Nursing Care of Children Proctored
Exam Test 2026 ALL QUESTIONS
AND CORRECT ANSWERS |
ALREADY GRADED A+ | LATEST
VERSION (JUST RELEASED)
client who is immobile. The nurse should recognize that immobility places the
client at risk of which of the following health alterations? A) Increased
intestinal motility B) Respiratory alkalosis C) Decreased cardiac output D)
Hypocalcemia - ANSWER//C) Decreased cardiac output A nurse is preparing
to perform mouth care for an unresponsive client. Which of the following
actions should the nurse plan to take? A) Place the client supine B) Keep both
side rails up C) Raise the level of the bed D) Inspect the clients mouth using a
finger sweep - ANSWER//C)Raise the level of the bed A nurse is preparing to
administer an afternoon dose of ampicillin to a client. The client appears upset
and refuses to take the medication before throwing the pill on the floor. Which
of the following entries should the nurse enter into the clients medical record?
A) the client refuses to take medication today B) The client states, "I will not
take this pill." C) The client seemed angry and hostile D) The client threw the
medication on the floor - ANSWER//D) The client threw the medication on the
floor A nurse is a rehabilitation facility is observing an assistive personal (AP)
help a client transfer from a bed to a wheelchair. Which of the following
actions indicates to the nurse that the AP understands how to perform this
task A) Locking the brakes on the bed and the wheelchair before moving the
client B) Lowering the footplates of the wheelchair before the transfer C)
Placing the wheelchair perpendicular to the bed D) Placing the wheelchair on
the clients weaker side prior to the transfer - ANSWER//A) Locking the brakes
on the bed and the wheelchair before moving the client A nurse is caring for a
client who has cancer and refuses visitors because of his debilitated physical
appearance. Which of the following comments should the nurse make? A)
"You look just fine to me." B) "Nobody expects you to look beautiful in the
hospital." C) "I understand how you feel. I would feel the same way." D)
Would you like to talk about how you feel?" - ANSWER//D) "Would you like to
talk about how you feel?" A nurse is assessing the pH of a clients gastric fluid
to confirm the placement of an NG tube in the stomach. Which of the following
pH values should the nurse expect? A) 6 B) 2 C) 10 D) 8 - ANSWER//B) 2 A
nurse is caring for a client who is scheduled to receive transcutaneous
electrical nerve (TENS) for pain management. The client asks the nurse how
a TENS unit helps to relieve pain. Which of the following responses should
the nurse make? A) "It provides a distraction from the pain" B) "It modulates
,the transmission of the pain impulse" C) "It promotes increased circulation to
the painful area" D) "It elicits a relaxation response" - ANSWER//B) "It
modulates the transmission of the pain impulse" A nurse is performing a
physical assessment of a client. The nurse should recognize that which of the
following places the client at risk of impaired skin integrity? A) 3+ Achilles
reflex B) Faint pedal pulses C) Feet warm to the touch bilaterally D) Capillary
refill of <2 seconds - ANSWER//B) Faint pedal pulse A nurse is assessing a
client. Which of the following findings should the nurse identify as an
indication of protein-calorie malnourishment (SATA) A) Gingivitis B) Dry,
brittle hair C) Edema D) Spoon-shaped nails E) Poor wound healing -
ANSWER//B) Dry, brittle hair D) Spoon-shaped nails E) Poor wound healing A
nurse is caring for a client who has bilateral casts on her hands. Which of the
following actions should the nurse take when assisting the client with feeding?
