Exam 2025–2026 – Latest Updated Review
with Verified Questions, Correct Answers &
Detailed Rationales | A+ Rated Study Guide
Question 1:
Teaching the parents of a school-aged child who has a new diagnosis of
osteomyelitis of the tibia. The nurse should identify that which of the following
statements by the parents indicates an understanding of the teaching?
A. my child will have a cast until healing is complete.
B. My child will receive antibiotics for several weeks.
C. My child can return to playing sports once he is discharged.
D. My child needs to be in contact isolation.
Answer: B
The nurse should instruct the parent that the child will receive antibiotic
therapy for at least 4 weeks. Surgery might be indicated if the antibiotics are not
successful.
, Question 2:
A nurse in an emergency department is caring for a school-age child
who is experiencing an anaphylactic reaction. Which of the following is the
priority action by the nurse?
A. Elevate the head of the child's bed
B. insert a large-bore IV catheter for the child
C. determine the allergen that caused the child's reaction
D. administer IM epinephrine to the child
Answer: D
When using the urgent vs nonurgent approach to client care, the nurse
determines that the priority action is administering IM epinephrine to the child.
During an anaphylactic reaction, histamine release causes bronchoconstriction and
vasodilation. This is an emergency because ultimately it causes decreased blood
return to the heart.
Question 3:
A nurse is receiving change-of-shift Report on for children. Which of
the following children should the nurse assess first?
A. A toddler who has a concussion and an episode of forceful vomiting
B. An adolescent who has infective endocarditis and reports having a headache
, C. An adolescent who was placed into Halo traction 1 hour ago and rates his
pain at a 6 on a 0- 10 scale.
D. School-age child who has acute glomerulonephritis and brown colored
urine
Answer A
When using the urgent vs. non-urgent approach to client care, the nurse
should assess this child first. An episode of forceful vomiting is an indication of
increased intracranial pressure in a
Question 3:
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthritis. Which of the following instructions should the
nurse include in the teaching?
A. Limit the movement of the child large joints.
B. Encourage the child to perform independent self-care.
C. Provide the child with a soft mattress for sleeping.
D. Schedule a 2-hour daily nap for the child in the afternoon.
Answer: B
The nurse should teach the family the importance of encouraging the child to
perform independent self-care. This will minimize the child's pain while
maximizing mobility. Encouraging and praising the child's efforts for
independence will also increase his self-esteem.
, Question 4:
A nurse in the emergency department is caring for an adolescent who
has severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point?
A. Left lower quadrant, midway between the umbilicus and the left anterior
superior iliac spine
B. Right upper quadrant, just below the costal margin
C. Right lower quadrant, one-third of the distance from the anterior
superior iliac spine to the umbilicus
D. Midline abdomen, directly above the umbilicus