LATEST VERSION WITH ALL 175 QUESTIONS FROM ACTUAL
EXAM WITH ANSWERS AND RATIONALE
10. The mother of a newborn asks the nurse when the infant will receive the first hepatitis B
immunization. Which is the nurse's best response?
1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis B-positive."
2. "The first dose of the hepatitis B vaccine will be given prior to discharge today."
3. "The first dose of hepatitis B vaccine is given at 1 year of age."
4. "Babies receive their first hepatitis B vaccine at 6 months of age." - CORRECT ANSWERS-2.
"The first dose of the hepatitis B vaccine will be given prior to discharge today."
The first dose of hepatitis B vaccine
is recommended between birth and
2 months. In most hospitals, newborns are given the vaccine prior to discharge.
29. A 3-year-old is hospitalized for an ASD repair. The parents have decided to go home for a few hours
to spend time with her siblings. The child asks when her mommy and daddy will be back. The nurse's
best response is:
1. "Your mommy and daddy will be back after your nap."
2. "Your mommy and daddy will be back at 6:00 p.m."
3. "Your mommy and daddy will be back later this evening." 4. "Your mommy and daddy will be back in 3
hours." - CORRECT ANSWERS-1. "Your mommy and daddy will be back after your nap."
Preschoolers understand time in relation to events.
30. Which approach should the nurse use to gather information from a child brought to the ED for
suspected child abuse?
1. Promise the child that her parents will not know what she tells the nurse.
2. Promise the child that she will not have to see the suspected abuser again.
3. Use correct anatomical terms to discuss body parts.
, 4. Tell the child that the abuse is not her fault and that she is a good person. - CORRECT
ANSWERS-4. Tell the child that the abuse is not her fault and that she is a good person.
31. Which reaction would a nurse expect when giving a preschooler immunizations? 1. The child remains
silent and still.
2. The child cries and tells the nurse that it hurts.
3. The child tries to stall the nurse.
4. The child remains still while telling the nurse that she is hurting him. - CORRECT ANSWERS-
2. The child cries and tells the nurse that it hurts.
The common response of a 5-year-old is to cry and protest during an immunization. School-age children
are most likely to try to stall the nurse.
Teens usually remain still, and they may calmly tell the nurse that they are feeling pain during the
injection.
32. What can a nurse do to reinforce a 5-year-old's intellectual initiative when he asks about his
upcoming surgery?
1. Answer the child's questions about his upcoming surgery in simple terms.
2. Provide the child with a book that has vivid illustrations about his surgery.
3. Tell the child he should wait and ask the doctor his questions. 4. Tell the child that she will answer his
questions at a later time. - CORRECT ANSWERS-1. Answer the child's questions about his
upcoming surgery in simple terms.
The child is taking the initiative to ask questions, as all preschoolers do,
and the nurse should always answer those questions as appropriately
and accurately as possible.
33. A 5-year-old boy has always been one of the shortest children in class. His mother tells the school
nurse that her husband is 6 tall and she is 57. What should the nurse tell the child's mother?
1. He is expected to grow about 3 inches every year from ages 6 to 9 years.
2. He is expected to grow about 2 inches every year from ages 6 to 9 years.