Comprehensive Nursing Actual Exam With
Verified & Accurate Answers Already Graded A+
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1. The nurse is assessing a 2-year-old client with a possible diagnosis of congenital heart disease.
Which of these is most likely to be seen with this diagnosis?
A) Several otitis media episodes in the last year
B) Weight and height in 10th percentile since birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes
,limits activity, which is consistent with manifestations of congenital heart disease in children.
2. The nurse is reassigned to work at the Poison Control Center telephone hotline. In which of these
cases of childhood poisoning would the nurse suggest that parents have the child drink orange juice?
A) An 18 month-old who ate an undetermined amount of crystal drain cleaner
B) A 14 month-old who chewed 2 leaves of a philodendron plant
C) A 20 month-old who is found sitting on the bathroom floor beside an empty bottle of diazepam
(Valium)
D) A 30 month-old who has swallowed a mouthful of charcoal lighter fluid
The correct answer is A: An 18 month-old who ate an undetermined amount of crystal drain cleaner.
Drain cleaner is very alkaline. The orange juice is acidic and will help to neutralize this substance.
3. A 23-year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has
everything ready for the baby and has made plans for the first weeks together at home. Which normal
emotional reaction does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy
The correct answer is C: Anticipation of the birth
Directing activities toward preparation for the newborn’s needs and personal adjustment are indicators of
appropriate emotional response in the third trimester.
4. Upon examining the mouth of a 3-year-old child, the nurse discovers that the teeth have chalky white-
to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely
explain these findings?
A) Ingestion of tetracycline
B) Excessive fluoride intake
C) Oral iron therapy
D) Poor dental hygiene
The correct answer is B: Excessive fluoride intake
The described findings are indicative of fluorosis, a condition characterized by an increase in the extent
and degree of the enamel''s porosity. This problem can be associated with repeated swallowing of
toothpaste with fluoride or drinking water with high levels of fluoride.
5. Which of the following should the nurse teach the client to avoid when taking chlorpromazine HCL
(Thorazine)?
A) Direct sunlight
B) Foods containing tyramine
C) Foods fermented with yeast
D) Canned citrus fruit drinks
The correct answer is A: Avoid direct sunlight
Phenothiazine increases sensitivity to the sun, making clients especially susceptible to sunburn.
6. The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate
statement for the nurse is
, A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate."
The correct answer is A: "Eat a balanced diet for your age."
A diet for a teenager with acne should be a well-balanced diet for their age. There are no recommended
additions and subtractions from the diet.
7. The nurse is caring for a child who has just returned from surgery following a tonsillectomy and
adenoidectomy. Which action by the nurse is appropriate?
A) Offer ice cream every 2 hours
B) Place the child in a supine position
C) Allow the child to drink through a straw
D) Observe swallowing patterns
The correct answer is D: Observe swallowing patterns
The nurse should observe for increased swallowing frequency to check for hemorrhage.
8. The nurse is caring for a client with acute pancreatitis. After pain management, which
intervention should be included in the plan of care?
A) Cough and deep breathe every 2 hours
B) Place the client in contact isolation
C) Provide a diet high in protein
D) Institute seizure precautions
The correct answer is A: Cough and deep breathe every 2 hours Respiratory infections are
common because of fluid in the retro peritoneum
pushing up against the diaphragm causing shallow respirations. Encouraging the client to cough and
deep breathe every 2 hours will diminish the occurrence of this complication.
9. The nurse is caring for a client with trigeminal neuralgia (tic douloureaux). To assist the client with
nutrition needs, the nurse should
A) Offer small meals of high calorie soft food
B) Assist the client to sit in a chair for meals
C) Provide additional servings of fruits and raw vegetables
D) Encourage the client to eat fish, liver and chicken
The correct answer is A: Offer small meals of high calorie soft food
If the client is losing weight because of poor appetite due to the pain, assist in selecting foods that are
high in calories and nutrients, to provide more nourishment with less chewing. Suggest that frequent,
small meals be eaten instead of three large ones. To minimize jaw movements when eating, suggest that
foods be pureed.
10. A client treated for depression tells the nurse at the mental health clinic that he recently purchased a
handgun because he is thinking about suicide. The first nursing action should be to
A) Notify the health care provider immediately
B) Suggest in-patient psychiatric care
C) Respect the client's confidential disclosure
D) Phone the family to warn them of the risk
The correct answer is A: Notify the health care provider immediately
The health care provider must be contacted immediately as the client is a danger to self and others.
Hospitalization is indicated.
