SCRIPT 2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ 2. A nurse has just received a medication order which is not
legible. Which statement best reflects assertive communication?
Answer: B) "Would you please clarify what you have written so I am
sure I am reading it correctly?"
◉ 3. What is the most important consideration when teaching
parents how to reduce risks in the home? Answer: D) Age of children
in the home
◉ 4. A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to request
something for pain. The nurse should Answer: C) Administer the
prescribed analgesia
◉ 5. While caring for a toddler with croup, which initial sign of
croup requires the nurse's immediate attention? Answer: A)
Respiratory rate of 42
,◉ 6. A client is admitted with low T3 and T4 levels and an elevated
TSH level. On initial assessment, the nurse would anticipate which of
the following assessment findings? Answer: A) Lethargy
◉ 7. 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 nurse? Answer: B) "The seizure may or may not
mean your child has epilepsy."
◉ 8. Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What nursing diagnosis best applies? Answer: A)
Risk for injury
◉ 9. Which these findings would the nurse more closely associate
with anemia in a 10 month-old infant? Answer: B) Pale mucosa of
the eyelids and lips
◉ 10. The nurse is caring for a client in hypertensive crisis in an
intensive care unit. The priority assessment in the first hour of care
is Answer: D) Pupil responses
◉ 11. Which of these clients who are all in the terminal stage of
cancer is least appropriate to suggest the use of patient controlled
analgesia (PCA) with a pump? Answer: D) A preschooler with
intermittent episodes of alertness
,◉ 12. The nurse is about to assess a 6 month-old child with
nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby
to be Answer: D) Pale, thin arms and legs, uninterested in
surroundings
◉ 13. As the nurse is speaking with a group of teens which of these
side effects of chemotherapy for cancer would the nurse expect this
group to be more interested in during the discussion? Answer: D)
Hair loss
◉ 14. While caring for a client who was admitted with myocardial
infarction (MI) 2 days ago, the nurse notes today's temperature is
101.1 degrees Fahrenheit (38.5 degrees
Celsius). The appropriate nursing intervention is to Answer: B)
Administer acetaminophen as ordered as this is normal at this time
◉ 15. A client is admitted for first and second degree burns on the
face, neck, anterior chest and hands. The nurse's priority should be
Answer: B) Assess for dyspnea or stridor
◉ 16. Which of these clients who call the community health clinic
would the nurse ask to come in that day to be seen by the health care
, provider? Answer: D) I went to the bathroom and my urine looked
very red and it didn't hurt when I went.
◉ 17. Which of these parents' comment for a newborn would most
likely reveal an initial finding of a suspected pyloric stenosis?
Answer: C) Mild vomiting that progressed to vomiting shooting
across the room.
◉ 18. The nurse is assessing a child for clinical manifestations of
iron deficiency anemia. Which factor would the nurse recognize as
cause for the findings? Answer: B) Tissue hypoxia
◉ 19. The nurse would expect the cystic fibrosis client to receive
supplemental pancreatic enzymes along with a diet Answer: A) High
in carbohydrates and proteins
◉ 20. In evaluating the growth of a 12 month-old child, which of
these findings would the nurse expect to be present in the infant?
Answer: C) Tripled the birth weight
◉ 21. A Hispanic client in the postpartum period refuses the
hospital food because it is "cold." The best initial action by the nurse
is to Answer: B) Ask the client what foods are acceptable or bad