Exam | Questions and Verified Answers
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2025/2026 Guide
A nurse is caring for a school-age child following the application of a cast
to a Fractured right tibia. Which of the following actions should the nurse
take first?
a. Teach the child about cast care
b. Pad the edges of the cast
c. administer pain medication
d. Elevate the child's leg
- Correct Answer - d. Elevate the child's leg
A nurse is preparing a school-age child for an invasive procedure. Which
of the following actions should the nurse plan to take?
a. plan for 30 minute teaching session about the procedure
b. use vague language to describe the procedure
c. explain the procedure to the child when they are in the playroom
d. demonstrate deep breathing and Counting exercises
- Correct Answer - a. plan for 30 minute teaching session about the
procedure
,A nurse is preparing to collect a urine specimen from a female infant
using a urine collection bag. Which of the following actions should the
nurse take?
a. Apply lidocaine gel to the perineum before attaching the bag
b. Position the opening of the bag over the urethra and the anus
c. Stretch the perineum taught when applying the bag
d. Place a snuff fitting diaper over the drainage bag
- Correct Answer - c. Stretch the perineum taught when applying the bag
A nurse is planning care for a toddler who has developed oral ulcers in
response tochemotherapy. Which of the following actions should the
nurse include in the plan of care?
a. Schedule routine Oral Care every 8 hours
b. Cleanse the gums with saline soaked gauze
c. more sending me closer with lemon glycerin swabs
d. administer oral viscous lidocaine
- Correct Answer - b. Cleanse the gums with saline soaked gauze
A nurse is providing discharge teaching to the parents of an infant who is
at risk for sudden infant death syndrome (SIDS). Which of the following
statements by the parent indicates an understanding of the teaching?
a. I will have my baby sleep next to me in the bed during the night
b. Elmo my baby stuffed animal to the corner of her crib while she sleeps
c. I will dress my baby in lightweight clothing to sleep
d. I will lay my baby on her side to sleep for her naps
- Correct Answer - c. I will dress my baby in lightweight clothing to sleep
, A nurse is monitoring an infant who is receiving opioids for pain. Which
of the following findings should indicate to the nurse that the medication
is having a therapeutic effect?
a. Increased blood pressure
b. Limb withdrawal
c. relaxed facial expression
d. bradycardia
- Correct Answer - c. relaxed facial expression
A nurse is caring for a three-month-old infant who has cleft of the soft
palate. Which of the following actions should the nurse take?
a. discontinue feeding if the client's eyes become watery
b. postpone burping the infant until after completing each feeding
c. Elevate the infant's head to a 10 degree angle during feedings
d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day
- Correct Answer - a. discontinue feeding if the client's eyes become
watery
A nurse is caring for a child who has hyponatremia. Which of the
following findings should the nurse expect?
a. Tetany
b. weight gain
c. Elevated heart rate
d. excessive diaphoresis