and Answers Updated 2026
AnMinfantMarrivesMatMtheMclinicMwithMaMpersistentMcough.MMotherMreportsMtheMinfa
ntMhasMnotMbeenMfeedingMwellMforMtheMpastMday.MWhatMnursingMinterventionsMwou
ldMbeMappropriate?
A.MProvideMoxygenMtoMtheMinfantMviaMcannula
B.MUndressMtheMinfantMtoMdoMaMcompleteMassessment
C.MSuctionMtheMinfant'sMnoseMwithMaMbulbMsyringe
D.MStartManMIVM-MAnswerMC.MSuctionMtheMinfant'sMnoseMwithMaMbulbMsyringe
CoughM&Mhasn'tMbeenMeatingMwellM=MprodromalMsymptom
ThinkMaboutM1stMpriorityM→MCMwouldMbeMtheManswerMb/cMofMairway
BulbMsyringeMbeforeMMomMputsMbabyMtoMbreastMorMbottleMb/cMifMtheyMcan'tMbrea
the,Mthey'reMnotMgoingMtoMbeMableMtoMfeed
Don'tMgiveMO2MuntilMweMhaveMaMprovider'sMorderM→MconsideredMaMmed
AMnurseMisMassessingManMinfantMwhoMhasMmanifestationsMofMacuteMotitisMmediaM(A
OM).MWhichMofMtheMfollowingMassessmentMdataMshouldMtheMnurseMidentifyMasMriskM
factorsMforMotitisMmedia?
SelectMallMthatMapply.
A.MBreastfeedsMwithoutMformulaMsupplementation.
B.MAttendsMdayMcareM4MdaysMperMweek.
C.MImmunizationsMareMupMtoMdate.
D.MHistoryMofMaMcleftMpalateMrepair.
E.MParentsMsmokeMcigarettesMoutside.M-
MAnswerMB.MAttendsMdayMcareM4MdaysMperMweek.
D.MHistoryMofMaMcleftMpalateMrepair.
E.MParentsMsmokeMcigarettesMoutside.
,WhenMrecognizingMcuesMduringMtheMcareMofManMinfantMwhoMhasMmanifestationMofM
acuteMotitisMmedia,MtheMnurseMshouldMidentifyMthatMattendingMdaycare,MhavingMaMhi
storyMofMcleftMpalateMrepair,MandMlivingMwithMparentsMwhoMsmokeMareMriskMfactors
MforMacuteMotitisMmedia.MAttendingMdaycareMincreasesMtheMriskMdueMtoMexposureMt
oMmultipleMchildren.MChildrenMwhoMhaveMhadMaMcleftMpalateMrepairMareMmoreMpron
eMtoMAOMMbecauseMmicro-
organismsMcanMeasilyMenterMtheMEustachianMtubes.MChildrenMwhoMliveMwithMparents
MwhoMsmokeMcigarettes,MevenMoutside,MareMatMaMgreaterMriskMdueMtoMexposureMt
oMsecondhandMsmoke.MBreastfeedingMhelpsMtoMprotectMagainstMAOMMbecauseMbreast
MmilkMcontainsMsecretoryMimmunoglobulinMA.MTheMpneumococcalMconjugateMvaccineMd
ecreasesMtheMincidenceMofMOM.
AMnurseMisMassessingManMinfantMwhoMhasMpresentedMforMaMwell-babyMcheck-
up.MWhichMofMtheMfollowingMfindingsMshouldMtheMnurseMidentifyMasMclinicalMmanifest
ationsMofMacuteMotitisMmedia?
SelectMallMthatMapply.
A.MDecreasedMpainMinMtheMsupineMposition
B.MRollingMheadMsideMtoMside
C.MLossMofMappetite
D.MIncreasedMsensitivityMtoMsound
E.MCryingM-MAnswerMB.MRollingMheadMsideMtoMside
C.MLossMofMappetite
E.MCrying
WhenMrecognizingMcuesMduringMtheMassessmentMofManMinfant,MtheMnurseMshouldMrec
ognizeMthatMrollingMtheMheadMsideMtoMside,MlossMofMappetite,MandMcryingMareMman
ifestationsMofMacuteMotitisMmedia.MInfantsMwhoMhaveMacuteMotitisMmediaMwillMhaveM
anMincreaseMinMpainMinMtheMsupineMpositionMfromMtheMfluidMandMpressureMinMthe
Mear.MInfantsMwhoMhaveMacuteMotitisMmediaMhaveMaMdecreasedMsensitivityMtoMsoun
dMfromMtheMfluidMandMpressureMinMtheMear.
AMnurseMisMcaringMforMaMtoddlerMwhoMhasMhadMrhinitis,Mcough,MandMdiarrheaMfor
M2Mdays.MUponMassessment,MitMisMnotedMthatMtheMtympanicMmembraneMhasManMor
angeMdiscolorationMandMdecreasedMmovement.MWhichMofMtheMfollowingMstatementsMs
houldMtheMnurseMmakeMtoMtheMcaregiver?
A.M"YourMchildMhasManMearMinfectionMthatMrequiresMantibiotics."
,B.M"YourMchildMmayMhaveMtransientMhearingMloss."
