COMPLETE 200 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
Where is the best place to observe for the presence of petechiae in dark-skinned
individuals? - CORRECT ANSWER ✔✔- Oral mucosa
When palpating the child's cervical lymph nodes, the nurse notes that they are
tender, enlarged, and warm. The best explanation for this is: - CORRECT ANSWER
✔✔- Infection or inflammation close to the site.
The nurse has just started assessing a young child who is febrile and appears very
ill. There is hyperextension of the child's head (opisthotonos) with pain on flexion.
The most appropriate action is to: - CORRECT ANSWER ✔✔- Refer for immediate
medical evaluation.
The nurse should expect the anterior fontanel to close at age: - CORRECT ANSWER
✔✔- 12 to 18 months
During a funduscopic examination of a school-age child, the nurse notes a
brilliant, uniform red reflex in both eyes. The nurse should recognize that this is: -
CORRECT ANSWER ✔✔- A normal finding.
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,Binocularity, the ability to fixate on one visual field with both eyes
simultaneously, is normally present by what age? - CORRECT ANSWER ✔✔- 3 to 4
months
The most frequently used test for measuring visual acuity is the: - CORRECT
ANSWER ✔✔- Snellen letter chart.
The nurse is testing an infant's visual acuity. By what age should the infant be able
to fix on and follow a target? - CORRECT ANSWER ✔✔- 3 to 4 months
The appropriate placement of a tongue blade for assessment of the mouth and
throat is the: - CORRECT ANSWER ✔✔- Side of the tongue.
What type of breath sound is normally heard over the entire surface of the lungs
except for the upper intrascapular area and the area beneath the manubrium? -
CORRECT ANSWER ✔✔- Vesicular
What term is used to describe breath sounds that are produced as air passes
through narrowed passageways? - CORRECT ANSWER ✔✔- Wheezes
The nurse must assess a child's capillary filling time. This can be accomplished by:
- CORRECT ANSWER ✔✔- Palpating the skin to produce a slight blanching.
What heart sound is produced by vibrations within the heart chambers or in the
major arteries from the back-and-forth flow of blood? - CORRECT ANSWER ✔✔-
murmur
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, Examination of the abdomen is performed correctly by the nurse in this order: -
CORRECT ANSWER ✔✔- inspection, auscultation, and palpation
The nurse has a 2-year-old boy sit in "tailor" position during palpation for the
testes. The rationale for this position is that: - CORRECT ANSWER ✔✔- It prevents
cremasteric reflex.
During examination of a toddler's extremities, the nurse notes that the child is
bowlegged. The nurse should recognize that this finding is: - CORRECT ANSWER
✔✔- Normal because the lower back and leg muscles are not yet well developed.
Kimberly is having a checkup before starting kindergarten. The nurse asks her to
do the "finger-to-nose" test. The nurse is testing for: - CORRECT ANSWER ✔✔-
Cerebellar function.
The nurse must check vital signs on a 2-year-old boy who is brought to the clinic
for his 24-month checkup. Which criteria should the nurse use in determining the
appropriate-size blood pressure cuff? Choose all that apply. - CORRECT ANSWER
✔✔- The cuff bladder width is approximately 40% of the circumference of the
upper arm.
The cuff bladder length covers 80% to 100% of the circumference of the upper
arm.
Which data would be included in a health history? Choose all that apply -
CORRECT ANSWER ✔✔- Nutritional assessment
Family medical history
Sexual history
Review of systems
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