A) Sit at the bedside while feeding the client B) Order puréed foods C) Make
sure feedings are provided at room temperature D) Offer the client a drink
after every bite - ANSWER//A) Sit at the bedside while feeding the client A
nurse is changing the dressing for a client recovering from an appendectomy
following a ruptured appendix. The clients surgical wound is healing by
secondary intention. Which of the following observations should the nurse
report to the provider? A) Tenderness when touched B) Pink, shiny tissue with
a granular appearance C) Serosanguineous drainage D) Halo of erythema on
the surrounding skin - ANSWER//D) Halo of erythema on the surrounding skin
A nurse is teaching a client who is postoperative following a knee arthroplasty
about the muscles he will need to strengthen in physical therapy. Which of the
following muscle groups is responsible for movement at the knee joint? A)
Antigravity B) Antagonistic C) Synergistic D) Skeletal - ANSWER//B)
Antagonistic A nurse is caring for a client who has a terminal illness. The
family wants to care for the client at home. Which of the following statements
indicates that the nurse understands family-centered care A) "Social services
can contact various community resources that will be helpful." B) "I will review
the care plan to make the necessary changes." C) "Let's set up a meeting
time with the doctor to discuss your options for home care." D) "I will make a
list of things we need to do before discharge." - ANSWER//C) "Let's set up a
meeting time with the doctor to discuss your options for home care." A nurse
has received a prescription for dextran to administer to a client. The nurse
should recognize that dextran belongs in which of the following functional
classifications A) Skeletal muscle relaxants B) Beta-adrenergic blockers C)
Broad-spectrum anti-infective agents D) Plasma volume expanders -
ANSWER//D) Plasma volume expanders A nurse is providing teaching to a
client regarding protein intake. Which of the following foods should the nurse
include as an example of an incomplete protein? A) Eggs B) Soybeans C)
Lentils D) Yogurt - ANSWER//D) Lentils A nurse is caring for a client who has
cancer and is experiencing pain. The nurse should implement which of the
following interventions to assist the client with pain relief? A) Encourage the
client to listen to soft music B) Instruct the client to practice tai chi C) Place a
jasmine scented air freshener in the clients room D) Offer the client ginger tea
- ANSWER//A) Encourage the client to listen to soft music A nurse is
assessing a client who has an abdominal aortic aneurysm. Which of the
following manifestations should the nurse expect? A) Midsternal chest pain B)
Thrill C) Pitting edema in lower extremities D) Lower back discomfort -
,ANSWER//D) Lower back discomfort A nurse is preparing a plan of care for a
client who is postoperative following a modified radical mastectomy. Which of
the following invoice decides should the nurse expect the client to have? A)
Chest tube B) Indwelling urinary catheter C) Nasogastric tube D) Jackson-
Pratt drain - ANSWER//D) Jackson-Pratt drain A nurse is planning care for a
client who has anorexia and nausea due to cancer treatment. Which of the
following interventions should the nurse include. A) Serve foods at warm or
hot temperatures B) Offer the client low-density foods C) Make sure the client
lies supine after meals D) Limit drinking liquids with food - ANSWER//D) Limit
drinking liquids with food A newly licensed nurse is preparing to administer
medications to a client. The nurse notes that the provider has prescribed a
medication that is unfamiliar to him. Which of the following actions should the
nurse take? A) Consult the medication reference book available on the unit B)
Ask a more experienced nurse for information about the medication C) Call
the clients provider and verify the prescription D) Ask the client if she takes
this medication at home - ANSWER//A) Consult the medication reference
book available on the unit A nurse in a providers office is assessing a client
who has heart failure. The client has gained weight since her last, and her
an,les are edematous. Which of the following findings is another clinical
manifestation of fluid volume excess A) Sunken eyeball B) Hypotension C)
Poor skin turgor D) Bounding pulse - ANSWER//D) Bounding pulse A nurse in
an oncology clinic is assessing a client who is undergoing treatment for
ovarian cancer. Which of the following statements by the client indicates she
is experiencing psychological distress? A) "My parents are retired, and they
have come to help with our children B) "I am going to ask my husband to go to
counseling with me" C) "I keep having nightmares about my upcoming
surgery" D) "My girlfriends bought me a nice wig" - ANSWER//C) "I keep
having night,ares about my upcoming surgery" A nurse is assessing a client
who has a sudden onset of severe back pain of unknown origin. Which of the
following questions should the nurse ask to encourage discussion with the
client? A) "Does the medication you're taking relieve the pain?" B) "Can you
point to where the pain is the worst?" C) "What do you think caused the onset
of your pain?" D) "Changing positions makes your pain worse, right?" -
ANSWER//C) "What do you think caused the onset of your pain?" A nurse is
caring for a client who has acute renal failure. Which of the following
assessments provides the most accurate measure of the clients fluid status?
