QUESTIONS 2026 COMPLETE REVIEW
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,416. The nurse prepares a teaching plan for the mother of 3
a child diagnosed with bacterial conjunctivitis. Which, if Conjunctivitis is an inflammation of the conjunctiva. Bacterial conjunctivitis is
stated by the mother, indicates a need for further highly contagious, and the nurse should teach infection control measures. These
teaching? include good hand-washing and not sharing towels and washcloths. Options 1, 2,
1. "I need to wash my hands frequently." and 4 are correct treatment measures.
2. "I need to clean the eye as prescribed."
3. "It is okay to share towels and washcloths."
4. "I need to give the eye drops as prescribed."
417. The nurse is reviewing the laboratory results for a 2
child scheduled for tonsillectomy. The nurse determines A tonsillectomy is the surgical removal of the tonsils. Because the tonsillar area is
that which laboratory value is most significant to review? so vascular, postoperative bleeding is a concern. Prothrombin time, partial
1. Creatinine level thromboplastin time, platelet count, hemoglobin and hematocrit, white blood cell
2. Prothrombin time count, and urinalysis
3. Sedimentation rate are performed preoperatively. The prothrombin time results would identify a
4. Blood urea nitrogen level potential for bleeding. Creatinine level, sedimentation rate, and blood urea
nitrogen would not determine the potential for bleeding.
418. The nurse is preparing to care for a child after a 2
tonsillectomy. The nurse documents on the plan of care A tonsillectomy is the surgical removal of the tonsils. The child should be placed in
to place the child in which position? a prone or side-lying position after the surgical procedure to facilitate drainage.
1. Supine Options 1, 3, and 4 would not achieve this goal.
2. Side-lying
3. High Fowler's
4. Trendelenburg's
419. After a tonsillectomy, the nurse reviews the health 2
care provider's (HCP's) postoperative prescriptions. A tonsillectomy is the surgical removal of the tonsils. After tonsillectomy, suction
Which prescription should the nurse question? equipment should be available, but suctioning is not performed unless there is an
1. Monitor for bleeding. airway obstruction because of the risk of trauma to the surgical site. Monitoring
2. Suction every 2 hours. for bleeding is an important nursing intervention after any type of surgery. Milk
3. Give no milk or milk products. and milk products are avoided initially because they coat the throat, cause the
4. Give clear, cool liquids when awake and alert. child to clear the throat, and increase the risk of bleeding. Clear, cool liquids are
encouraged.
420. The nurse is caring for a child after a tonsillectomy. 1
The nurse monitors the child, knowing that which finding A tonsillectomy is the surgical removal of the tonsils. Frequent swallowing,
indicates the child is bleeding? restlessness, a fast and thready pulse, and vomiting bright red blood are signs of
1. Frequent swallowing bleeding. An elevated blood pressure and complaints of discomfort are not
2. A decreased pulse rate indications of bleeding.
3. Complaints of discomfort
4. An elevation in blood pressure
, 421. Antibiotics are prescribed for a child with otitis media 1
who underwent a myringotomy with insertion of A myringotomy is the insertion of tympanoplasty tubes into the middle ear to
tympanostomy tubes. The nurse provides discharge promote drainage of purulent middle ear fluid, equalize pressure, and keep the
instructions to the parents regarding the administration of ear aerated. The nurse must instruct parents regarding the administration of
the antibiotics. Which statement, if made by the parents, antibiotics. Antibiotics need to be taken as prescribed, and the full course needs
indicates understanding of the instructions provided? to be completed. Options 2, 3, and 4 are incorrect. Antibiotics are not tapered,
1. "Administer the antibiotics until they are gone." but are administered for the full course of therapy.
2. "Administer the antibiotics if the child has a fever."
3. "Administer the antibiotics until the child feels better."
4. "Begin to taper the antibiotics after 3 days of a full
course."
422. The day care nurse is observing a 2-year-old child 2
and suspects that the child may have strabismus. Which Strabismus is a condition in which the eyes are not aligned because of lack of
observation made by the nurse indicates the presence of coordination of the extraocular muscles. The nurse may suspect strabismus in a
this condition? child when the child complains of frequent headaches, squints, or tilts the head to
1. The child has difficulty hearing. see. Other manifestations include crossed eyes, closing one eye to see, diplopia,
2. The child consistently tilts the head to see. photophobia, loss of binocular vision, or impairment of depth perception. Options
3. The child does not respond when spoken to. 1, 3, and 4 are not indicative of this condition.
4. The child consistently turns the head to hear.
423. A child has been diagnosed with acute otitis media 1, 5, 6
of the right ear. Which interventions should the nurse Acute otitis media is an inflammatory disorder caused by an infection of the
include in the plan of care? Select all that apply. middle ear. The child often has fever, pain, loss of appetite, and possible ear
1. Provide a soft diet. drainage. The child also is irritable and lethargic and may roll the head or pull on
2. Position the child on the left side. or rub the affected ear. Otoscopic examination may reveal a red, opaque, bulging,
3. Administer an antihistamine twice daily. and immobile tympanic membrane. Hearing loss may be noted particularly in
4. Irrigate the right ear with normal saline every 8 hours. chronic otitis media. The child's fever should be treated with ibuprofen (Motrin IB).
5. Administer ibuprofen (Motrin IB) for fever every 4 The child is positioned on his or her affected side to facilitate drainage. A soft diet
hours as prescribed and as needed. is recommended during the acute stage to avoid pain that can occur with
6. Instruct the parents about the need to administer the chewing. Antibiotics are prescribed to treat the bacterial infection and should be
prescribed antibiotics for the full course of therapy. administered for the full prescribed course. The ear should not be irrigated with
normal saline because it can exacerbate the inflammation further. Antihistamines
are not usually recommended as a part of therapy.
444. The nurse reviews the record of a child who is 2
suspected to have glomerulonephritis and expects to Glomerulonephritis refers to a group of kidney disorders characterized by
note which finding that is associated with this diagnosis? inflammatory injury in the glomerulus. Gross hematuria, resulting in dark, smoky,
1. Hypotension cola-colored or brown-colored urine, is a classic symptom of glomerulonephritis.
2. Brown-colored urine Hypertension is also common. Blood urea nitrogen levels may be elevated. A
3. Low urinary specific gravity moderately elevated to high urinary specific gravity is associated with
4. Low blood urea nitrogen level glomerulonephritis.
445. The nurse performing an admission assessment on a 2
2-year-old child who has been diagnosed with nephrotic Nephrotic syndrome is defined as massive proteinuria, hypoalbuminemia,
syndrome notes that which most common characteristic hyperlipemia, and edema. Other manifestations include weight gain; periorbital
is associated with this syndrome? and facial edema that is most prominent in the morning; leg, ankle, labial, or
1. Hypertension scrotal edema; decreased urine output and urine that is dark and frothy;
2. Generalized edema abdominal swelling; and blood pressure that is normal or slightly decreased.
3. Increased urinary output
4. Frank, bright red blood in the urine