2026 COMPREHENSIVE STUDY GUIDE SOLVED
QUESTION SET
◉ A nurse is providing dietary teaching to the guardian of a school-age
child who has cystic fibrosis. Which of the following statements should
the nurse make? Answer: "You should offer your child high-protein
meals and snacks throughout the day."
children who have cf require a higher percentage of the recommended
dietary allowances of all nutrients to meet their energy requirements.
children who have good nutritional intake have improved lung function
and decrease risk of infection
◉ A nurse is providing discharge teaching to the parents of a 6-month-
old infant who is postoperative following hypospadias repair with a stent
placement. Which of the following instructions should the nurse include
in the teaching? Answer: "Allow the stent to drain into your infants
diaper."
this is to prevent kinking or twisting that can interfere with urine flow
◉ A nurse is caring for a school-age child who has primary nephrotic
syndrome and is taking prednisone. Following 1 week of treatment,
which of the following manifestations indicates to the nurse that the
medication is effective? Answer: Decreased edema
,a child who has nephrotic syndrome can experience edema d/t the
increase glomerular permeability, which increases protein loss.
prednisone decreases glomerular permeability, which causes fluid to
shift from the extracellular spaces, resulting in decreased edema
◉ A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse assess first? Answer: A toddler
who has a concussion and an episode of forceful vomiting.
when using urgent vs. nonurgent approach to pt care, the nurse should
assess this child first. an episode of forceful vomiting is an indication of
increased ICP in a toddler who has a concussion
◉ A nurse is providing discharge teaching to the guardians of a toddler
who had lower leg cast applied 24 hr ago. The nurse should instruct the
guardians to report which of the following finding to the provider?
Answer: Restricted ability to move the toes.
this is an indication of neurovascular compromise and requires
immediate notification of the provider. permanent muscle and tissue
damage can occur in just a few hours
◉ A nurse in an emergency department is auscultating the lungs of an
adolescent who is experiencing dyspnea. The nurse should identify the
sound as which of the following? Answer: Wheezes
, wheezes are high-pitched, musical or whistling-like sounds heard
primarily on expiration as air passes through and vibrate narrowed
airways
◉ A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on the
cardiac monitor. Which of the following prescriptions should the nurse
clarify with the provider? Answer: Potassium Chloride
the nurse should identify that a child who has a chf can develop e
imbalances such as hyper hypokalemia. the nurse should identify that the
child is exhibiting manifestations of hyperkalemia and contact the MD
about the admin of this which can increase the severity of hyperkalemia
◉ A nurse is planning an educational program for school-age children
and their parents about bicycle safety. Which of the following
information should the nurse plan to include? Answer: The child should
be able to stand on the balls of their feet when sitting on the bike.
to decrease the risk of injury, parents should ensure that the bike is the
correct size for the child. when seated on the bike, the child should be
able to stand with the ball of each foot touching the ground and should
be able to stand with each foot flat on the ground when straddling the
bikes center