NSG 6435 Exam test queries and
answers graded A+
The nurse is caring for a small child who puts his arm through the side rail just as the nurse is
lowering the side rail. The child gets big bruise. The housekeeper asks the nurse what happened. The
nurse should:
A. tell the housekeeper, since the housekeeper is part of the healthcare team
B. restrict information to general statements such as "it was an accident."
C. suggest the housekeeper ask the head nurse
D. Avoid discussing the accident with the housekeeper - ANS✅✅D
Which of the following positions does the nurse use for the child who has just returned to the room
from a tonsillectomy?
A. elevated head and legs
B. on the abdomen or side
C. on the back and flat
D. on the back or sitting up - ANS✅✅B
As a nurse you must explore your beliefs about medication for infants and children because research
has shown which of the following?
A. nurses are likely to overmedication and undermedicate children under their care
B. nurses tend to believe that medication will harm children more than help them
C. it takes a lo of exploration of beliefs before a nurse can be consistent in the administration of pain
medication regardless of race, gender, religion or social status
D. Education level, personal pain experience and number of years in practice influence the nurse in
the decision to medication or not medicate a child in pain - ANS✅✅D
Compared to children or adults, adolescents' gender attitudes and behavior are found to be:
A. about the same
B. far more liberal
C. somewhat more liberal
D. more traditional - ANS✅✅D
,If burns are severe enough, the child will require fluid replacement. Whcih of the following fluids is
most often used as a replacement?
A. d5% in water
B. 1/2 NS
C. NS
D. LR - ANS✅✅D
When caregivers of a child with a chronic health care condition look for meaning in their situation,
they most often:
A. feel small, helpless and hopeless in the face of such a long-term responsibility
B. find they have little or nothing to be thankful for and drop out of their religion
C. give up and adopt a martyr-like existence because any meaning is depression or demeaning
D. find positive outcomes, such as family relationships being strengthened due to working together -
ANS✅✅D
The nurse assessing an infant for intusseception will look for 3 classic signs and symptoms: colicky
intermittent abdominal pain, vomiting, and which kind of stool?
A. mustard or clay-colored
B. frothy stools that float
C. currant jelly like stools
D. black tar colored stools - ANS✅✅C
Which of the following infants is at greatest rick of sudden infant death syndrome?
A. male full-term, 7 months old
B. female, full-term, 8 month old
C. male twin, premature, 4 month old
D. female, single birth, 4 month old - ANS✅✅C
You are the nurse working with parents and their newborns on a postpartum unit there the
newborns room with the mother. The parents of one of the babies learns that their newborn has
mental retardation. You notice these parents going through the stage of denial and then
demonstrating anxiety. You realize anxiety :
A. must be reduced as soon as possible and you need to calm the family immediately
,B. serves a purpose in alerting the family that something is amiss and in generating needed energy to
deal with the situation
C. will keep the family from completing the stages of adjusting to the child having mental retardation
D. is related to the loss of their dream of a perfect child and how other people will be disappointed
in them - ANS✅✅B
Which of the following practices is used by a large number of cultural groups to provide comfort and
security to a child?
A. burying a rock near a large shade tree
B. taping a coin to the umbilical cord
C. wrapping the infant snugly in a soft blanket
D. boiling an egg and keeping it close to the child - ANS✅✅C
The nurse places a unique cartoon character on the outside and inside of a child's door. The hospital
has a picture of a different animal fro each floor of the hospital and these pictures are posted in the
elevators. Each section of the pediatric unit has a different theme and walls of a different color.
These actions on the part of the nurse and the hospital are designed to:
A. reduce anxiety and help children and others feel secure that they will not get lose and that they
have a place of their own
B. remind everyone that this is a pediatric unit for children who have special needs and is not a unit
for adults
C. cheer the children up and help them laugh to reduce tension in their lives
D. help establish a personality for the hospital. the floors. the unit. and the room of the child who is
hospitalized - ANS✅✅A
the nurse working with a child who had cellulitis anticipates doctor's orders for which of the
following usual treatment regimens?
