EXAM 2025/2026 COMPLETE
QUESTIONS AND CORRECT
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A nurse is teaching an adolescent about various strategies for
chronic pain management. which of the following activities
should the nurse use as an example of the nonpharmacological
strategy of thought stopping? - ANSWER Repeat memorized
facts about the painful event (Assemble a puzzle, Discuss a
recent pleasurable event, Tighten and then relax each body part
are incorrect) Having the adolescent repeat memorized facts
about the painful event is an example of the non
pharmacological pain management strategy of thought stopping.
Thoughts such as "the pain will be gone soon" or "I'll be home
by this time tomorrow" can help the adolescent control the pain.
after listing the facts, the nurse should then have the adolescent
condense and memorize the facts to repeat them whenever pain
occurs.
A nurse is reviewing recommended immunizations with the
guardian of a 2 month old infant. which of the following
statements should the nurse make? - ANSWER Your baby can
start the pneumococcal vaccine now (Your baby can receive the
varicella vaccine at 6 months of age, Your baby should receive
the flu vaccine before 6 months of age, Your baby can start the
measles, mumps, and rubella vaccine are incorrect) The infant
can receive the first dose of the pneumococcal vaccine now,
with 2 additional doses at 4 months and 12 months of age.
, A nurse is caring for an infant who has pertussis. which of the
following actions should the nurse take? - ANSWER Maintain a
cardiorespiratory monitor (Assess for edema of the extremities,
Apply warm compresses to the neck area, Initiate airborne
precautions are incorrect) Infants with pertussis typically present
with apnea in response to coughing spasms and mucus plugs.
Humidified oxygen and suction equipment should be used as
needed.
A nurse is caring for a 7 year old child who is in skeletal
traction following a complete fracture of the femur. which of the
following diversional activities should the nurse offer the child?
- ANSWER Chapter books (Puzzle with large pieces, Building
blocks, Finger paints are incorrect) The nurse should offer
chapter books as an appropriate diversional activity for a school
age child who has limited movement due to skeletal traction.
A nurse is creating a plan of care for a 6 month old infant who
requires continuous pulse oximetry monitoring. Which of the
following interventions should the nurse include? - ANSWER
Cover the oximetry sensor with clothing (Reposition the sensor
to a new site once every 24 hr, Secure the oximetry sensor to the
infant's wrist, Apply conduction gel to the skin before attaching
the sensor are incorrect) The nurse should cover the sensor with
clothing to prevent outside light from causing an altered or false
reading.
A nurse is caring for a toddler who has otitis media and a
temperature of 39.1 (102.4F). Which of the following actions
should the nurse take first? - ANSWER Administer an
antipyretic to the child (Reduce the temperature of the Childs
room, Redress the child in minimal clothing, Apply cool
compresses to the Childs forehead are incorrect) When using the
urgent vs. nonurgent approach to client care, the nurse should
first administer an antipyretic to decrease the toddler's body
temperature.
, A nurse is providing teaching to a 12 year old client who is
recovering from an acute episode of hemophilia A. which of the
following statements should the nurse include in the teaching? -
ANSWER You will be able to participate in physical exercises
(Have your parent stretch and move your legs for you, Apply
heat to joints that become painful, stiff, and swollen, Take
aspirin at the first sign of a headache are incorrect) Physical
exercise is important for the maintenance of joint mobility and
muscle strength. participation in non contact sports and the use
of protective equipment such as knee pads are encouraged,
although high impact athletic activities such as karate should be
avoided.
A school nurse is assessing a child who has been stung by a bee.
the child's hand is swelling and the nurse notes that the child is
allergic to insect stings. which of the following findings should
the nurse expect if the child develops anaphylaxis? - ANSWER
Nausea, Urticaria, and Stridor (Bradycardia, Hypertension are
incorrect) A common gastrointestinal response to excessive
histamine release is nausea. A common skin manifestation of
excessive histamine release is hives, also known as urticaria. A
serious, life threatening response to excessive histamine release
is airway narrowing, which presents as dyspnea and stridor.
A nurse is developing a health education program for the
parents of school aged females. which of the following pieces of
information regarding sexual maturation should the nurse
include? - ANSWER Higher body fat content is associated with
earlier onset of menarche (Pubic hair is typically present prior to
breast development, Ovulation begins after sexual maturation is
complete, Menarche signals the beginning of puberty are
incorrect) The nurse should inform the parents that the onset of
menarche is expected to occur around 10.5 to 15.5 years of age.
females who have a higher body fat content have been shown to
have earlier onset of menarche.
, A nurse in the emergency department is caring for a 2-year-old
child who was found by his parents crying and holding a
container of toilet bowl cleaner. The child's lips are edematous
and inflamed, and he is drooling. Which of the following is the
priority action by the nurse? - ANSWER Check the child's
respiratory status.
A nurse is teaching a parent of a 12-month old child about
development during the toddler years. Which of the following
statements should the nurse include? - ANSWER "Your child
should be able to scribble spontaneously using a crayon at the
age of 15 months."
A nurse is caring for a toddler and is preparing to administer
0.9% sodium chloride 100 mL IV to infuse over 4 hr. The drop
factor of the manual IV tubing is 60 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number.) - ANSWER 25 GTT
A nurse in a pediatric clinic is assessing a toddler at a well-
child visit. Which of the following actions should the nurse take?
- ANSWER Minimize physical contact with the child initially.
A nurse is caring for an 18-year-old adolescent who is up-to-
date on immunizations and is planning to attend college. The
nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus
dormitory? - ANSWER Meningococcal polysaccharide
A nurse is teaching the parent of a toddler about home safety.
Which of the following statements by the parent indicates an
understanding of the teaching? - ANSWER "I lock my
medications in the medicine cabinet."
A nurse is performing a physical assessment on a 6-month-old
infant. Which of the following reflexes should the nurse expect
to find? - ANSWER Babinski