyretic rectally
D. Apply external cooling blanket - Correct AnswerB. Infuse normal
saline intravenously
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, A 6-month old child who had a cleft-lip repair has elbow restraints in
place. What nursing intervention should the nurse plan to implement?
A. remove restraints q4h for 30 minutes and place gloves on the child's
hands
B. record observations of the restraints q2h and ensure that they are in
place at all times
C. obtain the HCP advice as to when the restraints should be removed
D. remove restraints one at a time to provide ROM exercises - Correct
AnswerD. remove restraints one at a time to provide ROM exercises
A new mother calls the nurse stating that she wants to start feeding her
6-month-old child something besides breast milk, but is concerned that
the infant is too young to start eating solid foods. How should the nurse
respond?
A. encourage the mother to schedule a developmental assessment of
the infant
B. advise the mother to wait at least another month before starting any
solid foods
C. instruct the mother to offer a few spoons of 2-3 pureed fruit at each
meal
D. reassure the mother that the infant is old enough to eat iron-fortified
cereal - Correct AnswerD. reassure the mother that the infant is old
enough to eat iron-fortified cereal
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, While caring for a laboring client on continuous fetal monitoring, the
nurse notes a fetal heart rate pattern that falls and rises abruptly with a
"V" shaped appearance. What action should the nurse take first?
A. Prepare for a potential cesarean
B. Allow the client to begin pushing
C. Administer oxygen at 10/L by mask
D. Change the maternal position - Correct AnswerD. Change the
maternal position
A postpartum client who is Rh-negative refuses to receive Rho (D)
immune globulin (RhoGam) after delivery of an infant who is Rh-
positive. Which information should the nure provide this client?
A. RhoGam is not necessary unless all her pregnancies are Rh-positive
B. The R-positive factor from the fetus threatens her blood cells
C. The mother should receive RhoGam when the baby is Rh-negative
D. RhoGam prevents maternal antibody formation for future Rh-positive
babies - Correct AnswerD. RhoGam prevents maternal antibody
formation for future Rh-positive babies
A 6-week-old infant diagnosed with pyloric stenosis has recently
developed projectile vomiting. Which assessment finding indicates to
the nurse that the infant is becoming dehydrated?
A. Weak cry without any tears
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, B. Bulging fontanel
C. Visible peristaltic wave.
D. Palpable mass in the right upper quadrant - Correct AnswerA. Weak
cry without any tears
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly
turns cyanotic. What should the nurse do first?
A. Suction the oral and nasal passages
B. Give oxygen by positive pressure
C. Stimulate the infant to cry
D. Turn the infant onto the right side - Correct AnswerC. Stimulate the
infant to cry
A client at 40-weeks' gestation presents to the obstetrical floor and
indicates that the amniotic membranes ruptured spontaneously at
home. She is in active labor and feels the need to bear down and push.
What information is most important for the nurse to obtain first?
A. the estimated amount of fluid
B. time the membranes ruptured
C. color and consistency of the fluid
D. any odor noted when membranes ruptured. - Correct AnswerC. color
and consistency of the fluid
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