A. whirlpool, meperidine or morphine sulfate and wet to dry dressing
B. oral antibiotics, warm compresses, immobilizations, elevationg of the extremity and analgesics
C. debridement of the wounds. antibiotic cream, dressing and an ace bandage
D. incision and drainage with antibiotics placed in the wound. done as a minor surgical procedure in
day surgery - ANS✅✅B
How often should a hearing aid be changed for children less than 4 years of age?
a. once a month c. once a year
, b. every 3 to 6 months d. every 2 years - ANS✅✅B
The nurse takes the temperature of a newborn and gets a reading of 37.7 degrees C (99.6 degrees F).
The nurse interprets this temperature as:
a. very high for a newborn and calls the health care practitioner
b. high for an infant of this age and decides to retake it in 20 minutes
c. normal and proceeds to chart the temperature in the infant's record
d. below normal and adds a warmed blanket to the infant's crib - ANS✅✅C
The leading causes of injury-related death for children aged 1 to 4 years is:
a. choking and drowning
b. fires and burns
c. fires and neglect
d. drowning and motor vehicle occupant injury - ANS✅✅D
The pediatric nurse in the hospital finds one of her clients crying because "Daddy just left." Which of
the following actions by the nurse would most help the child to feel more secure?
a. holding the child, talking about then Dad will return, and looking at Dad's picture
b. looking at the clock, talking about the amount of time before Dad returns, and drawing a clock
with that time
c. distracting the child by playing a game that requires a lot of concentration
d. giving the child a cuddly blanket and a cuddly stuffed animal to hold until Dad returns -
ANS✅✅A
The nurse is instructing a child and the child's family about dietary needs while the child is
undergoing dialysis treatments at home. The nurse will instruct the family to provide which of the
following types of diet?
a. soft c. low protein
b. pureed d. high fat - ANS✅✅C
If a nurse fails to report suspected child abuse and a child later receives additional injuries at the
hands of the suspected abuser, the nurse may face legal consequences in states with child abuse
reporting laws. Which of the following consequences may be the harshest faced by the nurse?
a. to be held liable for civil damages to compensate the child and to be fined and imprisoned
answers graded A+
The nurse is caring for a small child who puts his arm through the side rail just as the nurse is
lowering the side rail. The child gets big bruise. The housekeeper asks the nurse what happened. The
nurse should:
A. tell the housekeeper, since the housekeeper is part of the healthcare team
B. restrict information to general statements such as "it was an accident."
C. suggest the housekeeper ask the head nurse
D. Avoid discussing the accident with the housekeeper - ANS✅✅D
Which of the following positions does the nurse use for the child who has just returned to the room
from a tonsillectomy?
A. elevated head and legs
B. on the abdomen or side
C. on the back and flat
D. on the back or sitting up - ANS✅✅B
As a nurse you must explore your beliefs about medication for infants and children because research
has shown which of the following?
A. nurses are likely to overmedication and undermedicate children under their care
B. nurses tend to believe that medication will harm children more than help them
C. it takes a lo of exploration of beliefs before a nurse can be consistent in the administration of pain
medication regardless of race, gender, religion or social status
D. Education level, personal pain experience and number of years in practice influence the nurse in
the decision to medication or not medicate a child in pain - ANS✅✅D
Compared to children or adults, adolescents' gender attitudes and behavior are found to be:
A. about the same
B. far more liberal
C. somewhat more liberal
D. more traditional - ANS✅✅D
,If burns are severe enough, the child will require fluid replacement. Whcih of the following fluids is
most often used as a replacement?
A. d5% in water
B. 1/2 NS
C. NS
D. LR - ANS✅✅D
When caregivers of a child with a chronic health care condition look for meaning in their situation,
they most often:
A. feel small, helpless and hopeless in the face of such a long-term responsibility
B. find they have little or nothing to be thankful for and drop out of their religion
C. give up and adopt a martyr-like existence because any meaning is depression or demeaning
D. find positive outcomes, such as family relationships being strengthened due to working together -
ANS✅✅D
The nurse assessing an infant for intusseception will look for 3 classic signs and symptoms: colicky
intermittent abdominal pain, vomiting, and which kind of stool?
