WITH ANSWERS VERIFIED 2026
ALREADY GRADED BY EXPERTS
The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
The nurse is assessing a healthy child at the 2 year check up. Which of
the following should the nurse report immediately to the health care
provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The emergency room nurse admits a child who experienced a seizure
at school. The father comments that this is the first occurrence, and
denies any family history of epilepsy. What is the best response by the
1
,nurse?
A) "Do not worry. Epilepsy can be treated with
medications." B) "The seizure may or may not mean
your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
A client is receiving nitroprusside IV for the treatment of acute heart
failure with pulmonary edema. What diagnostic lab value should the
nurse monitor in relation to this medication?
A) Potassium
B) Arterial blood gasses
C) Blood urea
nitrogen D)
Thiocyanate
A victim of domestic violence tells the batterer she needs a little
time away. How would the nurse expect that the batterer might
respond?
A) With acceptance and views the victim’s comment as an indication that
their marriage is in trouble
B) With fear of rejection causing increased rage toward the victim
C) With a new commitment to seek counseling to assist with their marital
problems
D) With relief, and welcomes the separation as a means to have some
personal time
2
, A postpartum mother is unwilling to allow the father to participate in
the newborn's care, although he is interested in doing so. She states, "I
am afraid the baby will be confused about who the mother is. Baby
raising is for mothers, not fathers." The nurse's initial intervention
should be what focus?
A) Discuss with the mother sharing parenting responsibilities
B) Set time aside to get the mother to express her feelings and concerns
C) Arrange for the parents to attend infant care classes
D) Talk with the father and help him accept the wife's decision
A client with emphysema visits the clinic. While teaching about proper
nutrition, the nurse should emphasize that the client
A) Eat foods high in sodium increases sputum
liquefaction B) Use oxygen during meals improves
gas exchange
C) Perform exercise after respiratory therapy enhances appetite
D) Cleanse the mouth of dried secretions reduces risk of infection
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
3
, C) Altered thought process
D) Disturbance in self-esteem
The nurse enters a 2 year-old child's hospital room in order to
administer an oral medication. When the child is asked if he is ready to
take his medicine, he immediately says, "No!” What would be the most
appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
A nurse is doing pre conceptual counseling with a woman who is
planning a pregnancy. Which of the following statements suggests that
the client understands the connection between alcohol consumption and
fetal alcohol syndrome?
A) "I understand that a glass of wine with dinner is healthy."
B) "Beer is not really hard alcohol, so I guess I can drink some."
C) "If I drink, my baby may be harmed before I know I am pregnant."
D) "Drinking with meals reduces the effects of alcohol."
The client who is receiving enteral nutrition through a gastrostomy
tube has had 4 diarrhea stools in the past 24 hours. The nurse should
A) Review the medications the client is receiving
B) Increase the formula infusion rate
4