NURS 4331 ACTUAL 2026 STUDY GUIDE QUESTIONS AND
SOLUTIONS RATED A+
✔✔The mother of a 10-year-old child diagnosed with rubella asks what can be done to
help her child feel better during her illness. What information can be provided? -
✔✔Encourage rest and relaxation
✔✔The mother of a an 8-year-old boy with mumps tells the nurse that she does not
understand how her son could have gotten mumps since he was immunized according
to her physician's recommendations. What is the best response by the nurse? -
✔✔"While immunizations are highly effective they aren't 100% effective at preventing
infectious diseases."
✔✔The nurse is educating parents of a child admitted to the hospital with rubella
(German measles). Which statement by the parents indicates the further education is
needed? - ✔✔"Antibiotics are needed to help our child recover from rubella."
✔✔A young client is admitted to the hospital directly from the clinic. The physician
suspects a problem with the child's immune system. What test does the nurse anticipate
the physician will order for this client? - ✔✔Blood analysis
✔✔Nursing students correctly label the group of cells whose job is to ingest, engulf, and
neutralize pathogens as: - ✔✔macrophages
✔✔A 7-year-old child is rushed into the emergency room after being stung by a yellow
jacket. The child is nauseated and vomiting and is experiencing itching and swelling on
the arm where stung. The is having trouble breathing. Which type of hypersensitivity
response is the child experiencing? - ✔✔Type I: anaphylaxis
✔✔A child with allergic rhinitis is prescribed a nasal antihistamine spray. When advising
the parents about the use of the sprays, what should the nurse explain about the
rebound phenomenon? - ✔✔It causes an increase in nasal secretions after an initial
decrease
✔✔A nurse is conducting a physical examination of a 12-year-old girl with suspected
systemic lupus erythematosus (SLE). How would the nurse best interview the girl? -
✔✔"Have you noticed any hair loss or redness on your face?"
✔✔The nurse is providing teaching about food substitutions when cooking for the child
with an allergy to eggs. Which response indicates a need for further teaching? - ✔✔"I
can use the egg white when baking, but not the yolk."
, ✔✔The nurse is monitoring the CD4 count of an infant who has contracted HIV from the
mother in utero. The nurse is concerned that treatment with antiretroviral therapy is not
effective when noting which CD4 level? - ✔✔1300/mm3
✔✔An adolescent client has just been diagnosed with systemic lupus erythematosus
(SLE). Following client education about the disease, which statement by the client
demonstrates understanding of SLE? - ✔✔"SLE is an autoimmune disorder that I will
always have, with times of flare- ups and times of minimal to no symptoms."
✔✔The nurse has completed an education session with parents of children diagnosed
with food allergies. Which statement by a parent would indicate a need for additional
education? - ✔✔"If we need to use the EpiPen® we will need to notify her physician's
office the next business day."
✔✔The adoptive parents of a child who is 7 years old and HIV positive are concerned
about telling their child about his condition. What information can be provided by the
nurse? - ✔✔When providing health information to a child of this age it should be
simplistic and at the child's level of understanding.
✔✔Which nursing intervention is priority when caring for a child with HIV? -
✔✔Administer prescribed medications.
✔✔The nurse is caring for a child and notes periorbital edema on the left eye with
urticaria. Which action by the nurse is priority? - ✔✔Assess lung sounds bilaterally.
✔✔An unconscious client is brought to the emergency department after ingesting too
much prescribed medication. What is the highest priority nursing intervention? -
✔✔Establish a patent airway.
✔✔A home care nurse provides health education to parents regarding the care of their
toddler. Which precaution should the nurse suggest the parents take to protect the
toddler from drowning? - ✔✔Avoid unattended baths for the toddler.
✔✔A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the
ingestion of cleaning solution. What must be included in teaching parents about how to
protect a toddler from accidental poisoning? - ✔✔Keep cleaning solutions locked up.
✔✔When educating parents of preschoolers what is most important to include in your
presentation? - ✔✔Keep chemicals in a locked cabinet.