A) Daily weight B) Blood pressure C) specific gravity D) Intake and output -
ANSWER//A) Daily weight A nurse is caring for a client who is unstable and
has vital sign measured every 15 minutes by an electronic blood pressure
machine. The nurse notices the machine begins to measure the blood
pressure at varied intervals, and the readings are inconsistent. Which of the
following actions should the nurse take? A) Turn on the machine every 15 min
to measure the clients blood pressure B) Record only the blood pressure
reading needed for 15 min intervals C) Obtain manual and automatic readings
and compare them D) Disconnect the machine and measure the blood
pressure manually every 15 min - ANSWER//D) Disconnect the machine and
measure the blood pressure manually every 15 min A nurse is caring for a
client who has a temperature of 38.7 C (101.7 F). Which of the following
actions should the nurse take? A) Apply an alcohol-water solution to the
clients skin B) Keel the clients bed linens dry C) Apply ice packs to the groin D)
, Limit the clients fluid intake to 1183 mL (40 oz) of fluid per day - ANSWER//B)
Keep the clients bed linens dry A nurse is supervising a newly licensed nurse
who is administering a controlled substance. Which of the following actions by
the newly licensed nurse indicates an understanding of the procedure? A)
Placing an unused portion of the medication in a sharps box B) Asking
another nurse to observe the disposal of an unused portion of the medication
C) Counting the inventory of the available narcotic after administering the
medication D) Ensuring that another nurse signs the control inventory form
after disposal of an unused portion of medication - ANSWER//B) Asking
another nurse to observe the disposal of an unused portion of the medication
A nurse is teaching a client with lower extremity weakness how to use a 4-
point crutch gait. Which of the following instructions should the nurse included
in the teaching? A) "Support the majority of your weight on the axillae" B)
"Keep your elbows extended" C) "Bear weight on both of your legs" D) "Move
both crutches forward at the same time" - ANSWER//C) "Bear weight on both
of your legs" A nurse is obtaining a capillary blood sample to determine a
A school nurse is assessing a child who has been stung by a bee. The child's
hand is swelling and the nurse notes that the child is allergic to insect stings.
Which of the following findings should the nurse expect if the child develops
anaphylaxis? (SATA) A) Bradycardia B) Nausea C) Hypertension D) Urticaria
E) Stridor - ANSWER//B) Nausea D) Urticaria E) Stridor A nurse is caring for
a client who is unconscious. Which of the following actions should the nurse
take when providing oral care for the client? A) Test for the presence of the
clients gag reflex B) Place the client in the supine position C) Use a firm
toothbrush for tooth and gum care D) Use 2 gauze-wrapped fingers to hold
the mouth open - ANSWER//A) Test for the presence of the clients gag reflex
A nurse is planning care for a client who has acute myelogenous leukemia
and a platelet count of 48,000/mm^3. Which of the follow interventions should
the nurse include? A) Avoid IM injections B) Assess the client for ecchymosis
once per shift C) Do not allow the client to have visitors D) Encourage daily
flossing between teeth - ANSWER//A) Avoid IM injection A nurse is preparing
to assess the function of the clients trigeminal nerve (cranial nerve V). Which
of the following items should the nurse gather for the test? A) Sugar B) Coffee
C) Cotton wisps D) Snellen chart - ANSWER//C) Cotton wisps A nurse is
caring for a client with alcohol use disorder who has undergone detoxification.
Which of the following medications should the nurse expect the provider to
prescribe to assist the client with maintaining sobriety A) Varenicline B)
Clonidine C) Buprenorphine D) Disulfiram - ANSWER//D) Disulfiram A newly
admitted client who has major depressive disorder states to the nurse, "I'm a
failure, I can't even cope with the little things anymore." Which of the following
responses should the nurse provide? A) "What happened in your life to make
you feel like such a failure?" B) "It sounds as if you are feeling pretty
overwhelmed right now" C) "Do you feel like you don't deserve to feel good
about yourself?" D) "I know you feel like that now, but you'll feel differently
when you get better" - ANSWER//C) "Do you feel like you don't deserve to
feel good about yourself?" A nurse is caring for a middle-aged adult client.
The nurse should identify which of the following statements as an indication
that the client has completed Eriksons developmental task for her age group?
A) "I am comfortable with my decision to choose a lifelong partner." B) "I think