SHEET 2026 EXAM QUESTIONS AND
ANSWERS EXPERT VERIFIED
◉The nurse is providing postoperative care to a school-age child
after a splenectomy and notes the following: temperature 102.1ºF
(39ºC), heart rate 120 bpm, respiratory rate 28 breaths/minute,
blood pressure 78/36 mm Hg, and oxygen saturation 90%. Which
nursing action is priority?
Reassess temperature in 30 minutes.
Place the child in a supine position.
Administer acetaminophen orally.
Give recombinant erythropoietin. Answer: Risk for imbalanced
nutrition, less than body requirements, related to inflammation
◉A 5-year-old client has been diagnosed with leukemia and is
currently on chemotherapy and radiation. The child is having
difficulty due to mucositis. Which is the most appropriate nursing
diagnosis for this child?
Risk for imbalanced nutrition, less than body requirements, related
to inflammation
, Compromised family coping, related to long-term chemotherapy
regimen
Disturbed body image related to loss of hair after chemotherapy
Pain due to neoplastic process in bone .Answer: Risk for imbalanced
nutrition, less than body requirements, related to inflammation
◉A 3-year-old child is hospitalized with a diagnosis of sickle cell
anemia and is experiencing a pain crisis. Using the FACES scale, the
nurse assesses the child's pain to be a 10 on a scale of 1 to 10. The
child is receiving intravenous fluids and oxygen at 2 L/min via nasal
cannula. The parent is at the bedside holding the child's hand and
has a concerned look. What is the nurse's priority in caring for the
child?
Ask the parent if he or she has questions about the plan of care.
Implement strategies to address the child's pain.
Contact the health care provider to meet with the parent.
Provide diversional activities for the child. Answer: Implement
strategies to address the child's pain.
◉A nurse is providing care to a child who is to receive a blood
transfusion. The health care provider has prescribed the infusion to
run at a rate of 5 mL/kg/hour. The child weighs 55 lb The nu(25 kg).
At what rate should the nurse set the infusion pump? Answer: The
nurse will use the child's weight in kilograms, and multiply weight
by the prescribed milligrams per hour.