✔✔A 10-year-old boy has just arrived by ambulance at the emergency room following a
motor vehicle accident, and a nurse is assessing him. Which three body systems should
the nurse evaluate fist? - ✔✔Respiratory, cardiovascular, and neurologic
SOLUTIONS RATED A+
✔✔The mother of a 10-year-old child diagnosed with rubella asks what can be done to
help her child feel better during her illness. What information can be provided? -
✔✔Encourage rest and relaxation
✔✔The mother of a an 8-year-old boy with mumps tells the nurse that she does not
understand how her son could have gotten mumps since he was immunized according
to her physician's recommendations. What is the best response by the nurse? -
✔✔"While immunizations are highly effective they aren't 100% effective at preventing
infectious diseases."
✔✔The nurse is educating parents of a child admitted to the hospital with rubella
(German measles). Which statement by the parents indicates the further education is
needed? - ✔✔"Antibiotics are needed to help our child recover from rubella."
✔✔A young client is admitted to the hospital directly from the clinic. The physician
suspects a problem with the child's immune system. What test does the nurse anticipate
the physician will order for this client? - ✔✔Blood analysis
✔✔Nursing students correctly label the group of cells whose job is to ingest, engulf, and
neutralize pathogens as: - ✔✔macrophages
✔✔A 7-year-old child is rushed into the emergency room after being stung by a yellow
jacket. The child is nauseated and vomiting and is experiencing itching and swelling on
the arm where stung. The is having trouble breathing. Which type of hypersensitivity
response is the child experiencing? - ✔✔Type I: anaphylaxis
✔✔A child with allergic rhinitis is prescribed a nasal antihistamine spray. When advising
the parents about the use of the sprays, what should the nurse explain about the
rebound phenomenon? - ✔✔It causes an increase in nasal secretions after an initial
decrease
✔✔A nurse is conducting a physical examination of a 12-year-old girl with suspected
systemic lupus erythematosus (SLE). How would the nurse best interview the girl? -
✔✔"Have you noticed any hair loss or redness on your face?"
✔✔The nurse is providing teaching about food substitutions when cooking for the child
with an allergy to eggs. Which response indicates a need for further teaching? - ✔✔"I
can use the egg white when baking, but not the yolk."
, ✔✔The nurse is monitoring the CD4 count of an infant who has contracted HIV from the
mother in utero. The nurse is concerned that treatment with antiretroviral therapy is not
effective when noting which CD4 level? - ✔✔1300/mm3
✔✔An adolescent client has just been diagnosed with systemic lupus erythematosus
(SLE). Following client education about the disease, which statement by the client
demonstrates understanding of SLE? - ✔✔"SLE is an autoimmune disorder that I will
always have, with times of flare- ups and times of minimal to no symptoms."
✔✔The nurse has completed an education session with parents of children diagnosed
with food allergies. Which statement by a parent would indicate a need for additional
education? - ✔✔"If we need to use the EpiPen® we will need to notify her physician's
office the next business day."
✔✔The adoptive parents of a child who is 7 years old and HIV positive are concerned
about telling their child about his condition. What information can be provided by the
nurse? - ✔✔When providing health information to a child of this age it should be
simplistic and at the child's level of understanding.
✔✔Which nursing intervention is priority when caring for a child with HIV? -
✔✔Administer prescribed medications.
✔✔The nurse is caring for a child and notes periorbital edema on the left eye with
urticaria. Which action by the nurse is priority? - ✔✔Assess lung sounds bilaterally.
✔✔An unconscious client is brought to the emergency department after ingesting too
much prescribed medication. What is the highest priority nursing intervention? -
✔✔Establish a patent airway.
✔✔A home care nurse provides health education to parents regarding the care of their
toddler. Which precaution should the nurse suggest the parents take to protect the
toddler from drowning? - ✔✔Avoid unattended baths for the toddler.
✔✔A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the
ingestion of cleaning solution. What must be included in teaching parents about how to
protect a toddler from accidental poisoning? - ✔✔Keep cleaning solutions locked up.
✔✔When educating parents of preschoolers what is most important to include in your
presentation? - ✔✔Keep chemicals in a locked cabinet.
✔✔A 10-year-old boy has just arrived by ambulance at the emergency room following a
motor vehicle accident, and a nurse is assessing him. Which three body systems should
the nurse evaluate fist? - ✔✔Respiratory, cardiovascular, and neurologic
