2025 Including Nclex Questions
With All Correct Answers
After reviewing the information in the child's medical record, which
of the following findings should the nurse report to the provider?
Select the 4 findings that the nurse should report to the provider.
Arterial blood gases
Cardiovascular assessment
WBC count
Hemoglobin
Oxygen saturation level
Respiratory assessment - ✔✔ANSWER✔✔>>Arterial blood gases
WBC count
Oxygen saturation level
Respiratory assessment
A nurse is receiving change-of-shift report for four children. Which of
the following children should the nurse assess first?
An adolescent who was placed into halo traction 1 hr ago and
reports pain as 6 on a scale of 0 to 10
An adolescent who has infective endocarditis and reports having a
headache
,A toddler who has a concussion and is experiencing an episode of
forceful vomiting
A school-age child who has acute glomerulonephritis and brown-
colored urine - ✔✔ANSWER✔✔>>A toddler who has a concussion
and is experiencing an episode of forceful vomiting
After examining the child during hydrotherapy, the provider enters
prescriptions into the child's medical record.
For each potential provider's prescription, click to specify if the
potential prescription is anticipated or contraindicated for the child.
A. Change the morphine route to family-controlled analgesia via a
PCA pump
B. Obtain a wound culture
C. Place the child on a pressure-reduction mattress
D. Limit daily protein intake - ✔✔ANSWER✔✔>>A. Anticipated
B. Anticipated
C. Anticipated
D. Contraindicated
The child has returned to the unit following the procedure. Which of
the following actions should the nurse take?
Select all that apply.
Monitor SaO2 every 2 hr.
Provide 100% oxygen via face mask.
Check anterior neck and chest dressing for bleeding.
Replace the dressing on the left thigh.
Place a warm blanket on the child.
Keep the child's head in a neutral position. -
✔✔ANSWER✔✔>>Provide 100% oxygen via face mask.
Check anterior neck and chest dressing for bleeding.
Place a warm blanket on the child.
Keep the child's head in a neutral position.
Select 6 statements by the parent that indicate an understanding of
the discharge teaching.
"I will give my child hydroxyzine to prevent bacterial infection."
"I should apply a moisturizer to the scar tissue."
, "I will use a measured spoon or medicine cup to give my child
hydroxyzine."
"I can give my child hydroxyzine every 6 hours as needed."
"Puppet play can be helpful for my child."
"I should avoid giving hydroxyzine at bedtime."
"I will avoid massaging the scar tissue."
"My child is too young to be concerned about their body image."
"I need to assess for any redness or open skin areas before applying
my child's left arm splint."
"My child will need to use a compression garment to decrease blood
supply to the scarred tissue." - ✔✔ANSWER✔✔>>"I should apply a
moisturizer to the scar tissue."
"I will use a measured spoon or medicine cup to give my child
hydroxyzine."
"I can give my child hydroxyzine every 6 hours as needed."
"Puppet play can be helpful for my child."
"I need to assess for any redness or open skin areas before applying
my child's left arm splint."
"My child will need to use a compression garment to decrease blood
supply to the scarred tissue."
A nurse is assessing an infant who has a ventricular septal defect.
Which of the following findings should the nurse expect?
Loud, harsh murmur
Dysrhythmias
Weak femoral pulses
High blood pressure - ✔✔ANSWER✔✔>>Loud, harsh murmur
A nurse is teaching a school-age child who has a new diagnosis of
type 1 diabetes mellitus. Which of the following statements by the
child indicates an understanding of the teaching?
"I will puncture the pad of my finger when I am testing my blood
glucose."
"I will eat a snack of 5 grams of carbohydrates if my blood glucose is
low."
"I will give myself a shot of regular insulin 30 minutes before I eat
breakfast."