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the
nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
Verified & Accurate Answers Already Graded A+
| Professor Verified 2025 Latest
1. The nurse is assessing a 2-year-old client with a possible diagnosis of congenital heart disease.
Which of these is most likely to be seen with this diagnosis?
A) Several otitis media episodes in the last year
B) Weight and height in 10th percentile since birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes
,limits activity, which is consistent with manifestations of congenital heart disease in children.
2. The nurse is reassigned to work at the Poison Control Center telephone hotline. In which of these
cases of childhood poisoning would the nurse suggest that parents have the child drink orange juice?
A) An 18 month-old who ate an undetermined amount of crystal drain cleaner
B) A 14 month-old who chewed 2 leaves of a philodendron plant
C) A 20 month-old who is found sitting on the bathroom floor beside an empty bottle of diazepam
(Valium)
D) A 30 month-old who has swallowed a mouthful of charcoal lighter fluid
The correct answer is A: An 18 month-old who ate an undetermined amount of crystal drain cleaner.
Drain cleaner is very alkaline. The orange juice is acidic and will help to neutralize this substance.
3. A 23-year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has
everything ready for the baby and has made plans for the first weeks together at home. Which normal
emotional reaction does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy
The correct answer is C: Anticipation of the birth
Directing activities toward preparation for the newborn’s needs and personal adjustment are indicators of
appropriate emotional response in the third trimester.
4. Upon examining the mouth of a 3-year-old child, the nurse discovers that the teeth have chalky white-
to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely
explain these findings?
A) Ingestion of tetracycline
B) Excessive fluoride intake
C) Oral iron therapy
D) Poor dental hygiene
The correct answer is B: Excessive fluoride intake
The described findings are indicative of fluorosis, a condition characterized by an increase in the extent
and degree of the enamel''s porosity. This problem can be associated with repeated swallowing of
toothpaste with fluoride or drinking water with high levels of fluoride.
5. Which of the following should the nurse teach the client to avoid when taking chlorpromazine HCL
(Thorazine)?
A) Direct sunlight
B) Foods containing tyramine
C) Foods fermented with yeast
D) Canned citrus fruit drinks
The correct answer is A: Avoid direct sunlight
Phenothiazine increases sensitivity to the sun, making clients especially susceptible to sunburn.
6. The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate
statement for the nurse is
, A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate."
The correct answer is A: "Eat a balanced diet for your age."
A diet for a teenager with acne should be a well-balanced diet for their age. There are no recommended
additions and subtractions from the diet.
7. The nurse is caring for a child who has just returned from surgery following a tonsillectomy and
adenoidectomy. Which action by the nurse is appropriate?
A) Offer ice cream every 2 hours
B) Place the child in a supine position
C) Allow the child to drink through a straw
D) Observe swallowing patterns
The correct answer is D: Observe swallowing patterns
The nurse should observe for increased swallowing frequency to check for hemorrhage.
8. The nurse is caring for a client with acute pancreatitis. After pain management, which
intervention should be included in the plan of care?
A) Cough and deep breathe every 2 hours
B) Place the client in contact isolation
C) Provide a diet high in protein
D) Institute seizure precautions
The correct answer is A: Cough and deep breathe every 2 hours Respiratory infections are
common because of fluid in the retro peritoneum
pushing up against the diaphragm causing shallow respirations. Encouraging the client to cough and
deep breathe every 2 hours will diminish the occurrence of this complication.
9. The nurse is caring for a client with trigeminal neuralgia (tic douloureaux). To assist the client with
nutrition needs, the nurse should
A) Offer small meals of high calorie soft food
B) Assist the client to sit in a chair for meals
C) Provide additional servings of fruits and raw vegetables
D) Encourage the client to eat fish, liver and chicken
The correct answer is A: Offer small meals of high calorie soft food
If the client is losing weight because of poor appetite due to the pain, assist in selecting foods that are
high in calories and nutrients, to provide more nourishment with less chewing. Suggest that frequent,
small meals be eaten instead of three large ones. To minimize jaw movements when eating, suggest that
foods be pureed.
10. A client treated for depression tells the nurse at the mental health clinic that he recently purchased a
handgun because he is thinking about suicide. The first nursing action should be to
A) Notify the health care provider immediately
B) Suggest in-patient psychiatric care
C) Respect the client's confidential disclosure
D) Phone the family to warn them of the risk
The correct answer is A: Notify the health care provider immediately
The health care provider must be contacted immediately as the client is a danger to self and others.
Hospitalization is indicated.
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the
nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