C.M"YourMchildMwillMneedMaMdecongestantMuntilMthisMconditionMclears."
D.M"YourMchildMwillMneedMtoMhaveMaMmyringotomy."M-
MAnswerMB.M"YourMchildMmayMhaveMtransientMhearingMloss."
WhenManalyzingMcuesMduringMtheMcareMofMaMtoddlerMwhoMhasMhadMrhinitis,Mcough,
MandMdiarrheaMforM2MdaysMthatMisMaccompaniedMbyMaMtympanicMmembraneMwithM
anMorangeMdiscolorationMandMdecreasedMmovement,MtheMnurseMshouldMidentifyMthatM
theMtoddlerMhasMmanifestationsMofMotitisMmediaMeffusionM(OME).MTransientMhearingMl
ossMisMaMcomplicationMofMOME;Mtherefore,MtheMnurseMshouldMinformMtheMguardians
MthatMtheMchildMmayMhaveMtransientMhearingMloss.MAntibioticsMareMnotMrecommende
dMforMOME.MDecongestantsMareMnotMrecommendedMforMOME.MMyringotomyMisMreco
mmendedMforMclientsMwhoMhaveMchronicMOME.MNCLEXMConnection:MPhysiologicalMAda
ptation,MUnexpectedMResponseMtoMTherapies
AMnurseMisMcaringMforMaMtoddlerMwhoMhasMacuteMotitisMmedia.MWhichMofMtheMfoll
owingMisMtheMpriorityMactionMforMtheMnurseMtoMtake?
A.MProvideMemotionalMsupportMtoMtheMfamily.
B.MEducateMtheMfamilyMonMcareMofMtheMchild.
C.MProvideMaMdiversionalMactivity.
D.MAdministerManalgesics.M-MAnswerMD.MAdministerManalgesics
WhenMusingMMaslow'sMhierarchyMofMneedsMtoMprioritizeMhypothesisMduringMtheMcare
MofMaMtoddlerMwhoMhasMacuteMotitisMmedia,MtheMnurseMshouldMidentifyMthatMthe
MadministrationMofManalgesicsMcanMmeetMtheMtoddlersMphysiologicMneedMforMpainMrel
ief.MTherefore,MthisMisMtheMpriorityMactionMtoMtake.MProvidingMemotionalMsupportMto
MtheMfamilyMwillMpromoteMpsychologicalMwell-
being.MHowever,MitMisMnotMtheMpriorityMaction.MEducatingMtheMfamilyMonMtheMcare
MofMtheMchildMwillMpromoteMrecoveryMfromMillness.MHowever,MitMisMnotMtheMpriorit
yMaction.MProvidingMaMdiversionalMactivityMforMtheMtoddlerMwillMhelpMprovideMnormal
cyMduringMcare.MHowever,MitMisMnotMtheMpriorityMaction.MNCLEXMConnection:MPhysiol
ogicalMAdaptation,MIllnessMManagement
AMnurseMisMcaringMforMaMtoddlerMwhoMhasMhadMthreeMearMinfectionsMinMtheMpast
M5Mmonths.MTheMnurseMshouldMidentifyMthatMtheMtoddlerMisMatMriskMforMdevelopin
gMwhichMofMtheMfollowingMlong-termMcomplications?
, A.MBalanceMdifficulties
B.MRash
C.MSpeechMdelays
D.MMastoiditisM-MAnswerMC.MSpeechMdelays
WhenManalyzingMcuesMduringMtheMcareMofMaMtoddlerMwhoMhasMhadMthreeMearMinfe
ctionsMinMtheMpastMfiveMmonths,MtheMnurseMshouldMidentifyMthatMtheMtoddlerMisMa
tMriskMforMspeechMdelaysMasMaMcomplicationMofMrecurrentMotitisMmedia.MBalanceMdif
ficultiesMcanMbeMpresentMwithMotitisMmedia.MHowever,MitMisMnotMaMlong-
termMcomplication.MAlthoughMrashMcanMindicateMantibioticMsensitivity,MitMisMnotMaMlo
ng-
termMcomplicationMofMotitisMmedia.MMastoiditisMcanMbeMaMresultMofMotitisMmedia.M
However,MitMisMnotMaMlong-
termMcomplication.MNCLEXMConnection:MPhysiologicalMAdaptation,MPathophysiology
AMnurseMisMassessingMaMchildMwhoMhasMaMrotavirusMinfection.MWhichMofMtheMfollo
wingMfindingsMshouldMtheMnurseMexpect?
SelectMallMthatMapply.
A.MFever
B.MVomiting
C.MWateryMstools
D.MBloodyMstools
E.MConfusionM-MAnswerMA.MFever
B.MVomiting
C.MWateryMstools
AMnurseMisMteachingMaMgroupMofMparentsMaboutMSalmonella.MWhichMofMtheMfollowi
ngMinformationMshouldMtheMnurseMincludeMinMtheMteaching?
SelectMallMthatMapply.
A.MIncubationMperiodMisMnonspecific.
B.MItMisMaMbacterialMinfection.
C.MBloodyMdiarrheaMisMcommon.
D.MTransmissionMcanMbeMfromMhouseMpets.