A. mustard or clay-colored
B. frothy stools that float
C. currant jelly like stools
D. black tar colored stools - ANS✅✅C
Which of the following infants is at greatest rick of sudden infant death syndrome?
A. male full-term, 7 months old
B. female, full-term, 8 month old
C. male twin, premature, 4 month old
D. female, single birth, 4 month old - ANS✅✅C
You are the nurse working with parents and their newborns on a postpartum unit there the
newborns room with the mother. The parents of one of the babies learns that their newborn has
mental retardation. You notice these parents going through the stage of denial and then
demonstrating anxiety. You realize anxiety :
A. must be reduced as soon as possible and you need to calm the family immediately
,B. serves a purpose in alerting the family that something is amiss and in generating needed energy to
deal with the situation
C. will keep the family from completing the stages of adjusting to the child having mental retardation
D. is related to the loss of their dream of a perfect child and how other people will be disappointed
in them - ANS✅✅B
Which of the following practices is used by a large number of cultural groups to provide comfort and
security to a child?
A. burying a rock near a large shade tree
B. taping a coin to the umbilical cord
C. wrapping the infant snugly in a soft blanket
D. boiling an egg and keeping it close to the child - ANS✅✅C
The nurse places a unique cartoon character on the outside and inside of a child's door. The hospital
has a picture of a different animal fro each floor of the hospital and these pictures are posted in the
elevators. Each section of the pediatric unit has a different theme and walls of a different color.
These actions on the part of the nurse and the hospital are designed to:
A. reduce anxiety and help children and others feel secure that they will not get lose and that they
have a place of their own
B. remind everyone that this is a pediatric unit for children who have special needs and is not a unit
for adults
C. cheer the children up and help them laugh to reduce tension in their lives
D. help establish a personality for the hospital. the floors. the unit. and the room of the child who is
hospitalized - ANS✅✅A
the nurse working with a child who had cellulitis anticipates doctor's orders for which of the
following usual treatment regimens?
A. whirlpool, meperidine or morphine sulfate and wet to dry dressing
B. oral antibiotics, warm compresses, immobilizations, elevationg of the extremity and analgesics
C. debridement of the wounds. antibiotic cream, dressing and an ace bandage
D. incision and drainage with antibiotics placed in the wound. done as a minor surgical procedure in
day surgery - ANS✅✅B
How often should a hearing aid be changed for children less than 4 years of age?
a. once a month c. once a year
, b. every 3 to 6 months d. every 2 years - ANS✅✅B
The nurse takes the temperature of a newborn and gets a reading of 37.7 degrees C (99.6 degrees F).
The nurse interprets this temperature as:
a. very high for a newborn and calls the health care practitioner
b. high for an infant of this age and decides to retake it in 20 minutes
c. normal and proceeds to chart the temperature in the infant's record
d. below normal and adds a warmed blanket to the infant's crib - ANS✅✅C
The leading causes of injury-related death for children aged 1 to 4 years is:
a. choking and drowning
b. fires and burns
c. fires and neglect
d. drowning and motor vehicle occupant injury - ANS✅✅D
The pediatric nurse in the hospital finds one of her clients crying because "Daddy just left." Which of
the following actions by the nurse would most help the child to feel more secure?
a. holding the child, talking about then Dad will return, and looking at Dad's picture
b. looking at the clock, talking about the amount of time before Dad returns, and drawing a clock
with that time
c. distracting the child by playing a game that requires a lot of concentration
d. giving the child a cuddly blanket and a cuddly stuffed animal to hold until Dad returns -
ANS✅✅A
The nurse is instructing a child and the child's family about dietary needs while the child is
undergoing dialysis treatments at home. The nurse will instruct the family to provide which of the
following types of diet?
a. soft c. low protein
b. pureed d. high fat - ANS✅✅C
If a nurse fails to report suspected child abuse and a child later receives additional injuries at the
hands of the suspected abuser, the nurse may face legal consequences in states with child abuse
reporting laws. Which of the following consequences may be the harshest faced by the nurse?
a. to be held liable for civil damages to compensate the child and to be fined and imprisoned
