UPDATED QUESTIONS AND ANSWERS
◉A parent of a child suspected of having systemic lupus
erythematosus (SLE) asks why so many blood tests are being done.
Which response by the nurse is the most appropriate?
A. "Many of these blood tests look for possible organ damage from
SLE."
B. "SLE is a complicated disorder and is very hard to diagnose."
C. "This is a very typical pattern of diagnostic blood tests we usually
do."
D. We are also checking for other possible autoimmune diseases."
Answer: A
◉A teenage girl is diagnosed with systemic lupus erythematosus
(SLE). Which health promotion guidance is important for the nurse
to provide?
A. "Acetaminophen(Tylenol) is best for daily pain."
B. "Consider adding vitamin D to your daily routine."
C. "Plan to choose a career that is sedentary."
D. "You should consider elective sterilization." Answer: B
,◉A patient is experiencing an anaphylactic reaction. Which IV
solution does the nurse anticipate will be ordered for this patient?
A. 0.45%normalsaline
B. 5% dextrose in water
C. 0.9%normalsaline
D. 3%saline Answer: C
◉A patient is experiencing an anaphylactic reaction. Which action
by the nurse takes priority?
A. Determine what the patient is allergic to.
B. Listen to the patient's lung sounds.
C. Maintain the patient's airway.
D. Provide oxygen at 4 L nasal cannula. Answer: C
◉A nurse is working with a student on the pediatric unit caring for
patients in contact isolation for infectious diarrhea. Which action by
the student warrants intervention by the nurse?
A. Changes gloves and performs hand hygiene after touching a
contaminated site
B. Performs hand hygiene with alcohol-based rubs after caring for
patients
C. Uses an alcohol-based hand sanitizer prior to putting on gloves
D. Washes hands with soap and hot water when they are visibly
soiled Answer: B
, ◉An immunocompromised child has been admitted to the hospital
with Fifth's disease. Which action by the nurse is most appropriate?
A. Place the child in contact precautions.
B. Place the child in droplet precautions.
C. Place the child in protective isolation.
D. Place the child on standard precautions. Answer: B
◉The pediatric nurse is discharging a child diagnosed with
cytomegalovirus infection (CMV). Which teaching is most
appropriate for this child?
A. Ensure adequate rest.
B. Keep the child isolated.
C. Offer favorite foods.
D. Provide plenty of fluids. Answer: A
◉A parent is concerned about giving vaccines to her young child.
What is the best nursing response to the parent's stated concern?
A. "There are different types of vaccines that have less risk to
children that may be of
benefit."
B. "Best practice requires that all children be vaccinated prior to
entering school."